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
2,797
Insurances with rates
22
CPT / HCPCS codes
2,151
Source MRF
Most expensive procedures (gross)
11012
$382,228
11012 - DEB SKIN BONE AT FX SITE
Gross
$382,228
43262
$380,806
43262 - ENDO CHOLANGIOPANCREATOGRAPH
Gross
$380,806
37238
$314,776
37238 - OPEN/PERQ PLACE STENT SAME
Gross
$314,776
22551
$248,576
22551 - ARTHRD ANT NTRBDY CERVICAL
Gross
$248,576
J1953
$218,790
J1953 - LEVETIRACETAM INJ 10MG/ML SYR
Gross
$218,790
588
—
Neonate bwt <1500g w major procedure
Gross
$198,412
C1785
$186,953
C1785 - PPM ACCOLADE #L331
Gross
$186,953
99241
$184,337
99241 - OFFICE CONSULTATION
Gross
$184,337
27599
$174,110
27599 - UNLISTED PX FEMUR/KNEE
Gross
$174,110
73630
$162,984
73630 - X-RAY EXAM OF FOOT
Gross
$162,984
54437
$162,457
54437 - REPAIR CORPOREAL TEAR
Gross
$162,457
J7614
$158,755
J7614 - LEVALBUTEROL INH 0.5MG(1.25MG)
Gross
$158,755
28310
$151,135
28310 - REVISION OF BIG TOE
Gross
$151,135
583
—
Neonate w ECMO
Gross
$147,176
J7512
$133,873
J7512 - PREDNISONE TAB 1MG (20MG)
Gross
$133,873
J2250
$131,887
J2250 - MIDAZOLAM INJ 2MG/2ML
Gross
$131,887
Q0163
$130,292
Q0163 - DIPHENHYDRAMINE CAP 25MG
Gross
$130,292
J1642
$127,925
J1642 - HEPARIN FLUSH 10U/ML 5ML
Gross
$127,925
C1780
$125,857
C1780 - LENS ALCON PCL # SN60WF 23.5D
Gross
$125,857
589
—
Neonate bwt <500g or GA <24 weeks
Gross
$124,764
2
—
Heart &/or lung transplant
Gross
$124,365
27477
$119,569
27477 - SURGERY TO STOP LEG GROWTH
Gross
$119,569
C1767
$112,915
C1767 - SENTIVA NERVE GENERATOR
Gross
$112,915
593
—
Neonate birthwt 750-999g w/o major procedure
Gross
$111,031
49594
$109,296
49594 - RPR AA HRN 1ST 3-10 NCR/STRN
Gross
$109,296
J0330
$108,848
J0330 - SUCCINYLCHO I 20MG/ML 10ML
Gross
$108,848
J0461
$106,419
J0461 - ATROP SULF SYR 0.1MG/ML 10ML
Gross
$106,419
J2710
$105,962
J2710 - NEOSTIGMINE 0.5MG (10MG/10ML)
Gross
$105,962
15769
$103,810
15769 - GRFG AUTOL SOFT TISS DIR EXC
Gross
$103,810
J0585
$98,379
J0585 - BOTULINUM TOXIN TYPA 1U(100 U)
Gross
$98,379
J0282
$97,444
J0282 - AMIODARONE 150MG 50MG/ML 3ML
Gross
$97,444
988
$95,000
988 - Non-extensive O.R. proc unrelated to principal diagnosis with CC
Gross
$95,000
298
$94,113
298 - Cardiac arrest, unexplained w/o CC/MCC
Gross
$94,113
591
—
Neonate birthwt 500-749g w/o major procedure
Gross
$91,365
J0133
$87,605
J0133 - ACYCLOVIR INJ 500MG 50MG/ML
Gross
$87,605
J2597
$87,360
J2597 - DESMOPRESSIN I 4MCG/ML
Gross
$87,360
J1644
$87,205
J1644 - HEPARIN 1000U (20,000U/ML)
Gross
