45 CFR § 180 compliance
B · 85
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
1,379
Insurances with rates
5
CPT / HCPCS codes
1,352
Source MRF
Most expensive procedures (gross)
J2997
$27.85
ACTIVASE 100MG (1MG/ML)
Gross
$22,398
27033
$27.85
ARTHROTOMY/HIP
Gross
$18,843
19303
$27.85
MASTECTOMY/SIMPLE/COMPLETE
Gross
$16,497
42820
$27.85
TONSILLECTOMY/ADENOIDECTOMY/U 12YRS
Gross
$15,279
42825
$27.85
TONSILLECTOMY < 12YRS
Gross
$15,279
47563
$27.85
CHOLE/LAPAROSCOPY W/CHOLANG
Gross
$15,227
58670
$27.85
TUBAL/LAPAROSCOPY CAUTERY
Gross
$15,227
47600
$27.85
CHOLECYSTECTOMY/OPEN
Gross
$15,227
47562
$27.85
CHOLE/LAPAROSCOPY
Gross
$15,227
49565
$27.85
HERNIA RECURRENT VENTRAL ABD./INCISIONAL
Gross
$15,227
49322
$27.85
DIAG/LAPAROSCOPY/I&D
Gross
$15,227
58660
$27.85
DIAG/LAPAROSCOPY
Gross
$15,227
58661
$27.85
DIAG/LAPAROSCOPY/PELVIC w/OOPHORECTOMY
Gross
$15,227
58662
$27.85
DIAG/LAPAROSCOPY/REM LESION/PELVIS/OVARY
Gross
$15,227
49320
$27.85
DIAGNOSTIC LAPAROSCOPY
Gross
$15,227
47605
$27.85
CHOLECYSTECTOMY/OPEN W/CHOLANGIOGRAM
Gross
$15,227
59151
$27.85
DIAG/LAPSCPY ECTOPIC PREG,SALPING/OOPHOR
Gross
$15,227
57250
$27.85
RECTOCELE REPAIR/POST./COLPORRHAPHY
Gross
$13,455
57268
$27.85
ENTEROCELE REPAIR/VAG APPROACH
Gross
$13,455
J1162
$27.85
DIGIBIND 38mg Vial Inj
Gross
$12,490
J2505
$27.85
NEULASTA 6MG/0.6ML PFS
Gross
$11,993
49585
$27.85
HERNIA UMBILICAL REPAIR
Gross
$9,795
49570
$27.85
HERNIA EPIGASTRIC
Gross
$9,795
49553
$27.85
HERNIA FEMORAL/STRANGULATED W/COMP
Gross
$9,795
55040
$27.85
HYDROCELE REPAIR/UNILATERAL
Gross
$9,795
49525
$27.85
HERNIA/INGUINAL/SLIDING
Gross
$9,795
44950
$27.85
APPENDECTOMY
Gross
$9,795
49560
$27.85
HERNIA VENTRAL ABD./INCISIONAL
Gross
$9,795
49520
$27.85
HERNIA RECURRENT/INGUINAL
Gross
$9,795
49550
$27.85
HERNIA FEMORAL REPAIR/REDUCEABLE
Gross
$9,795
49505
$27.85
HERNIA/INGUINAL/REDUCEABLE
Gross
$9,795
49561
$27.85
RPR HERNIA VENTRAL INIT NON REDUCIBLE
Gross
$9,795
49587
$27.85
HERNIA UMBILICAL REPAIR NON REDUCIBLE
Gross
$9,795
J0840
$27.85
CROFAB
Gross
$9,763
19120
$27.85
EXCISIONAL REMOVAL BREAST MASS
Gross
$9,543
38500
$27.85
EXCISIONAL/BIOPSY LYMPH NODE(S)
Gross
$9,543
55530
$27.85
VARICOCELE/EXCISION/LIG/SPERM VEINS
Gross
$9,508
55520
$27.85
REMOVAL OF SPERM CORD LESION
Gross
$9,508
14301
$27.85
ADJACENT TISSUE TRANSFER 30.1-60.0 SQ CM
Gross
$9,378
J1459
$27.85
PRIVIGEN IVIG 40G/400ML VIAL
Gross
$9,240
J0630
$27.85
CALCIMAR 200IU/ml Inj-(UP TO 400 UN)
Gross
$8,919
28820
$27.85
AMPUTATION TOE
Gross
$8,623
28810
$27.85
AMPUTATION TOE/METATARSAL
Gross
$8,623
26951
$27.85
AMPUTATION FINGER/THUMB, ANY JOINT SINGL
Gross
$8,623
J3101
$27.85
TNKase 50MG INJ
Gross
$8,436
J2993
$27.85
RETAVASE Inj. (PER 37.6MG)
Gross
$8,299
42821
$27.85
TONSILLECTOMY/ADENOIDECTOMY/ >12YRS
Gross
$8,250
42826
$27.85
TONSILLECTOMY > 12YRS
Gross
$8,250
56740
$27.85
BARTHOLINS CYST/EXCISIONAL
Gross
$8,185
45560
$27.85
RECTOCELE REPAIR
Gross
$8,116
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ACTIVASE 100MG (1MG/ML) | $22,398 | $27.85 | — | — | 3 |
| 27033 | ARTHROTOMY/HIP | $18,843 | $27.85 | — | — | 5 |
| 19303 | MASTECTOMY/SIMPLE/COMPLETE | $16,497 | $27.85 | — | — | 5 |
| 42820 | TONSILLECTOMY/ADENOIDECTOMY/U 12YRS | $15,279 | $27.85 | — | — | 5 |
| 42825 | TONSILLECTOMY < 12YRS | $15,279 | $27.85 | — | — | 5 |
