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
2,359
Insurances with rates
13
CPT / HCPCS codes
900
Source MRF
Most expensive procedures (gross)
278000034
$18,688
CATHETER,IMPELLA CP CARDIAC ASSIST 0048-0003
Gross
$81,250
0238T
$52,542
HC TLPA ILIAC ARTY EA VSSL
Gross
$68,236
0236T
$33,182
HC TLPA ABD AORTA
Gross
$43,094
0237T
$33,182
HC TLPA BRCP EA VSSL
Gross
$43,094
750000157
$17,046
HC ERCP W >2 PROC
Gross
$22,138
22515
$15,676
HC VRTPLSTY AUGMENT LUMB/THOR ADD
Gross
$20,359
750000156
$14,611
HC ERCP W 2 PROC
Gross
$18,975
750000143
$12,176
HC ERCP W 1 PROC
Gross
$15,813
750000160
$9,741
HC ERCP DIAGNOSTIC
Gross
$12,650
750000248
$8,499
HC SB ENTEROSCOPY W >2 PROC
Gross
$11,038
15274
$8,034
HC AP SK GRT/A/L >=100C EA+100 HC
Gross
$10,434
750000274
$7,285
HC SB ENTEROSCOPY W 2 PROC
Gross
$9,461
750000394
$7,285
HC ESOPHAGOSCOPY W 2 PROC
Gross
$9,461
22512
$7,120
HC VRTPLSTY LUMB/THOR ADD
Gross
$9,247
750000176
$6,371
HC EUS W 2 PROC
Gross
$8,274
750000136
$6,071
HC SB ENTEROSCOPY W 1 PROC
Gross
$7,884
750000170
$6,071
HC ESOPHAGOSCOPY W 1 PROC
Gross
$7,884
750000172
$6,071
HC EUS W 1 PROC
Gross
$7,884
200000001
$5,672
HC ICU ROOM
Gross
$7,366
812000001
$5,271
HC CORE TISSUE RECOVERY-FLAT FEE
Gross
$6,845
206000003
$5,109
HC ICU STEPDOWN
Gross
$6,635
750000089
$4,856
HC DIL OF ESOPHAGUS
Gross
$6,307
750000090
$4,856
HC DIL ESOPH W GWIRE
Gross
$6,307
750000135
$4,856
HC SB ENTEROSCOPY DIAGNOSTIC
Gross
$6,307
750000313
$4,856
HC ESOPHAGOSCOPY DIAGNOSTIC
Gross
$6,307
11047
$4,741
HC DEBRIDE BONE EA ADD 20 SQ CM
Gross
$6,157
19281
$4,741
HC PERC DEVICE BREAST 1ST
Gross
$6,157
0053U
$1,401
CHG ONC PRST8 CA FISH ALYS 4 GENES NDL BX SPEC ALG
Gross
$6,090
360000076
$4,281
HC IP SURGERY 1ST 30 MIN
Gross
$5,560
360000078
$4,281
HC OP SURGERY 1ST 30 MIN
Gross
$5,560
750000095
$4,201
HC EGD W >2 PROC
Gross
$5,456
750000055
$4,085
HC COLONOSCOPY W >2 PROC
Gross
$5,305
750000258
$4,085
HC SIGMOIDOSCOPY W >2 PROC
Gross
$5,305
750000398
$4,085
HC PROCTOSIGMOID W >2 PROC
Gross
$5,305
15272
$4,015
HC AP SK GRT/A/L <100CM EA+25 HC
Gross
$5,214
15276
$4,015
HC SKIN GRAFT EA ADD 25SQCM WND<100
Gross
$5,214
750000093
$3,601
HC EGD W 2 PROC
Gross
$4,676
750000383
$3,601
HC ILEOSCOPY W 2 PROC
Gross
$4,676
19082
$3,556
HC BX BREAST ADD LESION STEREOTACTIC
Gross
$4,618
19084
$3,556
HC US BX BRST EA ADD
Gross
$4,618
19282
$3,556
HC PERC DEV PLC BRST LOC EA LES W GUID
Gross
$4,618
750000059
$3,501
HC COLONOSCOPY W 2 PROC
Gross
$4,547
750000262
$3,501
HC SIGMOIDOSCOPY W 2 PROC
Gross
$4,547
750000397
$3,501
HC PROCTOSIGMOID W 2 PROC
Gross
$4,547
684000001
$3,267
HC LEVEL 4 TRAUMA WO HOSP CRITIC
Gross
$4,243
20501
$3,251
HC INJ SINUS TRACT DX
Gross
$4,222
750000096
$3,001
HC EGD W 1 PROC
Gross
$3,897
750000216
$3,001
HC ILEOSCOPY W 1 PROC
Gross
$3,897
110000004
$2,987
HC MED SURG PRIVATE W/ TELE
Gross
$3,879
120000004
$2,987
HC MED SURG SEMI-PRIV W/ TELE
Gross
$3,879
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 278000034 | CATHETER,IMPELLA CP CARDIAC ASSIST 0048-0003 | $81,250 | $18,688 | — | — | 0 |
| 0238T | HC TLPA ILIAC ARTY EA VSSL | $68,236 | $52,542 | — | — | 50 |
| 0236T | HC TLPA ABD AORTA | $43,094 | $33,182 | — | — | 72 |
| 0237T | HC TLPA BRCP EA VSSL | $43,094 | $33,182 | — | — | 72 |
| 750000157 | HC ERCP W >2 PROC | $22,138 | $17,046 | — | — | 0 |
