45 CFR § 180 compliance
A · 100
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: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
13,097
Insurances with rates
3
CPT / HCPCS codes
0
Most expensive procedures (gross)
2540515
$30,766
Tenecteplase (Tnkase) 50mg
Gross
$30,766
2540036
$26,129
Alteplase (Activase) 100 Mg/iv
Gross
$26,129
275658
$14,887
Fem/popl Revasc Stnt & Ather
Gross
$14,887
275662
$13,311
Tib/per Revasc Stent & Ather
Gross
$13,311
2038787
$12,637
Tif Fundoplication/non Medicare
Gross
$12,637
2030895
$12,036
Lap Tif Fundoplication/op Medicare
Gross
$12,036
2033865
$12,036
Esophagogastric Fundoplasty W Patch
Gross
$12,036
2038813
$12,036
Tif Andr Fundoplication/non Medicare
Gross
$12,036
5532661
$11,742
Esophyx Link And Cartridge
Gross
$11,742
275656
$11,061
Fem/popl Revas W/ather
Gross
$11,061
275660
$10,899
Tib/per Revasc W/ather
Gross
$10,899
2030771
$10,742
Lap Ing Hernia Repair Init
Gross
$10,742
2030782
$10,491
Lap Cholecystectomy With Cholangiography
Gross
$10,491
1533539
$10,457
Split Gft Trnk;100 Sq Cm/ea 1%
Gross
$10,457
2030672
$10,016
Hemorrhoidectomy Int Eor Extsve
Gross
$10,016
286723
$9,747
Vasc Embolize/occlude Organ
Gross
$9,747
2030717
$9,588
P-mastectomy W/ln Remo
Gross
$9,588
3631860
$9,420
Ct Chest/abd/pel W&wo Contrast
Gross
$9,420
2030677
$9,116
Hernia Inguinal Recurr
Gross
$9,116
275657
$9,087
Fem/popl Revasc W/stent
Gross
$9,087
2030618
$8,641
Drain Periotoneal Absccyst Open
Gross
$8,641
2030765
$8,516
Trt Open Distal Radialw/wo Int Fix
Gross
$8,516
275661
$8,350
Tib/per Revasc W/stent
Gross
$8,350
2030705
$7,770
Mast Mod Rad
Gross
$7,770
286722
$7,723
Vasc Embolize/occlude Artery
Gross
$7,723
2030594
$7,571
Removal of gallbladder using an endoscope
Gross
$7,571
630129
$7,400
Pf- Mast Mod Rad
Gross
$7,400
2038818
$7,132
Cervical Lymphadenectomy Complete
Gross
$7,132
2030678
$7,000
Hernia Rpr Incarceratestrangulated
Gross
$7,000
630142
$7,000
Pf- Hernia Inguinal 5 Years Incarcerated
Gross
$7,000
2030755
$6,894
Tah W/bladder Suspip Only
Gross
$6,894
286724
$6,841
Vasc Embolize/occlude Bleed
Gross
$6,841
132715
$6,773
Cryoablate Prostate
Gross
$6,773
630104
$6,709
Pf-lap Cholecystectomy W/ Cholangiograph
Gross
$6,709
2030527
$6,561
Appendectomy Laparosc
Gross
$6,561
2038875
$6,556
Hemorrhoidectomy, Internal, By Ligation
Gross
$6,556
135337
$6,500
Comp Orthodontic Tx Adult Dentition
Gross
$6,500
2030679
$6,468
Hernia Umbilical > 5yr
Gross
$6,468
131521
$6,448
Repair Of Diaphragm Hernia
Gross
$6,448
2030767
$6,411
Vaginal Hyst W/rmvl Ovrvu 27.8
Gross
$6,411
2030708
$6,327
Mastectomyrad Inc Pec
Gross
$6,327
2030743
$6,160
Rpr Umbilical Hernia >Reducible
Gross
$6,160
2030694
$5,923
Insert Cntrl Venous 5y
Gross
$5,923
75074
$5,895
Remove Hepatic Shunt (Tips)
Gross
$5,895
2038819
$5,858
Mastectomy Simple Complete
Gross
$5,858
630134
$5,858
Pf- Mastectomy Simple Complete
Gross
$5,858
2030695
$5,854
Insertion Ventricular
Gross
$5,854
2038848
$5,730
Correction Hallux Valgus W/ Metatarsal
Gross
$5,730
630150
$5,730
Pf- Correction, Hallux Valgus W/ Metatar
Gross
$5,730
2030629
$5,690
Ex Hydrocele Unilat
Gross
$5,690
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2540515 | Tenecteplase (Tnkase) 50mg | $30,766 | $30,766 | $12,306 | $19,998 | 4 |
| 2540036 | Alteplase (Activase) 100 Mg/iv | $26,129 | $26,129 | $10,452 | $16,984 | 4 |
| 275658 | Fem/popl Revasc Stnt & Ather | $14,887 | $14,887 | $5,955 | $9,677 | 4 |
| 275662 | Tib/per Revasc Stent & Ather | $13,311 | $13,311 | $5,324 | $8,652 | 4 |
| 2038787 | Tif Fundoplication/non Medicare | $12,637 | $12,637 | $5,055 | $8,214 | 4 |
| 2030895 | Lap Tif Fundoplication/op Medicare | $12,036 | $12,036 | $4,814 | $7,823 | 4 |
