45 CFR § 180 compliance
C · 70
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
4,279
Insurances with rates
10
CPT / HCPCS codes
2,947
Source MRF
Most expensive procedures (gross)
2612401
$7,285
DENTAL SURGERY
Gross
$10,407
27791525
$5,573
33285- INSJ SUBQ CAR RHYTHM MNTR -SCPF
Gross
$7,961
55040
$4,266
Excise of Hydrocele; Unilateral Charge
Gross
$6,094
885910
$4,142
Dilation and Curettage
Gross
$5,917
J1162
$3,714
Digoxin immune FAB 40 mg REC[SJH]
Gross
$5,306
995685
$3,654
Esophagogastroduodenoscopy and Colonoscopy
Gross
$5,220
J0135
$3,590
Adalimumab 40 mg/0.4 mL Kit
Gross
$5,128
J9354
$3,143
Ado-trastuzumab emtansine 100 mg REC
Gross
$4,490
22461830
$3,073
DEST.PERITONEAL TISSUE ProFee
Gross
$4,390
44141
$2,822
Colectomy Part W/Cecostom
Gross
$4,032
44150
$2,818
COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS
Gross
$4,025
C1762
$2,800
ALLOSYNC DEMINERALIZED BONE 5 CC
Gross
$4,000
24336259
$2,767
FISTULA PLUG SET 4.0 CM
Gross
$3,952
P9037
$2,687
BB Platelets Aph LR Irr PathRed, 1 Unit
Gross
$3,838
885905
$2,667
Cholecystectomy Laparoscopic
Gross
$3,811
23464743
$2,652
ENDOBLADE GASTROC RECISSION SYSTEM AR-8855DS DR HUGENTOBLER
Gross
$3,788
44143
$2,577
Colct Prtl W/End Clst&Cls
Gross
$3,682
24185490
$2,478
DILATION BALLON CATHETER 35MM
Gross
$3,540
22850746
$2,450
44207 Lap Colectomy Partial W/A
Gross
$3,500
885907
$2,428
Colonoscopy
Gross
$3,469
885915
$2,428
Esophagogastroduodenoscopy
Gross
$3,469
75635
$2,419
CT Angiography Aorta w/ Runoff
Gross
$3,456
23389735
$2,415
20985 COMPUTER ASSIST SURG MUSCULOSKELETAL PROC
Gross
$3,450
4203894
$2,407
ACL FLIPCUTTER AR-1204AF-10S
Gross
$3,439
23671463
$2,332
GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/<
Gross
$3,332
71260
$2,323
CT Chest
Gross
$3,318
15734
$2,301
FLAP ISLAND PEDICLE
Gross
$3,287
72133
$2,300
CT Spine Lumbar w/ + w/o Contrast
Gross
$3,286
72130
$2,300
CT Spine Thoracic w/ + w/o Contrast
Gross
$3,286
74174
$2,299
CT Angiography Abdomen/Pelvis
Gross
$3,284
74178
$2,296
CT Abdomen/Pelvis w + w/o Contrast
Gross
$3,279
J9047
$2,294
Carfilzomib [SJH]
Gross
$3,278
4202654
$2,278
DISSECTOR SYSTEM 10-12MM OVAL..
Gross
$3,254
70482
$2,272
CT Orbit Sella etc. w/ + w/o Contrast
Gross
$3,246
C1888
$2,271
CLOSURE FAST CATH 60 CM CF7-7-60
Gross
$3,244
71275
$2,250
CT Angiography Chest/Abdomen/Pelvis
Gross
$3,214
71270
$2,244
CT Chest W/WO Contrast
Gross
$3,206
73202
$2,233
CT Upper Extremity w/+w/o Contrast Left
Gross
$3,189
J9358
$2,225
Fam-trastuzumab deruxtecan nxki 100 mg REC
Gross
$3,179
27132
$2,183
Conversion of previous hip surgery to total hip arthroplasty w/wo autograft or allograft
Gross
$3,119
27130
$2,178
Arthroplasty acetabular and proximal femoral prosthetic replacement w/wo autograft or allograft
Gross
$3,111
27447
$2,177
Arthroplasty, knee, condyle and plateau; medial and lateral compartments with or without patella res
Gross
$3,110
74177
$2,166
CT Abd/Pelvis W/Contrast
Gross
$3,095
J0717
$2,142
Certolizumab 200 mg Kit
Gross
$3,060
16414529
$2,132
DISSECTOR SYSTEM ROUND SMBTTRND
Gross
$3,046
12361903
$2,130
CAPIO NEEDLE FOR LAVH M0068311251
Gross
$3,043
J0840
$2,099
Antivenin (Crotalidae) polyvalent - Sol [SJH]
Gross
$2,998
23149620
$2,086
FLEXIGRAFT BONE CHIPS 5 CC BL-1200-003
Gross
$2,980
22833661
$2,083
Arthroplasty Glenohum Jt
Gross
$2,976
44130
$2,081
Enteroenterostomy anastomosis of intestine with or without cutaneous enterostomy
Gross
$2,973
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2612401 | DENTAL SURGERY | $10,407 | $7,285 | — | — | 0 |
| 27791525 | 33285- INSJ SUBQ CAR RHYTHM MNTR -SCPF | $7,961 | $5,573 | — | — | 0 |
| 55040 | Excise of Hydrocele; Unilateral Charge | $6,094 | $4,266 | — | — | 21 |
| 885910 | Dilation and Curettage | $5,917 | $4,142 | — | — | 0 |
