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
1,462
Insurances with rates
3
CPT / HCPCS codes
1,377
Source MRF
Most expensive procedures (gross)
J2997
$13,201
ACTIVASE [ALTEPLASE] VIAL 100MG
Gross
$26,402
840
$10,926
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
Gross
$21,851
58571
$10,455
LAP SURGICAL TOTAL HYST W/TUBE REMOVAL
Gross
$20,910
58570
$10,455
LAP SURGICAL TOTAL HYST
Gross
$20,910
57285
$8,800
PARAVAGINAL DEFECT REPAIR - VAG APPROACH
Gross
$17,599
58290
$8,800
HYSTERECTOMY VAG. 250G> UTERUS
Gross
$17,599
J3101
$7,683
TNKASE [TENECTEPLASE] KIT 50MG
Gross
$15,365
595
$7,469
MAJOR SKIN DISORERS WITH MCC
Gross
$14,938
58670
$6,365
LAPAROSCOPIC TUBAL LIGATION W/WO TRANS.
Gross
$12,729
49650
$6,299
LAP HERNIA REPAIR INITIAL INGUINAL
Gross
$12,598
49651
$6,299
LAP HERNIA REPAIR RECURRENT INGUINAL
Gross
$12,598
58661
$6,299
LAP OOPHORECTOMY
Gross
$12,598
47562
$6,299
LAP CHOLECYSTECTOMY
Gross
$12,598
44180
$6,299
LAP SURGICAL ENTEROLYSIS
Gross
$12,598
49320
$6,299
LAPAROSCOPY DIAGNOSTIC ABDOMEN/PERI
Gross
$12,598
47563
$6,299
LAP CHOLECYSTECTOMY WITH CHOLANGIO
Gross
$12,598
42820
$6,197
TONSIL & ADENOID REMOVAL <12YRS OLD
Gross
$12,393
42420
$6,197
EXCISION PAROTID TUMOR W/PRESERV. FACIAL
Gross
$12,393
813
$6,112
COAGULATION DISORDERS
Gross
$12,224
58925
$6,079
CYSTECTOMY OVARIAN
Gross
$12,158
562
$5,970
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR HIP
Gross
$11,941
57250
$5,717
RECTOCELE REPAIR WITH/WITHOUT PERI.
Gross
$11,433
58563
$5,717
ENDOMETRIAL ABLATION WITH HYSTEROCSCOPY
Gross
$11,433
314
$5,674
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
Gross
$11,349
177
$5,527
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
Gross
$11,055
885
$5,110
PSYCHOSES
Gross
$10,221
884
$5,085
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
Gross
$10,169
58353
$4,764
ENDOMETRIAL ABLATION W/O HYSTEROCSCOPY
Gross
$9,527
308
$4,682
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
Gross
$9,364
947
$4,452
SIGNS AND SYMPTOMS WITH MCC
Gross
$8,904
193
$4,338
SIMPLE PNEUMONIA AND PLEURISY WITH MCC
Gross
$8,677
49505
$4,295
HERNIA REPAIR INGUINAL INITIAL REDUC.
Gross
$8,589
55040
$4,295
EXICISION HYDROCELE UNILATERAL
Gross
$8,589
44950
$4,295
APPENDECTOMY - OPEN
Gross
$8,589
49507
$4,295
HERNIA REPAIR INGUINAL INITIAL INCAR.
Gross
$8,589
49553
$4,295
HERNIA REPAIR FEMORAL INITIAL I/S
Gross
$8,589
640
$4,214
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND
Gross
$8,429
190
$4,014
BLOOD BANK FORMS
Gross
$8,028
391
$3,947
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DIS
Gross
$7,893
315
$3,896
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
Gross
$7,791
394
$3,801
OTHER DIESTIVE SYSTEM DIAGNOSES WITH MCC
Gross
$7,602
58600
$3,785
LIGATION OF TUBES ABD OR VAG APPROACH
Gross
$7,569
56740
$3,785
EXCISION BARTHOLIN'S CYST/GLAND
Gross
$7,569
689
$3,775
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
Gross
$7,550
12037
$3,758
WOUND REPAIR INTER. SCALP >30.0CM
Gross
$7,515
19300
$3,750
MASTECTOMY FOR GYNECOMASTIA - MALE ONLY
Gross
$7,499
19101
$3,750
BIOPSY BREAST INCISIONAL RIGHT,PROCEDURE PERFORMED ON RT SIDE OF THE BODY
Gross
$7,499
38500
$3,750
BIOPSY/EXCISION LYMPH NODE OPEN SUPER.
