45 CFR § 180 compliance
D · 65
This hospital published part 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
2,949
Insurances with rates
0
CPT / HCPCS codes
1,213
Source MRF
Most expensive procedures (gross)
054
$36,260
DRG NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$48,346
UMBILICAL VESSEL CATH 3 1/2 FR
$21,336
UMBILICAL VESSEL CATH 3 1/2 FR
Gross
$28,449
871
$21,196
DRG SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) -
Gross
$28,262
682
$20,245
DRG RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE,
Gross
$26,994
208
$20,003
DRG RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS
Gross
$26,670
187
$17,237
DRG PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC)
Gross
$22,983
291
$17,174
DRG HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE,
Gross
$22,899
J2997
$15,841
ALTEPLASE RECOMBINANT
Gross
$21,121
50242-0085-27
$21,121
alteplase 100 mg IV Inj [WLMH]
Gross
$21,121
27446
$14,890
Arthroplasty Arthroscopy Knee
Gross
$19,854
309
$14,787
DRG CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
Gross
$19,716
095
$14,692
DRG BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC)
Gross
$19,590
812
$14,276
DRG RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALEN
Gross
$19,035
193
$14,146
DRG SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVAL
Gross
$18,862
038
$13,905
DRG EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
Gross
$18,540
641
$13,469
DRG MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLIC
Gross
$17,959
50242-0120-47
$16,627
tenecteplase 50 mg Pow [WLMH]
Gross
$16,627
J9217
$12,357
LEUPROLIDE ACETATE SUSPNSION
Gross
$16,476
177
$12,186
DRG RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$16,248
50242-0120-01
$16,143
tenecteplase 50 mg Kit [WLMH]
Gross
$16,143
068
$11,845
DRG NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MAJOR COMPLICATION OR COMOR
Gross
$15,793
391
$11,628
DRG ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR CO
Gross
$15,504
094
$11,188
DRG BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (M
Gross
$14,917
560
$10,114
DRG AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) -
Gross
$13,485
00074-3346-03
$13,349
leuprolide 22.5 mg/3 months Intramuscular Kit [WLMH]
Gross
$13,349
190
$9,896
DRG CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE
Gross
$13,195
638
$9,874
DRG DIABETES WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUT
Gross
$13,166
056
$9,751
DRG DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$13,002
191
$9,483
DRG CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVA
Gross
$12,644
153
$8,625
DRG OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$11,500
683
$8,465
DRG RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALIT
Gross
$11,287
00264319511
$8,168
24 CONTAINER in 1 CASE (0264-3195-11) / 50 mL in 1 CONTAINER
Gross
$10,891
603
$7,224
DRG CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE,
Gross
$9,632
065
$7,073
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HO
Gross
$9,430
49320
$6,894
Laparoscopy Diagnostic
Gross
$9,192
060
$6,830
DRG MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICA
Gross
$9,106
069
$6,313
DRG TRANSIENT ISCHEMIA
Gross
$8,417
388
$6,168
DRG G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$8,224
00074-2282-03
$8,155
leuprolide 11.25 mg/mth IM Inj, ER [WLMH]
Gross
$8,155
00338004902
$5,880
250 mL in 1 BAG (0338-0049-02)
Gross
$7,840
00338080304
$5,867
1000 mL in 1 BAG (0338-0803-04)
Gross
$7,823
47562
$5,582
47562 Laparoscopy, surgical cholecystectomy
Gross
$7,443
49650
$5,582
49650 Laparoscopy, surgical repair initial inguinal hernia
Gross
$7,443
283
$5,491
DRG ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$7,321
42440
$5,454
42440 Excision of submandibular (submaxillary) gland;
Gross
$7,273
42830
$5,454
Adenoidectomy
Gross
$7,273
200
$5,427
DRG PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC)
Gross
$7,236
389
$5,311
DRG G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC)
Gross
$7,081
45990
$5,274
45990 Anorectal exam, surgical, requiring anesthesia, diagnostic
Gross
$7,033
280
$4,965
DRG ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Gross
$6,620
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 054 | DRG NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $48,346 | $36,260 | — | — | 0 |
| UMBILICAL VESSEL CATH 3 1/2 FR | UMBILICAL VESSEL CATH 3 1/2 FR | $28,449 | $21,336 | — | — | 0 |
| 871 | DRG SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - | $28,262 | $21,196 | — | — | 0 |
