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
7,604
Insurances with rates
0
CPT / HCPCS codes
1,804
Source MRF
Most expensive procedures (gross)
40703599
$4,160
VEDOLIZUMAB 300MG VL#J3380
Gross
$13,867
40703599
$4,160
VEDOLIZUMAB 300MG VL#J3380
Gross
$13,867
40703272
$3,168
ALTEPLASE 100MG #J2997
Gross
$10,561
40703272
$3,168
ALTEPLASE 100MG #J2997
Gross
$10,561
19307
$2,866
MASTECTOMY MODIFIED RADICAL
Gross
$9,553
19307
$2,866
MASTECTOMY MODIFIED RADICAL
Gross
$9,553
40702172
$2,818
TENECTEPLASE 50MG INJ #J3101
Gross
$9,394
40702172
$2,818
TENECTEPLASE 50MG INJ #J3101
Gross
$9,394
36825146
—
OMNICURVE 11G 20MM FRACTURE KT
Gross
$8,645
36825146
—
OMNICURVE 11G 20MM FRACTURE KT
Gross
$8,645
32101015
$2,430
OR LEVEL V FIRST 30 MINS
Gross
$8,100
32101015
$2,430
OR LEVEL V FIRST 30 MINS
Gross
$8,100
14001
$2,275
TIS TRNFR TRNK 10.1 - 30 SQ CM
Gross
$7,582
14001
$2,275
TIS TRNFR TRNK 10.1 - 30 SQ CM
Gross
$7,582
19303
$2,197
MASTECTOMY SIMPLE COMPLETE
Gross
$7,322
19303
$2,197
MASTECTOMY SIMPLE COMPLETE
Gross
$7,322
69436B
$2,193
CREATE EARDRUM OPENING BILATER
Gross
$7,310
69436B
$2,193
CREATE EARDRUM OPENING BILATER
Gross
$7,310
40702648
$2,172
IMMUNE GLB (PRVGN) 10% 40GM BL
Gross
$7,242
40702648
$2,172
IMMUNE GLB (PRVGN) 10% 40GM BL
Gross
$7,242
A27130N
—
Assist Arthroplasty ttl hip
Gross
$6,751
A27130R
—
Assist Arthroplasty ttl hip
Gross
$6,751
A27130N
—
Assist Arthroplasty ttl hip
Gross
$6,751
A27130R
—
Assist Arthroplasty ttl hip
Gross
$6,751
36821295
—
Sling System Hammock Device
Gross
$6,671
36821295
—
Sling System Hammock Device
Gross
$6,671
30001778
—
TRIAL LEAD KIT
Gross
$6,153
30001778
—
TRIAL LEAD KIT
Gross
$6,153
32101012
$1,830
OR LEVEL IV FIRST 30 MINS
Gross
$6,100
32101012
$1,830
OR LEVEL IV FIRST 30 MINS
Gross
$6,100
A27447N
—
Arthroplasty total knee assst
Gross
$6,015
A27447R
—
Arthroplasty total knee assst
Gross
$6,015
A27447N
—
Arthroplasty total knee assst
Gross
$6,015
A27447R
—
Arthroplasty total knee assst
Gross
$6,015
57287
$1,773
REVISE REMOVE SLING REPAIR
Gross
$5,909
57287
$1,773
REVISE REMOVE SLING REPAIR
Gross
$5,909
19301
$1,642
PARTIAL MASTECTOMY
Gross
$5,472
19301
$1,642
PARTIAL MASTECTOMY
Gross
$5,472
14000
$1,590
TIS TRNFR TRUNK 10sq CM/<
Gross
$5,299
14000
$1,590
TIS TRNFR TRUNK 10sq CM/<
Gross
$5,299
63650P
—
PC PAIN IMPLANT NEUROELECTRODE
Gross
$5,252
63650P
—
PC PAIN IMPLANT NEUROELECTRODE
Gross
$5,252
19125
$1,562
EXC BREAST LESION W PREOP P
Gross
$5,208
19125
$1,562
EXC BREAST LESION W PREOP P
Gross
$5,208
A28192NS
—
REMOVAL FOREIGN BODY FOOT DEEP
Gross
$5,172
A28192NS
—
REMOVAL FOREIGN BODY FOOT DEEP
Gross
$5,172
66984B
$1,540
CATARACT SURG W/IOL 1 STAGE BI
Gross
$5,132
66984B
$1,540
CATARACT SURG W/IOL 1 STAGE BI
Gross
$5,132
44401
$1,537
COLO THRU STOMA W ABLATION
Gross
$5,124
44401
$1,537
COLO THRU STOMA W ABLATION
Gross
$5,124
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 40703599 | VEDOLIZUMAB 300MG VL#J3380 | $13,867 | $4,160 | — | — | 0 |
| 40703599 | VEDOLIZUMAB 300MG VL#J3380 | $13,867 | $4,160 | — | — | 0 |
| 40703272 | ALTEPLASE 100MG #J2997 | $10,561 | $3,168 | — | — | 0 |
| 40703272 | ALTEPLASE 100MG #J2997 | $10,561 | $3,168 | — | — | 0 |
| 19307 | MASTECTOMY MODIFIED RADICAL | $9,553 | $2,866 | — | — | 0 |
