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
1,102
Insurances with rates
7
CPT / HCPCS codes
1,097
Source MRF
Most expensive procedures (gross)
15920
$1,127
EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR
Gross
$1,409
43030
$930
CRICOPHARYNGEAL MYOTOMY
Gross
$1,162
26607
$872
CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1
Gross
$1,090
12057
$767
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM
Gross
$958
95819
$764
EEG W/REC AWAKE&ASLEEP
Gross
$954
26675
$754
Treat hand dislocation
Gross
$943
27265
$728
CLTX POST HIP ARTHRP DISLC W/O ANES
Gross
$910
23655
$727
CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES
Gross
$908
26080
$706
ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA
Gross
$883
44378
$693
Small bowel endoscopy
Gross
$866
59409
$674
OBSTETRICAL CARE
Gross
$842
12037
$595
Intmd rpr s/tr/ext >30.0 cm
Gross
$744
26070
$576
Arthrotomy, with exploration, drainage, or removal
Gross
$720
12046
$567
RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM
Gross
$709
74177
$551
Ct abd & pelv w/contrast
Gross
$688
13132
$550
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM
Gross
$688
69610
$514
TYMPANIC MEMB RPR +-SIT PREPJ PRF8J PATCH
Gross
$643
200
$514
Intensive Care Unit
Gross
$642
12036
$509
Intmd rpr s/a/t/ext 20.1-30
Gross
$636
11010
$497
DBRDMT W/RMVL FM FX&/DISLC SKN&SUBQ TISS
Gross
$621
88120
$490
Cytp urne 3-5 probes ea spec
Gross
$613
12045
$484
Intmd rpr n-hf/genit12.6-20
Gross
$606
13121
$468
Repair, complex, scalp, arms, and/or legs; 2.6 cm
Gross
$585
110
$450
Room and Board Private (one bed) General
Gross
$562
92961
$448
Cardioversion electric int
Gross
$560
13101
$446
Cmplx rpr trunk 2.6-7.5 cm
Gross
$557
13131
$440
Cmplx rpr f/c/c/m/n/ax/g/h/f
Gross
$549
12035
$433
REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM
Gross
$542
120
$428
Room and Board Semi-private (two beds) General
Gross
$535
13120
$417
REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM
Gross
$521
15277
$412
Application of skin substitute graft to face, scal
Gross
$515
11044
$410
DBRDMT BONE M&/F 20 SQ CM/<
Gross
$512
72193
$407
Ct pelvis w/dye
Gross
$509
12054
$396
REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM
Gross
$496
88121
$393
CYTP URINE 3-5 PROBES CMPTR
Gross
$491
99291
$392
Critical care, evaluation and management of the cr
Gross
$490
99345
$391
Home visit for the evaluation and management of a
Gross
$489
12053
$387
Repair, intermediate, wounds of face, ears, eyelid
Gross
$484
12044
$385
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM
Gross
$481
74280
$373
Contrast x-ray exam of colon
Gross
$466
12034
$369
Intmd rpr s/tr/ext 7.6-12.5
Gross
$461
A0429
$368
BLS-emergency
Gross
$461
113
$364
Room and Board Private (one bed) Pediatric
Gross
$455
30310
$362
REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES
Gross
$453
43246
$362
Egd place gastrostomy tube
Gross
$453
12052
$358
Intmd rpr face/mm 2.6-5.0 cm
Gross
$448
12042
$352
Intmd rpr n-hf/genit2.6-7.5
Gross
$440
123
$342
Room and Board Semi-private (two beds) Pediatric
Gross
$428
43250
$341
UPR GI NDSC RMVL LES HOT BX/BIPOLAR CAUT
Gross
$427
12032
$341
Intmd rpr s/a/t/ext 2.6-7.5
Gross
$426
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 15920 | EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR | $1,409 | $1,127 | — | — | 5 |
| 43030 | CRICOPHARYNGEAL MYOTOMY | $1,162 | $930 | — | — | 5 |
| 26607 | CLTX MTCRPL FX W/MNPJ W/XTRNL FIXJ EA B1 | $1,090 | $872 | — | — | 3 |
| 12057 | REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM | $958 | $767 | — | — | 5 |
