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
684
Insurances with rates
21
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
PX-19364
$38,514
PR RCNST BRST W FREE FLAP
Gross
$42,793
PX-0237T
$26,567
PR TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL
Gross
$29,519
PX-19367
$17,883
PR RCNST BRST W TRAM FLAP
Gross
$19,870
PX-19361
$17,799
PR RCNST BRST W LAT DORSI FLAP
Gross
$19,777
PX-15829
$16,992
PR RHYTIDECTOMY SUPERFICIAL
Gross
$18,880
PX-15828
$14,993
PR RHYTIDECTOMY CHEEK/CHIN/NECK
Gross
$16,659
PX-15734
$14,742
PR MUSCLE FLAP TRUNK
Gross
$16,380
PX-0483T
$13,010
PR TMVI PERCUTANEOUS APPROACH
Gross
$14,456
PX-15738
$12,886
PR MUSCLE FLAP LWR EXT
Gross
$14,318
PX-19357
$11,998
PR RCNST BRST TISS EXPAND
Gross
$13,331
PX-0238T
$11,991
PR TLPA ILIAC ARTY EA VSSL
Gross
$13,323
PX-19318
$11,047
PR BREAST REDUC
Gross
$12,274
PX-19342
$9,119
PR DELAYED INSRT/RPLC BRST IMPLNT
Gross
$10,132
PX-15830
$9,043
PR EXCISN EXCESS SKIN/TISS ABD
Gross
$10,048
PX-15825
$8,955
PR RHYTIDECTOMY NK W TGHTNNG
Gross
$9,950
PX-15731
$8,953
PR FHD FLAP W VASC PEDCL
Gross
$9,948
PX-19340
$8,834
PR IMMED INSRT BRST IMPLNT
Gross
$9,815
PX-19371
$8,224
PR PERI IMPLT CAPSULECTOMY BRST COMPL
Gross
$9,138
PX-15834
$8,181
PR EXCISN EXCESS SKIN/TISS HIP
Gross
$9,090
PX-19316
$7,801
PR MASTOPEXY
Gross
$8,668
PX-15740
$7,491
PR FLAP ISLAND PEDCL
Gross
$8,323
PX-19305
$7,432
PR MAST RADCL INCL PECT MUS
Gross
$8,258
PX-19380
$7,352
PR REVISION OF RECONSTRUCTED BRST
Gross
$8,169
PX-19307
$7,224
PR MASTECT RADICAL MODIFIED
Gross
$8,027
PX-19325
$7,223
PR BREAST AUGMENT W IMPLNT
Gross
$8,025
PX-15733
$7,214
PR MUSC MYOQ/FSCQ FLP H&N PEDCL
Gross
$8,016
PX-11970
$7,133
PR RPLC TISS EXPAND W PERM IMPLNT
Gross
$7,926
PX-14301
$7,079
PR TISS XFER ADJ 30.1-60SCM
Gross
$7,865
PX-15877
$6,914
PR SUCTION ASSIS LIPECTOMY TRUNK
Gross
$7,682
PX-19350
$6,856
PR RCNST NIPPLE/AREOLA
Gross
$7,618
PX-15760
$6,771
PR COMPOSITE SKIN GRAFT
Gross
$7,523
PX-15879
$6,584
PR SUCT ASSIS LIPECTOMY LWR EXT
Gross
$7,315
PX-15576
$6,424
PR FORM PEDCL EY/NO/E/L
Gross
$7,138
PX-15120
$6,335
PR SPLIT AUTGRFT F/NK/HF <=100SCM
Gross
$7,039
PX-14061
$6,278
PR TISS XFER EY/N/E/LIP 10.1-30SCM
Gross
$6,975
PX-14041
$6,223
PR TISS XFER FACE/NK/EXT 10-30CM
Gross
$6,914
PX-15769
$6,166
PR GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC
Gross
$6,851
PX-0913T
$6,145
PR PRQ TCAT THER RX NTRAC BALO1
Gross
$6,828
