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
15,327
Insurances with rates
6
CPT / HCPCS codes
11,794
Source MRF
Most expensive procedures (gross)
38240
$36,361
HC HEMATOPOIETIC PROGENITOR CELL (HPC) ALLOGENEIC TRANSPLANTATION PER DONOR
Gross
$66,111
J3101
$19,400
tenecteplase 50 mg/10 mL Kit 1 Each Box
Gross
$35,273
24341
$7,926
HC REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA
Gross
$14,410
42182
$6,488
HC REPAIR, LACERATION OF PALATE, OVER 2 CM OR COMPLEX
Gross
$11,797
64831
$5,685
HC SUTURE OF DIGITAL NERVE, HAND OR FOOT, 1 NERVE
Gross
$10,336
J2315
$5,122
naltrexone 380 MG Recon Susp 1 Each Vial
Gross
$9,312
27650
$4,154
HC REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON
Gross
$7,553
J3262
$4,025
tocilizumab 200 mg/10 mL Solution 10 mL Vial
Gross
$7,319
26735
$3,994
HC OPEN TX PHLNG SHFT FX, PROX/MID PHLNX, FGR/THB INCL INTERN FIXATION, EA
Gross
$7,262
37785
$3,968
HC LIGATION DIVISION EXC VARICOSE VEIN CLUSTERS 1 LEG
Gross
$7,214
26540
$3,614
HC REPR COLLAT LIGAMENT METACARP-INTERPHALANGEAL JT
Gross
$6,571
75716
$3,598
HC ANGIO EXTREM BILAT
Gross
$6,543
36555
$3,565
HC INSERT NON-TUNNEL CENTRALLY INSERT CVC, YOUNGER THAN 5 YRS
Gross
$6,482
52005
$3,428
HC CYSTOSCOPY & URETER CATH
Gross
$6,232
81459
$3,413
HC MAYOCOMPLETE SOL TUMOR PNL, ORGAN NEOPLAS, GEN SEQ; DNA ANLYS
Gross
$6,206
88307
$3,309
HC BONE HISTOMORPHOLOGY LEVEL V
Gross
$6,017
36557
$3,309
HC INSERT TUNNEL CENTRALLY INSERT CVC, W/O SUBCUT PORT/PUMP, YNGR THAN 5YRS
Gross
$6,016
26756
$3,303
HC PERCUTANEOUS SKELETAL FIXATION DISTAL PHALANGEAL FX, FINGER/THUMB, EA
Gross
$6,006
75710
$3,285
HC ANGIOGRAPY, EXTREMITY, UNILAT
Gross
$5,972
38241
$3,273
HC HEMATOPOIETIC PROGENITOR CELL (HPC), AUTOLOGOUS TRANSPLANTATION
Gross
$5,950
74178
$3,260
HC CT, ABD AND PELVIS, W/O CONTRAST IN ONE/BOTH BODY REGIONS, F/B CONTRAST
Gross
$5,928
J1451
$3,260
fomepizole 1 gm/mL Solution 1.5 mL Vial
Gross
$5,928
11971
$3,178
HC REMOVE TISSUE EXPANDER(S) W/O INSERTION OF IMPLANT
Gross
$5,779
27086
$3,148
HC REMOVAL OF FOREIGN BODY, PELVIS OR HIP; SUBCUTANEOUS TISSUE
Gross
$5,724
27372
$3,148
HC REMOVAL OF FOREIGN BODY, DEEP, THIGH REGION OR KNEE AREA
Gross
$5,724
45307
$3,111
HC PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF FOREIGN BODY
Gross
$5,656
46040
$3,101
HC INC & DRN RECTAL ABSCESS
Gross
$5,638
26591
$3,078
HC REPAIR, INTRINSIC MUSCLES OF HAND, EACH MUSCLE
