45 CFR § 180 compliance
F · 50
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
5,093
Insurances with rates
0
CPT / HCPCS codes
1,248
Source MRF
Most expensive procedures (gross)
0275C1785
—
Pacemaker Dual Chamber
Gross
$15,627
0275C1786
—
Pacemaker Single Chamber
Gross
$15,627
2505
—
Neulasta
Gross
$10,411
76115120
—
Split thickness autograft, F/H/Ft 1st 100sqcm
Gross
$9,524
76110180
—
I & D Post-op Infection
Gross
$8,188
500198
—
Integra Mesh bilayer wound matrix graph
Gross
$7,875
35221
—
35221 RPR BLD VSL DIRECT INTRA-ABDOM
Gross
$7,833
502504
—
AMNIO GRAFT 10.0X5.0
Gross
$7,461
20816
—
20816 PF REPLANTATION DIGIT COMPLET
Gross
$7,138
610013
—
TRILLIANT STERILE SUPPLY(modify per patient)
Gross
$7,056
52137618
—
37618 Ligation Artery
Gross
$6,706
37618
—
37618 LIGATION OF EXTREMITY ARTERY
Gross
$6,706
2998
—
NM Myocard Perf Spect Mult Rest+Stress
Gross
$6,127
45110
—
45110 PF COMP PROCTECTOMY W/COLOST
Gross
$6,089
44202
—
44202 PF Laparoscopy surgical, eterectomy, resection of the small intestine, single
Gross
$5,732
44143
—
44143 PF COLECTOMY PART/W/COLOSTOMY
Gross
$5,702
43631
—
43631 PF GASTRECTOMY PARTIAL DISTAL
Gross
$5,652
44144
—
44144 PF COLECT PART W/RESECTION MUCOFI
Gross
$5,632
1518
—
MRA Chest w/ + w/o Cont
Gross
$5,571
4121
—
MRA Spinal Canal +Contents
Gross
$5,571
58152
—
58152 PF TOTAL HYSTERECTOMY
Gross
$5,567
35207
—
35207 PF REPR BLD VESSEL DIR HAND/FINGE
Gross
$5,394
76115115
—
Epidermal autograft, F/H/Ft 1st 100sqcm
Gross
$5,333
76115110
—
Epidermal autograft, T/A/L 1st 100sqcm
Gross
$5,333
76115100
—
Split thick autograft, trnk/arm/leg 1st 100sqcm
Gross
$5,333
76115002
—
Surgical prep-trunk/arm/leg, 1st 100sqcm
Gross
$5,333
2871
—
CT Abdomen +Pelvis w/ + w/o Cont
Gross
$5,292
58200
—
58200 PF TOTAL HYSTERECTOMY, EXT
Gross
$5,278
1514
—
MRI Breast w/ + w/o Cont Bil
Gross
$5,270
25024
—
25024 DECOMPRESSION FASCIOTOMY, FOREARM AND/OR WRIST, FLEXOR AND EXTENSOR COMPARTMENT; WITHOUT DEBRI
Gross
$5,264
44160
—
44160 PF COLECT W/REM TERMINAL ILEUM
Gross
$5,238
44140
—
44140 PF COLECTOMY PARTIAL W/ANASTOMOSI
Gross
$5,224
43324
—
43324 PF ESOPH. FUNDOPLASTY
Gross
$5,040
44141
—
44141 PF COLECTOMY/CECOSTOMY/COLOST
Gross
$5,000
38724
—
38724 PF CERVICAL LYMPHADENECTOMY
Gross
$4,952
42420
—
42420 PF PAROTIDECTOMY TOTAL
Gross
$4,856
58150
—
58150 PF HYSTERECTOMY - ABDOMINAL
Gross
$4,835
76120225
—
Biopsy of Bone - deep, needle
Gross
$4,766
43860
—
43860 PF REV GASTROJEJUNAL ANASTOMO
Gross
$4,740
76120220
—
Biopsy of Bone - superficial, needle
Gross
$4,737
76111047
—
Debridement Skin-SQ Tis,Msl,Bone, each add'l 20 sq cm
Gross
$4,737
76110140
—
Incision & Drainage of Hematoma
Gross
$4,737
76128001
—
Level 3 I&D Drain Bursa Foot
Gross
$4,737
74177
—
CT Abdomen +Pelvis w/ Cont
Gross
$4,736
3527126074177
—
CT Abdomen +Pelvis w/contrast_x0014__x0014_CT Abdomen + Pelvis w/contrast
Gross
$4,736
4114
—
MRA Head w/ + w/o Cont
Gross
$4,736
4117
—
MRA Neck w/ + w/o Cont
Gross
$4,736
44120
—
44120 PF ENTERECTOMY W/ANASTOMOSIS
Gross
$4,712
58260
—
58260 PF VAGINAL HYSTERECTOMY
Gross
$4,674
47563
—
47563 PF LAP CHOLE/CHOLANGIOGRAPH
Gross
$4,603
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0275C1785 | Pacemaker Dual Chamber | $15,627 | — | — | — | 0 |
| 0275C1786 | Pacemaker Single Chamber | $15,627 | — | — | — | 0 |
| 2505 | Neulasta | $10,411 | — | — | — | 0 |
| 76115120 | Split thickness autograft, F/H/Ft 1st 100sqcm | $9,524 | — | — | — | 0 |
| 76110180 | I & D Post-op Infection | $8,188 | — | — | — | 0 |
