45 CFR § 180 compliance
D · 65
This hospital published part 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
9,201
Insurances with rates
0
CPT / HCPCS codes
1
Source MRF
Most expensive procedures (gross)
0C1767
$100,000
GEN NRSTM 45X32X6.9MM
Gross
$100,000
FLEXHD PLBLE SHPD BLTRL
$100,000
FLEXHD PLBLE SHPD BLTRL
Gross
$100,000
0J9226
$98,045
SUPPRELIN LA 50 MG IMP
Gross
$98,045
PUMP BLD CNTRF PEDI
$91,485
PUMP BLD CNTRF PEDI
Gross
$91,485
0C1820
$71,258
DEVICE NEUROSTIMULATOR
Gross
$71,258
081415
$68,023
EXOME SEQUENCE ANALYSIS
Gross
$68,023
0C1883
$65,816
GNTR SYNRG PLS IPG
Gross
$65,816
GRAFT NRV 1-2MM 70MM
$54,169
GRAFT NRV 1-2MM 70MM
Gross
$54,169
GRAFT NRV 2-3MM 70MM
$52,313
GRAFT NRV 2-3MM 70MM
Gross
$52,313
GRAFT NRV 3-4MM 70MM
$51,188
GRAFT NRV 3-4MM 70MM
Gross
$51,188
ALLOGRAFT DERMIS 16X20CM
$49,529
ALLOGRAFT DERMIS 16X20CM
Gross
$49,529
0C1815
$45,885
CUFF URTH SPHNCR AB 4CM
Gross
$45,885
PUMP CONTRL URN AB SYS
$44,183
PUMP CONTRL URN AB SYS
Gross
$44,183
GRAFT NRV 1-2MM 50MM
$40,451
GRAFT NRV 1-2MM 50MM
Gross
$40,451
PEDI ICU - CRITICAL
$39,105
PEDI ICU - CRITICAL
Gross
$39,105
PECTUS BAR 11.5IN
$36,600
PECTUS BAR 11.5IN
Gross
$36,600
0C1734
$36,600
BAR CHEST BLU 12IN
Gross
$36,600
PECTUS BAR PRBNT 11IN
$36,600
PECTUS BAR PRBNT 11IN
Gross
$36,600
PECTUS BAR PRBNT 12.5IN
$36,600
PECTUS BAR PRBNT 12.5IN
Gross
$36,600
PECTUS BAR PRBNT 13IN
$36,600
PECTUS BAR PRBNT 13IN
Gross
$36,600
BAR PECTUS PRBNT 13.5IN
$36,600
BAR PECTUS PRBNT 13.5IN
Gross
$36,600
PECTUS BAR PRBNT 14IN
$36,600
PECTUS BAR PRBNT 14IN
Gross
$36,600
PECTUS BAR PRBNT 14.5IN
$36,600
PECTUS BAR PRBNT 14.5IN
Gross
$36,600
PLATE BN .8MM 123X123MM
$32,250
PLATE BN .8MM 123X123MM
Gross
$32,250
NEWBORN LEVEL IV
$30,500
NEWBORN LEVEL IV
Gross
$30,500
BUNDLE HANDPIECE PROVU
$30,495
BUNDLE HANDPIECE PROVU
Gross
$30,495
PEDI ICU - ELEVATED
$29,328
PEDI ICU - ELEVATED
Gross
$29,328
NEWBORN LEVEL III
$28,975
NEWBORN LEVEL III
Gross
$28,975
MODEL ANTM MNDB ADLT
$28,365
MODEL ANTM MNDB ADLT
Gross
$28,365
0C1728
$27,954
CATH BRCHYTHRPY 4-5CM
Gross
$27,954
SAVI RAD RX APPL 8
$27,954
SAVI RAD RX APPL 8
Gross
$27,954
DEVICE BRCHYTP IRR APL S
$27,954
DEVICE BRCHYTP IRR APL S
Gross
$27,954
GRAFT ST TIS 16CM 6CM
$26,625
GRAFT ST TIS 16CM 6CM
Gross
$26,625
ALGRAFT DERM 10.2X21.1CM
$26,312
ALGRAFT DERM 10.2X21.1CM
Gross
$26,312
094002
$26,040
VENT MGMT INITIAL IP/OBS
Gross
$26,040
IMP FECAL CUFF 9 CM
$25,921
IMP FECAL CUFF 9 CM