| 19307 | MASTECTOMY MODIFIED RADICAL | $9,553 | $2,866 | — | — | 0 |
| 40702172 | TENECTEPLASE 50MG INJ #J3101 | $9,394 | $2,818 | — | — | 0 |
| 40702172 | TENECTEPLASE 50MG INJ #J3101 | $9,394 | $2,818 | — | — | 0 |
| 36825146 | OMNICURVE 11G 20MM FRACTURE KT | $8,645 | — | — | — | 0 |
| 36825146 | OMNICURVE 11G 20MM FRACTURE KT | $8,645 | — | — | — | 0 |
| 32101015 | OR LEVEL V FIRST 30 MINS | $8,100 | $2,430 | — | — | 0 |
| 32101015 | OR LEVEL V FIRST 30 MINS | $8,100 | $2,430 | — | — | 0 |
| 14001 | TIS TRNFR TRNK 10.1 - 30 SQ CM | $7,582 | $2,275 | — | — | 0 |
| 14001 | TIS TRNFR TRNK 10.1 - 30 SQ CM | $7,582 | $2,275 | — | — | 0 |
| 19303 | MASTECTOMY SIMPLE COMPLETE | $7,322 | $2,197 | — | — | 0 |
| 19303 | MASTECTOMY SIMPLE COMPLETE | $7,322 | $2,197 | — | — | 0 |
| 69436B | CREATE EARDRUM OPENING BILATER | $7,310 | $2,193 | — | — | 0 |
| 69436B | CREATE EARDRUM OPENING BILATER | $7,310 | $2,193 | — | — | 0 |
| 40702648 | IMMUNE GLB (PRVGN) 10% 40GM BL | $7,242 | $2,172 | — | — | 0 |
| 40702648 | IMMUNE GLB (PRVGN) 10% 40GM BL | $7,242 | $2,172 | — | — | 0 |
| A27130N | Assist Arthroplasty ttl hip | $6,751 | — | — | — | 0 |
| A27130R | Assist Arthroplasty ttl hip | $6,751 | — | — | — | 0 |
| A27130N | Assist Arthroplasty ttl hip | $6,751 | — | — | — | 0 |
| A27130R | Assist Arthroplasty ttl hip | $6,751 | — | — | — | 0 |
| 36821295 | Sling System Hammock Device | $6,671 | — | — | — | 0 |
| 36821295 | Sling System Hammock Device | $6,671 | — | — | — | 0 |
| 30001778 | TRIAL LEAD KIT | $6,153 | — | — | — | 0 |
| 30001778 | TRIAL LEAD KIT | $6,153 | — | — | — | 0 |
| 32101012 | OR LEVEL IV FIRST 30 MINS | $6,100 | $1,830 | — | — | 0 |
| 32101012 | OR LEVEL IV FIRST 30 MINS | $6,100 | $1,830 | — | — | 0 |
| A27447N | Arthroplasty total knee assst | $6,015 | — | — | — | 0 |
| A27447R | Arthroplasty total knee assst | $6,015 | — | — | — | 0 |
| A27447N | Arthroplasty total knee assst | $6,015 | — | — | — | 0 |
| A27447R | Arthroplasty total knee assst | $6,015 | — | — | — | 0 |
| 57287 | REVISE REMOVE SLING REPAIR | $5,909 | $1,773 | — | — | 0 |
| 57287 | REVISE REMOVE SLING REPAIR | $5,909 | $1,773 | — | — | 0 |
| 19301 | PARTIAL MASTECTOMY | $5,472 | $1,642 | — | — | 0 |
| 19301 | PARTIAL MASTECTOMY | $5,472 | $1,642 | — | — | 0 |
| 14000 | TIS TRNFR TRUNK 10sq CM/< | $5,299 | $1,590 | — | — | 0 |
| 14000 | TIS TRNFR TRUNK 10sq CM/< | $5,299 | $1,590 | — | — | 0 |
| 63650P | PC PAIN IMPLANT NEUROELECTRODE | $5,252 | — | — | — | 0 |
| 63650P | PC PAIN IMPLANT NEUROELECTRODE | $5,252 | — | — | — | 0 |
| 19125 | EXC BREAST LESION W PREOP P | $5,208 | $1,562 | — | — | 0 |
| 19125 | EXC BREAST LESION W PREOP P | $5,208 | $1,562 | — | — | 0 |
| A28192NS | REMOVAL FOREIGN BODY FOOT DEEP | $5,172 | — | — | — | 0 |
| A28192NS | REMOVAL FOREIGN BODY FOOT DEEP | $5,172 | — | — | — | 0 |
| 66984B | CATARACT SURG W/IOL 1 STAGE BI | $5,132 | $1,540 | — | — | 0 |
| 66984B | CATARACT SURG W/IOL 1 STAGE BI | $5,132 | $1,540 | — | — | 0 |
| 44401 | COLO THRU STOMA W ABLATION | $5,124 | $1,537 | — | — | 0 |
| 44401 | COLO THRU STOMA W ABLATION | $5,124 | $1,537 | — | — | 0 |
Showing top 50 of 7,604 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.