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
6,995
Insurances with rates
24
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
28749056_12
$23,477
INJECTION, OCRELIZUMAB, 1 MG
Gross
$37,867
28309800_12
$11,718
POROUS PURIFIED COLLAGEN MATRIX BONE VOID FILLER (INTEGRA MOZAIK OSTEOCONDUCTIVE SCAFFOLD STRIP), PE
Gross
$18,900
28992079_12
$11,651
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$18,792
28813840_12
$11,383
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$18,360
28817042_12
$8,871
AXOLOTL DUALGRAFT, PER SQUARE CENTIMETER
Gross
$14,308
28363534_12
$8,571
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$13,824
25331903_12
$8,425
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$13,589
27698175_12
$7,745
INJECTION, TENECTEPLASE, 1 MG
Gross
$12,493
26277723_12
$7,197
INJECTION, TENECTEPLASE, 1 MG
Gross
$11,607
28823717_12
$7,097
AXOLOTL GRAFT, PER SQUARE CENTIMETER
Gross
$11,446
28023352_12
$6,961
ORTHOPEDIC/DEVICE/DRUG MATRIX FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO BONE (IMPLANTABLE)
Gross
$11,227
28338852_12
$6,428
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$10,368
25368551_12
$6,321
LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG
Gross
$10,196
28951042_12
$6,000
LIV Factor Prime 2.5cc
Gross
$9,677
28821144_12
$5,914
AXOLOTL DUALGRAFT, PER SQUARE CENTIMETER
Gross
$9,539
28310173_12
$5,906
POROUS PURIFIED COLLAGEN MATRIX BONE VOID FILLER (INTEGRA MOZAIK OSTEOCONDUCTIVE SCAFFOLD STRIP), PE
Gross
$9,526
28023363_12
$5,558
CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)
Gross
$8,964
28023364_12
$5,519
CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)
Gross
$8,902
28824500_12
$5,357
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$8,640
28023357_12
$5,308
CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)
Gross
$8,562
28319790_12
$5,156
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$8,316
28315547_12
$5,055
IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED
Gross
$8,153
28637736_12
$5,022
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$8,100
26224904_12
$4,941
Primary repair of tendon or muscle of top side of forearm or wrist
Gross
$7,969
28346359_12
$4,918
UNCLASSIFIED DRUGS OR BIOLOGICALS
Gross
$7,932
28817044_12
$4,731
AXOLOTL GRAFT, PER SQUARE CENTIMETER
Gross
$7,631
28058174_12
$4,675
CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)
Gross
$7,541
28023355_12
$4,587
CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)
Gross
$7,398
28672555_12
$4,587
Unicortical Wedge 12x5x22x22
Gross
$7,398
28813838_12
$4,553
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$7,344
28451138_12
$4,520
CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)
Gross
$7,290
28111664_12
$4,395
CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)
Gross
$7,088
28315560_12
$4,352
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$7,020
28332583_12
$4,352
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$7,020
28935660_12
$4,285
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$6,912
28939153_12
$4,285
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$6,912
3297899_12
$4,238
Treatment of 3 broken lower leg bones at ankle
Gross
$6,835
21643199_12
$4,234
Repair of tendon or muscle of upper arm or elbow
Gross
$6,829
2858997_12
$4,127
Amputation of toe and midfoot bone
Gross
$6,656
28596950_12
$4,127
Amputation of toe and midfoot bone
Gross
$6,656
28065505_12
$4,051
CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)
Gross
$6,534
28618286_12
$4,051
CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)
Gross
$6,534
28023361_12
$4,028
AMNIOTEXT PATCH, PER SQUARE CENTIMETER
Gross
$6,496
28935659_12
$4,018
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$6,480
27174213_12
$4,000
HYPERRAB 300 UNIT/ML VIAL
Gross
$6,451
28328147_12
$3,951
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$6,372
28618285_12
$3,951
CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA)
Gross
$6,372
28037222_12
$3,937
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$6,350
28065507_12
$3,937
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$6,350
28065509_12
$3,937
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)
Gross
$6,350
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 28749056_12 | INJECTION, OCRELIZUMAB, 1 MG | $37,867 | $23,477 | — | — | 29 |
| 28309800_12 | POROUS PURIFIED COLLAGEN MATRIX BONE VOID FILLER (INTEGRA MOZAIK OSTEOCONDUCTIVE SCAFFOLD STRIP), PE | $18,900 | $11,718 | — | — | 29 |
| 28992079_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $18,792 | $11,651 | — | — | 29 |
