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
1,255
Insurances with rates
0
CPT / HCPCS codes
1,187
Source MRF
Most expensive procedures (gross)
Q4125
$9,199
DECELLURIZED DERMIS ALOGRFT AFLEX301
Gross
$15,331
C1602
$8,382
CERAMENT BONE VOID FILLER 10CC 8004001
Gross
$13,970
J3101
$8,222
TENECTEPLASE INJ [50 MG]
Gross
$13,704
J0840
$7,904
CROTALIDAE IMMUNE FAB INJ
Gross
$13,174
C1776
$5,544
PSN FEM PS CMT CCR SZ6 R 42-5006-060-02
Gross
$9,240
L8699
$4,551
HUNTER TENDON ROD
Gross
$7,585
C1783
$3,920
ISTENT
Gross
$6,533
L8630
$3,512
FINGER JOINT IMPLANT G4700004
Gross
$5,854
90375
$2,957
RABIES IMMUNE GLOBULIN [1500 UNITS/5 ML]
Gross
$4,929
C1762
$2,821
FCON CONNECT PRE-SUT TENDON
Gross
$4,702
26756
$2,725
PERC SKELETAL FIX OF PHAL
Gross
$4,542
74178
$2,651
CT ABDOMEN/PELVIS W/ W/O CONTRAST
Gross
$4,418
74174
$2,651
CTA ABD/PELVIS W/WO
Gross
$4,418
77048
$2,461
MRI BREAST UNI W/WO
Gross
$4,102
77049
$2,461
MRI BREAST BILAT W/WO
Gross
$4,102
51555
$2,310
CYSTECTOMY PARTIAL COMPLICATED
Gross
$3,850
74177
$2,306
CT ABDOMEN/PELVIS W IV/ ORAL
Gross
$3,843
J0897
$2,151
DENOSUMAB INJ [60 MG]
Gross
$3,585
78452
$2,107
NM MYOCARD PERF
Gross
$3,511
78451
$2,107
NM MYOCARDIAL PERF PARTIAL STRESS REST
Gross
$3,511
50400
$2,100
PYELOPLASTY
Gross
$3,500
50780
$2,100
URETERONEOCYSTOSTOMY
Gross
$3,500
74176
$2,067
CT ABDOMEN/PELVIS W/O
Gross
$3,445
19083
$2,022
US GUIDED BRST BIOPSY ONLY
Gross
$3,370
11424
$1,973
EXC BENIGN LESION EXCISED 3.1CM - 4.0 CM
Gross
$3,289
95811
$1,963
POLYSOMNOGRAPHY W/CPAP 6 Y/O PLUS
Gross
$3,271
95783
$1,963
POLYSOMNOGRAPHY LESS THAT 6 Y/O W/CPAP
Gross
$3,271
57415
$1,960
FACILITY FEE FOREIGN BODY
Gross
$3,267
26607
$1,960
FAC FEE CLOSED TREATMENT
Gross
$3,267
26765
$1,960
FAC FEE FRACTURE CARE DI
Gross
$3,267
21320
$1,960
FAC FEE TREAT NASAL BONE
Gross
$3,267
28505
$1,945
FAC FEE FRAC CARE GREAT T
Gross
$3,241
50220
$1,920
NEPHRECTOMY W/PARTIAL URETERECTOMY
Gross
$3,200
11404
$1,908
EXC LESION 3.1-4.0CM
Gross
$3,180
11422
$1,908
EXC LESION 1.1 - 2.0CM
Gross
$3,180
72156
$1,893
MRI C-SPINE W/ W/O CONTRAST
Gross
$3,155
70553
$1,853
MRI PITUITARY W/WO
Gross
$3,088
11423
$1,852
EXC BENIGN LESION DIAM 2.1 TO 3.0 CM
Gross
$3,087
27781
$1,850
CLSD TX PROXIMAL FIB OR SHAFT FX W/MANIP
Gross
$3,083
95810
$1,833
POLYSOMNOGRAPHY 6 Y/O PLUS
Gross
$3,055
95782
$1,833
POLYSOMNOGRAPHY LESS THAN 6 Y/O
Gross
$3,055
70543
$1,818
MRI ORBITS/FACE/NECK W/WO
Gross
$3,030
36573
$1,751
INSERT PICC (IP STATUS) - 5 Y/O AND OLDE
Gross
$2,918
27301
$1,751
TREATMENT ROOM I&D HEMATO
Gross
$2,918
54324
$1,710
RECONSTRUCTION OF URETHRA
Gross
$2,850
54700
$1,681
I & D EPIDIDYMIS TESTIS SCROTAL SPACE
Gross
$2,801
72158
$1,666
MRI L-SPINE W/ W/O CONTRAST
Gross
$2,777
75635
$1,590
CTA COMPLETE AORTA W/ RUNOFFS
Gross
$2,650
74175
$1,590
CTA ABDOMEN
Gross
$2,650
72191
$1,590
CTA PELVIS W/WO
Gross
$2,650
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q4125 | DECELLURIZED DERMIS ALOGRFT AFLEX301 | $15,331 | $9,199 | — | — | 0 |
| C1602 | CERAMENT BONE VOID FILLER 10CC 8004001 | $13,970 | $8,382 | — | — | 0 |
| J3101 | TENECTEPLASE INJ [50 MG] | $13,704 | $8,222 | — | — | 0 |
| J0840 | CROTALIDAE IMMUNE FAB INJ | $13,174 | $7,904 | — | — | 0 |
