45 CFR § 180 compliance
B · 85
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
3,925
Insurances with rates
11
CPT / HCPCS codes
3,070
Source MRF
Most expensive procedures (gross)
790
$27,576
HC - LITHOTRIPSY XTRCORP SHOCK WAVE
Gross
$27,576
480
$14,648
HC - INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL
Gross
$14,648
55873
$9,764
PR CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI
Gross
$9,764
24635
$9,617
PR OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW
Gross
$9,617
28730
$9,430
PR ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS
Gross
$9,430
33285
$9,129
PR INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG
Gross
$9,129
64581
$8,715
PR OPEN IMPLANTATION NEA SACRAL NERVE
Gross
$8,715
64561
$8,337
PR PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING
Gross
$8,337
53854
$8,089
PR TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY
Gross
$8,089
58356
$7,768
PR ENDOMETRIAL CRYOABLATION W/US & ENDOMETRIAL CR
Gross
$7,768
21160
$7,253
PR RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I
Gross
$7,253
19364
$7,099
PR BREAST RECONSTRUCTION W/FREE FLAP
Gross
$7,099
51596
$7,002
PR CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR
Gross
$7,002
51595
$6,959
PR CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC
Gross
$6,959
20956
$6,808
PR BONE GRAFT MICROVASCULAR ANAST ILIAC CREST
Gross
$6,808
63047
$6,798
PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR
Gross
$6,798
55874
$6,558
PR TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX
Gross
$6,558
58563
$6,477
PR HYSTEROSCOPY ENDOMETRIAL ABLATION
Gross
$6,477
58565
$6,342
PR HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS
Gross
$6,342
610
$6,317
HC - MRA NECK W/O &W/CONTRAST MATERIAL
Gross
$6,317
58954
$5,964
PR BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY
Gross
$5,964
59618
$5,892
PR ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC
Gross
$5,892
15756
$5,866
PR FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST
Gross
$5,866
59510
$5,820
PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM
Gross
$5,820
404
$5,691
HC - BRAIN IMAGING PET METABOLIC EVALUATION
Gross
$5,691
24665
$5,639
PR OPEN TX RADIAL HEAD/NECK FRACTURE
Gross
$5,639
38500
$5,604
PR BX/EXC LYMPH NODE OPEN SUPERFICIAL
Gross
$5,604
52320
$5,515
PR CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS
Gross
$5,515
59610
$5,514
PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB
Gross
$5,514
26735
$5,506
PR OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA
Gross
$5,506
28485
$5,488
PR OPEN TREATMENT METATARSAL FRACTURE EACH
Gross
$5,488
26607
$5,469
PR CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE
Gross
$5,469
63081
$5,463
PR VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG
Gross
$5,463
24120
$5,428
PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN
Gross
$5,428
44146
$5,417
PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY
Gross
$5,417
25028
$5,414
PR I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA
Gross
$5,414
28505
$5,407
PR OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES
Gross
$5,407
44661
$5,375
PR CLSR ENTEROVES FSTL W/INTESTINE&/BLADDER RESCJ
Gross
$5,375
28288
$5,372
PR OSTC PRTL EXOSTC/CONDYLC METAR HEAD
Gross
$5,372
26765
$5,368
PR OPEN TX DISTAL PHALANGEAL FRACTURE EACH
Gross
$5,368
44155
$5,332
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY
Gross
$5,332
28285
$5,290
PR CORRECTION HAMMERTOE
Gross
$5,290
59400
$5,270
PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM
Gross
$5,270
28270
$5,227
PR CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX
Gross
$5,227
53605
$5,224
PR DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES
Gross
$5,224
55845
$5,206
PR PROSTECT RETROPUB RAD W/WO NRV SPAR & BI PLV LYM
Gross
$5,206
43632
$5,150
PR GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY
Gross
$5,150
26075
$5,148
PR ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA
Gross
$5,148
200
$5,133
HC - ROOM RATE - ICU
Gross
$5,133
44208
$5,069
PR LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST
Gross
$5,069
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 790 | HC - LITHOTRIPSY XTRCORP SHOCK WAVE | $27,576 | $27,576 | — | — | 21 |
| 480 | HC - INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL | $14,648 | $14,648 | — | — | 21 |
| 55873 | PR CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI | $9,764 | $9,764 | — | — | 17 |
| 24635 | PR OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW | $9,617 | $9,617 | — | — | 17 |