| 22515 | HC VRTPLSTY AUGMENT LUMB/THOR ADD | $20,359 | $15,676 | — | — | 52 |
| 750000156 | HC ERCP W 2 PROC | $18,975 | $14,611 | — | — | 0 |
| 750000143 | HC ERCP W 1 PROC | $15,813 | $12,176 | — | — | 0 |
| 750000160 | HC ERCP DIAGNOSTIC | $12,650 | $9,741 | — | — | 0 |
| 750000248 | HC SB ENTEROSCOPY W >2 PROC | $11,038 | $8,499 | — | — | 0 |
| 15274 | HC AP SK GRT/A/L >=100C EA+100 HC | $10,434 | $8,034 | — | — | 52 |
| 750000274 | HC SB ENTEROSCOPY W 2 PROC | $9,461 | $7,285 | — | — | 0 |
| 750000394 | HC ESOPHAGOSCOPY W 2 PROC | $9,461 | $7,285 | — | — | 0 |
| 22512 | HC VRTPLSTY LUMB/THOR ADD | $9,247 | $7,120 | — | — | 52 |
| 750000176 | HC EUS W 2 PROC | $8,274 | $6,371 | — | — | 0 |
| 750000136 | HC SB ENTEROSCOPY W 1 PROC | $7,884 | $6,071 | — | — | 0 |
| 750000170 | HC ESOPHAGOSCOPY W 1 PROC | $7,884 | $6,071 | — | — | 0 |
| 750000172 | HC EUS W 1 PROC | $7,884 | $6,071 | — | — | 0 |
| 200000001 | HC ICU ROOM | $7,366 | $5,672 | — | — | 0 |
| 812000001 | HC CORE TISSUE RECOVERY-FLAT FEE | $6,845 | $5,271 | — | — | 0 |
| 206000003 | HC ICU STEPDOWN | $6,635 | $5,109 | — | — | 0 |
| 750000089 | HC DIL OF ESOPHAGUS | $6,307 | $4,856 | — | — | 0 |
| 750000090 | HC DIL ESOPH W GWIRE | $6,307 | $4,856 | — | — | 0 |
| 750000135 | HC SB ENTEROSCOPY DIAGNOSTIC | $6,307 | $4,856 | — | — | 0 |
| 750000313 | HC ESOPHAGOSCOPY DIAGNOSTIC | $6,307 | $4,856 | — | — | 0 |
| 11047 | HC DEBRIDE BONE EA ADD 20 SQ CM | $6,157 | $4,741 | — | — | 52 |
| 19281 | HC PERC DEVICE BREAST 1ST | $6,157 | $4,741 | — | — | 98 |
| 0053U | CHG ONC PRST8 CA FISH ALYS 4 GENES NDL BX SPEC ALG | $6,090 | $1,401 | — | — | 2 |
| 360000076 | HC IP SURGERY 1ST 30 MIN | $5,560 | $4,281 | — | — | 0 |
| 360000078 | HC OP SURGERY 1ST 30 MIN | $5,560 | $4,281 | — | — | 0 |
| 750000095 | HC EGD W >2 PROC | $5,456 | $4,201 | — | — | 0 |
| 750000055 | HC COLONOSCOPY W >2 PROC | $5,305 | $4,085 | — | — | 0 |
| 750000258 | HC SIGMOIDOSCOPY W >2 PROC | $5,305 | $4,085 | — | — | 0 |
| 750000398 | HC PROCTOSIGMOID W >2 PROC | $5,305 | $4,085 | — | — | 0 |
| 15272 | HC AP SK GRT/A/L <100CM EA+25 HC | $5,214 | $4,015 | — | — | 52 |
| 15276 | HC SKIN GRAFT EA ADD 25SQCM WND<100 | $5,214 | $4,015 | — | — | 52 |
| 750000093 | HC EGD W 2 PROC | $4,676 | $3,601 | — | — | 0 |
| 750000383 | HC ILEOSCOPY W 2 PROC | $4,676 | $3,601 | — | — | 0 |
| 19082 | HC BX BREAST ADD LESION STEREOTACTIC | $4,618 | $3,556 | — | — | 62 |
| 19084 | HC US BX BRST EA ADD | $4,618 | $3,556 | — | — | 62 |
| 19282 | HC PERC DEV PLC BRST LOC EA LES W GUID | $4,618 | $3,556 | — | — | 62 |
| 750000059 | HC COLONOSCOPY W 2 PROC | $4,547 | $3,501 | — | — | 0 |
| 750000262 | HC SIGMOIDOSCOPY W 2 PROC | $4,547 | $3,501 | — | — | 0 |
| 750000397 | HC PROCTOSIGMOID W 2 PROC | $4,547 | $3,501 | — | — | 0 |
| 684000001 | HC LEVEL 4 TRAUMA WO HOSP CRITIC | $4,243 | $3,267 | — | — | 0 |
| 20501 | HC INJ SINUS TRACT DX | $4,222 | $3,251 | — | — | 62 |
| 750000096 | HC EGD W 1 PROC | $3,897 | $3,001 | — | — | 0 |
| 750000216 | HC ILEOSCOPY W 1 PROC | $3,897 | $3,001 | — | — | 0 |
| 110000004 | HC MED SURG PRIVATE W/ TELE | $3,879 | $2,987 | — | — | 0 |
| 120000004 | HC MED SURG SEMI-PRIV W/ TELE | $3,879 | $2,987 | — | — | 0 |
Showing top 50 of 2,359 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.