45 CFR § 180 compliance
C · 70
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
12,342
Insurances with rates
5
CPT / HCPCS codes
7,422
Source MRF
Most expensive procedures (gross)
30013254_C1820_278
$26,928
Noncdm Charge Record Medical S
Gross
$59,841
30013361_C1767_278
$26,818
Noncdm Charge Record Medical S
Gross
$59,596
30023899_C1767_278
$21,012
Genera Neurostim Impl Non-Rech
Gross
$46,694
30011522
$12,142
Operating Room Ir Level 5
Gross
$26,982
30011555
$11,563
Operating Room Ir Level 4
Gross
$25,696
30020135
$10,462
Eswl Lith Sngl W/Cysto
Gross
$23,248
30024236
$9,526
Intracept Lumbar/Sacral 2Vert
Gross
$21,168
30020010
$9,402
Eswl Litho Sngl W/O Cysto
Gross
$20,893
30013494_C1874_278
$8,213
Noncdm Charge Record Medical S
Gross
$18,251
30026405
$7,908
Prq Impltj Nstim Elec Arr Epi
Gross
$17,573
217505
$7,863
Digoxin immune FAB (DigiFAB) 40 mg SDV
Gross
$17,472
30023782_C1874_278
$7,600
Stent, Coated/Cov W/Del Sys
Gross
$16,889
30011316
$7,198
Operating Room Ir Level 3
Gross
$15,996
30009682
$7,044
Operating Room Main Level 6
Gross
$15,654
11168283
$6,800
thyrotropin alpha REC vial
Gross
$15,111
30011597
$5,937
I-123 Ioflupane-Dx-Up To 5Mcl
Gross
$13,194
30026363
$5,523
Perq Lamot/Lam Lumbar
Gross
$12,274
30025811_C1724_278
$5,518
Cath Trans Atherec Rotation
Gross
$12,263
30024350
$4,762
Intracept Px Each Add Verebral
Gross
$10,583
30024822
$4,258
Implant Neuroelectrodes
Gross
$9,463
30002927
$3,996
In111 Prostas/Capromab Ut 10Mi
Gross
$8,881
30013882_C1052_272
$3,679
Noncdm Charge Record Medical S
Gross
$8,175
30001226
$3,381
Image Cath Fluid Peri/Retro
Gross
$7,514
30026660
$3,342
Localize Tumor Spect W/Ct
Gross
$7,426
30009567
$3,272
Operating Room Main Level 5
Gross
$7,272
30014252
$3,238
Indium In 111 Oxyquinoline: 1 Vial In 1 Box (17156-021-01) / 1 Ml In 1 Vial
Gross
$7,196
30014252_A9570_343
$3,238
In111 Labeled Wbc Per Dose
Gross
$7,196
30013460_C1714_278
$3,230
Noncdm Charge Record Medical S
Gross
$7,178
30024376_C1714_278
$3,230
Atherectomy Catheter
Gross
$7,178
385047
$2,968
leuprolide 3.75 mg/month PWD
Gross
$6,595
10609535
$2,923
nirsevimab (cvx 306) alip preservative-free 50 mg/0.5 mL Syringe
Gross
$6,496
30013510_C1776_278
$2,915
Noncdm Charge Record Medical S
Gross
$6,478
11391984
$2,893
angiotensin II 2.5 mg/mL 1mL vial
Gross
$6,428
11136009
$2,891
leuprolide 11.25 mg/3 months PWD
Gross
$6,425
30010854
$2,873
Dstr Nrv Agt Gnclr Nrv W/Img
Gross
$6,384
30024269_C1771_278
$2,841
Rep Dev Urin Incon W/Sling
Gross
$6,312
30025332_C1734_278
$2,796
Ortho/Device Implantable
Gross
$6,213
10610475
$2,781
aminolevulinic acid 30 mg/mL REC
Gross
$6,179
30009401
$2,735
Polysomnography 4+ W/Cpap
Gross
$6,078
30024996_C1776_278
$2,685
Implant Shoulder
Gross
$5,967
30010623
$2,684
Inj Cerv/Thor Facet W/Guide
Gross
$5,964
30010862
$2,684
Rf Abla Lumb/Sac Sng Lv W/Fluo
Gross
$5,964
30015481
$2,684
Rfa L/S Facet Jnt W/Guid-Bilat
Gross
$5,964
30015606
$2,684
Rfa C/T Facet Jnt W/Guid-Bilat
Gross
$5,964
30023675_C1778_278
$2,658
Lead Neurostim Implant
Gross
$5,907
30013726_C1778_278
$2,641
Noncdm Charge Record Medical S
Gross
$5,868
30013601_C1771_278
$2,633
Noncdm Charge Record Medical S
Gross
$5,851
30000285
$2,620
Pet/Ct Skull Thigh Initial Tx
Gross
$5,823
30000293
$2,620
Pet/Ct Whole Body Initial Tx
Gross
$5,823
30000319
$2,620
Pet/Ct Sull Thigh Subsequent
Gross
$5,823
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 30013254_C1820_278 | Noncdm Charge Record Medical S | $59,841 | $26,928 | — | — | 0 |
| 30013361_C1767_278 | Noncdm Charge Record Medical S | $59,596 | $26,818 | — | — | 0 |
| 30023899_C1767_278 | Genera Neurostim Impl Non-Rech | $46,694 | $21,012 | — | — | 0 |
| 30011522 | Operating Room Ir Level 5 | $26,982 | $12,142 | — | — | 0 |