$87,205
49582
$82,391
49582 - RPR UMBIL HERN BLOCK < 5 YR
Gross
$82,391
J8540
$81,621
J8540 - DEXAMETHASONE (0.25MG)4MG TAB
Gross
$81,621
63045
$81,335
63045 - LAM FACETEC & FORAMOT CRV
Gross
$81,335
C1764
$77,046
C1764 - LOOP RECORDERS REVEAL LINQ
Gross
$77,046
33249
$76,964
33249 - INSJ/RPLCMT DEFIB W/LEAD(S)
Gross
$76,964
33264
$76,964
33264 - RMVL & RPLCMT DFB GEN MLT LD
Gross
$76,964
33270
$76,964
33270 - INS/REP SUBQ DEFIBRILLATOR
Gross
$76,964
67935
$76,898
67935 - REPAIR EYELID WOUND
Gross
$76,898
J7510
$76,267
J7510 - PREDNISOLONE 15MG/5ML ORAL SYR
Gross
$76,267
33227
$75,201
33227 - REMOVE&REPLACE PM GEN SINGL
Gross
$75,201
64575
$74,938
64575 - OPN IMPLTJ NEA PERPH NERVE
Gross
$74,938
96133
$74,284
96133 - NRPSYC TST EVAL PHYS/QHP EA
Gross
$74,284
52648
$73,900
52648 - LASER SURGERY OF PROSTATE
Gross
$73,900
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 11012 | 11012 - DEB SKIN BONE AT FX SITE | $382,228 | $382,228 | — | — | 22 |
| 43262 | 43262 - ENDO CHOLANGIOPANCREATOGRAPH | $380,806 | $380,806 | — | — | 22 |
| 37238 | 37238 - OPEN/PERQ PLACE STENT SAME | $314,776 | $314,776 | — | — | 22 |
| 22551 | 22551 - ARTHRD ANT NTRBDY CERVICAL | $248,576 | $248,576 | — | — | 22 |
| J1953 | J1953 - LEVETIRACETAM INJ 10MG/ML SYR | $218,790 | $218,790 | — | — | 22 |
| 588 | Neonate bwt <1500g w major procedure | $198,412 | — | — | — | 12 |
| C1785 | C1785 - PPM ACCOLADE #L331 | $186,953 | $186,953 | — | — | 22 |
| 99241 | 99241 - OFFICE CONSULTATION | $184,337 | $184,337 | — | — | 22 |
| 27599 | 27599 - UNLISTED PX FEMUR/KNEE | $174,110 | $174,110 | — | — | 22 |
| 73630 | 73630 - X-RAY EXAM OF FOOT | $162,984 | $162,984 | — | — | 22 |
| 54437 | 54437 - REPAIR CORPOREAL TEAR | $162,457 | $162,457 | — | — | 22 |
| J7614 | J7614 - LEVALBUTEROL INH 0.5MG(1.25MG) | $158,755 | $158,755 | — | — | 22 |
| 28310 | 28310 - REVISION OF BIG TOE | $151,135 | $151,135 | — | — | 22 |
| 583 | Neonate w ECMO | $147,176 | — | — | — | 12 |
| J7512 | J7512 - PREDNISONE TAB 1MG (20MG) | $133,873 | $133,873 | — | — | 22 |
| J2250 | J2250 - MIDAZOLAM INJ 2MG/2ML | $131,887 | $131,887 | — | — | 22 |
| Q0163 | Q0163 - DIPHENHYDRAMINE CAP 25MG | $130,292 | $130,292 | — | — | 22 |
| J1642 | J1642 - HEPARIN FLUSH 10U/ML 5ML | $127,925 | $127,925 | — | — | 22 |
| C1780 | C1780 - LENS ALCON PCL # SN60WF 23.5D | $125,857 | $125,857 | — | — | 22 |
| 589 | Neonate bwt <500g or GA <24 weeks | $124,764 | — | — | — | 12 |
| 2 | Heart &/or lung transplant | $124,365 | — | — | — | 12 |
