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
26,637
Insurances with rates
3
CPT / HCPCS codes
17,836
Source MRF
Most expensive procedures (gross)
383850-72103029-9477452
$37,065
DEFIB CARD 13MM 57SQ CM 51X71MM
Gross
$74,130
383578-72103029-9477449
$32,412
DEFIB CARD THK13MM 57SQ CM 51X66MM
Gross
$64,824
97407596
$15,841
alteplase 100 mg IV Inj [JAME]
Gross
$31,681
383285-72103029-9476177
$15,570
NEUROSTIMULATOR
Gross
$31,140
385970-72103029-9614620
$15,468
TKR - LPS DISTAL FEM COMP XXS LT
Gross
$30,935
118692079
$14,141
Tysabri 300 mg/15 mL Con
Gross
$28,281
97461843
$11,644
vedolizumab 300 mg Pow [JAME]
Gross
$23,288
97446370
$11,495
octreotide 30 mg IM Inj [JAME]
Gross
$22,990
387087-72103029-11430742
$11,458
MBT REVISION CEM TIB TRAY SZ 3 15MM
Gross
$22,916
97458859
$11,194
tenecteplase 50 mg IV Inj [JAME]
Gross
$22,388
384037-72103029-9477318
$8,933
ADVISA DR MRI SURE SCAN IPG
Gross
$17,865
387091-72103029-11422274
$8,874
SIGMA TC3 CEM FEM SZ2 L
Gross
$17,747
386613-72103029-9572832
$8,873
PFC SIGMA TC3 FEM LEFT SZ2
Gross
$17,746
386614-72103029-9572833
$8,873
PFC*SIGMA TC3 FEM LEFT SZ3
Gross
$17,746
386615-72103029-9572834
$8,873
PFC*SIGMA TC3 FEM LEFT SZ4
Gross
$17,746
386616-72103029-9572835
$8,873
PFC*SIGMA TC3 FEM LEFT SZ5
Gross
$17,746
386617-72103029-9572836
$8,873
PFC*SIGMA TC3 FEM LEFT S1.5
Gross
$17,746
386618-72103029-9572837
$8,873
PFC*SIGMA TC3 FEM LEFT S2.5
Gross
$17,746
386619-72103029-9572838
$8,873
PFC*SIGMA TC3 FEM RT SZ2
Gross
$17,746
386620-72103029-9572839
$8,873
PFC*SIGMA TC3 FEM RT SZ3
Gross
$17,746
386621-72103029-9572840
$8,873
PFC*SIGMA TC3 FEM RT SZ4
Gross
$17,746
386622-72103029-9572841
$8,873
PFC*SIGMA TC3 FEM RT SZ5
Gross
$17,746
386623-72103029-9572842
$8,873
PFC*SIGMA TC3 FEM RT SZ1.5
Gross
$17,746
386624-72103029-9572843
$8,873
PFC*SIGMA TC3 FEM RT SZ2.5
Gross
$17,746
97432446
$7,992
immune globulin 10% IV Sol 400 mL [JAME]
Gross
$15,984
386303-72103029-9572497
$7,200
MBT REVISION CEM TIB TRAY SZ 1
Gross
$14,400
386304-72103029-9572498
$7,200
MBT REVISION CEM TIB TRAY S1.5
Gross
$14,400
386305-72103029-9572499
$7,200
MBT REVISION CEM TIB TRAY SZ 2
Gross
$14,400
386306-72103029-9572500
$7,200
MBT REVISION CEM TIB TRAY S2.5
Gross
$14,400
386307-72103029-9572501
$7,200
MBT REVISION CEM TIB TRAY SZ 3
Gross
$14,400
386308-72103029-9572502
$7,200
MBT REVISION CEM TIB TRAY SZ 4
Gross
$14,400
386309-72103029-9572503
$7,200
MBT REVISION CEM TIB TRAY SZ 5
Gross
$14,400
386310-72103029-9572504
$7,200
MBT REVISION CEM TIB TRAY SZ 6
Gross
$14,400
97420787
$7,153
digoxin immune FAB 40 mg Inj [JAME]
Gross
$14,306
386870-72103029-10039507
$6,834
PINN LNR CON +4 10D 32IDX52OD
Gross
$13,668
385079-72103029-9477324
$6,278
GRAFT ST TIS 70X40MM ARTHROFLEX THK
Gross
$12,556
384059-72103029-9477319
$6,030
PACEMAKER ADPTA SR IMPL 7.5MM CARD
Gross
$12,060
97409406
$5,756
antivenin (Crotalidae) polyvalent - Pow [JAME]
Gross
$11,513
385147-72103029-9477323
