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
6,593
Insurances with rates
11
CPT / HCPCS codes
2
Source MRF
Most expensive procedures (gross)
1701366
$24,618
INJECTION, TENECTEPLASE, 1 MG
Gross
$24,618
600095
$16,052
AMNIOFIX 9X9
Gross
$16,052
600107
$12,960
AMNIOEFFECT 6X8
Gross
$12,960
600099
$12,287
AMNIOFIX 6X10
Gross
$12,287
600088
$9,450
RESTRATA, PER SQUARE CENTIMETER
Gross
$9,450
600087
$7,088
RESTRATA, PER SQUARE CENTIMETER
Gross
$7,088
999865
$6,765
MISC ITEM PERSONNEL
Gross
$6,765
600091
$6,599
AMNIOFIX 4CM X 6CM SHEET
Gross
$6,599
600106
$6,573
AXIOFILL 1000MG
Gross
$6,573
600108
$6,480
AMNIOEFFECT 4X6 CM
Gross
$6,480
600090
$5,987
AMNIOFIX 160 MG MICRONIZED
Gross
$5,987
600086
$5,880
RESTRATA, PER SQUARE CENTIMETER
Gross
$5,880
600096
$5,387
AMINOCORD 3X5CM
Gross
$5,387
600109
$5,385
AMNIOEFFECT 3X5 CM
Gross
$5,385
600103
$5,184
PURAPLY AM, PER SQUARE CENTIMETER
Gross
$5,184
500328
$4,812
OMM STEP LPS PLATE
Gross
$4,812
600085
$4,725
RESTRATA, PER SQUARE CENTIMETER
Gross
$4,725
600102
$4,500
SKIN SUBSTITUTE, SYNTHETIC, RESORBABLE, PER SQUARE CENTIMETER
Gross
$4,500
600092
$4,202
AMNIOFIX 4X4 SHEET
Gross
$4,202
600093
$3,887
AMNIOFIX WRAP 2X4
Gross
$3,887
2300023
$3,793
Vaginal delivery
Gross
$3,793
500240
$3,790
RIGHT LAPIDUS PLATE
Gross
$3,790
4495805
$3,640
Sleep study, multiple trials
Gross
$3,640
4495808
$3,640
Sleep study in sleep lab
Gross
$3,640
4495810
$3,640
Sleep study in sleep lab (6 years or older)
Gross
$3,640
4495811
$3,640
Sleep study in sleep lab with continuous airway pressure (6 years or older)
Gross
$3,640
1200039
$3,557
MRI scan of blood vessels of head before and after contrast
Gross
$3,557
2300105
$3,501
Amputation of finger or thumb with tissue flap
Gross
$3,501
600089
$3,450
AMNIOFILL 500 MG
Gross
$3,450
600084
$3,413
RESTRATA, PER SQUARE CENTIMETER
Gross
$3,413
1200036
$3,328
MRI scan of brain without contrast
Gross
$3,328
600105
$3,285
AXIOFILL 500MG
Gross
$3,285
1200034
$3,101
MRI scan of brain before and after contrast
Gross
$3,101
600111
$3,002
EPIFIX, PER SQUARE CENTIMETER
Gross
$3,002
1200003
$2,977
MRI scan of chest with contrast
Gross
$2,977
2300545
$2,963
Closed treatment of broken lower jaw bone
Gross
$2,963
600104
$2,850
PURAPLY AM, PER SQUARE CENTIMETER
Gross
$2,850
7200427
$2,845
Vaginal delivery
Gross
$2,845
2300107
$2,773
Closed treatment of 3 broken lower leg bones at ankle with manipulation
Gross
$2,773
2300090
$2,736
Closed treatment of broken top of upper arm bone with manipulation
Gross
$2,736
1200075
$2,646
MRI scan of upper spinal canal before and after contrast
Gross
$2,646
7210012
$2,635
Vaginal delivery
Gross
$2,635
1200053
$2,602
MRI scan of middle spinal canal before and after contrast
Gross
$2,602
1200048
$2,591
MRI scan of blood vessels of spinal canal
Gross
$2,591
600098
$2,552
AMNIOCORD 2X3
Gross
$2,552
600115
$2,550
AMNIOEFFECT 2X3
Gross
$2,550
1200056
$2,547
MRI scan of lower spinal canal before and after contrast
Gross
$2,547
1200004
$2,536
MRI scan of chest before and after contrast
Gross
$2,536
1200010
$2,514
MRI scan of abdomen before and after contrast
Gross
$2,514
1200091
$2,503
MRI scan of leg joint before and after contrast
Gross
$2,503
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1701366 | INJECTION, TENECTEPLASE, 1 MG | $24,618 | $24,618 | — | — | 11 |
| 600095 | AMNIOFIX 9X9 | $16,052 | $16,052 | — | — | 11 |
| 600107 | AMNIOEFFECT 6X8 | $12,960 | $12,960 | — | — | 11 |
| 600099 | AMNIOFIX 6X10 | $12,287 | $12,287 | — | — | 11 |
| 600088 | RESTRATA, PER SQUARE CENTIMETER | $9,450 | $9,450 | — | — | 11 |
