45 CFR § 180 compliance
F · 50
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
7,099
Insurances with rates
0
CPT / HCPCS codes
614
Source MRF
Most expensive procedures (gross)
3602506
—
OR Level 6
Gross
$19,081
6360002
—
Activase TPA 100mg Inj
Gross
$17,645
3602505
—
OR Level 5
Gross
$14,806
6360424
—
Pegfilgrastim 6mg/0.6ml Vial
Gross
$12,507
6360443
—
Natalizumab 300mg/15ml Vial
Gross
$12,405
6360506
—
Isopropyl Alcohol/Octreotide 3
Gross
$12,267
6360643
—
Vedolizumab 300mg Vial
Gross
$12,258
6360379
—
Tenecteplase 50mg
Gross
$11,768
9800515
—
Pancreatectomy 48152
Gross
$11,400
9822600
—
Pancreatectomy 48152
Gross
$11,400
3602504
—
OR Level 4
Gross
$11,124
6360051
—
Calcium Disodium 1000mg/5ml
Gross
$10,816
9800370
—
Partial Remove Esophagus 43122
Gross
$10,100
9822587
—
Partial Remove Esophagus 43122
Gross
$10,100
6360501
—
Rituximab 500mg/50ml Vial
Gross
$9,440
9006239
—
THA TM STD 9mm
Gross
$9,386
43632
—
Gastrect Part Dist w/gastrojenostomy
Gross
$8,200
9800396
—
Gastrect Part w/gastroje 43632
Gross
$8,200
9821206
—
Gastrect Part w/gastroje 43632
Gross
$8,200
32669
—
Thoracoscopy Remove Segment
Gross
$7,880
9800306
—
Thoracoscopy Remv Seg 32669
Gross
$7,880
9822526
—
Thoracoscopy Remv Seg 32669
Gross
$7,880
44150
—
Colectomy w/o Proctectomy w/ileos
Gross
$7,700
9800416
—
Colectomy wo Prct w/ileo 44150
Gross
$7,700
9821302
—
Colectomy wo Prct w/ileo 44150
Gross
$7,700
3602503
—
OR Level 3
Gross
$7,699
9800466
—
Lap Removal of Rectum 45395
Gross
$7,400
9822584
—
Lap Removal of Rectum 45395
Gross
$7,400
2502833
—
Digoxin Immune Fab 40 mg Vial
Gross
$7,323
9800448
—
Proctectomy Complt abdpr 45110
Gross
$7,100
9821431
—
Proctectomy Complt abdpr 45110
Gross
$7,100
9800307
—
Repair of Heart Wound 33300
Gross
$7,000
9822509
—
Repair of Heart Wound 33300
Gross
$7,000
43281
—
Lap Paraesophag Hernia Repair
Gross
$6,655
9800390
—
Lap Paraesophag Hernia 43281
Gross
$6,655
9822678
—
Lap Paraesophag Hernia 43281
Gross
$6,655
3602062
—
Pain Procedure Level 2
Gross
$6,630
9800415
—
Colectomy partial w/colo 44145
Gross
$6,600
9821296
—
Colectomy partial w/colo 44145
Gross
$6,600
44603
—
Suture Small Intestine multiple perf
Gross
$6,600
9800434
—
Sm Intest Sut Multi Perf 44603
Gross
$6,600
9822451
—
Sm Intest Sut Multi Perf 44603
Gross
$6,600
6360053
—
Calcitonin(Salmon) 200IU Inj
Gross
$6,532
9800181
—
Panniculectomy 15830
Gross
$6,420
9822666
—
Panniculectomy 15830
Gross
$6,420
9800300
—
Partial Lung Removal 32480
Gross
$6,400
9822548
—
Partial Lung Removal 32480
Gross
$6,400
9004621
—
Persona Femoral Narrow Implant
Gross
$6,367
9004622
—
Persona Femoral Std Implant
Gross
$6,367
6360500
—
Tigecycline 50 mg Vial
Gross
$6,323
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 3602506 | OR Level 6 | $19,081 | — | — | — | 0 |
| 6360002 | Activase TPA 100mg Inj | $17,645 | — | — | — | 0 |
| 3602505 | OR Level 5 | $14,806 | — | — | — | 0 |
| 6360424 | Pegfilgrastim 6mg/0.6ml Vial | $12,507 | — | — | — | 0 |
| 6360443 | Natalizumab 300mg/15ml Vial | $12,405 | — | — | — | 0 |