| 500198 | Integra Mesh bilayer wound matrix graph | $7,875 | — | — | — | 0 |
| 35221 | 35221 RPR BLD VSL DIRECT INTRA-ABDOM | $7,833 | — | — | — | 0 |
| 502504 | AMNIO GRAFT 10.0X5.0 | $7,461 | — | — | — | 0 |
| 20816 | 20816 PF REPLANTATION DIGIT COMPLET | $7,138 | — | — | — | 0 |
| 610013 | TRILLIANT STERILE SUPPLY(modify per patient) | $7,056 | — | — | — | 0 |
| 52137618 | 37618 Ligation Artery | $6,706 | — | — | — | 0 |
| 37618 | 37618 LIGATION OF EXTREMITY ARTERY | $6,706 | — | — | — | 0 |
| 2998 | NM Myocard Perf Spect Mult Rest+Stress | $6,127 | — | — | — | 0 |
| 45110 | 45110 PF COMP PROCTECTOMY W/COLOST | $6,089 | — | — | — | 0 |
| 44202 | 44202 PF Laparoscopy surgical, eterectomy, resection of the small intestine, single | $5,732 | — | — | — | 0 |
| 44143 | 44143 PF COLECTOMY PART/W/COLOSTOMY | $5,702 | — | — | — | 0 |
| 43631 | 43631 PF GASTRECTOMY PARTIAL DISTAL | $5,652 | — | — | — | 0 |
| 44144 | 44144 PF COLECT PART W/RESECTION MUCOFI | $5,632 | — | — | — | 0 |
| 1518 | MRA Chest w/ + w/o Cont | $5,571 | — | — | — | 0 |
| 4121 | MRA Spinal Canal +Contents | $5,571 | — | — | — | 0 |
| 58152 | 58152 PF TOTAL HYSTERECTOMY | $5,567 | — | — | — | 0 |
| 35207 | 35207 PF REPR BLD VESSEL DIR HAND/FINGE | $5,394 | — | — | — | 0 |
| 76115115 | Epidermal autograft, F/H/Ft 1st 100sqcm | $5,333 | — | — | — | 0 |
| 76115110 | Epidermal autograft, T/A/L 1st 100sqcm | $5,333 | — | — | — | 0 |
| 76115100 | Split thick autograft, trnk/arm/leg 1st 100sqcm | $5,333 | — | — | — | 0 |
| 76115002 | Surgical prep-trunk/arm/leg, 1st 100sqcm | $5,333 | — | — | — | 0 |
| 2871 | CT Abdomen +Pelvis w/ + w/o Cont | $5,292 | — | — | — | 0 |
| 58200 | 58200 PF TOTAL HYSTERECTOMY, EXT | $5,278 | — | — | — | 0 |
| 1514 | MRI Breast w/ + w/o Cont Bil | $5,270 | — | — | — | 0 |
| 25024 | 25024 DECOMPRESSION FASCIOTOMY, FOREARM AND/OR WRIST, FLEXOR AND EXTENSOR COMPARTMENT; WITHOUT DEBRI | $5,264 | — | — | — | 0 |
| 44160 | 44160 PF COLECT W/REM TERMINAL ILEUM | $5,238 | — | — | — | 0 |
| 44140 | 44140 PF COLECTOMY PARTIAL W/ANASTOMOSI | $5,224 | — | — | — | 0 |
| 43324 | 43324 PF ESOPH. FUNDOPLASTY | $5,040 | — | — | — | 0 |
| 44141 | 44141 PF COLECTOMY/CECOSTOMY/COLOST | $5,000 | — | — | — | 0 |
| 38724 | 38724 PF CERVICAL LYMPHADENECTOMY | $4,952 | — | — | — | 0 |
| 42420 | 42420 PF PAROTIDECTOMY TOTAL | $4,856 | — | — | — | 0 |
| 58150 | 58150 PF HYSTERECTOMY - ABDOMINAL | $4,835 | — | — | — | 0 |
| 76120225 | Biopsy of Bone - deep, needle | $4,766 | — | — | — | 0 |
| 43860 | 43860 PF REV GASTROJEJUNAL ANASTOMO | $4,740 | — | — | — | 0 |
| 76120220 | Biopsy of Bone - superficial, needle | $4,737 | — | — | — | 0 |
| 76111047 | Debridement Skin-SQ Tis,Msl,Bone, each add'l 20 sq cm | $4,737 | — | — | — | 0 |
| 76110140 | Incision & Drainage of Hematoma | $4,737 | — | — | — | 0 |
| 76128001 | Level 3 I&D Drain Bursa Foot | $4,737 | — | — | — | 0 |
| 74177 | CT Abdomen +Pelvis w/ Cont | $4,736 | — | — | — | 0 |
| 3527126074177 | CT Abdomen +Pelvis w/contrast_x0014__x0014_CT Abdomen + Pelvis w/contrast | $4,736 | — | — | — | 0 |
| 4114 | MRA Head w/ + w/o Cont | $4,736 | — | — | — | 0 |
| 4117 | MRA Neck w/ + w/o Cont | $4,736 | — | — | — | 0 |
| 44120 | 44120 PF ENTERECTOMY W/ANASTOMOSIS | $4,712 | — | — | — | 0 |
| 58260 | 58260 PF VAGINAL HYSTERECTOMY | $4,674 | — | — | — | 0 |
| 47563 | 47563 PF LAP CHOLE/CHOLANGIOGRAPH | $4,603 | — | — | — | 0 |
Showing top 50 of 5,093 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.