45 CFR § 180 compliance
A · 100
This hospital published most of what § 180 requires.
●Machine-readable file published
●Gross / standard charges
●Discounted cash price
●Payer-specific negotiated rates
●Min / max negotiated charges
●Free, public, no login required
Procedures listed
3,126
Insurances with rates
1
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
3000012
$11,643
Activase (Alteplase)100mg/100ml Vl
Gross
$15,524
3000925
$10,977
Tnkase (Tenecteplase) 50mg Vl Kit
Gross
$14,636
500245
$3,844
Repair Blood Vessel Lesio
Gross
$5,125
800025
$3,503
Urethral Dilation Female
Gross
$4,670
500144
$3,146
Ligation Of Femoral Vein
Gross
$4,194
500189
$2,897
Repair Of One Digital Ner
Gross
$3,863
3000809
$2,428
Reopro (Abciximab) 10mg/5ml Vial
Gross
$3,237
843246
$2,077
Placement Gastrostomy Tub
Gross
$2,769
500052
$1,982
Incision Of Rectal Absces
Gross
$2,642
546320
$1,982
Removal Of Hemorrhoid Clt
Gross
$2,642
555120
$1,979
Removal Of Scrotum Lesion
Gross
$2,639
1408951
$1,965
Brcavantage Comprehensiv
Gross
$2,620
500290
$1,856
Abdomen Surgery Procedure
Gross
$2,475
3557795
$1,817
Kit Implanted Port 8fr
Gross
$2,422
800080
$1,706
I&d Thigh/knee
Gross
$2,275
500149
$1,678
Repr Extensr Tndn Hand W/
Gross
$2,237
553620
$1,678
Dilation Of Urethral Stri
Gross
$2,237
500183
$1,597
Incision Of Breast Lesion
Gross
$2,129
500100
$1,495
Er Special Misc Services
Gross
$1,993
500703
$1,492
Remove Fb Ft Subq
Gross
$1,989
1408767
$1,398
Genomic Alterations
Gross
$1,864
537799
$1,368
Vascular Surgery Proc
Gross
$1,824
3000226
$1,338
Combivent Respimat Inh Spray
Gross
$1,784
500410
$1,303
Dx Laryngoscopy Excl Nb
Gross
$1,737
3000451
$1,196
Integrilin(epitifibatide)75mg/100ml
Gross
$1,595
2092528
$1,166
Us Echocardiogram 2d/m-mode
Gross
$1,555
2210209
$1,166
Us Echocardiogram Complete
Gross
$1,555
3002484
$1,151
Veklury(remdesivir) 100mg Vial
Gross
$1,534
3002496
$1,151
Veklury(remdesivir) 100mg Vl
Gross
$1,534
500116
$1,149
Critical Care Each Addtl
Gross
$1,532
500185
$1,149
Critical Care Each Addtl 25 Mod
Gross
$1,532
852000
$1,148
Cystoscopy
Gross
$1,531
3000145
$1,134
Byetta Pen 10mcg
Gross
$1,512
3000146
$1,134
Byetta Pen 5mcg
Gross
$1,512
500173
$1,111
Cltx Sho Dislc W/fx Humrl
Gross
$1,481
500191
$1,111
Treat Clavicle Dislocatio
Gross
$1,481
500195
$1,111
Clo Tx Ankl Disl Wo Anes
Gross
$1,481
525605
$1,111
Fx Reduct Radius W/man
Gross
$1,481
3000091
$1,109
Augmentin (Amox/clav) 125/5ml 75ml
Gross
$1,478
500088
$1,079
Er Level 5 W Mod 25
Gross
$1,439
500094
$1,079
Er Level 5
Gross
$1,439
2500168
$1,040
Cardioversion Arrhythmia Elective
Gross
$1,386
2171275
$1,010
Ct Angiography Chest
Gross
$1,347
500071
$1,007
Drainage Of Scrotum Absce
Gross
$1,342
510002
$1,007
Drain Finger Abscess Comp
Gross
$1,342
510140
$1,007
I&d Hematoma
Gross
$1,342
2174178
$964
Ct Abdomen&pelvis Wo&w Co
Gross
$1,285
549080
$964
Peritoneocentisis-diag/th
Gross
$1,285
500053
$951
I&d Perianal Absc Superfi
Gross
$1,268
536556
$950
Insert Non-tunnel Cv Cath
Gross
$1,267
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 3000012 | Activase (Alteplase)100mg/100ml Vl | $15,524 | $11,643 | $7,762 | $13,195 | 4 |
| 3000925 | Tnkase (Tenecteplase) 50mg Vl Kit | $14,636 | $10,977 | $7,318 | $12,441 | 4 |
| 500245 | Repair Blood Vessel Lesio | $5,125 | $3,844 | $2,563 | $4,356 | 4 |
| 800025 | Urethral Dilation Female | $4,670 | $3,503 | $2,335 | $3,970 | 4 |
| 500144 | Ligation Of Femoral Vein | $4,194 | $3,146 | $2,097 | $3,565 | 4 |