| 27477 | 27477 - SURGERY TO STOP LEG GROWTH | $119,569 | $119,569 | — | — | 22 |
| C1767 | C1767 - SENTIVA NERVE GENERATOR | $112,915 | $112,915 | — | — | 22 |
| 593 | Neonate birthwt 750-999g w/o major procedure | $111,031 | — | — | — | 12 |
| 49594 | 49594 - RPR AA HRN 1ST 3-10 NCR/STRN | $109,296 | $109,296 | — | — | 22 |
| J0330 | J0330 - SUCCINYLCHO I 20MG/ML 10ML | $108,848 | $108,848 | — | — | 22 |
| J0461 | J0461 - ATROP SULF SYR 0.1MG/ML 10ML | $106,419 | $106,419 | — | — | 22 |
| J2710 | J2710 - NEOSTIGMINE 0.5MG (10MG/10ML) | $105,962 | $105,962 | — | — | 22 |
| 15769 | 15769 - GRFG AUTOL SOFT TISS DIR EXC | $103,810 | $103,810 | — | — | 22 |
| J0585 | J0585 - BOTULINUM TOXIN TYPA 1U(100 U) | $98,379 | $98,379 | — | — | 2 |
| J0282 | J0282 - AMIODARONE 150MG 50MG/ML 3ML | $97,444 | $97,444 | — | — | 22 |
| 988 | 988 - Non-extensive O.R. proc unrelated to principal diagnosis with CC | $95,000 | $95,000 | — | — | 1 |
| 298 | 298 - Cardiac arrest, unexplained w/o CC/MCC | $94,113 | $94,113 | — | — | 3 |
| 591 | Neonate birthwt 500-749g w/o major procedure | $91,365 | — | — | — | 12 |
| J0133 | J0133 - ACYCLOVIR INJ 500MG 50MG/ML | $87,605 | $87,605 | — | — | 22 |
| J2597 | J2597 - DESMOPRESSIN I 4MCG/ML | $87,360 | $87,360 | — | — | 2 |
| J1644 | J1644 - HEPARIN 1000U (20,000U/ML) | $87,205 | $87,205 | — | — | 22 |
| 49582 | 49582 - RPR UMBIL HERN BLOCK < 5 YR | $82,391 | $82,391 | — | — | 22 |
| J8540 | J8540 - DEXAMETHASONE (0.25MG)4MG TAB | $81,621 | $81,621 | — | — | 22 |
| 63045 | 63045 - LAM FACETEC & FORAMOT CRV | $81,335 | $81,335 | — | — | 22 |
| C1764 | C1764 - LOOP RECORDERS REVEAL LINQ | $77,046 | $77,046 | — | — | 22 |
| 33249 | 33249 - INSJ/RPLCMT DEFIB W/LEAD(S) | $76,964 | $76,964 | — | — | 33 |
| 33264 | 33264 - RMVL & RPLCMT DFB GEN MLT LD | $76,964 | $76,964 | — | — | 31 |
| 33270 | 33270 - INS/REP SUBQ DEFIBRILLATOR | $76,964 | $76,964 | — | — | 31 |
| 67935 | 67935 - REPAIR EYELID WOUND | $76,898 | $76,898 | — | — | 22 |
| J7510 | J7510 - PREDNISOLONE 15MG/5ML ORAL SYR | $76,267 | $76,267 | — | — | 22 |
| 33227 | 33227 - REMOVE&REPLACE PM GEN SINGL | $75,201 | $75,201 | — | — | 22 |
| 64575 | 64575 - OPN IMPLTJ NEA PERPH NERVE | $74,938 | $74,938 | — | — | 22 |
| 96133 | 96133 - NRPSYC TST EVAL PHYS/QHP EA | $74,284 | $74,284 | — | — | 22 |
| 52648 | 52648 - LASER SURGERY OF PROSTATE | $73,900 | $73,900 | — | — | 22 |
Showing top 50 of 2,797 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.