Gross
$25,921
IMP FECAL CUFF 12 CM
$25,921
IMP FECAL CUFF 12 CM
Gross
$25,921
IMP FECAL CUFF STD 13CM
$25,921
IMP FECAL CUFF STD 13CM
Gross
$25,921
0C2618
$25,921
PROBE CRYOSPHERE 18IN 8M
Gross
$25,921
0J0800
$25,835
CORTICOTROP TO 40 U INJ
Gross
$25,835
PECTUS BAR STBLZR OFFSET
$25,583
PECTUS BAR STBLZR OFFSET
Gross
$25,583
CONT INJ GS/ DU/ JJ/ GJ/
$24,356
CONT INJ GS/ DU/ JJ/ GJ/
Gross
$24,356
WOUND DRESS BIOMA 9X9
$24,346
WOUND DRESS BIOMA 9X9
Gross
$24,346
07322050
$24,146
MRI UP EX W&WO CONT BI
Gross
$24,146
07322350
$24,146
MRI UP JNT W&WO CONT BI
Gross
$24,146
07372050
$24,146
MRI LOW EXT W&WO CONT BI
Gross
$24,146
07372350
$24,146
MRI LW JNT W&WO CONT BI
Gross
$24,146
0C8908
$24,146
MRI WO FOL W/CON BRST BI
Gross
$24,146
PECTUS BAR TI
$24,105
PECTUS BAR TI
Gross
$24,105
NEWBORN LEVEL II
$23,889
NEWBORN LEVEL II
Gross
$23,889
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0C1767 | GEN NRSTM 45X32X6.9MM | $100,000 | $100,000 | — | — | 0 |
| FLEXHD PLBLE SHPD BLTRL | FLEXHD PLBLE SHPD BLTRL | $100,000 | $100,000 | — | — | 0 |
| 0J9226 | SUPPRELIN LA 50 MG IMP | $98,045 | $98,045 | — | — | 0 |
| PUMP BLD CNTRF PEDI | PUMP BLD CNTRF PEDI | $91,485 | $91,485 | — | — | 0 |
| 0C1820 | DEVICE NEUROSTIMULATOR | $71,258 | $71,258 | — | — | 0 |
| 081415 | EXOME SEQUENCE ANALYSIS | $68,023 | $68,023 | — | — | 0 |
| 0C1883 | GNTR SYNRG PLS IPG | $65,816 | $65,816 | — | — | 0 |
| GRAFT NRV 1-2MM 70MM | GRAFT NRV 1-2MM 70MM | $54,169 | $54,169 | — | — | 0 |
| GRAFT NRV 2-3MM 70MM | GRAFT NRV 2-3MM 70MM | $52,313 | $52,313 | — | — | 0 |
| GRAFT NRV 3-4MM 70MM | GRAFT NRV 3-4MM 70MM | $51,188 | $51,188 | — | — | 0 |
| ALLOGRAFT DERMIS 16X20CM | ALLOGRAFT DERMIS 16X20CM | $49,529 | $49,529 | — | — | 0 |
| 0C1815 | CUFF URTH SPHNCR AB 4CM | $45,885 | $45,885 | — | — | 0 |
| PUMP CONTRL URN AB SYS | PUMP CONTRL URN AB SYS | $44,183 | $44,183 | — | — | 0 |
| GRAFT NRV 1-2MM 50MM | GRAFT NRV 1-2MM 50MM | $40,451 | $40,451 | — | — | 0 |
| PEDI ICU - CRITICAL | PEDI ICU - CRITICAL | $39,105 | $39,105 | — | — | 0 |
| PECTUS BAR 11.5IN | PECTUS BAR 11.5IN | $36,600 | $36,600 | — | — | 0 |
| 0C1734 | BAR CHEST BLU 12IN | $36,600 | $36,600 | — | — | 0 |
| PECTUS BAR PRBNT 11IN | PECTUS BAR PRBNT 11IN | $36,600 | $36,600 | — | — | 0 |
| PECTUS BAR PRBNT 12.5IN | PECTUS BAR PRBNT 12.5IN | $36,600 | $36,600 | — | — | 0 |
| PECTUS BAR PRBNT 13IN | PECTUS BAR PRBNT 13IN | $36,600 | $36,600 | — | — | 0 |
