45 CFR § 180 compliance
A · 100
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
4,025
Insurances with rates
5
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4280012
$82,086
Fem/pop Tlstent/athe
Gross
$82,086
4280014
$82,086
Tib/per Init W/ather
Gross
$82,086
4280015
$82,086
Tib/per Reva W/stent
Gross
$82,086
4280016
$82,086
Tib/per Rev St/ather
Gross
$82,086
4280010
$56,473
Fem/pop Rev W/arthre
Gross
$56,473
4406322
$51,693
Fluocinolone Acet In
Gross
$51,693
4280013
$51,031
Tib/pr Ini Rev W/tla
Gross
$51,031
4280011
$51,031
Fem/pop Rev W/tlstn
Gross
$51,031
3175005
$29,849
Brachytx Source Yttr
Gross
$29,849
4280006
$19,557
Iliac Revasc W/ Sten
Gross
$19,557
4270019
$391
Percut Imp Neuro Bil
Gross
$19,452
4270020
$391
Per Imp Of Neuro Uni
Gross
$19,452
4280009
$17,178
Fem/pop Rev Uni Tla
Gross
$17,178
4280005
$14,441
Iliac Revasc Uni 1st
Gross
$14,441
4200218
$480
Insert Tunnel Cvc W
Gross
$12,372
4250302
$382
Hdr Cath Plac Breast
Gross
$11,288
4250770
$1,036
Srs Linear Based
Gross
$11,098
4406339
$11,022
Ganciclovir 4.5mg Oc
Gross
$11,022
4406402
$10,056
Leuprolide Acet Imp
Gross
$10,056
4280008
$9,581
Iliac Rev Adon W/tls
Gross
$9,581
4270006
$751
Lithotripsy Bilatera
Gross
$9,443
4270008
$751
Lithotripsy Procedur
Gross
$9,443
4270010
$751
Lithotripsy/repeat
Gross
$9,443
4406056
$8,427
Abciximab 10mg Inj
Gross
$8,427
4004799
$8,111
Stent Bronchial Dyna
Gross
$8,111
4406344
$6,750
Gemtuzumab Ozogamici
Gross
$6,750
3175094
$6,695
Tc-99m Ceretec Inj P
Gross
$6,695
4005206
$340
Endo Sml Bwl W/trans
Gross
$6,487
4406469
$6,058
Pegfilgrastim 6mg In
Gross
$6,058
4250771
$1,082
Sbrt Delivery
Gross
$5,937
3175078
$5,733
Samarium-153 Inj Per
Gross
$5,733
4406540
$5,402
Tenecteplase 50mg In
Gross
$5,402
3180057
$350
Ct Angio Ue W/ Co Bi
Gross
$5,308
3170054
$5,248
Pet Ct Tumor Whole B
Gross
$5,248
4230310
$400
MRI scan of leg joint
Gross
$5,236
4406474
$5,207
Pentostatin 10mg 1 E
Gross
$5,207
4250695
$1,554
Imrt Course
Gross
$5,169
4406104
$5,111
Anistreplase 30u 1 E
Gross
$5,111
4230320
$500
Mri Le Joint Wwo Bil
Gross
$5,100
4250690
$280
Simulation 3d
Gross
$5,050
4004105
$4,957
Esophagos W/stent In
Gross
$4,957
4406492
$4,940
Porfimer Sodium 75mg
Gross
$4,940
4230351
$500
Mri Le Wwo Con Bilat
Gross
$4,925
4005007
$4,855
Stent Colon 25mmx30m
Gross
$4,855
4005009
$4,855
Stent Duo 22mmx27mmx
Gross
$4,855
4005010
$4,855
Stent Non Coated Cov
Gross
$4,855
3180052
$350
Ct Angio Extr Lower
Gross
$4,823
4230340
$400
Mri Le Non Jt No Con
Gross
$4,747
3170052
$4,716
Pet Ct Tumor Skulmid
Gross
$4,716
3175054
$4,653
In-111 Capromab Pend
Gross
$4,653
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4280012 | Fem/pop Tlstent/athe | $82,086 | $82,086 | $32,834 | $82,078 | 6 |
| 4280014 | Tib/per Init W/ather | $82,086 | $82,086 | $32,834 | $82,078 | 6 |
| 4280015 | Tib/per Reva W/stent | $82,086 | $82,086 | $32,834 | $82,078 | 6 |
| 4280016 | Tib/per Rev St/ather | $82,086 | $82,086 | $32,834 | $82,078 | 6 |
| 4280010 | Fem/pop Rev W/arthre | $56,473 | $56,473 | $22,589 | $56,467 | 6 |
| 4406322 | Fluocinolone Acet In | $51,693 | $51,693 | $20,677 | $51,688 | 6 |
| 4280013 | Tib/pr Ini Rev W/tla | $51,031 | $51,031 | $20,412 | $51,026 | 6 |
| 4280011 | Fem/pop Rev W/tlstn | $51,031 | $51,031 | $20,412 | $51,026 | 6 |