| 682 | DRG RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, | $26,994 | $20,245 | — | — | 0 |
| 208 | DRG RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | $26,670 | $20,003 | — | — | 0 |
| 187 | DRG PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) | $22,983 | $17,237 | — | — | 0 |
| 291 | DRG HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, | $22,899 | $17,174 | — | — | 0 |
| J2997 | ALTEPLASE RECOMBINANT | $21,121 | $15,841 | — | — | 0 |
| 50242-0085-27 | alteplase 100 mg IV Inj [WLMH] | $21,121 | $21,121 | — | — | 0 |
| 27446 | Arthroplasty Arthroscopy Knee | $19,854 | $14,890 | — | — | 0 |
| 309 | DRG CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | $19,716 | $14,787 | — | — | 0 |
| 095 | DRG BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | $19,590 | $14,692 | — | — | 0 |
| 812 | DRG RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALEN | $19,035 | $14,276 | — | — | 0 |
| 193 | DRG SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVAL | $18,862 | $14,146 | — | — | 0 |
| 038 | DRG EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | $18,540 | $13,905 | — | — | 0 |
| 641 | DRG MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLIC | $17,959 | $13,469 | — | — | 0 |
| 50242-0120-47 | tenecteplase 50 mg Pow [WLMH] | $16,627 | $16,627 | — | — | 0 |
| J9217 | LEUPROLIDE ACETATE SUSPNSION | $16,476 | $12,357 | — | — | 0 |
| 177 | DRG RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $16,248 | $12,186 | — | — | 0 |
| 50242-0120-01 | tenecteplase 50 mg Kit [WLMH] | $16,143 | $16,143 | — | — | 0 |
| 068 | DRG NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MAJOR COMPLICATION OR COMOR | $15,793 | $11,845 | — | — | 0 |
| 391 | DRG ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR CO | $15,504 | $11,628 | — | — | 0 |
| 094 | DRG BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (M | $14,917 | $11,188 | — | — | 0 |
| 560 | DRG AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) - | $13,485 | $10,114 | — | — | 0 |
| 00074-3346-03 | leuprolide 22.5 mg/3 months Intramuscular Kit [WLMH] | $13,349 | $13,349 | — | — | 0 |
| 190 | DRG CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE | $13,195 | $9,896 | — | — | 0 |
| 638 | DRG DIABETES WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUT | $13,166 | $9,874 | — | — | 0 |
| 056 | DRG DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $13,002 | $9,751 | — | — | 0 |
| 191 | DRG CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVA | $12,644 | $9,483 | — | — | 0 |
| 153 | DRG OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | $11,500 | $8,625 | — | — | 0 |
| 683 | DRG RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALIT | $11,287 | $8,465 | — | — | 0 |
| 00264319511 | 24 CONTAINER in 1 CASE (0264-3195-11) / 50 mL in 1 CONTAINER | $10,891 | $8,168 | — | — | 0 |
| 603 | DRG CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, | $9,632 | $7,224 | — | — | 0 |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HO | $9,430 | $7,073 | — | — | 0 |
| 49320 | Laparoscopy Diagnostic | $9,192 | $6,894 | — | — | 0 |
| 060 | DRG MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICA | $9,106 | $6,830 | — | — | 0 |
| 069 | DRG TRANSIENT ISCHEMIA | $8,417 | $6,313 | — | — | 0 |
| 388 | DRG G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $8,224 | $6,168 | — | — | 0 |
| 00074-2282-03 | leuprolide 11.25 mg/mth IM Inj, ER [WLMH] | $8,155 | $8,155 | — | — | 0 |
| 00338004902 | 250 mL in 1 BAG (0338-0049-02) | $7,840 | $5,880 | — | — | 0 |
| 00338080304 | 1000 mL in 1 BAG (0338-0803-04) | $7,823 | $5,867 | — | — | 0 |
| 47562 | 47562 Laparoscopy, surgical cholecystectomy | $7,443 | $5,582 | — | — | 0 |
| 49650 | 49650 Laparoscopy, surgical repair initial inguinal hernia | $7,443 | $5,582 | — | — | 0 |
| 283 | DRG ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $7,321 | $5,491 | — | — | 0 |
| 42440 | 42440 Excision of submandibular (submaxillary) gland; | $7,273 | $5,454 | — | — | 0 |
| 42830 | Adenoidectomy | $7,273 | $5,454 | — | — | 0 |
| 200 | DRG PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | $7,236 | $5,427 | — | — | 0 |
| 389 | DRG G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | $7,081 | $5,311 | — | — | 0 |
| 45990 | 45990 Anorectal exam, surgical, requiring anesthesia, diagnostic | $7,033 | $5,274 | — | — | 0 |
| 280 | DRG ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $6,620 | $4,965 | — | — | 0 |
Showing top 50 of 2,949 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.