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
11,852
Insurances with rates
6
CPT / HCPCS codes
47
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 9848587 | MESH 8X10 BIOLOGIC | $21,483 | $17,186 | — | — | 11 |
| 9849102 | INTERSTIM NERVESTIMULATOR | $19,850 | $15,880 | — | — | 11 |
| 12305553 | AMNIO EXCEL AMNIOTIC ALLOGRAFT MEMBRANE 10CM X10CM | $12,318 | $9,854 | — | — | 11 |
| 10031072-1036 | 95811 PSG WITH CPAP - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037808 | 95811 SL BIPAP - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037810 | 95811 SL CPAP - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037812 | 95811 SL Oral Appliance with CPAP - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037816 | 95811 SL Split Night - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037822 | 95811 SL Split Night Pedi - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037824 | 95811 SL CPAP Pedi - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 10037806 | 95811 SL Adaptive Servo Ventiliation - TECH PORTION | $11,356 | $9,085 | — | — | 11 |
| 9399351 | RT Polysomnography w/CPAP CHARGE | $11,356 | $9,085 | — | — | 11 |
| 9929693 | 47532 XR CHOLE PERCUTANEOUS-NEW ACC | $10,202 | $8,161 | — | — | 11 |
| 10073168 | 47490 US CHOLECYSTOSTOMY, PERC | $10,202 | $8,161 | — | — | 11 |
| 8022718 | 19101 BIOPSY OF BREAST; OPEN, INCISIONAL TechFee | $10,119 | $8,095 | — | — | 11 |
| 10073088 | 73206 CT CTA UPPER EXT BILAT | $9,859 | $7,887 | — | — | 11 |
| 9929647 | 47531 XR CHOLE PERCUTANEOUS-EXIST ACC | $9,817 | $7,854 | — | — | 11 |
| 10073089 | 73706 CT CTA LOWER EXT BILAT | $9,704 | $7,763 | — | — | 11 |
| 9929606 | 78816 NM PET SCAN: WHOLE BODY- SUBSEQUENT | $9,498 | $7,598 | — | — | 11 |
| 11026195 | 78831 NM Spect Multi Area or Multi Day | $9,405 | $7,524 | — | — | 11 |
| 10031067-1034 | 95810 POLYSOMNOGRAPHY -TECH PORTION | $9,185 | $7,348 | — | — | 11 |
| 10037815 | 95810 SL Oral Appliance with out CPAP -TECH PORTION | $9,185 | $7,348 | — | — | 11 |
| 10037821 | 95810 SL Polysomogram Pedi -TECH PORTION | $9,185 | $7,348 | — | — | 11 |
| 8078488 | RT Polysomnography CHARGE | $9,185 | $7,348 | — | — | 11 |
| 8080172 | 36556-Central Line Greater Than/Equal to 5 Years | $9,171 | $7,336 | — | — | 11 |
| 8211304 | 36556 INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/> TechFee | $9,171 | $7,336 | — | — | 11 |
| 9929603 | 78816 NM PET SCAN: WHOLE BODY-INITIAL | $8,856 | $7,085 | — | — | 11 |
| 9883004 | 70498 CT Angio Neck | $8,504 | $6,803 | — | — | 11 |
| 9846656 | HYDROSET BONE SUBS 10 CC | $8,480 | $6,784 | — | — | 11 |
| 8418604 | EXTERNAL CEPHALIC VERSION CHARGE | $8,406 | $6,725 | — | — | 11 |
| 13213291 | 33210 Pacemaker or Implantable Defibrillator Pro Fee | $8,275 | $6,620 | — | — | 11 |
| 9929602 | 78815 NM PET SCAN:EYES TO THIGHS-INITIAL | $8,238 | $6,590 | — | — | 11 |
| 9929605 | 78815 NM PET SCAN:EYES TO THIGHS- SUBSEQUENT | $8,221 | $6,577 | — | — | 11 |
| 9883002 | 70496 CT Angio Brain/Head | $8,212 | $6,569 | — | — | 11 |
| 9883298 | 73720 MRI Foot w/ + w/o Contrast Left | $8,015 | $6,412 | — | — | 11 |
| 9883300 | 73720 MRI Foot w/ + w/o Contrast Right | $8,015 | $6,412 | — | — | 11 |
| 9883338 | 73720 MRI LE Non Joint w/ + w/o Contrast Lt | $8,015 | $6,412 | — | — | 11 |
| 9883340 | 73720 MRI LE Non Joint w/ + w/o Contrast Rt | $8,015 | $6,412 | — | — | 11 |
| 9849103 | SURE SCAN PACING LEAD | $7,739 | $6,191 | — | — | 11 |
| 8040803 | 95811 Polysomnography; 6 yrs or older, w/ C-Pap therapy or bilev | $7,582 | $6,065 | — | — | 11 |
| 9883320 | 73721 MRI Hip w/o Contrast Bilateral | $7,499 | $5,999 | — | — | 11 |
| 10978845 | LINQ II SYSTEM | $7,493 | $5,994 | — | — | 11 |
| 9883326 | 73723 MRI Knee w/ + w/o Contrast Left | $7,427 | $5,942 | — | — | 11 |
| 9883328 | 73723 MRI Knee w/ + w/o Contrast Right | $7,427 | $5,942 | — | — | 11 |
| 9883392 | 73220 MRI UE Non Joint w/ + w/o Contrast Lt | $7,426 | $5,941 | — | — | 11 |
| 9883394 | 73220 MRI UE Non Joint w/ + w/o Contrast Rt | $7,426 | $5,941 | — | — | 11 |
| 2120844 | ROOM/BED ICU | $7,396 | $5,917 | — | — | 9 |
| 9883104 | 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $7,274 | $5,819 | — | — | 11 |
| 9883286 | 73223 MRI Finger(s) w/ + w/o Contrast Left | $7,192 | $5,753 | — | — | 11 |
| 9883288 | 73223 MRI Finger(s) w/ + w/o Contrast Right | $7,192 | $5,753 | — | — | 11 |
Showing top 50 of 11,852 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.