| BAR PECTUS PRBNT 13.5IN | BAR PECTUS PRBNT 13.5IN | $36,600 | $36,600 | — | — | 0 |
| PECTUS BAR PRBNT 14IN | PECTUS BAR PRBNT 14IN | $36,600 | $36,600 | — | — | 0 |
| PECTUS BAR PRBNT 14.5IN | PECTUS BAR PRBNT 14.5IN | $36,600 | $36,600 | — | — | 0 |
| PLATE BN .8MM 123X123MM | PLATE BN .8MM 123X123MM | $32,250 | $32,250 | — | — | 0 |
| NEWBORN LEVEL IV | NEWBORN LEVEL IV | $30,500 | $30,500 | — | — | 0 |
| BUNDLE HANDPIECE PROVU | BUNDLE HANDPIECE PROVU | $30,495 | $30,495 | — | — | 0 |
| PEDI ICU - ELEVATED | PEDI ICU - ELEVATED | $29,328 | $29,328 | — | — | 0 |
| NEWBORN LEVEL III | NEWBORN LEVEL III | $28,975 | $28,975 | — | — | 0 |
| MODEL ANTM MNDB ADLT | MODEL ANTM MNDB ADLT | $28,365 | $28,365 | — | — | 0 |
| 0C1728 | CATH BRCHYTHRPY 4-5CM | $27,954 | $27,954 | — | — | 0 |
| SAVI RAD RX APPL 8 | SAVI RAD RX APPL 8 | $27,954 | $27,954 | — | — | 0 |
| DEVICE BRCHYTP IRR APL S | DEVICE BRCHYTP IRR APL S | $27,954 | $27,954 | — | — | 0 |
| GRAFT ST TIS 16CM 6CM | GRAFT ST TIS 16CM 6CM | $26,625 | $26,625 | — | — | 0 |
| ALGRAFT DERM 10.2X21.1CM | ALGRAFT DERM 10.2X21.1CM | $26,312 | $26,312 | — | — | 0 |
| 094002 | VENT MGMT INITIAL IP/OBS | $26,040 | $26,040 | — | — | 0 |
| IMP FECAL CUFF 9 CM | IMP FECAL CUFF 9 CM | $25,921 | $25,921 | — | — | 0 |
| IMP FECAL CUFF 12 CM | IMP FECAL CUFF 12 CM | $25,921 | $25,921 | — | — | 0 |
| IMP FECAL CUFF STD 13CM | IMP FECAL CUFF STD 13CM | $25,921 | $25,921 | — | — | 0 |
| 0C2618 | PROBE CRYOSPHERE 18IN 8M | $25,921 | $25,921 | — | — | 0 |
| 0J0800 | CORTICOTROP TO 40 U INJ | $25,835 | $25,835 | — | — | 0 |
| PECTUS BAR STBLZR OFFSET | PECTUS BAR STBLZR OFFSET | $25,583 | $25,583 | — | — | 0 |
| CONT INJ GS/ DU/ JJ/ GJ/ | CONT INJ GS/ DU/ JJ/ GJ/ | $24,356 | $24,356 | — | — | 0 |
| WOUND DRESS BIOMA 9X9 | WOUND DRESS BIOMA 9X9 | $24,346 | $24,346 | — | — | 0 |
| 07322050 | MRI UP EX W&WO CONT BI | $24,146 | $24,146 | — | — | 0 |
| 07322350 | MRI UP JNT W&WO CONT BI | $24,146 | $24,146 | — | — | 0 |
| 07372050 | MRI LOW EXT W&WO CONT BI | $24,146 | $24,146 | — | — | 0 |
| 07372350 | MRI LW JNT W&WO CONT BI | $24,146 | $24,146 | — | — | 0 |
| 0C8908 | MRI WO FOL W/CON BRST BI | $24,146 | $24,146 | — | — | 0 |
| PECTUS BAR TI | PECTUS BAR TI | $24,105 | $24,105 | — | — | 0 |
| NEWBORN LEVEL II | NEWBORN LEVEL II | $23,889 | $23,889 | — | — | 0 |
Showing top 50 of 9,201 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.