| 28813840_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $18,360 | $11,383 | — | — | 29 |
| 28817042_12 | AXOLOTL DUALGRAFT, PER SQUARE CENTIMETER | $14,308 | $8,871 | — | — | 29 |
| 28363534_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $13,824 | $8,571 | — | — | 29 |
| 25331903_12 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $13,589 | $8,425 | — | — | 29 |
| 27698175_12 | INJECTION, TENECTEPLASE, 1 MG | $12,493 | $7,745 | — | — | 29 |
| 26277723_12 | INJECTION, TENECTEPLASE, 1 MG | $11,607 | $7,197 | — | — | 29 |
| 28823717_12 | AXOLOTL GRAFT, PER SQUARE CENTIMETER | $11,446 | $7,097 | — | — | 29 |
| 28023352_12 | ORTHOPEDIC/DEVICE/DRUG MATRIX FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO BONE (IMPLANTABLE) | $11,227 | $6,961 | — | — | 29 |
| 28338852_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $10,368 | $6,428 | — | — | 29 |
| 25368551_12 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | $10,196 | $6,321 | — | — | 29 |
| 28951042_12 | LIV Factor Prime 2.5cc | $9,677 | $6,000 | — | — | 9 |
| 28821144_12 | AXOLOTL DUALGRAFT, PER SQUARE CENTIMETER | $9,539 | $5,914 | — | — | 29 |
| 28310173_12 | POROUS PURIFIED COLLAGEN MATRIX BONE VOID FILLER (INTEGRA MOZAIK OSTEOCONDUCTIVE SCAFFOLD STRIP), PE | $9,526 | $5,906 | — | — | 29 |
| 28023363_12 | CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA) | $8,964 | $5,558 | — | — | 29 |
| 28023364_12 | CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA) | $8,902 | $5,519 | — | — | 29 |
| 28824500_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $8,640 | $5,357 | — | — | 29 |
| 28023357_12 | CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA) | $8,562 | $5,308 | — | — | 29 |
| 28319790_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $8,316 | $5,156 | — | — | 29 |
| 28315547_12 | IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED | $8,153 | $5,055 | — | — | 29 |
| 28637736_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $8,100 | $5,022 | — | — | 29 |
| 26224904_12 | Primary repair of tendon or muscle of top side of forearm or wrist | $7,969 | $4,941 | — | — | 29 |
| 28346359_12 | UNCLASSIFIED DRUGS OR BIOLOGICALS | $7,932 | $4,918 | — | — | 29 |
| 28817044_12 | AXOLOTL GRAFT, PER SQUARE CENTIMETER | $7,631 | $4,731 | — | — | 29 |
| 28058174_12 | CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA) | $7,541 | $4,675 | — | — | 29 |
| 28023355_12 | CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA) | $7,398 | $4,587 | — | — | 29 |
| 28672555_12 | Unicortical Wedge 12x5x22x22 | $7,398 | $4,587 | — | — | 9 |
| 28813838_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $7,344 | $4,553 | — | — | 29 |
| 28451138_12 | CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA) | $7,290 | $4,520 | — | — | 29 |
| 28111664_12 | CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA) | $7,088 | $4,395 | — | — | 29 |
| 28315560_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $7,020 | $4,352 | — | — | 29 |
| 28332583_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $7,020 | $4,352 | — | — | 29 |
| 28935660_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $6,912 | $4,285 | — | — | 29 |
| 28939153_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $6,912 | $4,285 | — | — | 29 |
| 3297899_12 | Treatment of 3 broken lower leg bones at ankle | $6,835 | $4,238 | — | — | 29 |
| 21643199_12 | Repair of tendon or muscle of upper arm or elbow | $6,829 | $4,234 | — | — | 29 |
| 2858997_12 | Amputation of toe and midfoot bone | $6,656 | $4,127 | — | — | 29 |
| 28596950_12 | Amputation of toe and midfoot bone | $6,656 | $4,127 | — | — | 29 |
| 28065505_12 | CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA) | $6,534 | $4,051 | — | — | 29 |
| 28618286_12 | CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA) | $6,534 | $4,051 | — | — | 29 |
| 28023361_12 | AMNIOTEXT PATCH, PER SQUARE CENTIMETER | $6,496 | $4,028 | — | — | 29 |
| 28935659_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $6,480 | $4,018 | — | — | 29 |
| 27174213_12 | HYPERRAB 300 UNIT/ML VIAL | $6,451 | $4,000 | — | — | 29 |
| 28328147_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $6,372 | $3,951 | — | — | 29 |
| 28618285_12 | CONNECTIVE TISSUE, HUMAN (INCLUDES FASCIA LATA) | $6,372 | $3,951 | — | — | 29 |
| 28037222_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $6,350 | $3,937 | — | — | 29 |
| 28065507_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $6,350 | $3,937 | — | — | 29 |
| 28065509_12 | ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) | $6,350 | $3,937 | — | — | 29 |
Showing top 50 of 6,995 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.