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
2,464
Insurances with rates
14
CPT / HCPCS codes
2,368
Source MRF
Most expensive procedures (gross)
Q4130
$56,957
STRAT MESH 20X30 CM
Gross
$75,942
J2350
$41,798
OCRELIZUMAB 300MG,Drug or biological acquired with 340B drug pricing program discount
Gross
$55,731
19305
$37,278
MASTCTMY RADICAL
Gross
$49,704
19303
$27,358
MASTCTMY SIMPLE COMP
Gross
$36,478
49000
$24,009
ABDMEXPLAFTWRKUP
Gross
$32,013
J2327
$21,005
RISANKIZUMAB-RXAA,Drug or biological acquired with 340B drug pricing program discount
Gross
$28,006
361
$16,180
FLXMETATARSALFRACT
Gross
$21,574
44960
$13,183
APPENDCTMY W/RUPTURE
Gross
$17,578
L8699
$12,348
STENT IMPLNT NOS SZ0
Gross
$16,464
J1162
$10,072
DIGOXIN FAB 40MG,Drug or biological acquired with 340B drug pricing program discount
Gross
$13,430
46270
$9,768
FISTULOTOMY
Gross
$13,025
28750
$9,427
FUSION GREAT TOE
Gross
$12,569
15115
$8,660
SPLIT THICKNESS AUTO
Gross
$11,546
C5272
$8,660
APP GRAFT LEGS 100CM
Gross
$11,546
C5273
$8,660
APP GRAFT LEG EA ADD
Gross
$11,546
Q5115
$8,561
RITUXIMAB-ABBS 500MG
Gross
$11,415
58563
$7,687
HYSTERSCOPY ABLATION
Gross
$10,249
Q4184
$6,927
CEL AMN MB 4X4 SQ CM
Gross
$9,236
44950
$6,863
APPENDECTOMY
Gross
$9,151
J0840
$6,476
CROTALID ANTIVENOM,Drug or biological acquired with 340B drug pricing program discount
Gross
$8,635
278
$6,431
VENTRALIGHT 6X8 MESH
Gross
$8,574
SURG
$6,179
CATARACT SURG OR
Gross
$8,239
C1776
$5,961
SUBFIXIMPLANT/JOINT
Gross
$7,948
38531
$5,553
OPENBIOPSYINGNODES
Gross
$7,405
Q4160
$5,164
NUSHLD GRF 4X4SQCM
Gross
$6,885
45378
$4,568
DIAGNOSTIC COLON
Gross
$6,091
C1762
$4,557
OSTCYT ALGRF FBM 5CC
Gross
$6,076
36571
$4,552
INS CV CATH INFUSION
Gross
$6,070
C1788
$4,472
PORT INWELLING IMPL
Gross
$5,963
44620
$4,435
CLOSURE OF ENTEROSTO
Gross
$5,913
74177
$4,424
CT ABD/PELVIS W/WO,Technical component
Gross
$5,899
74176
$4,283
CT ABD/PELVIS WITH,Technical component
Gross
$5,711
12020
$4,217
SURG PREP TRUNK ARM
Gross
$5,623
15004
$4,217
SPLIT THICK AUTOGRAF
Gross
$5,623
15100
$4,217
EPIDERMAL AUTOGRAFT
Gross
$5,623
15110
$4,217
EPIDERMAL AUTOGRAFT
Gross
$5,623
99407
$4,217
APP GRAFT 1ST 25CM <
Gross
$5,623
C5271
$4,217
APP GRAFT LEG EA ADD
Gross
$5,623
C5274
$4,217
APP GRAFT FEET 25CM
Gross
$5,623
C5275
$4,217
APP GRAFT FEET 25CM
Gross
$5,623
C5276
$4,217
APP GRAFT LEGS 100CM
Gross
$5,623
C5277
$4,217
APP GRAFT LEGS 100CM
Gross
$5,623
95811
$3,998
C P A P SLEEP STUDY
Gross
$5,331
36569
$3,995
INSERT PICC >5YRS
Gross
$5,327
36410
$3,995
MIDLINE INS >= 3YR
Gross
$5,327
19307
$3,992
MAST MOD RAD
Gross
$5,322
47600
$3,992
GALLBLADDER REMOVAL
Gross
$5,322
27339
$3,992
EXC TUMOR THIGH >5CM
Gross
$5,322
A6010
$3,972
CONNEXT .15OZ
Gross
$5,297
A6010
$3,972
CONNEXT .15OZ
Gross
$5,297
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q4130 | STRAT MESH 20X30 CM | $75,942 | $56,957 | — | — | 13 |
| J2350 | OCRELIZUMAB 300MG,Drug or biological acquired with 340B drug pricing program discount | $55,731 | $41,798 | — | — | 13 |
| 19305 | MASTCTMY RADICAL | $49,704 | $37,278 | — | — | 13 |
| 19303 | MASTCTMY SIMPLE COMP | $36,478 | $27,358 | — | — | 13 |
| 49000 | ABDMEXPLAFTWRKUP | $32,013 | $24,009 | — | — | 13 |
