45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
154
Insurances with rates
19
CPT / HCPCS codes
0
Most expensive procedures (gross)
Other vascular procedures with major complicatio
$59,676
Other vascular procedures with major complications
Gross
$59,676
Brain contusion/laceration & complicated skull F
$53,260
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma [Major Severity]
Gross
$53,260
Kidney & urinary tract signs & symptoms with maj
$52,301
Kidney & urinary tract signs & symptoms with major complications
Gross
$52,301
Tendonitis, myositis & bursitis without major co
$49,484
Tendonitis, myositis & bursitis without major complications
Gross
$49,484
Head trauma w coma >1 hr or hemorrhage [Moderate
$43,397
Head trauma w coma >1 hr or hemorrhage [Moderate Severity]
Gross
$43,397
Head trauma w coma >1 hr or hemorrhage [Catastro
$39,264
Head trauma w coma >1 hr or hemorrhage [Catastrophic Severity]
Gross
$39,264
Other musculoskeletal system & connective tissue
$38,653
Other musculoskeletal system & connective tissue diagnoses without complications
Gross
$38,653
Other circulatory system diagnoses with major co
$36,387
Other circulatory system diagnoses with major complications
Gross
$36,387
Cranial & peripheral nerve disorders without maj
$35,958
Cranial & peripheral nerve disorders without major complications
Gross
$35,958
678399
$34,975
Karma Fixation System Implant
Gross
$34,975
Other circulatory system diagnoses with complica
$34,963
Other circulatory system diagnoses with complications
Gross
$34,963
678398
$30,000
Lucent Ti-Bond Interbody Cage
Gross
$30,000
678209
$16,800
System Surfacer Inside-Out Guiding
Gross
$16,800
678373
$12,500
Cervical Cage Titanium (Zavation)
Gross
$12,500
678371
$10,000
Cavux Cervical Cage (Providence)
Gross
$10,000
724021
$8,160
Venography, extremity, bilateral,
Gross
$8,160
678401
$7,500
Ventana 30 Lumbar Interbody TLIF
Gross
$7,500
678322
$7,500
Allograft Evans Wedge
Gross
$7,500
Dysequilibrium
$6,928
Dysequilibrium
Gross
$6,928
678404
$6,700
T-Plate Wide 6 Hole
Gross
$6,700
Complications of treatment with major complicati
$6,047
Complications of treatment with major complications
Gross
$6,047
724057
$5,900
Aortagraphy abdominal by serialography
Gross
$5,900
724049
$5,900
Aortagraphy abdominal by serialography
Gross
$5,900
Hypertension with major complications
$5,678
Hypertension with major complications
Gross
$5,678
Nutritional & misc metabolic disorders with majo
$5,323
Nutritional & misc metabolic disorders with major complications
Gross
$5,323
661044
$3,360
NERVE BLOCK-BRACHIAL
Gross
$3,360
678015
$3,200
Angio Throm Set OTW 50cmX6FL
Gross
$3,200
678120
$2,975
Hi Torque command
Gross
$2,975
Other circulatory system diagnoses without compl
$2,928
Other circulatory system diagnoses without complications
Gross
$2,928
678031
$2,590
BONE CEMENT W/TOBRAM
Gross
$2,590
678285
$2,535
Catheter (Conquest) 10mm x 20 mm
Gross
$2,535
678321
$2,500
Agilon (Moldable Graft)
Gross
$2,500
Kidney & urinary tract signs & symptoms without
$2,088
Kidney & urinary tract signs & symptoms without major complications
Gross
$2,088
Other factors influencing health status
$1,912
Other factors influencing health status
Gross
$1,912
724013
$1,840
Fluoroscopic guidance
Gross
$1,840
678352
$1,620
Abbott Perclose Prostyle
Gross
$1,620
678402
$1,500
Ventana 30 Lumbar Interbody PLIF
Gross
$1,500
685004
$1,480
EMERGENCY LEVEL 3
Gross
$1,480
602001
$1,470
BLOOD ADMINISTRATION
Gross
$1,470
678251
$1,380
VISTASEAL 4ML FIBRIN SEALANT
Gross
$1,380
678061
$1,180
Catheter; Armada 14, 3mm x 200mm
Gross
$1,180
727003
$1,175
US DUPLEX EXTREM VEI
Gross
$1,175
678375
$1,000
Injectable Putty 1cc, single use (Wright
Gross
$1,000
678108
$980
Fogarty Cath 5fr
Gross
$980
710006
$952
Packed Red Blood Cells
Gross
$952
724028
$940
Retrieving data. Wait a few seconds and
Gross
$940
724019
$925
US Guidance for accessing into blood
Gross
$925
727004
$845
US GUID NEEDLE PLCMT
Gross
$845
685003
$845
EMERGENCY LEVEL 2
Gross
$845
702073
$790
Level III Surgical Pathology, Gross & Micro
Gross
$790
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Other vascular procedures with major complicatio | Other vascular procedures with major complications | $59,676 | $59,676 | — | — | 1 |
| Brain contusion/laceration & complicated skull F | Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma [Major Severity] | $53,260 | $53,260 | — | — | 1 |