| 6360506 | Isopropyl Alcohol/Octreotide 3 | $12,267 | — | — | — | 0 |
| 6360643 | Vedolizumab 300mg Vial | $12,258 | — | — | — | 0 |
| 6360379 | Tenecteplase 50mg | $11,768 | — | — | — | 0 |
| 9800515 | Pancreatectomy 48152 | $11,400 | — | — | — | 0 |
| 9822600 | Pancreatectomy 48152 | $11,400 | — | — | — | 0 |
| 3602504 | OR Level 4 | $11,124 | — | — | — | 0 |
| 6360051 | Calcium Disodium 1000mg/5ml | $10,816 | — | — | — | 0 |
| 9800370 | Partial Remove Esophagus 43122 | $10,100 | — | — | — | 0 |
| 9822587 | Partial Remove Esophagus 43122 | $10,100 | — | — | — | 0 |
| 6360501 | Rituximab 500mg/50ml Vial | $9,440 | — | — | — | 0 |
| 9006239 | THA TM STD 9mm | $9,386 | — | — | — | 0 |
| 43632 | Gastrect Part Dist w/gastrojenostomy | $8,200 | — | — | — | 0 |
| 9800396 | Gastrect Part w/gastroje 43632 | $8,200 | — | — | — | 0 |
| 9821206 | Gastrect Part w/gastroje 43632 | $8,200 | — | — | — | 0 |
| 32669 | Thoracoscopy Remove Segment | $7,880 | — | — | — | 0 |
| 9800306 | Thoracoscopy Remv Seg 32669 | $7,880 | — | — | — | 0 |
| 9822526 | Thoracoscopy Remv Seg 32669 | $7,880 | — | — | — | 0 |
| 44150 | Colectomy w/o Proctectomy w/ileos | $7,700 | — | — | — | 0 |
| 9800416 | Colectomy wo Prct w/ileo 44150 | $7,700 | — | — | — | 0 |
| 9821302 | Colectomy wo Prct w/ileo 44150 | $7,700 | — | — | — | 0 |
| 3602503 | OR Level 3 | $7,699 | — | — | — | 0 |
| 9800466 | Lap Removal of Rectum 45395 | $7,400 | — | — | — | 0 |
| 9822584 | Lap Removal of Rectum 45395 | $7,400 | — | — | — | 0 |
| 2502833 | Digoxin Immune Fab 40 mg Vial | $7,323 | — | — | — | 0 |
| 9800448 | Proctectomy Complt abdpr 45110 | $7,100 | — | — | — | 0 |
| 9821431 | Proctectomy Complt abdpr 45110 | $7,100 | — | — | — | 0 |
| 9800307 | Repair of Heart Wound 33300 | $7,000 | — | — | — | 0 |
| 9822509 | Repair of Heart Wound 33300 | $7,000 | — | — | — | 0 |
| 43281 | Lap Paraesophag Hernia Repair | $6,655 | — | — | — | 0 |
| 9800390 | Lap Paraesophag Hernia 43281 | $6,655 | — | — | — | 0 |
| 9822678 | Lap Paraesophag Hernia 43281 | $6,655 | — | — | — | 0 |
| 3602062 | Pain Procedure Level 2 | $6,630 | — | — | — | 0 |
| 9800415 | Colectomy partial w/colo 44145 | $6,600 | — | — | — | 0 |
| 9821296 | Colectomy partial w/colo 44145 | $6,600 | — | — | — | 0 |
| 44603 | Suture Small Intestine multiple perf | $6,600 | — | — | — | 0 |
| 9800434 | Sm Intest Sut Multi Perf 44603 | $6,600 | — | — | — | 0 |
| 9822451 | Sm Intest Sut Multi Perf 44603 | $6,600 | — | — | — | 0 |
| 6360053 | Calcitonin(Salmon) 200IU Inj | $6,532 | — | — | — | 0 |
| 9800181 | Panniculectomy 15830 | $6,420 | — | — | — | 0 |
| 9822666 | Panniculectomy 15830 | $6,420 | — | — | — | 0 |
| 9800300 | Partial Lung Removal 32480 | $6,400 | — | — | — | 0 |
| 9822548 | Partial Lung Removal 32480 | $6,400 | — | — | — | 0 |
| 9004621 | Persona Femoral Narrow Implant | $6,367 | — | — | — | 0 |
| 9004622 | Persona Femoral Std Implant | $6,367 | — | — | — | 0 |
| 6360500 | Tigecycline 50 mg Vial | $6,323 | — | — | — | 0 |
Showing top 50 of 7,099 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.