| 2033865 | Esophagogastric Fundoplasty W Patch | $12,036 | $12,036 | $4,814 | $7,823 | 4 |
| 2038813 | Tif Andr Fundoplication/non Medicare | $12,036 | $12,036 | $4,814 | $7,823 | 4 |
| 5532661 | Esophyx Link And Cartridge | $11,742 | $11,742 | $4,697 | $7,632 | 4 |
| 275656 | Fem/popl Revas W/ather | $11,061 | $11,061 | $4,424 | $7,190 | 4 |
| 275660 | Tib/per Revasc W/ather | $10,899 | $10,899 | $4,360 | $7,084 | 4 |
| 2030771 | Lap Ing Hernia Repair Init | $10,742 | $10,742 | $4,297 | $6,982 | 4 |
| 2030782 | Lap Cholecystectomy With Cholangiography | $10,491 | $10,491 | $4,196 | $6,819 | 4 |
| 1533539 | Split Gft Trnk;100 Sq Cm/ea 1% | $10,457 | $10,457 | $4,183 | $6,797 | 4 |
| 2030672 | Hemorrhoidectomy Int Eor Extsve | $10,016 | $10,016 | $4,006 | $6,510 | 4 |
| 286723 | Vasc Embolize/occlude Organ | $9,747 | $9,747 | $3,899 | $6,336 | 4 |
| 2030717 | P-mastectomy W/ln Remo | $9,588 | $9,588 | $3,835 | $6,232 | 4 |
| 3631860 | Ct Chest/abd/pel W&wo Contrast | $9,420 | $9,420 | $3,768 | $6,123 | 4 |
| 2030677 | Hernia Inguinal Recurr | $9,116 | $9,116 | $3,646 | $5,925 | 4 |
| 275657 | Fem/popl Revasc W/stent | $9,087 | $9,087 | $3,635 | $5,907 | 4 |
| 2030618 | Drain Periotoneal Absccyst Open | $8,641 | $8,641 | $3,456 | $5,617 | 4 |
| 2030765 | Trt Open Distal Radialw/wo Int Fix | $8,516 | $8,516 | $3,406 | $5,535 | 4 |
| 275661 | Tib/per Revasc W/stent | $8,350 | $8,350 | $3,340 | $5,428 | 4 |
| 2030705 | Mast Mod Rad | $7,770 | $7,770 | $3,108 | $5,051 | 4 |
| 286722 | Vasc Embolize/occlude Artery | $7,723 | $7,723 | $3,089 | $5,020 | 4 |
| 2030594 | Removal of gallbladder using an endoscope | $7,571 | $7,571 | $3,028 | $4,921 | 4 |
| 630129 | Pf- Mast Mod Rad | $7,400 | $7,400 | $2,960 | $4,810 | 4 |
| 2038818 | Cervical Lymphadenectomy Complete | $7,132 | $7,132 | $2,853 | $4,636 | 4 |
| 2030678 | Hernia Rpr Incarceratestrangulated | $7,000 | $7,000 | $2,800 | $4,550 | 4 |
| 630142 | Pf- Hernia Inguinal 5 Years Incarcerated | $7,000 | $7,000 | $2,800 | $4,550 | 4 |
| 2030755 | Tah W/bladder Suspip Only | $6,894 | $6,894 | $2,758 | $4,481 | 4 |
| 286724 | Vasc Embolize/occlude Bleed | $6,841 | $6,841 | $2,736 | $4,447 | 4 |
| 132715 | Cryoablate Prostate | $6,773 | $6,773 | $2,709 | $4,402 | 4 |
| 630104 | Pf-lap Cholecystectomy W/ Cholangiograph | $6,709 | $6,709 | $2,684 | $4,361 | 4 |
| 2030527 | Appendectomy Laparosc | $6,561 | $6,561 | $2,624 | $4,265 | 4 |
| 2038875 | Hemorrhoidectomy, Internal, By Ligation | $6,556 | $6,556 | $2,622 | $4,261 | 4 |
| 135337 | Comp Orthodontic Tx Adult Dentition | $6,500 | $6,500 | $2,600 | $4,225 | 4 |
| 2030679 | Hernia Umbilical > 5yr | $6,468 | $6,468 | $2,587 | $4,204 | 4 |
| 131521 | Repair Of Diaphragm Hernia | $6,448 | $6,448 | $2,579 | $4,191 | 4 |
| 2030767 | Vaginal Hyst W/rmvl Ovrvu 27.8 | $6,411 | $6,411 | $2,564 | $4,167 | 4 |
| 2030708 | Mastectomyrad Inc Pec | $6,327 | $6,327 | $2,531 | $4,113 | 4 |
| 2030743 | Rpr Umbilical Hernia >Reducible | $6,160 | $6,160 | $2,464 | $4,004 | 4 |
| 2030694 | Insert Cntrl Venous 5y | $5,923 | $5,923 | $2,369 | $3,850 | 4 |
| 75074 | Remove Hepatic Shunt (Tips) | $5,895 | $5,895 | $2,358 | $3,832 | 4 |
| 2038819 | Mastectomy Simple Complete | $5,858 | $5,858 | $2,343 | $3,808 | 4 |
| 630134 | Pf- Mastectomy Simple Complete | $5,858 | $5,858 | $2,343 | $3,808 | 4 |
| 2030695 | Insertion Ventricular | $5,854 | $5,854 | $2,342 | $3,805 | 4 |
| 2038848 | Correction Hallux Valgus W/ Metatarsal | $5,730 | $5,730 | $2,292 | $3,725 | 4 |
| 630150 | Pf- Correction, Hallux Valgus W/ Metatar | $5,730 | $5,730 | $2,292 | $3,725 | 4 |
| 2030629 | Ex Hydrocele Unilat | $5,690 | $5,690 | $2,276 | $3,699 | 4 |
Showing top 50 of 13,097 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.