45 CFR § 180 compliance
F · 50
This hospital published little 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
9,100
Insurances with rates
0
CPT / HCPCS codes
2
Source MRF
Most expensive procedures (gross)
7983
—
BATTERY FOR PERM SPINAL STIM WITH PT CONTROLLER
Gross
$106,678
9155
—
BIO-CONNEKT FENESTRATED 5CM X 5CM
Gross
$94,500
7961
—
COMP REV SHOULDER IMPLANT
Gross
$30,000
13179945
—
tenecteplase 25 mg IV vial inj [HGHO]
Gross
$29,870
7899
—
COMPREHENSIVE SHOULDER SYSTEM
Gross
$28,500
11640884
—
tenecteplase 50 mg Powder-Inj [HGHO]
Gross
$28,179
9025
—
INTERLAMINAR FUSION DEVICE
Gross
$27,500
9180
—
BIO-CONNEKT MATRIX-MINI GRAFT
Gross
$27,000
5746
—
VERTIFLEX IMPLANT
Gross
$27,000
9133
—
BIO-CONNECKT 2CMX2CM
Gross
$24,000
5311
—
PERSONA CEM FEM/CEM TIB/VE
Gross
$23,175
11085578
—
pegfilgrastim 6 mg/0.6 mL SubQ Inj [HGHO]
Gross
$23,105
11083704
—
efgartigimod alfa 400 mg/20 mL [HGHO]
Gross
$21,848
11084138
—
leuprolide Kit
Gross
$21,025
5516
—
PSN CM FM/CM TB/VE/VE PSN PT
Gross
$20,085
8894
—
EPI FIX 5x6 CM DRESSING
Gross
$18,678
2964
—
EPIFIX 5X6 AMNIOTIC ALLOGRAFT
Gross
$18,678
11085498
—
digoxin immune FAB 40 mg Inj [HGHO]
Gross
$15,919
11166390
—
alteplase 100 mg IV Inj [HGHO]
Gross
$15,841
9105
—
CHARGER FOR LUMBAR KIT
Gross
$15,750
6119
—
ECLIPSE TRUNION 45MM SLOT TPS
Gross
$15,750
6263
—
ECLIPSE TRUNION 47MM SLOT/TPS
Gross
$15,750
6124
—
ECLIPSE TRUNION 49MM SLOT TPS
Gross
$15,750
6262
—
ECLIPSE CAGE SCREW L 40MM
Gross
$15,488
6123
—
ECLIPSE CAGE SCREW M, 35MM
Gross
$15,488
6118
—
ECLIPSE CAGE SCREW S, 30MM
Gross
$15,488
7996
—
2 LEAD TRIAL SYS NEUROSTIM
Gross
$14,700
8995
—
SPINEJACK, SGL USE
Gross
$14,578
11085225
—
darbepoetin alfa 500 mcg/mL Inj Sol [HGHO]
Gross
$13,932
12054015
—
22102 EXCPOSTLUMBARVERTPRO [HGHO]
Gross
$12,928
4700
—
NUSHIELD PLACENTAL ALLO 6X6CM
Gross
$12,425
11769948
—
immune globulin 20 g / 200 mL (10%) Soln IV [HGHO]
Gross
$12,058
11083460
—
tenecteplase 50 mg Powder-Inj [HGHO]
Gross
$11,544
11166440
—
antivenin (Crotalidae) polyvalent crotalidae polyvalent (ovine) [HGHO]
Gross
$11,513
7984
—
OCTRODE STIM LEADS
Gross
$11,460
9583101
—
BRCAssure BRCA1 and BRCA2 Comprehensive Analysis LC
Gross
$10,929
8447901
—
BRCAssure Comprehensive Test LC
Gross
$10,929
2844
—
LEAD FOR PACEMAKER
Gross
$10,640
9139
—
MILD KIT
Gross
$10,500
11165444
—
leuprolide 45 mg/6 months SC Pwdr for Inj, ER [HGHO]
Gross
$9,756
11771325
—
leuprolide 45 mg/6 months SC Pwdr for Inj, ER [HGHO]
Gross
$9,756
8955
—
STRAIGHT BALLOON KIT
Gross
$9,594
12147267
—
goserelin 10.8 mg Imp - [HGHO]
Gross
$9,553
8000
—
CORPLEX 3X5CM DRESSING
Gross
$9,450
10498927
—
32556 - Drainage, percutaneous w/o guidance
Gross
$9,357
8953
—
OMNI CURVED BALLOON
Gross
$9,285
4703
—
NUSHIELD PLACENT ALLO 4X6
Gross
$9,100
2946
—
AVAFLEX CURVED BALLOON 11G15MM
Gross
$9,014
2553
—
AVAFLEX BALLOON CUR 11G X 20MM
Gross
$8,925
3053
—
AVAFLEX CURVED BALLOON 10G 15M
Gross
$8,925
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 7983 | BATTERY FOR PERM SPINAL STIM WITH PT CONTROLLER | $106,678 | — | — | — | 0 |
| 9155 | BIO-CONNEKT FENESTRATED 5CM X 5CM | $94,500 | — | — | — | 0 |
| 7961 | COMP REV SHOULDER IMPLANT | $30,000 | — | — | — | 0 |
| 13179945 | tenecteplase 25 mg IV vial inj [HGHO] | $29,870 | — | — | — | 0 |
