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
4,856
Insurances with rates
6
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
22982004
$11,099
Alteplase 100 Mg/100 Ml Sterile Water Iv Inj [Ldh]
Gross
$15,856
27808700
$9,586
Tenecteplase 50 Mg Rec Inj[ldh]
Gross
$13,694
22982120
$9,291
Digoxin Immune Fab 40 Mg Inj [Ldh]
Gross
$13,273
22254142
$6,592
25260 Repair Muscle/tendon Wrist/forearm Ed Charge
Gross
$9,417
24377344
$6,034
Tracheostomy, Planned (Separate Procedure)
Gross
$8,620
22563430
$5,940
36556 Insj Non-tunneled Central Venous Cath Age 5 Yr/> Ed Techfee
Gross
$8,486
24277272
$3,503
Striated Muscle Ab Qst
Gross
$5,004
24277273
$3,503
Ach Receptor Binding Ab Qst
Gross
$5,004
23599200
$3,427
Xr Insert Picc Line 5+ Year
Gross
$4,896
22563412
$3,425
32551 Tube Thoracostomy Includes Water Seal Techfee
Gross
$4,893
22563435
$3,425
36569 Insj Prph Cvc W/o Subq Port/pmp Age 5 Yr/> Techfee
Gross
$4,893
24301616
$3,425
36573 Insertion Picc Line With Us Guidance Age 5 Yrs And Older
Gross
$4,893
23755306
$3,403
10410 Incision & Drainage, Hematoma, Seroma, Or Fluid Collection
Gross
$4,861
22563507
$3,403
55100 Drainage Scrotal Wall Abscess Techfee
Gross
$4,861
23321784
$3,361
Closed Treatment Of Shoulder Dislocation With Fracture Of Greater Humeral Tuberosity, With Manipulat
Gross
$4,801
22563269
$3,361
25565 Closed Tx Radial&ulnar Shaft Fractures W/manj Techfee
Gross
$4,801
22563271
$3,361
25605 Cltx Dstl Rdl Fx/epiphysl Sep W/manj When Perf Techfee
Gross
$4,801
22254151
$3,361
26418 Proc Repair Recons 26418 Ed Charge
Gross
$4,801
23074384
$3,361
26705 Closed Treatment Of Metacarpophalangeal Dislocation
Gross
$4,801
27895151
$3,361
27818 Closed Treatment Of Trimalleolar Ankle Fracture, With Manipulation
Gross
$4,801
24212566
$3,111
41007 Incision & Drainage Of Abscess, Cyst, Or Hematoma Of Tongue Or Floor Of Mouth; Lingual, Submen
Gross
$4,444
27544813
$2,571
Genetic Testing Qst
Gross
$3,673
24235460
$2,476
Incision And Drainage Of Ischiorectal And/or Peritectal Abscess
Gross
$3,537
27544811
$2,258
Additional Results Qst
Gross
$3,225
24212226
$1,969
49082 Abdominal Paracentesis; Without Imaging Guidance
Gross
$2,813
22427660
$1,914
I&d, Perianal Abscess, Superficial
Gross
$2,735
23074390
$1,870
Nerve Block Inj Brachial Plexus
Gross
$2,671
730789
$1,870
Inj, Anesthetic Agent; Axillary Nerve Charge
Gross
$2,671
27404647
$1,870
Intercosal Nerve Block, Each Additional Level
Gross
$2,671
23074391
$1,870
64600 Inj Treatment For Nerve
Gross
$2,671
22982217
$1,865
Isoproterenol 0.2 Mg/ml Iv Sol [Ldh]
Gross
$2,665
22283180
$1,775
99291- Ed Critical Care- 1st Hour
Gross
$2,536
821406
$1,754
Mri Face Neck Orbit W/ + W/o Contrast
Gross
$2,505
821398
$1,754
MRI Scan
Gross
$2,505
1005501
$1,754
Mri Spine Cervical W/ + W/o Contrast
Gross
$2,505
1005505
$1,754
Mri Spine Thoracic W/ + W/o Contrast
Gross
$2,505
1005503
$1,754
Mri Spine Lumbar W/ + W/o Contrast
Gross
$2,505
1005497
$1,754
Mri Pelvis W/ + W/o Contrast
Gross
$2,505