Gross
$5,597
81457
$3,011
HC MAYOCOMPLETE SARCOMA PANEL,DNA ANLYS, MICROSATELLITE INSTABILITY
Gross
$5,475
23605
$3,001
HC CLSD TX PROXIMAL HUMERAL FX W MANIPULATION
Gross
$5,457
81443
$2,946
HC HLH GENE MUTAT, GENE TST SEVERE INHER COND, GENOM SEQ ANLY PNL, 15 GENES
Gross
$5,357
47532
$2,935
HC INJ FOR CHOLANGIOGRAPHY, PERC, INCL IMAGE GUID, NEW ACCESS
Gross
$5,337
78452
$2,814
HC MYOCARDIAL PERFUS IMG, TOMOGRAPH (SPECT), MULT STUDIES AT REST &/STRESS
Gross
$5,116
J1573
$2,700
hepatitis B immune globulin Solution 5 mL Vial
Gross
$4,910
36558
$2,689
HC INSERT TUNNELED CVC WO SUBQ PORT PUMP
Gross
$4,889
C8930
$2,663
HC TTE W/ CONTR, OR W/O CONTR F/B CONTR, 2D, COMPL,DURING REST-CARDVASC STR
Gross
$4,841
81277
$2,589
HC CHROMOSOMAL MICROARRAY, TUMOR, CYTOGENOMIC NEOPLASIA ANLYS
Gross
$4,708
51102
$2,558
HC ASPIRATION OF BLADDER, WITH INSERTION OF SUPRAPUBIC CATH
Gross
$4,651
0037U
$2,493
HC FOUNDATIONONE CDX, TARG GEN SEQ ANLY, DNA 324 GENES
Gross
$4,534
74177
$2,396
HC CT, ABDOMEN AND PELVIS, WITH CONTRAST
Gross
$4,357
78451
$2,384
HC MYOCARDIAL PERFUS IMG, TOMOGRAPH (SPECT), SGL STUDY AT REST/STRESS
Gross
$4,335
72127
$2,372
HC CT, CERVICAL SPINE, W/O CONTRAST, FOLLOW BY CONTRAST AND FURTHER SECT
Gross
$4,313
14040
$2,341
HC ADJCNT TIS TRNSFR/REARR, FOREHD FACE NECK AX GENIT HND/FT, 10 SQ CM/LESS
Gross
$4,256
31238
$2,261
HC NASAL/SINUS ENDOSCOPY, SURGICAL, WITH CONTROL OF NASAL HEMORRHAGE
Gross
$4,111
52281
$2,226
HC CYSTO CALIBRATN DILAT URETHRAL STRICT STENOSIS
Gross
$4,048
27752
$2,190
HC CLSD TX TIBIA SHAFT FX W WO FIBULA FX W MANIP
Gross
$3,982
52310
$2,186
HC CYSTO W REM FOREIGN BODY STONE STENT SIMPLE
Gross
$3,975
26951
$2,186
HC AMPUT, FGR/THUMB, PRIM/SECOND, ANY JT,SGL,INCL NEURECTOM,W/ DIR CLOS
Gross
$3,974
26418
$2,186
HC REPAIR, EXTENSOR TENDON, FINGER, PRIM/SECOND, W/O FREE GRAFT, EA TENDON
Gross
$3,974
36556
$2,165
HC INSERT NON-TUNNEL CENTRALLY INSERT CVC, AGE 5 YRS OR OLDER
Gross
$3,936
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 38240 | HC HEMATOPOIETIC PROGENITOR CELL (HPC) ALLOGENEIC TRANSPLANTATION PER DONOR | $66,111 | $36,361 | — | — | 36 |
| J3101 | tenecteplase 50 mg/10 mL Kit 1 Each Box | $35,273 | $19,400 | — | — | 9 |
| 24341 | HC REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA | $14,410 | $7,926 | — | — | 36 |