| 95819 | EEG W/REC AWAKE&ASLEEP | $954 | $764 | — | — | 4 |
| 26675 | Treat hand dislocation | $943 | $754 | — | — | 5 |
| 27265 | CLTX POST HIP ARTHRP DISLC W/O ANES | $910 | $728 | — | — | 5 |
| 23655 | CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES | $908 | $727 | — | — | 5 |
| 26080 | ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA | $883 | $706 | — | — | 5 |
| 44378 | Small bowel endoscopy | $866 | $693 | — | — | 5 |
| 59409 | OBSTETRICAL CARE | $842 | $674 | — | — | 3 |
| 12037 | Intmd rpr s/tr/ext >30.0 cm | $744 | $595 | — | — | 4 |
| 26070 | Arthrotomy, with exploration, drainage, or removal | $720 | $576 | — | — | 5 |
| 12046 | RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM | $709 | $567 | — | — | 3 |
| 74177 | Ct abd & pelv w/contrast | $688 | $551 | — | — | 5 |
| 13132 | REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM | $688 | $550 | — | — | 5 |
| 69610 | TYMPANIC MEMB RPR +-SIT PREPJ PRF8J PATCH | $643 | $514 | — | — | 5 |
| 200 | Intensive Care Unit | $642 | $514 | — | — | 4 |
| 12036 | Intmd rpr s/a/t/ext 20.1-30 | $636 | $509 | — | — | 5 |
| 11010 | DBRDMT W/RMVL FM FX&/DISLC SKN&SUBQ TISS | $621 | $497 | — | — | 3 |
| 88120 | Cytp urne 3-5 probes ea spec | $613 | $490 | — | — | 4 |
| 12045 | Intmd rpr n-hf/genit12.6-20 | $606 | $484 | — | — | 5 |
| 13121 | Repair, complex, scalp, arms, and/or legs; 2.6 cm | $585 | $468 | — | — | 5 |
| 110 | Room and Board Private (one bed) General | $562 | $450 | — | — | 4 |
| 92961 | Cardioversion electric int | $560 | $448 | — | — | 4 |
| 13101 | Cmplx rpr trunk 2.6-7.5 cm | $557 | $446 | — | — | 5 |
| 13131 | Cmplx rpr f/c/c/m/n/ax/g/h/f | $549 | $440 | — | — | 5 |
| 12035 | REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM | $542 | $433 | — | — | 5 |
| 120 | Room and Board Semi-private (two beds) General | $535 | $428 | — | — | 4 |
| 13120 | REPAIR COMPLEX SCALP/ARM/LEG 1.1 CM-2.5 CM | $521 | $417 | — | — | 5 |
| 15277 | Application of skin substitute graft to face, scal | $515 | $412 | — | — | 5 |
| 11044 | DBRDMT BONE M&/F 20 SQ CM/< | $512 | $410 | — | — | 5 |
| 72193 | Ct pelvis w/dye | $509 | $407 | — | — | 5 |
| 12054 | REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM | $496 | $396 | — | — | 5 |
| 88121 | CYTP URINE 3-5 PROBES CMPTR | $491 | $393 | — | — | 3 |
| 99291 | Critical care, evaluation and management of the cr | $490 | $392 | — | — | 4 |
| 99345 | Home visit for the evaluation and management of a | $489 | $391 | — | — | 5 |
| 12053 | Repair, intermediate, wounds of face, ears, eyelid | $484 | $387 | — | — | 5 |
| 12044 | REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM | $481 | $385 | — | — | 5 |
| 74280 | Contrast x-ray exam of colon | $466 | $373 | — | — | 7 |
| 12034 | Intmd rpr s/tr/ext 7.6-12.5 | $461 | $369 | — | — | 5 |
| A0429 | BLS-emergency | $461 | $368 | — | — | 0 |
| 113 | Room and Board Private (one bed) Pediatric | $455 | $364 | — | — | 4 |
| 30310 | REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES | $453 | $362 | — | — | 5 |
| 43246 | Egd place gastrostomy tube | $453 | $362 | — | — | 5 |
| 12052 | Intmd rpr face/mm 2.6-5.0 cm | $448 | $358 | — | — | 5 |
| 12042 | Intmd rpr n-hf/genit2.6-7.5 | $440 | $352 | — | — | 5 |
| 123 | Room and Board Semi-private (two beds) Pediatric | $428 | $342 | — | — | 4 |
| 43250 | UPR GI NDSC RMVL LES HOT BX/BIPOLAR CAUT | $427 | $341 | — | — | 5 |
| 12032 | Intmd rpr s/a/t/ext 2.6-7.5 | $426 | $341 | — | — | 5 |
Showing top 50 of 1,102 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.