1161132
$1,754
Mri Forearm W/ + W/o Contrast Left
Gross
$2,505
1161135
$1,754
Mri Forearm W/ + W/o Contrast Right
Gross
$2,505
1319890
$1,754
Mri Hand W/ + W/o Contrast Left
Gross
$2,505
1319892
$1,754
Mri Hand W/ + W/o Contrast Right
Gross
$2,505
1319906
$1,754
Mri Humerus W/ + W/o Contrast Left
Gross
$2,505
1319908
$1,754
Mri Humerus W/ + W/o Contrast Right
Gross
$2,505
1007558
$1,754
Mri Wrist W/ + W/o Contrast Left
Gross
$2,505
1007560
$1,754
Mri Wrist W/ + W/o Contrast Right
Gross
$2,505
1163661
$1,754
Mri Elbow W/ + W/o Contrast Left
Gross
$2,505
1163663
$1,754
Mri Elbow W/ + W/o Contrast Right
Gross
$2,505
1319918
$1,754
Mri Shoulder W/ + W/o Contrast Left
Gross
$2,505
1319920
$1,754
Mri Shoulder W/ + W/o Contrast Right
Gross
$2,505
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 22982004 | Alteplase 100 Mg/100 Ml Sterile Water Iv Inj [Ldh] | $15,856 | $11,099 | $1,100 | $15,063 | 8 |
| 27808700 | Tenecteplase 50 Mg Rec Inj[ldh] | $13,694 | $9,586 | $1,100 | $13,009 | 8 |
| 22982120 | Digoxin Immune Fab 40 Mg Inj [Ldh] | $13,273 | $9,291 | $1,100 | $12,609 | 8 |
| 22254142 | 25260 Repair Muscle/tendon Wrist/forearm Ed Charge | $9,417 | $6,592 | $5,650 | $8,946 | 8 |
| 24377344 | Tracheostomy, Planned (Separate Procedure) | $8,620 | $6,034 | $5,172 | $8,189 | 8 |
| 22563430 | 36556 Insj Non-tunneled Central Venous Cath Age 5 Yr/> Ed Techfee | $8,486 | $5,940 | $5,092 | $8,062 | 8 |
| 24277272 | Striated Muscle Ab Qst | $5,004 | $3,503 | $3,002 | $4,754 | 8 |
| 24277273 | Ach Receptor Binding Ab Qst | $5,004 | $3,503 | $3,002 | $4,754 | 8 |
| 23599200 | Xr Insert Picc Line 5+ Year | $4,896 | $3,427 | $2,938 | $4,651 | 8 |
| 22563412 | 32551 Tube Thoracostomy Includes Water Seal Techfee | $4,893 | $3,425 | $2,936 | $4,648 | 8 |
| 22563435 | 36569 Insj Prph Cvc W/o Subq Port/pmp Age 5 Yr/> Techfee | $4,893 | $3,425 | $2,936 | $4,648 | 8 |
| 24301616 | 36573 Insertion Picc Line With Us Guidance Age 5 Yrs And Older | $4,893 | $3,425 | $2,936 | $4,648 | 8 |
| 23755306 | 10410 Incision & Drainage, Hematoma, Seroma, Or Fluid Collection | $4,861 | $3,403 | $2,917 | $4,618 | 8 |
| 22563507 | 55100 Drainage Scrotal Wall Abscess Techfee | $4,861 | $3,403 | $2,917 | $4,618 | 8 |
| 23321784 | Closed Treatment Of Shoulder Dislocation With Fracture Of Greater Humeral Tuberosity, With Manipulat | $4,801 | $3,361 | $2,881 | $4,561 | 8 |
| 22563269 | 25565 Closed Tx Radial&ulnar Shaft Fractures W/manj Techfee | $4,801 | $3,361 | $2,881 | $4,561 | 8 |
| 22563271 | 25605 Cltx Dstl Rdl Fx/epiphysl Sep W/manj When Perf Techfee | $4,801 | $3,361 | $2,881 | $4,561 | 8 |
| 22254151 | 26418 Proc Repair Recons 26418 Ed Charge | $4,801 | $3,361 | $2,881 | $4,561 | 8 |
| 23074384 | 26705 Closed Treatment Of Metacarpophalangeal Dislocation | $4,801 | $3,361 | $2,881 | $4,561 | 8 |
| 27895151 | 27818 Closed Treatment Of Trimalleolar Ankle Fracture, With Manipulation | $4,801 | $3,361 | $2,881 | $4,561 | 8 |