| 3175005 | Brachytx Source Yttr | $29,849 | $29,849 | $11,940 | $29,846 | 6 |
| 4280006 | Iliac Revasc W/ Sten | $19,557 | $19,557 | $7,823 | $19,555 | 6 |
| 4270019 | Percut Imp Neuro Bil | $19,452 | $391 | $7,781 | $19,450 | 6 |
| 4270020 | Per Imp Of Neuro Uni | $19,452 | $391 | $7,781 | $19,450 | 6 |
| 4280009 | Fem/pop Rev Uni Tla | $17,178 | $17,178 | $6,871 | $17,176 | 6 |
| 4280005 | Iliac Revasc Uni 1st | $14,441 | $14,441 | $5,776 | $14,440 | 6 |
| 4200218 | Insert Tunnel Cvc W | $12,372 | $480 | $4,949 | $12,371 | 6 |
| 4250302 | Hdr Cath Plac Breast | $11,288 | $382 | $4,515 | $11,287 | 6 |
| 4250770 | Srs Linear Based | $11,098 | $1,036 | $4,439 | $11,097 | 6 |
| 4406339 | Ganciclovir 4.5mg Oc | $11,022 | $11,022 | $4,409 | $11,021 | 6 |
| 4406402 | Leuprolide Acet Imp | $10,056 | $10,056 | $4,022 | $10,055 | 6 |
| 4280008 | Iliac Rev Adon W/tls | $9,581 | $9,581 | $3,832 | $9,580 | 6 |
| 4270006 | Lithotripsy Bilatera | $9,443 | $751 | $3,777 | $9,442 | 6 |
| 4270008 | Lithotripsy Procedur | $9,443 | $751 | $3,777 | $9,442 | 6 |
| 4270010 | Lithotripsy/repeat | $9,443 | $751 | $3,777 | $9,442 | 6 |
| 4406056 | Abciximab 10mg Inj | $8,427 | $8,427 | $3,371 | $8,426 | 6 |
| 4004799 | Stent Bronchial Dyna | $8,111 | $8,111 | $3,244 | $8,110 | 6 |
| 4406344 | Gemtuzumab Ozogamici | $6,750 | $6,750 | $2,700 | $6,749 | 6 |
| 3175094 | Tc-99m Ceretec Inj P | $6,695 | $6,695 | $2,678 | $6,694 | 6 |
| 4005206 | Endo Sml Bwl W/trans | $6,487 | $340 | $2,595 | $6,486 | 6 |
| 4406469 | Pegfilgrastim 6mg In | $6,058 | $6,058 | $2,423 | $6,057 | 6 |
| 4250771 | Sbrt Delivery | $5,937 | $1,082 | $2,375 | $5,936 | 6 |
| 3175078 | Samarium-153 Inj Per | $5,733 | $5,733 | $2,293 | $5,732 | 6 |
| 4406540 | Tenecteplase 50mg In | $5,402 | $5,402 | $2,161 | $5,401 | 6 |
| 3180057 | Ct Angio Ue W/ Co Bi | $5,308 | $350 | $2,123 | $5,307 | 6 |
| 3170054 | Pet Ct Tumor Whole B | $5,248 | $5,248 | $2,099 | $5,247 | 6 |
| 4230310 | MRI scan of leg joint | $5,236 | $400 | $2,094 | $5,235 | 6 |
| 4406474 | Pentostatin 10mg 1 E | $5,207 | $5,207 | $2,083 | $5,206 | 6 |
| 4250695 | Imrt Course | $5,169 | $1,554 | $2,068 | $5,168 | 6 |
| 4406104 | Anistreplase 30u 1 E | $5,111 | $5,111 | $2,044 | $5,110 | 6 |
| 4230320 | Mri Le Joint Wwo Bil | $5,100 | $500 | $2,040 | $5,099 | 6 |
| 4250690 | Simulation 3d | $5,050 | $280 | $2,020 | $5,049 | 6 |
| 4004105 | Esophagos W/stent In | $4,957 | $4,957 | $1,983 | $4,957 | 6 |
| 4406492 | Porfimer Sodium 75mg | $4,940 | $4,940 | $1,976 | $4,940 | 6 |
| 4230351 | Mri Le Wwo Con Bilat | $4,925 | $500 | $1,970 | $4,925 | 6 |
| 4005007 | Stent Colon 25mmx30m | $4,855 | $4,855 | $1,942 | $4,855 | 6 |
| 4005009 | Stent Duo 22mmx27mmx | $4,855 | $4,855 | $1,942 | $4,855 | 6 |
| 4005010 | Stent Non Coated Cov | $4,855 | $4,855 | $1,942 | $4,855 | 6 |
| 3180052 | Ct Angio Extr Lower | $4,823 | $350 | $1,929 | $4,823 | 6 |
| 4230340 | Mri Le Non Jt No Con | $4,747 | $400 | $1,899 | $4,747 | 6 |
| 3170052 | Pet Ct Tumor Skulmid | $4,716 | $4,716 | $1,886 | $4,716 | 6 |
| 3175054 | In-111 Capromab Pend | $4,653 | $4,653 | $1,861 | $4,653 | 6 |
Showing top 50 of 4,025 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.