PX-15940
$6,114
PR EXCISN ULCER ISCHL W SUTR
Gross
$6,793
PX-19370
$6,099
PR REV PERI CAPSULOTOMY BRST
Gross
$6,777
PX-15839
$6,064
PR EXCISN EXCESS SKN/TISS OTHER
Gross
$6,738
PX-19302
$5,985
PR MAST PRTL W AXLRY LYMPHDEC
Gross
$6,650
PX-20692
$5,819
PR APP MLTPLN EXTRNL FIX
Gross
$6,465
PX-15260
$5,794
PR GRFT FULL THCK EY/NO/E/L <=20SCM
Gross
$6,438
PX-19355
$5,715
PR CORRECTION INVERTED NIPPLES
Gross
$6,350
PX-15823
$5,655
PR BLEPH UPR EYELID W EXCESS SKIN LID
Gross
$6,283
PX-15836
$5,579
PR EXCISN EXCESS SKIN/TISS ARM
Gross
$6,199
PX-15100
$5,404
PR GRFT SPLIT SKN TR/LIMB 100SCM
Gross
$6,004
PX-15773
$5,134
PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS
Gross
$5,704
PX-15574
$5,090
PR FORM PEDCL FACE/NK/AX/EXG/EXT
Gross
$5,656
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| PX-19364 | PR RCNST BRST W FREE FLAP | $42,793 | $38,514 | — | — | 316 |
| PX-0237T | PR TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL | $29,519 | $26,567 | — | — | 291 |
| PX-19367 | PR RCNST BRST W TRAM FLAP | $19,870 | $17,883 | — | — | 316 |
| PX-19361 | PR RCNST BRST W LAT DORSI FLAP | $19,777 | $17,799 | — | — | 316 |
| PX-15829 | PR RHYTIDECTOMY SUPERFICIAL | $18,880 | $16,992 | — | — | 317 |
| PX-15828 | PR RHYTIDECTOMY CHEEK/CHIN/NECK | $16,659 | $14,993 | — | — | 317 |
| PX-15734 | PR MUSCLE FLAP TRUNK | $16,380 | $14,742 | — | — | 316 |
| PX-0483T | PR TMVI PERCUTANEOUS APPROACH | $14,456 | $13,010 | — | — | 316 |
| PX-15738 | PR MUSCLE FLAP LWR EXT | $14,318 | $12,886 | — | — | 316 |
| PX-19357 | PR RCNST BRST TISS EXPAND | $13,331 | $11,998 | — | — | 316 |
| PX-0238T | PR TLPA ILIAC ARTY EA VSSL | $13,323 | $11,991 | — | — | 291 |
| PX-19318 | PR BREAST REDUC | $12,274 | $11,047 | — | — | 316 |
| PX-19342 | PR DELAYED INSRT/RPLC BRST IMPLNT | $10,132 | $9,119 | — | — | 316 |
| PX-15830 | PR EXCISN EXCESS SKIN/TISS ABD | $10,048 | $9,043 | — | — | 316 |
| PX-15825 | PR RHYTIDECTOMY NK W TGHTNNG | $9,950 | $8,955 | — | — | 317 |
| PX-15731 | PR FHD FLAP W VASC PEDCL | $9,948 | $8,953 | — | — | 316 |
| PX-19340 | PR IMMED INSRT BRST IMPLNT | $9,815 | $8,834 | — | — | 316 |
| PX-19371 | PR PERI IMPLT CAPSULECTOMY BRST COMPL | $9,138 | $8,224 | — | — | 316 |
| PX-15834 | PR EXCISN EXCESS SKIN/TISS HIP | $9,090 | $8,181 | — | — | 316 |
| PX-19316 | PR MASTOPEXY | $8,668 | $7,801 | — | — | 316 |
| PX-15740 | PR FLAP ISLAND PEDCL | $8,323 | $7,491 | — | — | 316 |