| 7899 | COMPREHENSIVE SHOULDER SYSTEM | $28,500 | — | — | — | 0 |
| 11640884 | tenecteplase 50 mg Powder-Inj [HGHO] | $28,179 | — | — | — | 0 |
| 9025 | INTERLAMINAR FUSION DEVICE | $27,500 | — | — | — | 0 |
| 9180 | BIO-CONNEKT MATRIX-MINI GRAFT | $27,000 | — | — | — | 0 |
| 5746 | VERTIFLEX IMPLANT | $27,000 | — | — | — | 0 |
| 9133 | BIO-CONNECKT 2CMX2CM | $24,000 | — | — | — | 0 |
| 5311 | PERSONA CEM FEM/CEM TIB/VE | $23,175 | — | — | — | 0 |
| 11085578 | pegfilgrastim 6 mg/0.6 mL SubQ Inj [HGHO] | $23,105 | — | — | — | 0 |
| 11083704 | efgartigimod alfa 400 mg/20 mL [HGHO] | $21,848 | — | — | — | 0 |
| 11084138 | leuprolide Kit | $21,025 | — | — | — | 0 |
| 5516 | PSN CM FM/CM TB/VE/VE PSN PT | $20,085 | — | — | — | 0 |
| 8894 | EPI FIX 5x6 CM DRESSING | $18,678 | — | — | — | 0 |
| 2964 | EPIFIX 5X6 AMNIOTIC ALLOGRAFT | $18,678 | — | — | — | 0 |
| 11085498 | digoxin immune FAB 40 mg Inj [HGHO] | $15,919 | — | — | — | 0 |
| 11166390 | alteplase 100 mg IV Inj [HGHO] | $15,841 | — | — | — | 0 |
| 9105 | CHARGER FOR LUMBAR KIT | $15,750 | — | — | — | 0 |
| 6119 | ECLIPSE TRUNION 45MM SLOT TPS | $15,750 | — | — | — | 0 |
| 6263 | ECLIPSE TRUNION 47MM SLOT/TPS | $15,750 | — | — | — | 0 |
| 6124 | ECLIPSE TRUNION 49MM SLOT TPS | $15,750 | — | — | — | 0 |
| 6262 | ECLIPSE CAGE SCREW L 40MM | $15,488 | — | — | — | 0 |
| 6123 | ECLIPSE CAGE SCREW M, 35MM | $15,488 | — | — | — | 0 |
| 6118 | ECLIPSE CAGE SCREW S, 30MM | $15,488 | — | — | — | 0 |
| 7996 | 2 LEAD TRIAL SYS NEUROSTIM | $14,700 | — | — | — | 0 |
| 8995 | SPINEJACK, SGL USE | $14,578 | — | — | — | 0 |
| 11085225 | darbepoetin alfa 500 mcg/mL Inj Sol [HGHO] | $13,932 | — | — | — | 0 |
| 12054015 | 22102 EXCPOSTLUMBARVERTPRO [HGHO] | $12,928 | — | — | — | 0 |
| 4700 | NUSHIELD PLACENTAL ALLO 6X6CM | $12,425 | — | — | — | 0 |
| 11769948 | immune globulin 20 g / 200 mL (10%) Soln IV [HGHO] | $12,058 | — | — | — | 0 |
| 11083460 | tenecteplase 50 mg Powder-Inj [HGHO] | $11,544 | — | — | — | 0 |
| 11166440 | antivenin (Crotalidae) polyvalent crotalidae polyvalent (ovine) [HGHO] | $11,513 | — | — | — | 0 |
| 7984 | OCTRODE STIM LEADS | $11,460 | — | — | — | 0 |
| 9583101 | BRCAssure BRCA1 and BRCA2 Comprehensive Analysis LC | $10,929 | — | — | — | 0 |
| 8447901 | BRCAssure Comprehensive Test LC | $10,929 | — | — | — | 0 |
| 2844 | LEAD FOR PACEMAKER | $10,640 | — | — | — | 0 |
| 9139 | MILD KIT | $10,500 | — | — | — | 0 |
| 11165444 | leuprolide 45 mg/6 months SC Pwdr for Inj, ER [HGHO] | $9,756 | — | — | — | 0 |
| 11771325 | leuprolide 45 mg/6 months SC Pwdr for Inj, ER [HGHO] | $9,756 | — | — | — | 0 |
| 8955 | STRAIGHT BALLOON KIT | $9,594 | — | — | — | 0 |
| 12147267 | goserelin 10.8 mg Imp - [HGHO] | $9,553 | — | — | — | 0 |
| 8000 | CORPLEX 3X5CM DRESSING | $9,450 | — | — | — | 0 |
| 10498927 | 32556 - Drainage, percutaneous w/o guidance | $9,357 | — | — | — | 0 |
| 8953 | OMNI CURVED BALLOON | $9,285 | — | — | — | 0 |
| 4703 | NUSHIELD PLACENT ALLO 4X6 | $9,100 | — | — | — | 0 |
| 2946 | AVAFLEX CURVED BALLOON 11G15MM | $9,014 | — | — | — | 0 |
| 2553 | AVAFLEX BALLOON CUR 11G X 20MM | $8,925 | — | — | — | 0 |
| 3053 | AVAFLEX CURVED BALLOON 10G 15M | $8,925 | — | — | — | 0 |
Showing top 50 of 9,100 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.