| 600087 | RESTRATA, PER SQUARE CENTIMETER | $7,088 | $7,088 | — | — | 11 |
| 999865 | MISC ITEM PERSONNEL | $6,765 | $6,765 | — | — | 11 |
| 600091 | AMNIOFIX 4CM X 6CM SHEET | $6,599 | $6,599 | — | — | 11 |
| 600106 | AXIOFILL 1000MG | $6,573 | $6,573 | — | — | 11 |
| 600108 | AMNIOEFFECT 4X6 CM | $6,480 | $6,480 | — | — | 11 |
| 600090 | AMNIOFIX 160 MG MICRONIZED | $5,987 | $5,987 | — | — | 11 |
| 600086 | RESTRATA, PER SQUARE CENTIMETER | $5,880 | $5,880 | — | — | 11 |
| 600096 | AMINOCORD 3X5CM | $5,387 | $5,387 | — | — | 11 |
| 600109 | AMNIOEFFECT 3X5 CM | $5,385 | $5,385 | — | — | 11 |
| 600103 | PURAPLY AM, PER SQUARE CENTIMETER | $5,184 | $5,184 | — | — | 11 |
| 500328 | OMM STEP LPS PLATE | $4,812 | $4,812 | — | — | 11 |
| 600085 | RESTRATA, PER SQUARE CENTIMETER | $4,725 | $4,725 | — | — | 11 |
| 600102 | SKIN SUBSTITUTE, SYNTHETIC, RESORBABLE, PER SQUARE CENTIMETER | $4,500 | $4,500 | — | — | 11 |
| 600092 | AMNIOFIX 4X4 SHEET | $4,202 | $4,202 | — | — | 11 |
| 600093 | AMNIOFIX WRAP 2X4 | $3,887 | $3,887 | — | — | 11 |
| 2300023 | Vaginal delivery | $3,793 | $3,793 | — | — | 11 |
| 500240 | RIGHT LAPIDUS PLATE | $3,790 | $3,790 | — | — | 11 |
| 4495805 | Sleep study, multiple trials | $3,640 | $3,640 | — | — | 11 |
| 4495808 | Sleep study in sleep lab | $3,640 | $3,640 | — | — | 11 |
| 4495810 | Sleep study in sleep lab (6 years or older) | $3,640 | $3,640 | — | — | 11 |
| 4495811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | $3,640 | $3,640 | — | — | 11 |
| 1200039 | MRI scan of blood vessels of head before and after contrast | $3,557 | $3,557 | — | — | 11 |
| 2300105 | Amputation of finger or thumb with tissue flap | $3,501 | $3,501 | — | — | 11 |
| 600089 | AMNIOFILL 500 MG | $3,450 | $3,450 | — | — | 11 |
| 600084 | RESTRATA, PER SQUARE CENTIMETER | $3,413 | $3,413 | — | — | 11 |
| 1200036 | MRI scan of brain without contrast | $3,328 | $3,328 | — | — | 11 |
| 600105 | AXIOFILL 500MG | $3,285 | $3,285 | — | — | 11 |
| 1200034 | MRI scan of brain before and after contrast | $3,101 | $3,101 | — | — | 11 |
| 600111 | EPIFIX, PER SQUARE CENTIMETER | $3,002 | $3,002 | — | — | 11 |
| 1200003 | MRI scan of chest with contrast | $2,977 | $2,977 | — | — | 11 |
| 2300545 | Closed treatment of broken lower jaw bone | $2,963 | $2,963 | — | — | 11 |
| 600104 | PURAPLY AM, PER SQUARE CENTIMETER | $2,850 | $2,850 | — | — | 11 |
| 7200427 | Vaginal delivery | $2,845 | $2,845 | — | — | 9 |
| 2300107 | Closed treatment of 3 broken lower leg bones at ankle with manipulation | $2,773 | $2,773 | — | — | 11 |
| 2300090 | Closed treatment of broken top of upper arm bone with manipulation | $2,736 | $2,736 | — | — | 11 |
| 1200075 | MRI scan of upper spinal canal before and after contrast | $2,646 | $2,646 | — | — | 11 |
| 7210012 | Vaginal delivery | $2,635 | $2,635 | — | — | 9 |
| 1200053 | MRI scan of middle spinal canal before and after contrast | $2,602 | $2,602 | — | — | 11 |
| 1200048 | MRI scan of blood vessels of spinal canal | $2,591 | $2,591 | — | — | 11 |
| 600098 | AMNIOCORD 2X3 | $2,552 | $2,552 | — | — | 11 |
| 600115 | AMNIOEFFECT 2X3 | $2,550 | $2,550 | — | — | 11 |
| 1200056 | MRI scan of lower spinal canal before and after contrast | $2,547 | $2,547 | — | — | 11 |
| 1200004 | MRI scan of chest before and after contrast | $2,536 | $2,536 | — | — | 11 |
| 1200010 | MRI scan of abdomen before and after contrast | $2,514 | $2,514 | — | — | 11 |
| 1200091 | MRI scan of leg joint before and after contrast | $2,503 | $2,503 | — | — | 11 |
Showing top 50 of 6,593 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.