| PX-19305 | PR MAST RADCL INCL PECT MUS | $8,258 | $7,432 | — | — | 316 |
| PX-19380 | PR REVISION OF RECONSTRUCTED BRST | $8,169 | $7,352 | — | — | 316 |
| PX-19307 | PR MASTECT RADICAL MODIFIED | $8,027 | $7,224 | — | — | 316 |
| PX-19325 | PR BREAST AUGMENT W IMPLNT | $8,025 | $7,223 | — | — | 316 |
| PX-15733 | PR MUSC MYOQ/FSCQ FLP H&N PEDCL | $8,016 | $7,214 | — | — | 316 |
| PX-11970 | PR RPLC TISS EXPAND W PERM IMPLNT | $7,926 | $7,133 | — | — | 316 |
| PX-14301 | PR TISS XFER ADJ 30.1-60SCM | $7,865 | $7,079 | — | — | 316 |
| PX-15877 | PR SUCTION ASSIS LIPECTOMY TRUNK | $7,682 | $6,914 | — | — | 312 |
| PX-19350 | PR RCNST NIPPLE/AREOLA | $7,618 | $6,856 | — | — | 316 |
| PX-15760 | PR COMPOSITE SKIN GRAFT | $7,523 | $6,771 | — | — | 316 |
| PX-15879 | PR SUCT ASSIS LIPECTOMY LWR EXT | $7,315 | $6,584 | — | — | 312 |
| PX-15576 | PR FORM PEDCL EY/NO/E/L | $7,138 | $6,424 | — | — | 316 |
| PX-15120 | PR SPLIT AUTGRFT F/NK/HF <=100SCM | $7,039 | $6,335 | — | — | 316 |
| PX-14061 | PR TISS XFER EY/N/E/LIP 10.1-30SCM | $6,975 | $6,278 | — | — | 316 |
| PX-14041 | PR TISS XFER FACE/NK/EXT 10-30CM | $6,914 | $6,223 | — | — | 316 |
| PX-15769 | PR GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC | $6,851 | $6,166 | — | — | 316 |
| PX-0913T | PR PRQ TCAT THER RX NTRAC BALO1 | $6,828 | $6,145 | — | — | 317 |
| PX-15940 | PR EXCISN ULCER ISCHL W SUTR | $6,793 | $6,114 | — | — | 316 |
| PX-19370 | PR REV PERI CAPSULOTOMY BRST | $6,777 | $6,099 | — | — | 316 |
| PX-15839 | PR EXCISN EXCESS SKN/TISS OTHER | $6,738 | $6,064 | — | — | 316 |
| PX-19302 | PR MAST PRTL W AXLRY LYMPHDEC | $6,650 | $5,985 | — | — | 316 |
| PX-20692 | PR APP MLTPLN EXTRNL FIX | $6,465 | $5,819 | — | — | 316 |
| PX-15260 | PR GRFT FULL THCK EY/NO/E/L <=20SCM | $6,438 | $5,794 | — | — | 316 |
| PX-19355 | PR CORRECTION INVERTED NIPPLES | $6,350 | $5,715 | — | — | 316 |
| PX-15823 | PR BLEPH UPR EYELID W EXCESS SKIN LID | $6,283 | $5,655 | — | — | 316 |
| PX-15836 | PR EXCISN EXCESS SKIN/TISS ARM | $6,199 | $5,579 | — | — | 316 |
| PX-15100 | PR GRFT SPLIT SKN TR/LIMB 100SCM | $6,004 | $5,404 | — | — | 316 |
| PX-15773 | PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS | $5,704 | $5,134 | — | — | 316 |
| PX-15574 | PR FORM PEDCL FACE/NK/AX/EXG/EXT | $5,656 | $5,090 | — | — | 316 |
Showing top 50 of 684 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.