$5,646
GRAFT ST TIS 70X40X2MM DERM
Gross
$11,292
121690-72103029-8414387
$5,547
BRCavantage, Comprehensive QST
Gross
$11,094
387230-72103029-12123108
$5,438
ACL QUADLINK IMPLANT SYSTEM 11MM
Gross
$10,875
5615120-72225113-9585277
$5,429
15120 SPLIT-THICKNESS AUTOGRAFT; FIRST 1% Wound
Gross
$10,857
5615273-72225113-9585281
$5,429
15273 APPLY SKIN SUB - LEGS, FIRST 100 SQ CM Wound
Gross
$10,857
CL15120-72103029-8037241
$5,429
15120 Split-thickness autograft, face/scalp/neck/genitalia/hands/feet; first 100 sq cm
Gross
$10,857
CL15273-72103029-8118447
$5,429
15273 Application of skin substitute graft to trunk, arms, legs, total wound surface area greater th
Gross
$10,857
385969-72103029-9614619
$5,312
TKR - LPS UNIV TIB HIN INS XXSM 23MM
Gross
$10,624
386313-72103029-9572507
$5,300
UNIVERSAL FEM SLV FUL POR 31MM
Gross
$10,600
386315-72103029-9572509
$5,300
UNIVERSAL FEM SLV FUL POR 34MM
Gross
$10,600
386317-72103029-9572511
$5,300
UNIVERSAL FEM SLV FUL POR 40MM
Gross
$10,600
386319-72103029-9572513
$5,300
UNIVERSAL FEM SLV FUL POR 46MM
Gross
$10,600
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 383850-72103029-9477452 | DEFIB CARD 13MM 57SQ CM 51X71MM | $74,130 | $37,065 | — | — | 0 |
| 383578-72103029-9477449 | DEFIB CARD THK13MM 57SQ CM 51X66MM | $64,824 | $32,412 | — | — | 0 |
| 97407596 | alteplase 100 mg IV Inj [JAME] | $31,681 | $15,841 | — | — | 0 |
| 383285-72103029-9476177 | NEUROSTIMULATOR | $31,140 | $15,570 | — | — | 0 |
| 385970-72103029-9614620 | TKR - LPS DISTAL FEM COMP XXS LT | $30,935 | $15,468 | — | — | 0 |
| 118692079 | Tysabri 300 mg/15 mL Con | $28,281 | $14,141 | — | — | 0 |
| 97461843 | vedolizumab 300 mg Pow [JAME] | $23,288 | $11,644 | — | — | 0 |
| 97446370 | octreotide 30 mg IM Inj [JAME] | $22,990 | $11,495 | — | — | 0 |
| 387087-72103029-11430742 | MBT REVISION CEM TIB TRAY SZ 3 15MM | $22,916 | $11,458 | — | — | 0 |
| 97458859 | tenecteplase 50 mg IV Inj [JAME] | $22,388 | $11,194 | — | — | 0 |
| 384037-72103029-9477318 | ADVISA DR MRI SURE SCAN IPG | $17,865 | $8,933 | — | — | 0 |
| 387091-72103029-11422274 | SIGMA TC3 CEM FEM SZ2 L | $17,747 | $8,874 | — | — | 0 |
| 386613-72103029-9572832 | PFC SIGMA TC3 FEM LEFT SZ2 | $17,746 | $8,873 | — | — | 0 |
| 386614-72103029-9572833 | PFC*SIGMA TC3 FEM LEFT SZ3 | $17,746 | $8,873 | — | — | 0 |
| 386615-72103029-9572834 | PFC*SIGMA TC3 FEM LEFT SZ4 | $17,746 | $8,873 | — | — | 0 |
| 386616-72103029-9572835 | PFC*SIGMA TC3 FEM LEFT SZ5 | $17,746 | $8,873 | — | — | 0 |
| 386617-72103029-9572836 | PFC*SIGMA TC3 FEM LEFT S1.5 | $17,746 | $8,873 | — | — | 0 |
| 386618-72103029-9572837 | PFC*SIGMA TC3 FEM LEFT S2.5 | $17,746 | $8,873 | — | — | 0 |
| 386619-72103029-9572838 | PFC*SIGMA TC3 FEM RT SZ2 | $17,746 | $8,873 | — | — | 0 |
| 386620-72103029-9572839 | PFC*SIGMA TC3 FEM RT SZ3 | $17,746 | $8,873 | — | — | 0 |
| 386621-72103029-9572840 | PFC*SIGMA TC3 FEM RT SZ4 | $17,746 | $8,873 | — | — | 0 |