| 42182 | HC REPAIR, LACERATION OF PALATE, OVER 2 CM OR COMPLEX | $11,797 | $6,488 | — | — | 36 |
| 64831 | HC SUTURE OF DIGITAL NERVE, HAND OR FOOT, 1 NERVE | $10,336 | $5,685 | — | — | 35 |
| J2315 | naltrexone 380 MG Recon Susp 1 Each Vial | $9,312 | $5,122 | — | — | 9 |
| 27650 | HC REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON | $7,553 | $4,154 | — | — | 36 |
| J3262 | tocilizumab 200 mg/10 mL Solution 10 mL Vial | $7,319 | $4,025 | — | — | 9 |
| 26735 | HC OPEN TX PHLNG SHFT FX, PROX/MID PHLNX, FGR/THB INCL INTERN FIXATION, EA | $7,262 | $3,994 | — | — | 36 |
| 37785 | HC LIGATION DIVISION EXC VARICOSE VEIN CLUSTERS 1 LEG | $7,214 | $3,968 | — | — | 36 |
| 26540 | HC REPR COLLAT LIGAMENT METACARP-INTERPHALANGEAL JT | $6,571 | $3,614 | — | — | 35 |
| 75716 | HC ANGIO EXTREM BILAT | $6,543 | $3,598 | — | — | 35 |
| 36555 | HC INSERT NON-TUNNEL CENTRALLY INSERT CVC, YOUNGER THAN 5 YRS | $6,482 | $3,565 | — | — | 36 |
| 52005 | HC CYSTOSCOPY & URETER CATH | $6,232 | $3,428 | — | — | 36 |
| 81459 | HC MAYOCOMPLETE SOL TUMOR PNL, ORGAN NEOPLAS, GEN SEQ; DNA ANLYS | $6,206 | $3,413 | — | — | 36 |
| 88307 | HC BONE HISTOMORPHOLOGY LEVEL V | $6,017 | $3,309 | — | — | 36 |
| 36557 | HC INSERT TUNNEL CENTRALLY INSERT CVC, W/O SUBCUT PORT/PUMP, YNGR THAN 5YRS | $6,016 | $3,309 | — | — | 36 |
| 26756 | HC PERCUTANEOUS SKELETAL FIXATION DISTAL PHALANGEAL FX, FINGER/THUMB, EA | $6,006 | $3,303 | — | — | 36 |
| 75710 | HC ANGIOGRAPY, EXTREMITY, UNILAT | $5,972 | $3,285 | — | — | 36 |
| 38241 | HC HEMATOPOIETIC PROGENITOR CELL (HPC), AUTOLOGOUS TRANSPLANTATION | $5,950 | $3,273 | — | — | 36 |
| 74178 | HC CT, ABD AND PELVIS, W/O CONTRAST IN ONE/BOTH BODY REGIONS, F/B CONTRAST | $5,928 | $3,260 | — | — | 36 |
| J1451 | fomepizole 1 gm/mL Solution 1.5 mL Vial | $5,928 | $3,260 | — | — | 9 |
| 11971 | HC REMOVE TISSUE EXPANDER(S) W/O INSERTION OF IMPLANT | $5,779 | $3,178 | — | — | 36 |
| 27086 | HC REMOVAL OF FOREIGN BODY, PELVIS OR HIP; SUBCUTANEOUS TISSUE | $5,724 | $3,148 | — | — | 36 |
| 27372 | HC REMOVAL OF FOREIGN BODY, DEEP, THIGH REGION OR KNEE AREA | $5,724 | $3,148 | — | — | 36 |
| 45307 | HC PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF FOREIGN BODY | $5,656 | $3,111 | — | — | 36 |
| 46040 | HC INC & DRN RECTAL ABSCESS | $5,638 | $3,101 | — | — | 36 |
| 26591 | HC REPAIR, INTRINSIC MUSCLES OF HAND, EACH MUSCLE | $5,597 | $3,078 | — | — | 36 |
