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
9,109
Insurances with rates
11
CPT / HCPCS codes
7,140
Source MRF
Most expensive procedures (gross)
J2997
$13,201
ACTIVASE 100MG VIAL
Gross
$26,401
J1162
$6,633
DIGIFAB - 1 VIAL
Gross
$13,266
58563
$5,140
ENDOMETRIAL ABLATION
Gross
$10,280
J0630
$4,697
MIACALCIN 400 IU PER 2ML MDV
Gross
$9,393
19120
$4,263
EXC BREAST TISSUE
Gross
$8,525
J3111
$3,652
EVENITY INJECTION
Gross
$7,303
59514
$3,404
Cesarean Delivery Only
Gross
$6,807
58120
$3,248
D & C
Gross
$6,496
58555
$3,085
HYSTEROSCOPY, DIAG.(SEP.PROC)
Gross
$6,171
66982
$3,002
CATARACT REMOVAL - COMPLEX
Gross
$6,004
58558
$2,841
HYSTEROSCOPY, D & C
Gross
$5,682
92018
$2,830
EXAMUNDER GEN ANEST W/WO MANIP
Gross
$5,660
57460
$2,523
ENDO W/LOOP ELECTR BPSY CERVIX
Gross
$5,046
J0875
$2,516
DALVANCE VIAL 500MG
Gross
$5,031
27590
$2,440
ABOVE KNEE AMPUTATION-FACILITY
Gross
$4,879
59510
$2,416
GLOBAL OB NO CHARGE
Gross
$4,832
66984
$2,402
CATARACT REMOV-INSERT OF LENS
Gross
$4,803
11771
$2,346
EXC PILONIDAL CYST EXT-FAC FEE
Gross
$4,691
11426
$2,346
EXC-LESION DIAMETER > 4.0CM
Gross
$4,691
6060000082
$2,337
HEMORRHOIDECTOMY INT/EXT SIMP
Gross
$4,673
57522
$2,313
LEEP CONE BIOPSY
Gross
$4,626
58611
$2,269
Ligate Oviduct(s) Add on
Gross
$4,538
37609
$2,150
LIG OR BIOPSY TEMPORAL ARTERY
Gross
$4,299
11423
$2,150
EXC BENIGN LES 2.1-3CM-FAC FEE
Gross
$4,299
58562
$2,057
LAP HYSTEROSCOPY W/REMOVAL FB
Gross
$4,114
15822
$2,057
BLEPHAROPLASTY UPPER LID
Gross
$4,114
28122
$1,924
PART REMOVE METATARSAL-FAC FEE
Gross
$3,847
J7307
$1,875
NEXPLANON IMPLANT 68MG DEVICE
Gross
$3,750
68811
$1,813
NASOLACRIMAL DUCT REQ GEN ANES
Gross
$3,625
65426
$1,716
EXC/TRANSPOS PTERYGIUM W GRAFT
Gross
$3,432
11422
$1,685
LES-SCALP-NECK-HANDS 1.1-2.0
Gross
$3,370
43246
$1,661
ENDO-W/DIRECTED PMNT GAST.TUBE
Gross
$3,322
J7296
$1,653
KYLEENA IUD
Gross
$3,306
J7298
$1,653
MIRENA IUD
Gross
$3,305
45385
$1,572
COLON W/REM TUMOR POLYPS SNARE
Gross
$3,144
11044
$1,560
DEBRIDE BONE FIRST 20 CM
Gross
$3,119
11200
$1,560
DEBRIDE BONE FIRST 20CM
Gross
$3,119
68110
$1,508
EXC LESION, COJUNCTIVA; <= 1CM
Gross
$3,016
68115
$1,508
EXC-LESION CONJUNCTIVA >1 CM
Gross
$3,016
11772
$1,508
EXCIPILONIDAL CYST/SINUS COMP
Gross
$3,016
92019
$1,507
EXAM GENERAL ANESTH LIMITED
Gross
$3,014
54160
$1,424
CIRCUM-SURGICAL INCIS NEWBORN
Gross
$2,847
43235
$1,403
EGD
Gross
$2,805
GERIPSYRM1
$650
GERIATRIC PSYCH PRIVATE RM
Gross
$2,600
36569
$1,257
INSJ PICC 5
Gross
$2,513
J7300
$1,250
PARAGARD IUD
Gross
$2,500
90371
$1,200
HEP B IMMUNE GLOBULIN(HUMAN)
Gross
$2,401
MEDSURGRM2
$600
MED/SURGE PRIVATE RM
Gross
$2,400
26160
$1,192
EXC LES TEND JNT HAND/FING
Gross
$2,384
46320
$1,192
EXC THROMBOSES HEMORHOID EXTER
Gross
$2,384
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ACTIVASE 100MG VIAL | $26,401 | $13,201 | — | — | 15 |
| J1162 | DIGIFAB - 1 VIAL | $13,266 | $6,633 | — | — | 15 |
| 58563 | ENDOMETRIAL ABLATION | $10,280 | $5,140 | — | — | 15 |
| J0630 | MIACALCIN 400 IU PER 2ML MDV | $9,393 | $4,697 | — | — | 15 |
| 19120 | EXC BREAST TISSUE | $8,525 | $4,263 | — | — | 15 |
| J3111 | EVENITY INJECTION | $7,303 | $3,652 | — | — | 15 |