| 24212566 | 41007 Incision & Drainage Of Abscess, Cyst, Or Hematoma Of Tongue Or Floor Of Mouth; Lingual, Submen | $4,444 | $3,111 | $2,666 | $4,222 | 8 |
| 27544813 | Genetic Testing Qst | $3,673 | $2,571 | $2,204 | $3,489 | 8 |
| 24235460 | Incision And Drainage Of Ischiorectal And/or Peritectal Abscess | $3,537 | $2,476 | $2,122 | $3,360 | 8 |
| 27544811 | Additional Results Qst | $3,225 | $2,258 | $1,935 | $3,064 | 8 |
| 24212226 | 49082 Abdominal Paracentesis; Without Imaging Guidance | $2,813 | $1,969 | $1,688 | $2,672 | 8 |
| 22427660 | I&d, Perianal Abscess, Superficial | $2,735 | $1,914 | $1,641 | $2,598 | 8 |
| 23074390 | Nerve Block Inj Brachial Plexus | $2,671 | $1,870 | $1,603 | $2,537 | 8 |
| 730789 | Inj, Anesthetic Agent; Axillary Nerve Charge | $2,671 | $1,870 | $1,603 | $2,537 | 8 |
| 27404647 | Intercosal Nerve Block, Each Additional Level | $2,671 | $1,870 | $1,603 | $2,537 | 8 |
| 23074391 | 64600 Inj Treatment For Nerve | $2,671 | $1,870 | $1,603 | $2,537 | 8 |
| 22982217 | Isoproterenol 0.2 Mg/ml Iv Sol [Ldh] | $2,665 | $1,865 | $1,100 | $2,532 | 8 |
| 22283180 | 99291- Ed Critical Care- 1st Hour | $2,536 | $1,775 | $1,522 | $2,409 | 8 |
| 821406 | Mri Face Neck Orbit W/ + W/o Contrast | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 821398 | MRI Scan | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1005501 | Mri Spine Cervical W/ + W/o Contrast | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1005505 | Mri Spine Thoracic W/ + W/o Contrast | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1005503 | Mri Spine Lumbar W/ + W/o Contrast | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1005497 | Mri Pelvis W/ + W/o Contrast | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1161132 | Mri Forearm W/ + W/o Contrast Left | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1161135 | Mri Forearm W/ + W/o Contrast Right | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1319890 | Mri Hand W/ + W/o Contrast Left | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1319892 | Mri Hand W/ + W/o Contrast Right | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1319906 | Mri Humerus W/ + W/o Contrast Left | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1319908 | Mri Humerus W/ + W/o Contrast Right | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1007558 | Mri Wrist W/ + W/o Contrast Left | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1007560 | Mri Wrist W/ + W/o Contrast Right | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1163661 | Mri Elbow W/ + W/o Contrast Left | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1163663 | Mri Elbow W/ + W/o Contrast Right | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1319918 | Mri Shoulder W/ + W/o Contrast Left | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
| 1319920 | Mri Shoulder W/ + W/o Contrast Right | $2,505 | $1,754 | $1,503 | $2,380 | 8 |
Showing top 50 of 4,856 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.