| 81457 | HC MAYOCOMPLETE SARCOMA PANEL,DNA ANLYS, MICROSATELLITE INSTABILITY | $5,475 | $3,011 | — | — | 36 |
| 23605 | HC CLSD TX PROXIMAL HUMERAL FX W MANIPULATION | $5,457 | $3,001 | — | — | 9 |
| 81443 | HC HLH GENE MUTAT, GENE TST SEVERE INHER COND, GENOM SEQ ANLY PNL, 15 GENES | $5,357 | $2,946 | — | — | 36 |
| 47532 | HC INJ FOR CHOLANGIOGRAPHY, PERC, INCL IMAGE GUID, NEW ACCESS | $5,337 | $2,935 | — | — | 36 |
| 78452 | HC MYOCARDIAL PERFUS IMG, TOMOGRAPH (SPECT), MULT STUDIES AT REST &/STRESS | $5,116 | $2,814 | — | — | 18 |
| J1573 | hepatitis B immune globulin Solution 5 mL Vial | $4,910 | $2,700 | — | — | 9 |
| 36558 | HC INSERT TUNNELED CVC WO SUBQ PORT PUMP | $4,889 | $2,689 | — | — | 36 |
| C8930 | HC TTE W/ CONTR, OR W/O CONTR F/B CONTR, 2D, COMPL,DURING REST-CARDVASC STR | $4,841 | $2,663 | — | — | 9 |
| 81277 | HC CHROMOSOMAL MICROARRAY, TUMOR, CYTOGENOMIC NEOPLASIA ANLYS | $4,708 | $2,589 | — | — | 36 |
| 51102 | HC ASPIRATION OF BLADDER, WITH INSERTION OF SUPRAPUBIC CATH | $4,651 | $2,558 | — | — | 36 |
| 0037U | HC FOUNDATIONONE CDX, TARG GEN SEQ ANLY, DNA 324 GENES | $4,534 | $2,493 | — | — | 36 |
| 74177 | HC CT, ABDOMEN AND PELVIS, WITH CONTRAST | $4,357 | $2,396 | — | — | 36 |
| 78451 | HC MYOCARDIAL PERFUS IMG, TOMOGRAPH (SPECT), SGL STUDY AT REST/STRESS | $4,335 | $2,384 | — | — | 18 |
| 72127 | HC CT, CERVICAL SPINE, W/O CONTRAST, FOLLOW BY CONTRAST AND FURTHER SECT | $4,313 | $2,372 | — | — | 36 |
| 14040 | HC ADJCNT TIS TRNSFR/REARR, FOREHD FACE NECK AX GENIT HND/FT, 10 SQ CM/LESS | $4,256 | $2,341 | — | — | 36 |
| 31238 | HC NASAL/SINUS ENDOSCOPY, SURGICAL, WITH CONTROL OF NASAL HEMORRHAGE | $4,111 | $2,261 | — | — | 36 |
| 52281 | HC CYSTO CALIBRATN DILAT URETHRAL STRICT STENOSIS | $4,048 | $2,226 | — | — | 36 |
| 27752 | HC CLSD TX TIBIA SHAFT FX W WO FIBULA FX W MANIP | $3,982 | $2,190 | — | — | 36 |
| 52310 | HC CYSTO W REM FOREIGN BODY STONE STENT SIMPLE | $3,975 | $2,186 | — | — | 36 |
| 26951 | HC AMPUT, FGR/THUMB, PRIM/SECOND, ANY JT,SGL,INCL NEURECTOM,W/ DIR CLOS | $3,974 | $2,186 | — | — | 36 |
| 26418 | HC REPAIR, EXTENSOR TENDON, FINGER, PRIM/SECOND, W/O FREE GRAFT, EA TENDON | $3,974 | $2,186 | — | — | 36 |
| 36556 | HC INSERT NON-TUNNEL CENTRALLY INSERT CVC, AGE 5 YRS OR OLDER | $3,936 | $2,165 | — | — | 36 |
Showing top 50 of 15,327 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.