Gross
$7,499
19301
$3,750
MASTECTOMY PARTIAL - LUMPECTOMY
Gross
$7,499
155
$3,713
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
Gross
$7,426
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ACTIVASE [ALTEPLASE] VIAL 100MG | $26,402 | $13,201 | — | — | 0 |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $21,851 | $10,926 | — | — | 2 |
| 58571 | LAP SURGICAL TOTAL HYST W/TUBE REMOVAL | $20,910 | $10,455 | — | — | 1 |
| 58570 | LAP SURGICAL TOTAL HYST | $20,910 | $10,455 | — | — | 1 |
| 57285 | PARAVAGINAL DEFECT REPAIR - VAG APPROACH | $17,599 | $8,800 | — | — | 1 |
| 58290 | HYSTERECTOMY VAG. 250G> UTERUS | $17,599 | $8,800 | — | — | 1 |
| J3101 | TNKASE [TENECTEPLASE] KIT 50MG | $15,365 | $7,683 | — | — | 0 |
| 595 | MAJOR SKIN DISORERS WITH MCC | $14,938 | $7,469 | — | — | 2 |
| 58670 | LAPAROSCOPIC TUBAL LIGATION W/WO TRANS. | $12,729 | $6,365 | — | — | 1 |
| 49650 | LAP HERNIA REPAIR INITIAL INGUINAL | $12,598 | $6,299 | — | — | 1 |
| 49651 | LAP HERNIA REPAIR RECURRENT INGUINAL | $12,598 | $6,299 | — | — | 1 |
| 58661 | LAP OOPHORECTOMY | $12,598 | $6,299 | — | — | 1 |
| 47562 | LAP CHOLECYSTECTOMY | $12,598 | $6,299 | — | — | 1 |
| 44180 | LAP SURGICAL ENTEROLYSIS | $12,598 | $6,299 | — | — | 1 |
| 49320 | LAPAROSCOPY DIAGNOSTIC ABDOMEN/PERI | $12,598 | $6,299 | — | — | 1 |
| 47563 | LAP CHOLECYSTECTOMY WITH CHOLANGIO | $12,598 | $6,299 | — | — | 1 |
| 42820 | TONSIL & ADENOID REMOVAL <12YRS OLD | $12,393 | $6,197 | — | — | 1 |
| 42420 | EXCISION PAROTID TUMOR W/PRESERV. FACIAL | $12,393 | $6,197 | — | — | 1 |
| 813 | COAGULATION DISORDERS | $12,224 | $6,112 | — | — | 2 |
| 58925 | CYSTECTOMY OVARIAN | $12,158 | $6,079 | — | — | 1 |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR HIP | $11,941 | $5,970 | — | — | 2 |
| 57250 | RECTOCELE REPAIR WITH/WITHOUT PERI. | $11,433 | $5,717 | — | — | 1 |
| 58563 | ENDOMETRIAL ABLATION WITH HYSTEROCSCOPY | $11,433 | $5,717 | — | — | 1 |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $11,349 | $5,674 | — | — | 2 |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $11,055 | $5,527 | — | — | 2 |
| 885 | PSYCHOSES | $10,221 | $5,110 | — | — | 2 |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,169 | $5,085 | — | — | 2 |
| 58353 | ENDOMETRIAL ABLATION W/O HYSTEROCSCOPY | $9,527 | $4,764 | — | — | 1 |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $9,364 | $4,682 | — | — | 2 |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $8,904 | $4,452 | — | — | 2 |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $8,677 | $4,338 | — | — | 2 |
| 49505 | HERNIA REPAIR INGUINAL INITIAL REDUC. | $8,589 | $4,295 | — | — | 1 |
| 55040 | EXICISION HYDROCELE UNILATERAL | $8,589 | $4,295 | — | — | 1 |
| 44950 | APPENDECTOMY - OPEN | $8,589 | $4,295 | — | — | 1 |
| 49507 | HERNIA REPAIR INGUINAL INITIAL INCAR. | $8,589 | $4,295 | — | — | 1 |
| 49553 | HERNIA REPAIR FEMORAL INITIAL I/S | $8,589 | $4,295 | — | — | 1 |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND | $8,429 | $4,214 | — | — | 2 |
| 190 | BLOOD BANK FORMS | $8,028 | $4,014 | — | — | 3 |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DIS | $7,893 | $3,947 | — | — | 2 |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $7,791 | $3,896 | — | — | 2 |
| 394 | OTHER DIESTIVE SYSTEM DIAGNOSES WITH MCC | $7,602 | $3,801 | — | — | 2 |
| 58600 | LIGATION OF TUBES ABD OR VAG APPROACH | $7,569 | $3,785 | — | — | 1 |
| 56740 | EXCISION BARTHOLIN'S CYST/GLAND | $7,569 | $3,785 | — | — | 1 |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $7,550 | $3,775 | — | — | 2 |
| 12037 | WOUND REPAIR INTER. SCALP >30.0CM | $7,515 | $3,758 | — | — | 2 |
| 19300 | MASTECTOMY FOR GYNECOMASTIA - MALE ONLY | $7,499 | $3,750 | — | — | 1 |
| 19101 | BIOPSY BREAST INCISIONAL RIGHT,PROCEDURE PERFORMED ON RT SIDE OF THE BODY | $7,499 | $3,750 | — | — | 1 |
| 38500 | BIOPSY/EXCISION LYMPH NODE OPEN SUPER. | $7,499 | $3,750 | — | — | 1 |
| 19301 | MASTECTOMY PARTIAL - LUMPECTOMY | $7,499 | $3,750 | — | — | 1 |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $7,426 | $3,713 | — | — | 2 |
Showing top 50 of 1,462 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.