| C1776 | PSN FEM PS CMT CCR SZ6 R 42-5006-060-02 | $9,240 | $5,544 | — | — | 0 |
| L8699 | HUNTER TENDON ROD | $7,585 | $4,551 | — | — | 0 |
| C1783 | ISTENT | $6,533 | $3,920 | — | — | 0 |
| L8630 | FINGER JOINT IMPLANT G4700004 | $5,854 | $3,512 | — | — | 0 |
| 90375 | RABIES IMMUNE GLOBULIN [1500 UNITS/5 ML] | $4,929 | $2,957 | — | — | 0 |
| C1762 | FCON CONNECT PRE-SUT TENDON | $4,702 | $2,821 | — | — | 0 |
| 26756 | PERC SKELETAL FIX OF PHAL | $4,542 | $2,725 | — | — | 0 |
| 74178 | CT ABDOMEN/PELVIS W/ W/O CONTRAST | $4,418 | $2,651 | — | — | 0 |
| 74174 | CTA ABD/PELVIS W/WO | $4,418 | $2,651 | — | — | 0 |
| 77048 | MRI BREAST UNI W/WO | $4,102 | $2,461 | — | — | 0 |
| 77049 | MRI BREAST BILAT W/WO | $4,102 | $2,461 | — | — | 0 |
| 51555 | CYSTECTOMY PARTIAL COMPLICATED | $3,850 | $2,310 | — | — | 0 |
| 74177 | CT ABDOMEN/PELVIS W IV/ ORAL | $3,843 | $2,306 | — | — | 0 |
| J0897 | DENOSUMAB INJ [60 MG] | $3,585 | $2,151 | — | — | 0 |
| 78452 | NM MYOCARD PERF | $3,511 | $2,107 | — | — | 0 |
| 78451 | NM MYOCARDIAL PERF PARTIAL STRESS REST | $3,511 | $2,107 | — | — | 0 |
| 50400 | PYELOPLASTY | $3,500 | $2,100 | — | — | 0 |
| 50780 | URETERONEOCYSTOSTOMY | $3,500 | $2,100 | — | — | 0 |
| 74176 | CT ABDOMEN/PELVIS W/O | $3,445 | $2,067 | — | — | 0 |
| 19083 | US GUIDED BRST BIOPSY ONLY | $3,370 | $2,022 | — | — | 0 |
| 11424 | EXC BENIGN LESION EXCISED 3.1CM - 4.0 CM | $3,289 | $1,973 | — | — | 0 |
| 95811 | POLYSOMNOGRAPHY W/CPAP 6 Y/O PLUS | $3,271 | $1,963 | — | — | 0 |
| 95783 | POLYSOMNOGRAPHY LESS THAT 6 Y/O W/CPAP | $3,271 | $1,963 | — | — | 0 |
| 57415 | FACILITY FEE FOREIGN BODY | $3,267 | $1,960 | — | — | 0 |
| 26607 | FAC FEE CLOSED TREATMENT | $3,267 | $1,960 | — | — | 0 |
| 26765 | FAC FEE FRACTURE CARE DI | $3,267 | $1,960 | — | — | 0 |
| 21320 | FAC FEE TREAT NASAL BONE | $3,267 | $1,960 | — | — | 0 |
| 28505 | FAC FEE FRAC CARE GREAT T | $3,241 | $1,945 | — | — | 0 |
| 50220 | NEPHRECTOMY W/PARTIAL URETERECTOMY | $3,200 | $1,920 | — | — | 0 |
| 11404 | EXC LESION 3.1-4.0CM | $3,180 | $1,908 | — | — | 0 |
| 11422 | EXC LESION 1.1 - 2.0CM | $3,180 | $1,908 | — | — | 0 |
| 72156 | MRI C-SPINE W/ W/O CONTRAST | $3,155 | $1,893 | — | — | 0 |
| 70553 | MRI PITUITARY W/WO | $3,088 | $1,853 | — | — | 0 |
| 11423 | EXC BENIGN LESION DIAM 2.1 TO 3.0 CM | $3,087 | $1,852 | — | — | 0 |
| 27781 | CLSD TX PROXIMAL FIB OR SHAFT FX W/MANIP | $3,083 | $1,850 | — | — | 0 |
| 95810 | POLYSOMNOGRAPHY 6 Y/O PLUS | $3,055 | $1,833 | — | — | 0 |
| 95782 | POLYSOMNOGRAPHY LESS THAN 6 Y/O | $3,055 | $1,833 | — | — | 0 |
| 70543 | MRI ORBITS/FACE/NECK W/WO | $3,030 | $1,818 | — | — | 0 |
| 36573 | INSERT PICC (IP STATUS) - 5 Y/O AND OLDE | $2,918 | $1,751 | — | — | 0 |
| 27301 | TREATMENT ROOM I&D HEMATO | $2,918 | $1,751 | — | — | 0 |
| 54324 | RECONSTRUCTION OF URETHRA | $2,850 | $1,710 | — | — | 0 |
| 54700 | I & D EPIDIDYMIS TESTIS SCROTAL SPACE | $2,801 | $1,681 | — | — | 0 |
| 72158 | MRI L-SPINE W/ W/O CONTRAST | $2,777 | $1,666 | — | — | 0 |
| 75635 | CTA COMPLETE AORTA W/ RUNOFFS | $2,650 | $1,590 | — | — | 0 |
| 74175 | CTA ABDOMEN | $2,650 | $1,590 | — | — | 0 |
| 72191 | CTA PELVIS W/WO | $2,650 | $1,590 | — | — | 0 |
Showing top 50 of 1,255 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.