45 CFR § 180 compliance
F · 55
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
15,327
Insurances with rates
6
CPT / HCPCS codes
11,794
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 38240 | HC HEMATOPOIETIC PROGENITOR CELL (HPC) ALLOGENEIC TRANSPLANTATION PER DONOR | $66,111 | $36,361 | — | — | 36 |
| J3101 | tenecteplase 50 mg/10 mL Kit 1 Each Box | $35,273 | $19,400 | — | — | 9 |
| 24341 | HC REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA | $14,410 | $7,926 | — | — | 36 |
| 42182 | HC REPAIR, LACERATION OF PALATE, OVER 2 CM OR COMPLEX | $11,797 | $6,488 | — | — | 36 |
| 64831 | HC SUTURE OF DIGITAL NERVE, HAND OR FOOT, 1 NERVE | $10,336 | $5,685 | — | — | 35 |
| J2315 | naltrexone 380 MG Recon Susp 1 Each Vial | $9,312 | $5,122 | — | — | 9 |
| 27650 | HC REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON | $7,553 | $4,154 | — | — | 36 |
| J3262 | tocilizumab 200 mg/10 mL Solution 10 mL Vial | $7,319 | $4,025 | — | — | 9 |
| 26735 | HC OPEN TX PHLNG SHFT FX, PROX/MID PHLNX, FGR/THB INCL INTERN FIXATION, EA | $7,262 | $3,994 | — | — | 36 |
| 37785 | HC LIGATION DIVISION EXC VARICOSE VEIN CLUSTERS 1 LEG | $7,214 | $3,968 | — | — | 36 |
| 26540 | HC REPR COLLAT LIGAMENT METACARP-INTERPHALANGEAL JT | $6,571 | $3,614 | — | — | 35 |
| 75716 | HC ANGIO EXTREM BILAT | $6,543 | $3,598 | — | — | 35 |
| 36555 | HC INSERT NON-TUNNEL CENTRALLY INSERT CVC, YOUNGER THAN 5 YRS | $6,482 | $3,565 | — | — | 36 |
| 52005 | HC CYSTOSCOPY & URETER CATH | $6,232 | $3,428 | — | — | 36 |
| 81459 | HC MAYOCOMPLETE SOL TUMOR PNL, ORGAN NEOPLAS, GEN SEQ; DNA ANLYS | $6,206 | $3,413 | — | — | 36 |
| 88307 | HC BONE HISTOMORPHOLOGY LEVEL V | $6,017 | $3,309 | — | — | 36 |
| 36557 | HC INSERT TUNNEL CENTRALLY INSERT CVC, W/O SUBCUT PORT/PUMP, YNGR THAN 5YRS | $6,016 | $3,309 | — | — | 36 |
| 26756 | HC PERCUTANEOUS SKELETAL FIXATION DISTAL PHALANGEAL FX, FINGER/THUMB, EA | $6,006 | $3,303 | — | — | 36 |
| 75710 | HC ANGIOGRAPY, EXTREMITY, UNILAT | $5,972 | $3,285 | — | — | 36 |
| 38241 | HC HEMATOPOIETIC PROGENITOR CELL (HPC), AUTOLOGOUS TRANSPLANTATION | $5,950 | $3,273 | — | — | 36 |
| 74178 | HC CT, ABD AND PELVIS, W/O CONTRAST IN ONE/BOTH BODY REGIONS, F/B CONTRAST | $5,928 | $3,260 | — | — | 36 |
| J1451 | fomepizole 1 gm/mL Solution 1.5 mL Vial | $5,928 | $3,260 | — | — | 9 |
| 11971 | HC REMOVE TISSUE EXPANDER(S) W/O INSERTION OF IMPLANT | $5,779 | $3,178 | — | — | 36 |
| 27086 | HC REMOVAL OF FOREIGN BODY, PELVIS OR HIP; SUBCUTANEOUS TISSUE | $5,724 | $3,148 | — | — | 36 |
| 27372 | HC REMOVAL OF FOREIGN BODY, DEEP, THIGH REGION OR KNEE AREA | $5,724 | $3,148 | — | — | 36 |