| Kidney & urinary tract signs & symptoms with maj | Kidney & urinary tract signs & symptoms with major complications | $52,301 | $52,301 | — | — | 2 |
| Tendonitis, myositis & bursitis without major co | Tendonitis, myositis & bursitis without major complications | $49,484 | $49,484 | — | — | 2 |
| Head trauma w coma >1 hr or hemorrhage [Moderate | Head trauma w coma >1 hr or hemorrhage [Moderate Severity] | $43,397 | $43,397 | — | — | 3 |
| Head trauma w coma >1 hr or hemorrhage [Catastro | Head trauma w coma >1 hr or hemorrhage [Catastrophic Severity] | $39,264 | $39,264 | — | — | 1 |
| Other musculoskeletal system & connective tissue | Other musculoskeletal system & connective tissue diagnoses without complications | $38,653 | $38,653 | — | — | 1 |
| Other circulatory system diagnoses with major co | Other circulatory system diagnoses with major complications | $36,387 | $36,387 | — | — | 4 |
| Cranial & peripheral nerve disorders without maj | Cranial & peripheral nerve disorders without major complications | $35,958 | $35,958 | — | — | 1 |
| 678399 | Karma Fixation System Implant | $34,975 | $34,975 | — | — | 1 |
| Other circulatory system diagnoses with complica | Other circulatory system diagnoses with complications | $34,963 | $34,963 | — | — | 2 |
| 678398 | Lucent Ti-Bond Interbody Cage | $30,000 | $30,000 | — | — | 1 |
| 678209 | System Surfacer Inside-Out Guiding | $16,800 | $16,800 | — | — | 1 |
| 678373 | Cervical Cage Titanium (Zavation) | $12,500 | $12,500 | — | — | 1 |
| 678371 | Cavux Cervical Cage (Providence) | $10,000 | $10,000 | — | — | 1 |
| 724021 | Venography, extremity, bilateral, | $8,160 | $8,160 | — | — | 1 |
| 678401 | Ventana 30 Lumbar Interbody TLIF | $7,500 | $7,500 | — | — | 1 |
| 678322 | Allograft Evans Wedge | $7,500 | $7,500 | — | — | 1 |
| Dysequilibrium | Dysequilibrium | $6,928 | $6,928 | — | — | 1 |
| 678404 | T-Plate Wide 6 Hole | $6,700 | $6,700 | — | — | 1 |
| Complications of treatment with major complicati | Complications of treatment with major complications | $6,047 | $6,047 | — | — | 2 |
| 724057 | Aortagraphy abdominal by serialography | $5,900 | $5,900 | — | — | 1 |
| 724049 | Aortagraphy abdominal by serialography | $5,900 | $5,900 | — | — | 1 |
| Hypertension with major complications | Hypertension with major complications | $5,678 | $5,678 | — | — | 1 |
| Nutritional & misc metabolic disorders with majo | Nutritional & misc metabolic disorders with major complications | $5,323 | $5,323 | — | — | 1 |
| 661044 | NERVE BLOCK-BRACHIAL | $3,360 | $3,360 | — | — | 6 |
| 678015 | Angio Throm Set OTW 50cmX6FL | $3,200 | $3,200 | — | — | 1 |
| 678120 | Hi Torque command | $2,975 | $2,975 | — | — | 2 |
| Other circulatory system diagnoses without compl | Other circulatory system diagnoses without complications | $2,928 | $2,928 | — | — | 1 |
| 678031 | BONE CEMENT W/TOBRAM | $2,590 | $2,590 | — | — | 1 |
| 678285 | Catheter (Conquest) 10mm x 20 mm | $2,535 | $2,535 | — | — | 1 |
| 678321 | Agilon (Moldable Graft) | $2,500 | $2,500 | — | — | 1 |
| Kidney & urinary tract signs & symptoms without | Kidney & urinary tract signs & symptoms without major complications | $2,088 | $2,088 | — | — | 1 |
| Other factors influencing health status | Other factors influencing health status | $1,912 | $1,912 | — | — | 2 |
| 724013 | Fluoroscopic guidance | $1,840 | $1,840 | — | — | 2 |
| 678352 | Abbott Perclose Prostyle | $1,620 | $1,620 | — | — | 1 |
| 678402 | Ventana 30 Lumbar Interbody PLIF | $1,500 | $1,500 | — | — | 2 |
| 685004 | EMERGENCY LEVEL 3 | $1,480 | $1,480 | — | — | 15 |
| 602001 | BLOOD ADMINISTRATION | $1,470 | $1,470 | — | — | 1 |
| 678251 | VISTASEAL 4ML FIBRIN SEALANT | $1,380 | $1,380 | — | — | 1 |
| 678061 | Catheter; Armada 14, 3mm x 200mm | $1,180 | $1,180 | — | — | 1 |
| 727003 | US DUPLEX EXTREM VEI | $1,175 | $1,175 | — | — | 2 |
| 678375 | Injectable Putty 1cc, single use (Wright | $1,000 | $1,000 | — | — | 1 |
| 678108 | Fogarty Cath 5fr | $980 | $980 | — | — | 1 |
| 710006 | Packed Red Blood Cells | $952 | $952 | — | — | 1 |
| 724028 | Retrieving data. Wait a few seconds and | $940 | $940 | — | — | 1 |
| 724019 | US Guidance for accessing into blood | $925 | $925 | — | — | 4 |
| 727004 | US GUID NEEDLE PLCMT | $845 | $845 | — | — | 4 |
| 685003 | EMERGENCY LEVEL 2 | $845 | $845 | — | — | 1 |
| 702073 | Level III Surgical Pathology, Gross & Micro | $790 | $790 | — | — | 2 |
Showing top 50 of 154 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.