| 47563 | CHOLE/LAPAROSCOPY W/CHOLANG | $15,227 | $27.85 | — | — | 5 |
| 58670 | TUBAL/LAPAROSCOPY CAUTERY | $15,227 | $27.85 | — | — | 5 |
| 47600 | CHOLECYSTECTOMY/OPEN | $15,227 | $27.85 | — | — | 5 |
| 47562 | CHOLE/LAPAROSCOPY | $15,227 | $27.85 | — | — | 5 |
| 49565 | HERNIA RECURRENT VENTRAL ABD./INCISIONAL | $15,227 | $27.85 | — | — | 5 |
| 49322 | DIAG/LAPAROSCOPY/I&D | $15,227 | $27.85 | — | — | 5 |
| 58660 | DIAG/LAPAROSCOPY | $15,227 | $27.85 | — | — | 5 |
| 58661 | DIAG/LAPAROSCOPY/PELVIC w/OOPHORECTOMY | $15,227 | $27.85 | — | — | 5 |
| 58662 | DIAG/LAPAROSCOPY/REM LESION/PELVIS/OVARY | $15,227 | $27.85 | — | — | 5 |
| 49320 | DIAGNOSTIC LAPAROSCOPY | $15,227 | $27.85 | — | — | 5 |
| 47605 | CHOLECYSTECTOMY/OPEN W/CHOLANGIOGRAM | $15,227 | $27.85 | — | — | 5 |
| 59151 | DIAG/LAPSCPY ECTOPIC PREG,SALPING/OOPHOR | $15,227 | $27.85 | — | — | 5 |
| 57250 | RECTOCELE REPAIR/POST./COLPORRHAPHY | $13,455 | $27.85 | — | — | 5 |
| 57268 | ENTEROCELE REPAIR/VAG APPROACH | $13,455 | $27.85 | — | — | 5 |
| J1162 | DIGIBIND 38mg Vial Inj | $12,490 | $27.85 | — | — | 3 |
| J2505 | NEULASTA 6MG/0.6ML PFS | $11,993 | $27.85 | — | — | 3 |
| 49585 | HERNIA UMBILICAL REPAIR | $9,795 | $27.85 | — | — | 5 |
| 49570 | HERNIA EPIGASTRIC | $9,795 | $27.85 | — | — | 5 |
| 49553 | HERNIA FEMORAL/STRANGULATED W/COMP | $9,795 | $27.85 | — | — | 5 |
| 55040 | HYDROCELE REPAIR/UNILATERAL | $9,795 | $27.85 | — | — | 5 |
| 49525 | HERNIA/INGUINAL/SLIDING | $9,795 | $27.85 | — | — | 5 |
| 44950 | APPENDECTOMY | $9,795 | $27.85 | — | — | 5 |
| 49560 | HERNIA VENTRAL ABD./INCISIONAL | $9,795 | $27.85 | — | — | 5 |
| 49520 | HERNIA RECURRENT/INGUINAL | $9,795 | $27.85 | — | — | 5 |
| 49550 | HERNIA FEMORAL REPAIR/REDUCEABLE | $9,795 | $27.85 | — | — | 5 |
| 49505 | HERNIA/INGUINAL/REDUCEABLE | $9,795 | $27.85 | — | — | 5 |
| 49561 | RPR HERNIA VENTRAL INIT NON REDUCIBLE | $9,795 | $27.85 | — | — | 5 |
| 49587 | HERNIA UMBILICAL REPAIR NON REDUCIBLE | $9,795 | $27.85 | — | — | 5 |
| J0840 | CROFAB | $9,763 | $27.85 | — | — | 3 |
| 19120 | EXCISIONAL REMOVAL BREAST MASS | $9,543 | $27.85 | — | — | 5 |
| 38500 | EXCISIONAL/BIOPSY LYMPH NODE(S) | $9,543 | $27.85 | — | — | 5 |
| 55530 | VARICOCELE/EXCISION/LIG/SPERM VEINS | $9,508 | $27.85 | — | — | 5 |
| 55520 | REMOVAL OF SPERM CORD LESION | $9,508 | $27.85 | — | — | 5 |
| 14301 | ADJACENT TISSUE TRANSFER 30.1-60.0 SQ CM | $9,378 | $27.85 | — | — | 5 |
| J1459 | PRIVIGEN IVIG 40G/400ML VIAL | $9,240 | $27.85 | — | — | 3 |
| J0630 | CALCIMAR 200IU/ml Inj-(UP TO 400 UN) | $8,919 | $27.85 | — | — | 3 |
| 28820 | AMPUTATION TOE | $8,623 | $27.85 | — | — | 5 |
| 28810 | AMPUTATION TOE/METATARSAL | $8,623 | $27.85 | — | — | 5 |
| 26951 | AMPUTATION FINGER/THUMB, ANY JOINT SINGL | $8,623 | $27.85 | — | — | 5 |
| J3101 | TNKase 50MG INJ | $8,436 | $27.85 | — | — | 3 |
| J2993 | RETAVASE Inj. (PER 37.6MG) | $8,299 | $27.85 | — | — | 3 |
| 42821 | TONSILLECTOMY/ADENOIDECTOMY/ >12YRS | $8,250 | $27.85 | — | — | 5 |
| 42826 | TONSILLECTOMY > 12YRS | $8,250 | $27.85 | — | — | 5 |
| 56740 | BARTHOLINS CYST/EXCISIONAL | $8,185 | $27.85 | — | — | 5 |
| 45560 | RECTOCELE REPAIR | $8,116 | $27.85 | — | — | 5 |
Showing top 50 of 1,379 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.