| 386622-72103029-9572841 | PFC*SIGMA TC3 FEM RT SZ5 | $17,746 | $8,873 | — | — | 0 |
| 386623-72103029-9572842 | PFC*SIGMA TC3 FEM RT SZ1.5 | $17,746 | $8,873 | — | — | 0 |
| 386624-72103029-9572843 | PFC*SIGMA TC3 FEM RT SZ2.5 | $17,746 | $8,873 | — | — | 0 |
| 97432446 | immune globulin 10% IV Sol 400 mL [JAME] | $15,984 | $7,992 | — | — | 0 |
| 386303-72103029-9572497 | MBT REVISION CEM TIB TRAY SZ 1 | $14,400 | $7,200 | — | — | 0 |
| 386304-72103029-9572498 | MBT REVISION CEM TIB TRAY S1.5 | $14,400 | $7,200 | — | — | 0 |
| 386305-72103029-9572499 | MBT REVISION CEM TIB TRAY SZ 2 | $14,400 | $7,200 | — | — | 0 |
| 386306-72103029-9572500 | MBT REVISION CEM TIB TRAY S2.5 | $14,400 | $7,200 | — | — | 0 |
| 386307-72103029-9572501 | MBT REVISION CEM TIB TRAY SZ 3 | $14,400 | $7,200 | — | — | 0 |
| 386308-72103029-9572502 | MBT REVISION CEM TIB TRAY SZ 4 | $14,400 | $7,200 | — | — | 0 |
| 386309-72103029-9572503 | MBT REVISION CEM TIB TRAY SZ 5 | $14,400 | $7,200 | — | — | 0 |
| 386310-72103029-9572504 | MBT REVISION CEM TIB TRAY SZ 6 | $14,400 | $7,200 | — | — | 0 |
| 97420787 | digoxin immune FAB 40 mg Inj [JAME] | $14,306 | $7,153 | — | — | 0 |
| 386870-72103029-10039507 | PINN LNR CON +4 10D 32IDX52OD | $13,668 | $6,834 | — | — | 0 |
| 385079-72103029-9477324 | GRAFT ST TIS 70X40MM ARTHROFLEX THK | $12,556 | $6,278 | — | — | 0 |
| 384059-72103029-9477319 | PACEMAKER ADPTA SR IMPL 7.5MM CARD | $12,060 | $6,030 | — | — | 0 |
| 97409406 | antivenin (Crotalidae) polyvalent - Pow [JAME] | $11,513 | $5,756 | — | — | 0 |
| 385147-72103029-9477323 | GRAFT ST TIS 70X40X2MM DERM | $11,292 | $5,646 | — | — | 0 |
| 121690-72103029-8414387 | BRCavantage, Comprehensive QST | $11,094 | $5,547 | — | — | 0 |
| 387230-72103029-12123108 | ACL QUADLINK IMPLANT SYSTEM 11MM | $10,875 | $5,438 | — | — | 0 |
| 5615120-72225113-9585277 | 15120 SPLIT-THICKNESS AUTOGRAFT; FIRST 1% Wound | $10,857 | $5,429 | — | — | 0 |
| 5615273-72225113-9585281 | 15273 APPLY SKIN SUB - LEGS, FIRST 100 SQ CM Wound | $10,857 | $5,429 | — | — | 0 |
| CL15120-72103029-8037241 | 15120 Split-thickness autograft, face/scalp/neck/genitalia/hands/feet; first 100 sq cm | $10,857 | $5,429 | — | — | 0 |
| CL15273-72103029-8118447 | 15273 Application of skin substitute graft to trunk, arms, legs, total wound surface area greater th | $10,857 | $5,429 | — | — | 0 |
| 385969-72103029-9614619 | TKR - LPS UNIV TIB HIN INS XXSM 23MM | $10,624 | $5,312 | — | — | 0 |
| 386313-72103029-9572507 | UNIVERSAL FEM SLV FUL POR 31MM | $10,600 | $5,300 | — | — | 0 |
| 386315-72103029-9572509 | UNIVERSAL FEM SLV FUL POR 34MM | $10,600 | $5,300 | — | — | 0 |
| 386317-72103029-9572511 | UNIVERSAL FEM SLV FUL POR 40MM | $10,600 | $5,300 | — | — | 0 |
| 386319-72103029-9572513 | UNIVERSAL FEM SLV FUL POR 46MM | $10,600 | $5,300 | — | — | 0 |
Showing top 50 of 26,637 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.