| J1162 | Digoxin immune FAB 40 mg REC[SJH] | $5,306 | $3,714 | — | — | 21 |
| 995685 | Esophagogastroduodenoscopy and Colonoscopy | $5,220 | $3,654 | — | — | 0 |
| J0135 | Adalimumab 40 mg/0.4 mL Kit | $5,128 | $3,590 | — | — | 0 |
| J9354 | Ado-trastuzumab emtansine 100 mg REC | $4,490 | $3,143 | — | — | 21 |
| 22461830 | DEST.PERITONEAL TISSUE ProFee | $4,390 | $3,073 | — | — | 0 |
| 44141 | Colectomy Part W/Cecostom | $4,032 | $2,822 | — | — | 21 |
| 44150 | COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS | $4,025 | $2,818 | — | — | 21 |
| C1762 | ALLOSYNC DEMINERALIZED BONE 5 CC | $4,000 | $2,800 | — | — | 21 |
| 24336259 | FISTULA PLUG SET 4.0 CM | $3,952 | $2,767 | — | — | 0 |
| P9037 | BB Platelets Aph LR Irr PathRed, 1 Unit | $3,838 | $2,687 | — | — | 21 |
| 885905 | Cholecystectomy Laparoscopic | $3,811 | $2,667 | — | — | 0 |
| 23464743 | ENDOBLADE GASTROC RECISSION SYSTEM AR-8855DS DR HUGENTOBLER | $3,788 | $2,652 | — | — | 0 |
| 44143 | Colct Prtl W/End Clst&Cls | $3,682 | $2,577 | — | — | 21 |
| 24185490 | DILATION BALLON CATHETER 35MM | $3,540 | $2,478 | — | — | 0 |
| 22850746 | 44207 Lap Colectomy Partial W/A | $3,500 | $2,450 | — | — | 0 |
| 885907 | Colonoscopy | $3,469 | $2,428 | — | — | 0 |
| 885915 | Esophagogastroduodenoscopy | $3,469 | $2,428 | — | — | 0 |
| 75635 | CT Angiography Aorta w/ Runoff | $3,456 | $2,419 | — | — | 0 |
| 23389735 | 20985 COMPUTER ASSIST SURG MUSCULOSKELETAL PROC | $3,450 | $2,415 | — | — | 0 |
| 4203894 | ACL FLIPCUTTER AR-1204AF-10S | $3,439 | $2,407 | — | — | 0 |
| 23671463 | GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | $3,332 | $2,332 | — | — | 0 |
| 71260 | CT Chest | $3,318 | $2,323 | — | — | 21 |
| 15734 | FLAP ISLAND PEDICLE | $3,287 | $2,301 | — | — | 21 |
| 72133 | CT Spine Lumbar w/ + w/o Contrast | $3,286 | $2,300 | — | — | 0 |
| 72130 | CT Spine Thoracic w/ + w/o Contrast | $3,286 | $2,300 | — | — | 0 |
| 74174 | CT Angiography Abdomen/Pelvis | $3,284 | $2,299 | — | — | 0 |
| 74178 | CT Abdomen/Pelvis w + w/o Contrast | $3,279 | $2,296 | — | — | 0 |
| J9047 | Carfilzomib [SJH] | $3,278 | $2,294 | — | — | 21 |
| 4202654 | DISSECTOR SYSTEM 10-12MM OVAL.. | $3,254 | $2,278 | — | — | 0 |
| 70482 | CT Orbit Sella etc. w/ + w/o Contrast | $3,246 | $2,272 | — | — | 0 |
| C1888 | CLOSURE FAST CATH 60 CM CF7-7-60 | $3,244 | $2,271 | — | — | 21 |
| 71275 | CT Angiography Chest/Abdomen/Pelvis | $3,214 | $2,250 | — | — | 21 |
| 71270 | CT Chest W/WO Contrast | $3,206 | $2,244 | — | — | 0 |
| 73202 | CT Upper Extremity w/+w/o Contrast Left | $3,189 | $2,233 | — | — | 0 |
| J9358 | Fam-trastuzumab deruxtecan nxki 100 mg REC | $3,179 | $2,225 | — | — | 21 |
| 27132 | Conversion of previous hip surgery to total hip arthroplasty w/wo autograft or allograft | $3,119 | $2,183 | — | — | 21 |
| 27130 | Arthroplasty acetabular and proximal femoral prosthetic replacement w/wo autograft or allograft | $3,111 | $2,178 | — | — | 21 |
| 27447 | Arthroplasty, knee, condyle and plateau; medial and lateral compartments with or without patella res | $3,110 | $2,177 | — | — | 21 |
| 74177 | CT Abd/Pelvis W/Contrast | $3,095 | $2,166 | — | — | 21 |
| J0717 | Certolizumab 200 mg Kit | $3,060 | $2,142 | — | — | 21 |
| 16414529 | DISSECTOR SYSTEM ROUND SMBTTRND | $3,046 | $2,132 | — | — | 0 |
| 12361903 | CAPIO NEEDLE FOR LAVH M0068311251 | $3,043 | $2,130 | — | — | 0 |
| J0840 | Antivenin (Crotalidae) polyvalent - Sol [SJH] | $2,998 | $2,099 | — | — | 21 |
| 23149620 | FLEXIGRAFT BONE CHIPS 5 CC BL-1200-003 | $2,980 | $2,086 | — | — | 0 |
| 22833661 | Arthroplasty Glenohum Jt | $2,976 | $2,083 | — | — | 0 |
| 44130 | Enteroenterostomy anastomosis of intestine with or without cutaneous enterostomy | $2,973 | $2,081 | — | — | 21 |
Showing top 50 of 4,279 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.