| 45307 | HC PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF FOREIGN BODY | $5,656 | $3,111 | — | — | 36 |
| 46040 | HC INC & DRN RECTAL ABSCESS | $5,638 | $3,101 | — | — | 36 |
| 26591 | HC REPAIR, INTRINSIC MUSCLES OF HAND, EACH MUSCLE | $5,597 | $3,078 | — | — | 36 |
| 81457 | HC MAYOCOMPLETE SARCOMA PANEL,DNA ANLYS, MICROSATELLITE INSTABILITY | $5,475 | $3,011 | — | — | 36 |
| 23605 | HC CLSD TX PROXIMAL HUMERAL FX W MANIPULATION | $5,457 | $3,001 | — | — | 9 |
| 81443 | HC HLH GENE MUTAT, GENE TST SEVERE INHER COND, GENOM SEQ ANLY PNL, 15 GENES | $5,357 | $2,946 | — | — | 36 |
| 47532 | HC INJ FOR CHOLANGIOGRAPHY, PERC, INCL IMAGE GUID, NEW ACCESS | $5,337 | $2,935 | — | — | 36 |
| 78452 | HC MYOCARDIAL PERFUS IMG, TOMOGRAPH (SPECT), MULT STUDIES AT REST &/STRESS | $5,116 | $2,814 | — | — | 18 |
| J1573 | hepatitis B immune globulin Solution 5 mL Vial | $4,910 | $2,700 | — | — | 9 |
| 36558 | HC INSERT TUNNELED CVC WO SUBQ PORT PUMP | $4,889 | $2,689 | — | — | 36 |
| C8930 | HC TTE W/ CONTR, OR W/O CONTR F/B CONTR, 2D, COMPL,DURING REST-CARDVASC STR | $4,841 | $2,663 | — | — | 9 |
| 81277 | HC CHROMOSOMAL MICROARRAY, TUMOR, CYTOGENOMIC NEOPLASIA ANLYS | $4,708 | $2,589 | — | — | 36 |
| 51102 | HC ASPIRATION OF BLADDER, WITH INSERTION OF SUPRAPUBIC CATH | $4,651 | $2,558 | — | — | 36 |
| 0037U | HC FOUNDATIONONE CDX, TARG GEN SEQ ANLY, DNA 324 GENES | $4,534 | $2,493 | — | — | 36 |
| 74177 | HC CT, ABDOMEN AND PELVIS, WITH CONTRAST | $4,357 | $2,396 | — | — | 36 |
| 78451 | HC MYOCARDIAL PERFUS IMG, TOMOGRAPH (SPECT), SGL STUDY AT REST/STRESS | $4,335 | $2,384 | — | — | 18 |
| 72127 | HC CT, CERVICAL SPINE, W/O CONTRAST, FOLLOW BY CONTRAST AND FURTHER SECT | $4,313 | $2,372 | — | — | 36 |
| 14040 | HC ADJCNT TIS TRNSFR/REARR, FOREHD FACE NECK AX GENIT HND/FT, 10 SQ CM/LESS | $4,256 | $2,341 | — | — | 36 |
| 31238 | HC NASAL/SINUS ENDOSCOPY, SURGICAL, WITH CONTROL OF NASAL HEMORRHAGE | $4,111 | $2,261 | — | — | 36 |
| 52281 | HC CYSTO CALIBRATN DILAT URETHRAL STRICT STENOSIS | $4,048 | $2,226 | — | — | 36 |
| 27752 | HC CLSD TX TIBIA SHAFT FX W WO FIBULA FX W MANIP | $3,982 | $2,190 | — | — | 36 |
| 52310 | HC CYSTO W REM FOREIGN BODY STONE STENT SIMPLE | $3,975 | $2,186 | — | — | 36 |
| 26951 | HC AMPUT, FGR/THUMB, PRIM/SECOND, ANY JT,SGL,INCL NEURECTOM,W/ DIR CLOS | $3,974 | $2,186 | — | — | 36 |
| 26418 | HC REPAIR, EXTENSOR TENDON, FINGER, PRIM/SECOND, W/O FREE GRAFT, EA TENDON | $3,974 | $2,186 | — | — | 36 |
| 36556 | HC INSERT NON-TUNNEL CENTRALLY INSERT CVC, AGE 5 YRS OR OLDER | $3,936 | $2,165 | — | — | 36 |
Showing top 50 of 15,327 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.