| 59514 | Cesarean Delivery Only | $6,807 | $3,404 | — | — | 12 |
| 58120 | D & C | $6,496 | $3,248 | — | — | 15 |
| 58555 | HYSTEROSCOPY, DIAG.(SEP.PROC) | $6,171 | $3,085 | — | — | 15 |
| 66982 | CATARACT REMOVAL - COMPLEX | $6,004 | $3,002 | — | — | 15 |
| 58558 | HYSTEROSCOPY, D & C | $5,682 | $2,841 | — | — | 15 |
| 92018 | EXAMUNDER GEN ANEST W/WO MANIP | $5,660 | $2,830 | — | — | 15 |
| 57460 | ENDO W/LOOP ELECTR BPSY CERVIX | $5,046 | $2,523 | — | — | 16 |
| J0875 | DALVANCE VIAL 500MG | $5,031 | $2,516 | — | — | 15 |
| 27590 | ABOVE KNEE AMPUTATION-FACILITY | $4,879 | $2,440 | — | — | 12 |
| 59510 | GLOBAL OB NO CHARGE | $4,832 | $2,416 | — | — | 12 |
| 66984 | CATARACT REMOV-INSERT OF LENS | $4,803 | $2,402 | — | — | 15 |
| 11771 | EXC PILONIDAL CYST EXT-FAC FEE | $4,691 | $2,346 | — | — | 15 |
| 11426 | EXC-LESION DIAMETER > 4.0CM | $4,691 | $2,346 | — | — | 30 |
| 6060000082 | HEMORRHOIDECTOMY INT/EXT SIMP | $4,673 | $2,337 | — | — | 0 |
| 57522 | LEEP CONE BIOPSY | $4,626 | $2,313 | — | — | 16 |
| 58611 | Ligate Oviduct(s) Add on | $4,538 | $2,269 | — | — | 12 |
| 37609 | LIG OR BIOPSY TEMPORAL ARTERY | $4,299 | $2,150 | — | — | 15 |
| 11423 | EXC BENIGN LES 2.1-3CM-FAC FEE | $4,299 | $2,150 | — | — | 15 |
| 58562 | LAP HYSTEROSCOPY W/REMOVAL FB | $4,114 | $2,057 | — | — | 15 |
| 15822 | BLEPHAROPLASTY UPPER LID | $4,114 | $2,057 | — | — | 13 |
| 28122 | PART REMOVE METATARSAL-FAC FEE | $3,847 | $1,924 | — | — | 15 |
| J7307 | NEXPLANON IMPLANT 68MG DEVICE | $3,750 | $1,875 | — | — | 15 |
| 68811 | NASOLACRIMAL DUCT REQ GEN ANES | $3,625 | $1,813 | — | — | 15 |
| 65426 | EXC/TRANSPOS PTERYGIUM W GRAFT | $3,432 | $1,716 | — | — | 15 |
| 11422 | LES-SCALP-NECK-HANDS 1.1-2.0 | $3,370 | $1,685 | — | — | 15 |
| 43246 | ENDO-W/DIRECTED PMNT GAST.TUBE | $3,322 | $1,661 | — | — | 15 |
| J7296 | KYLEENA IUD | $3,306 | $1,653 | — | — | 15 |
| J7298 | MIRENA IUD | $3,305 | $1,653 | — | — | 15 |
| 45385 | COLON W/REM TUMOR POLYPS SNARE | $3,144 | $1,572 | — | — | 15 |
| 11044 | DEBRIDE BONE FIRST 20 CM | $3,119 | $1,560 | — | — | 15 |
| 11200 | DEBRIDE BONE FIRST 20CM | $3,119 | $1,560 | — | — | 15 |
| 68110 | EXC LESION, COJUNCTIVA; <= 1CM | $3,016 | $1,508 | — | — | 15 |
| 68115 | EXC-LESION CONJUNCTIVA >1 CM | $3,016 | $1,508 | — | — | 15 |
| 11772 | EXCIPILONIDAL CYST/SINUS COMP | $3,016 | $1,508 | — | — | 15 |
| 92019 | EXAM GENERAL ANESTH LIMITED | $3,014 | $1,507 | — | — | 15 |
| 54160 | CIRCUM-SURGICAL INCIS NEWBORN | $2,847 | $1,424 | — | — | 15 |
| 43235 | EGD | $2,805 | $1,403 | — | — | 15 |
| GERIPSYRM1 | GERIATRIC PSYCH PRIVATE RM | $2,600 | $650 | — | — | 0 |
| 36569 | INSJ PICC 5 | $2,513 | $1,257 | — | — | 15 |
| J7300 | PARAGARD IUD | $2,500 | $1,250 | — | — | 15 |
| 90371 | HEP B IMMUNE GLOBULIN(HUMAN) | $2,401 | $1,200 | — | — | 15 |
| MEDSURGRM2 | MED/SURGE PRIVATE RM | $2,400 | $600 | — | — | 0 |
| 26160 | EXC LES TEND JNT HAND/FING | $2,384 | $1,192 | — | — | 15 |
| 46320 | EXC THROMBOSES HEMORHOID EXTER | $2,384 | $1,192 | — | — | 15 |
Showing top 50 of 9,109 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.