| J2327 | RISANKIZUMAB-RXAA,Drug or biological acquired with 340B drug pricing program discount | $28,006 | $21,005 | — | — | 13 |
| 361 | FLXMETATARSALFRACT | $21,574 | $16,180 | — | — | 13 |
| 44960 | APPENDCTMY W/RUPTURE | $17,578 | $13,183 | — | — | 13 |
| L8699 | STENT IMPLNT NOS SZ0 | $16,464 | $12,348 | — | — | 13 |
| J1162 | DIGOXIN FAB 40MG,Drug or biological acquired with 340B drug pricing program discount | $13,430 | $10,072 | — | — | 13 |
| 46270 | FISTULOTOMY | $13,025 | $9,768 | — | — | 13 |
| 28750 | FUSION GREAT TOE | $12,569 | $9,427 | — | — | 13 |
| 15115 | SPLIT THICKNESS AUTO | $11,546 | $8,660 | — | — | 13 |
| C5272 | APP GRAFT LEGS 100CM | $11,546 | $8,660 | — | — | 13 |
| C5273 | APP GRAFT LEG EA ADD | $11,546 | $8,660 | — | — | 13 |
| Q5115 | RITUXIMAB-ABBS 500MG | $11,415 | $8,561 | — | — | 13 |
| 58563 | HYSTERSCOPY ABLATION | $10,249 | $7,687 | — | — | 13 |
| Q4184 | CEL AMN MB 4X4 SQ CM | $9,236 | $6,927 | — | — | 13 |
| 44950 | APPENDECTOMY | $9,151 | $6,863 | — | — | 13 |
| J0840 | CROTALID ANTIVENOM,Drug or biological acquired with 340B drug pricing program discount | $8,635 | $6,476 | — | — | 13 |
| 278 | VENTRALIGHT 6X8 MESH | $8,574 | $6,431 | — | — | 13 |
| SURG | CATARACT SURG OR | $8,239 | $6,179 | — | — | 13 |
| C1776 | SUBFIXIMPLANT/JOINT | $7,948 | $5,961 | — | — | 13 |
| 38531 | OPENBIOPSYINGNODES | $7,405 | $5,553 | — | — | 13 |
| Q4160 | NUSHLD GRF 4X4SQCM | $6,885 | $5,164 | — | — | 13 |
| 45378 | DIAGNOSTIC COLON | $6,091 | $4,568 | — | — | 13 |
| C1762 | OSTCYT ALGRF FBM 5CC | $6,076 | $4,557 | — | — | 13 |
| 36571 | INS CV CATH INFUSION | $6,070 | $4,552 | — | — | 13 |
| C1788 | PORT INWELLING IMPL | $5,963 | $4,472 | — | — | 13 |
| 44620 | CLOSURE OF ENTEROSTO | $5,913 | $4,435 | — | — | 13 |
| 74177 | CT ABD/PELVIS W/WO,Technical component | $5,899 | $4,424 | — | — | 13 |
| 74176 | CT ABD/PELVIS WITH,Technical component | $5,711 | $4,283 | — | — | 13 |
| 12020 | SURG PREP TRUNK ARM | $5,623 | $4,217 | — | — | 13 |
| 15004 | SPLIT THICK AUTOGRAF | $5,623 | $4,217 | — | — | 13 |
| 15100 | EPIDERMAL AUTOGRAFT | $5,623 | $4,217 | — | — | 13 |
| 15110 | EPIDERMAL AUTOGRAFT | $5,623 | $4,217 | — | — | 13 |
| 99407 | APP GRAFT 1ST 25CM < | $5,623 | $4,217 | — | — | 13 |
| C5271 | APP GRAFT LEG EA ADD | $5,623 | $4,217 | — | — | 13 |
| C5274 | APP GRAFT FEET 25CM | $5,623 | $4,217 | — | — | 13 |
| C5275 | APP GRAFT FEET 25CM | $5,623 | $4,217 | — | — | 13 |
| C5276 | APP GRAFT LEGS 100CM | $5,623 | $4,217 | — | — | 13 |
| C5277 | APP GRAFT LEGS 100CM | $5,623 | $4,217 | — | — | 13 |
| 95811 | C P A P SLEEP STUDY | $5,331 | $3,998 | — | — | 13 |
| 36569 | INSERT PICC >5YRS | $5,327 | $3,995 | — | — | 13 |
| 36410 | MIDLINE INS >= 3YR | $5,327 | $3,995 | — | — | 13 |
| 19307 | MAST MOD RAD | $5,322 | $3,992 | — | — | 13 |
| 47600 | GALLBLADDER REMOVAL | $5,322 | $3,992 | — | — | 13 |
| 27339 | EXC TUMOR THIGH >5CM | $5,322 | $3,992 | — | — | 13 |
| A6010 | CONNEXT .15OZ | $5,297 | $3,972 | — | — | 13 |
| A6010 | CONNEXT .15OZ | $5,297 | $3,972 | — | — | 13 |
Showing top 50 of 2,464 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.