| 28730 | PR ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS | $9,430 | $9,430 | — | — | 17 |
| 33285 | PR INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG | $9,129 | $9,129 | — | — | 17 |
| 64581 | PR OPEN IMPLANTATION NEA SACRAL NERVE | $8,715 | $8,715 | — | — | 17 |
| 64561 | PR PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING | $8,337 | $8,337 | — | — | 17 |
| 53854 | PR TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY | $8,089 | $8,089 | — | — | 17 |
| 58356 | PR ENDOMETRIAL CRYOABLATION W/US & ENDOMETRIAL CR | $7,768 | $7,768 | — | — | 17 |
| 21160 | PR RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I | $7,253 | $7,253 | — | — | 17 |
| 19364 | PR BREAST RECONSTRUCTION W/FREE FLAP | $7,099 | $7,099 | — | — | 17 |
| 51596 | PR CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR | $7,002 | $7,002 | — | — | 17 |
| 51595 | PR CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC | $6,959 | $6,959 | — | — | 17 |
| 20956 | PR BONE GRAFT MICROVASCULAR ANAST ILIAC CREST | $6,808 | $6,808 | — | — | 17 |
| 63047 | PR LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR | $6,798 | $6,798 | — | — | 17 |
| 55874 | PR TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX | $6,558 | $6,558 | — | — | 17 |
| 58563 | PR HYSTEROSCOPY ENDOMETRIAL ABLATION | $6,477 | $6,477 | — | — | 17 |
| 58565 | PR HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS | $6,342 | $6,342 | — | — | 17 |
| 610 | HC - MRA NECK W/O &W/CONTRAST MATERIAL | $6,317 | $6,317 | — | — | 21 |
| 58954 | PR BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY | $5,964 | $5,964 | — | — | 17 |
| 59618 | PR ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC | $5,892 | $5,892 | — | — | 17 |
| 15756 | PR FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST | $5,866 | $5,866 | — | — | 17 |
| 59510 | PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $5,820 | $5,820 | — | — | 17 |
| 404 | HC - BRAIN IMAGING PET METABOLIC EVALUATION | $5,691 | $5,691 | — | — | 21 |
| 24665 | PR OPEN TX RADIAL HEAD/NECK FRACTURE | $5,639 | $5,639 | — | — | 17 |
| 38500 | PR BX/EXC LYMPH NODE OPEN SUPERFICIAL | $5,604 | $5,604 | — | — | 17 |
| 52320 | PR CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS | $5,515 | $5,515 | — | — | 17 |
| 59610 | PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $5,514 | $5,514 | — | — | 17 |
| 26735 | PR OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA | $5,506 | $5,506 | — | — | 17 |
| 28485 | PR OPEN TREATMENT METATARSAL FRACTURE EACH | $5,488 | $5,488 | — | — | 17 |
| 26607 | PR CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE | $5,469 | $5,469 | — | — | 17 |
| 63081 | PR VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG | $5,463 | $5,463 | — | — | 17 |
| 24120 | PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN | $5,428 | $5,428 | — | — | 17 |
| 44146 | PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY | $5,417 | $5,417 | — | — | 17 |
| 25028 | PR I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA | $5,414 | $5,414 | — | — | 17 |
| 28505 | PR OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES | $5,407 | $5,407 | — | — | 17 |
| 44661 | PR CLSR ENTEROVES FSTL W/INTESTINE&/BLADDER RESCJ | $5,375 | $5,375 | — | — | 17 |
| 28288 | PR OSTC PRTL EXOSTC/CONDYLC METAR HEAD | $5,372 | $5,372 | — | — | 17 |
| 26765 | PR OPEN TX DISTAL PHALANGEAL FRACTURE EACH | $5,368 | $5,368 | — | — | 17 |
| 44155 | PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY | $5,332 | $5,332 | — | — | 17 |
| 28285 | PR CORRECTION HAMMERTOE | $5,290 | $5,290 | — | — | 17 |
| 59400 | PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $5,270 | $5,270 | — | — | 17 |
| 28270 | PR CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX | $5,227 | $5,227 | — | — | 17 |
| 53605 | PR DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES | $5,224 | $5,224 | — | — | 17 |
| 55845 | PR PROSTECT RETROPUB RAD W/WO NRV SPAR & BI PLV LYM | $5,206 | $5,206 | — | — | 17 |
| 43632 | PR GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY | $5,150 | $5,150 | — | — | 17 |
| 26075 | PR ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA | $5,148 | $5,148 | — | — | 17 |
| 200 | HC - ROOM RATE - ICU | $5,133 | $5,133 | — | — | 9 |
| 44208 | PR LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST | $5,069 | $5,069 | — | — | 17 |
Showing top 50 of 3,925 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.