| 500189 | Repair Of One Digital Ner | $3,863 | $2,897 | $1,932 | $3,284 | 4 |
| 3000809 | Reopro (Abciximab) 10mg/5ml Vial | $3,237 | $2,428 | $1,619 | $2,751 | 4 |
| 843246 | Placement Gastrostomy Tub | $2,769 | $2,077 | $1,385 | $2,354 | 4 |
| 500052 | Incision Of Rectal Absces | $2,642 | $1,982 | $1,321 | $2,246 | 4 |
| 546320 | Removal Of Hemorrhoid Clt | $2,642 | $1,982 | $1,321 | $2,246 | 4 |
| 555120 | Removal Of Scrotum Lesion | $2,639 | $1,979 | $1,320 | $2,243 | 4 |
| 1408951 | Brcavantage Comprehensiv | $2,620 | $1,965 | $1,310 | $2,227 | 4 |
| 500290 | Abdomen Surgery Procedure | $2,475 | $1,856 | $1,238 | $2,104 | 4 |
| 3557795 | Kit Implanted Port 8fr | $2,422 | $1,817 | $1,211 | $2,059 | 4 |
| 800080 | I&d Thigh/knee | $2,275 | $1,706 | $1,138 | $1,934 | 4 |
| 500149 | Repr Extensr Tndn Hand W/ | $2,237 | $1,678 | $1,119 | $1,901 | 4 |
| 553620 | Dilation Of Urethral Stri | $2,237 | $1,678 | $1,119 | $1,901 | 4 |
| 500183 | Incision Of Breast Lesion | $2,129 | $1,597 | $1,065 | $1,810 | 4 |
| 500100 | Er Special Misc Services | $1,993 | $1,495 | $997 | $1,694 | 4 |
| 500703 | Remove Fb Ft Subq | $1,989 | $1,492 | $995 | $1,691 | 4 |
| 1408767 | Genomic Alterations | $1,864 | $1,398 | $932 | $1,584 | 4 |
| 537799 | Vascular Surgery Proc | $1,824 | $1,368 | $912 | $1,550 | 4 |
| 3000226 | Combivent Respimat Inh Spray | $1,784 | $1,338 | $892 | $1,516 | 4 |
| 500410 | Dx Laryngoscopy Excl Nb | $1,737 | $1,303 | $869 | $1,476 | 4 |
| 3000451 | Integrilin(epitifibatide)75mg/100ml | $1,595 | $1,196 | $798 | $1,356 | 4 |
| 2092528 | Us Echocardiogram 2d/m-mode | $1,555 | $1,166 | $778 | $1,322 | 4 |
| 2210209 | Us Echocardiogram Complete | $1,555 | $1,166 | $778 | $1,322 | 4 |
| 3002484 | Veklury(remdesivir) 100mg Vial | $1,534 | $1,151 | $767 | $1,304 | 4 |
| 3002496 | Veklury(remdesivir) 100mg Vl | $1,534 | $1,151 | $767 | $1,304 | 4 |
| 500116 | Critical Care Each Addtl | $1,532 | $1,149 | $766 | $1,302 | 4 |
| 500185 | Critical Care Each Addtl 25 Mod | $1,532 | $1,149 | $766 | $1,302 | 4 |
| 852000 | Cystoscopy | $1,531 | $1,148 | $766 | $1,301 | 4 |
| 3000145 | Byetta Pen 10mcg | $1,512 | $1,134 | $756 | $1,285 | 4 |
| 3000146 | Byetta Pen 5mcg | $1,512 | $1,134 | $756 | $1,285 | 4 |
| 500173 | Cltx Sho Dislc W/fx Humrl | $1,481 | $1,111 | $741 | $1,259 | 4 |
| 500191 | Treat Clavicle Dislocatio | $1,481 | $1,111 | $741 | $1,259 | 4 |
| 500195 | Clo Tx Ankl Disl Wo Anes | $1,481 | $1,111 | $741 | $1,259 | 4 |
| 525605 | Fx Reduct Radius W/man | $1,481 | $1,111 | $741 | $1,259 | 4 |
| 3000091 | Augmentin (Amox/clav) 125/5ml 75ml | $1,478 | $1,109 | $739 | $1,256 | 4 |
| 500088 | Er Level 5 W Mod 25 | $1,439 | $1,079 | $720 | $1,223 | 4 |
| 500094 | Er Level 5 | $1,439 | $1,079 | $720 | $1,223 | 4 |
| 2500168 | Cardioversion Arrhythmia Elective | $1,386 | $1,040 | $693 | $1,178 | 4 |
| 2171275 | Ct Angiography Chest | $1,347 | $1,010 | $674 | $1,145 | 4 |
| 500071 | Drainage Of Scrotum Absce | $1,342 | $1,007 | $671 | $1,141 | 4 |
| 510002 | Drain Finger Abscess Comp | $1,342 | $1,007 | $671 | $1,141 | 4 |
| 510140 | I&d Hematoma | $1,342 | $1,007 | $671 | $1,141 | 4 |
| 2174178 | Ct Abdomen&pelvis Wo&w Co | $1,285 | $964 | $643 | $1,092 | 4 |
| 549080 | Peritoneocentisis-diag/th | $1,285 | $964 | $643 | $1,092 | 4 |
| 500053 | I&d Perianal Absc Superfi | $1,268 | $951 | $634 | $1,078 | 4 |
| 536556 | Insert Non-tunnel Cv Cath | $1,267 | $950 | $634 | $1,077 | 4 |
Showing top 50 of 3,126 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.