| 30011555 | Operating Room Ir Level 4 | $25,696 | $11,563 | — | — | 0 |
| 30020135 | Eswl Lith Sngl W/Cysto | $23,248 | $10,462 | — | — | 0 |
| 30024236 | Intracept Lumbar/Sacral 2Vert | $21,168 | $9,526 | — | — | 0 |
| 30020010 | Eswl Litho Sngl W/O Cysto | $20,893 | $9,402 | — | — | 0 |
| 30013494_C1874_278 | Noncdm Charge Record Medical S | $18,251 | $8,213 | — | — | 0 |
| 30026405 | Prq Impltj Nstim Elec Arr Epi | $17,573 | $7,908 | — | — | 0 |
| 217505 | Digoxin immune FAB (DigiFAB) 40 mg SDV | $17,472 | $7,863 | — | — | 0 |
| 30023782_C1874_278 | Stent, Coated/Cov W/Del Sys | $16,889 | $7,600 | — | — | 0 |
| 30011316 | Operating Room Ir Level 3 | $15,996 | $7,198 | — | — | 0 |
| 30009682 | Operating Room Main Level 6 | $15,654 | $7,044 | — | — | 0 |
| 11168283 | thyrotropin alpha REC vial | $15,111 | $6,800 | — | — | 0 |
| 30011597 | I-123 Ioflupane-Dx-Up To 5Mcl | $13,194 | $5,937 | — | — | 0 |
| 30026363 | Perq Lamot/Lam Lumbar | $12,274 | $5,523 | — | — | 0 |
| 30025811_C1724_278 | Cath Trans Atherec Rotation | $12,263 | $5,518 | — | — | 0 |
| 30024350 | Intracept Px Each Add Verebral | $10,583 | $4,762 | — | — | 0 |
| 30024822 | Implant Neuroelectrodes | $9,463 | $4,258 | — | — | 0 |
| 30002927 | In111 Prostas/Capromab Ut 10Mi | $8,881 | $3,996 | — | — | 0 |
| 30013882_C1052_272 | Noncdm Charge Record Medical S | $8,175 | $3,679 | — | — | 0 |
| 30001226 | Image Cath Fluid Peri/Retro | $7,514 | $3,381 | — | — | 0 |
| 30026660 | Localize Tumor Spect W/Ct | $7,426 | $3,342 | — | — | 0 |
| 30009567 | Operating Room Main Level 5 | $7,272 | $3,272 | — | — | 0 |
| 30014252 | Indium In 111 Oxyquinoline: 1 Vial In 1 Box (17156-021-01) / 1 Ml In 1 Vial | $7,196 | $3,238 | — | — | 0 |
| 30014252_A9570_343 | In111 Labeled Wbc Per Dose | $7,196 | $3,238 | — | — | 0 |
| 30013460_C1714_278 | Noncdm Charge Record Medical S | $7,178 | $3,230 | — | — | 0 |
| 30024376_C1714_278 | Atherectomy Catheter | $7,178 | $3,230 | — | — | 0 |
| 385047 | leuprolide 3.75 mg/month PWD | $6,595 | $2,968 | — | — | 0 |
| 10609535 | nirsevimab (cvx 306) alip preservative-free 50 mg/0.5 mL Syringe | $6,496 | $2,923 | — | — | 0 |
| 30013510_C1776_278 | Noncdm Charge Record Medical S | $6,478 | $2,915 | — | — | 0 |
| 11391984 | angiotensin II 2.5 mg/mL 1mL vial | $6,428 | $2,893 | — | — | 0 |
| 11136009 | leuprolide 11.25 mg/3 months PWD | $6,425 | $2,891 | — | — | 0 |
| 30010854 | Dstr Nrv Agt Gnclr Nrv W/Img | $6,384 | $2,873 | — | — | 0 |
| 30024269_C1771_278 | Rep Dev Urin Incon W/Sling | $6,312 | $2,841 | — | — | 0 |
| 30025332_C1734_278 | Ortho/Device Implantable | $6,213 | $2,796 | — | — | 0 |
| 10610475 | aminolevulinic acid 30 mg/mL REC | $6,179 | $2,781 | — | — | 0 |
| 30009401 | Polysomnography 4+ W/Cpap | $6,078 | $2,735 | — | — | 0 |
| 30024996_C1776_278 | Implant Shoulder | $5,967 | $2,685 | — | — | 0 |
| 30010623 | Inj Cerv/Thor Facet W/Guide | $5,964 | $2,684 | — | — | 0 |
| 30010862 | Rf Abla Lumb/Sac Sng Lv W/Fluo | $5,964 | $2,684 | — | — | 0 |
| 30015481 | Rfa L/S Facet Jnt W/Guid-Bilat | $5,964 | $2,684 | — | — | 0 |
| 30015606 | Rfa C/T Facet Jnt W/Guid-Bilat | $5,964 | $2,684 | — | — | 0 |
| 30023675_C1778_278 | Lead Neurostim Implant | $5,907 | $2,658 | — | — | 0 |
| 30013726_C1778_278 | Noncdm Charge Record Medical S | $5,868 | $2,641 | — | — | 0 |
| 30013601_C1771_278 | Noncdm Charge Record Medical S | $5,851 | $2,633 | — | — | 0 |
| 30000285 | Pet/Ct Skull Thigh Initial Tx | $5,823 | $2,620 | — | — | 0 |
| 30000293 | Pet/Ct Whole Body Initial Tx | $5,823 | $2,620 | — | — | 0 |
| 30000319 | Pet/Ct Sull Thigh Subsequent | $5,823 | $2,620 | — | — | 0 |
Showing top 50 of 12,342 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.