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
2,621
Insurances with rates
0
CPT / HCPCS codes
2,572
Source MRF
Most expensive procedures (gross)
Q2043
—
SIPULEUCEL-T AUTO CD54+
Gross
$408,875
31603
—
TRACHEOSTOMY, EMERGENCY PROCEDURE
Gross
$41,201
J2505
—
PEGFILGRASTIM 6MG INJ
Gross
$39,003
J2993
—
RETEPLASE 10U
Gross
$28,774
44799
—
UNLISTED PROCEDURE INTESTINE
Gross
$23,157
49999
—
UNLISTED PROCEDURE ABDOMEN
Gross
$23,157
20999
—
MUSCULOSKELETAL SURGERY - UNLISTED
Gross
$19,441
32110
—
THORACOTOMY for trauma
Gross
$18,552
43775
—
LONGITUDINAL GASTRECTOMY
Gross
$15,996
43771
—
Laparoscopy; revision of adjustable gastric device
Gross
$15,944
36561
—
INSRT TUNNELED CV CATH W PORT
Gross
$15,667
J1162
—
DIGOXIN IMMUNE 38MG INJ
Gross
$15,517
74177
—
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL
Gross
$14,401
26356
—
REPAIR FLEXOR TENDON W/O FREE GRAFT
Gross
$13,817
32550
—
INSERT PLEURAL CATH
Gross
$13,504
72120
—
RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS
Gross
$13,053
15260
—
SKIN FULL GRAFT EEN & LIPS; 20 CM OR LESS
Gross
$12,926
74178
—
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE
Gross
$12,555
74176
—
CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL
Gross
$12,476
72158
—
MRI L-SPINE W&WO CONT
Gross
$12,204
27222
—
TREAT HIP SOCKET FRACTURE W/ MANIP
Gross
$12,162
27240
—
CLOSED TX INTROCHANTERIC, PERITROCHANTERIC, OR SUBTROCHANTERIC FEM FX W/ MANIP
Gross
$12,104
21453
—
TREAT LOWER JAW FRACTURE W/ WIRING
Gross
$11,929
32124
—
THORACOTOMY WITH OPEN INTRAPLEURAL PNEUMONOLYSIS
Gross
$11,808
49452
—
Replacement of gastro-jejunostomy tube
Gross
$11,710
22315
—
CLOSED TX VERT FX W/MANJ
Gross
$11,190
J9050
—
Carmustine injection
Gross
$10,887
35226
—
REPAIR BLOOD VESSEL LESION, LOWER EXTREMITY
Gross
$10,836
21345
—
CLOSED TX NOSE/JAW FX WITH FIXATION
Gross
$10,773
64836
—
REPAIR OF HAND OR FOOT NERVE
Gross
$10,492
21421
—
CLOSED TX PALATAL OR MAXILLARY FX
Gross
$10,474
99471
—
PED CRITICAL CARE INITIAL
Gross
$10,472
21110
—
INTERDENTAL FIXATION
Gross
$10,390
59409
—
VAGINAL DELIVERY
Gross
$10,384
74174
—
CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG
Gross
$10,369
70553
—
MRI IAC W&WO CONT 70553
Gross
$10,265
72156
—
MRI C-SPINE W&WO CONT
Gross
$10,265
72157
—
MRI T-SPINE W&WO CONT
Gross
$10,265
73220
—
MRI UP EXTREM W&WO CONT
Gross
$10,265
73223
—
MRI UP EXTREM JT W&WO CONT
Gross
$10,265
73720
—
MRI LOW EXTREM W&WO CONT
Gross
$10,265
73723
—
MRI LOW EXTREM JT W&WO CONT
Gross
$10,265
74183
—
MRI ABD W&WO CONT
Gross
$10,265
21390
—
TREAT EYE SOCKET FRACTURE
Gross
$10,261
36558
—
INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>
Gross
$10,252
24582
—
PERCUTANEOUS SKELETAL FIXATION OF HUMERAL CONDYLAR
Gross
$10,225
13160
—
LATE CLOSURE OF WOUND
Gross
$10,218
27503
—
CLOSED TX SUPRACONDYLAR OR TRANSCONDYLAR FEMORAL FX W/ MANIP
Gross
$10,127
36557
—
Insertion of tunneled centrally inserted central venous catheter, < 5 YR
Gross
$10,074
71275
—
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST
Gross
$10,046
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q2043 | SIPULEUCEL-T AUTO CD54+ | $408,875 | — | — | — | 0 |
| 31603 | TRACHEOSTOMY, EMERGENCY PROCEDURE | $41,201 | — | — | — | 0 |
| J2505 | PEGFILGRASTIM 6MG INJ | $39,003 | — | — | — | 0 |
| J2993 | RETEPLASE 10U | $28,774 | — | — | — | 0 |
| 44799 | UNLISTED PROCEDURE INTESTINE | $23,157 | — | — | — | 0 |
| 49999 | UNLISTED PROCEDURE ABDOMEN | $23,157 | — | — | — | 0 |
| 20999 | MUSCULOSKELETAL SURGERY - UNLISTED | $19,441 | — | — | — | 0 |
| 32110 | THORACOTOMY for trauma | $18,552 | — | — | — | 0 |
| 43775 | LONGITUDINAL GASTRECTOMY | $15,996 | — | — | — | 0 |
| 43771 | Laparoscopy; revision of adjustable gastric device | $15,944 | — | — | — | 0 |
| 36561 | INSRT TUNNELED CV CATH W PORT | $15,667 | — | — | — | 0 |
| J1162 | DIGOXIN IMMUNE 38MG INJ | $15,517 | — | — | — | 0 |
| 74177 | CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $14,401 | — | — | — | 0 |
| 26356 | REPAIR FLEXOR TENDON W/O FREE GRAFT | $13,817 | — | — | — | 0 |
| 32550 | INSERT PLEURAL CATH | $13,504 | — | — | — | 0 |
| 72120 | RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS | $13,053 | — | — | — | 0 |
| 15260 | SKIN FULL GRAFT EEN & LIPS; 20 CM OR LESS | $12,926 | — | — | — | 0 |
| 74178 | CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE | $12,555 | — | — | — | 0 |
| 74176 | CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | $12,476 | — | — | — | 0 |
| 72158 | MRI L-SPINE W&WO CONT | $12,204 | — | — | — | 0 |
| 27222 | TREAT HIP SOCKET FRACTURE W/ MANIP | $12,162 | — | — | — | 0 |
| 27240 | CLOSED TX INTROCHANTERIC, PERITROCHANTERIC, OR SUBTROCHANTERIC FEM FX W/ MANIP | $12,104 | — | — | — | 0 |
| 21453 | TREAT LOWER JAW FRACTURE W/ WIRING | $11,929 | — | — | — | 0 |
| 32124 | THORACOTOMY WITH OPEN INTRAPLEURAL PNEUMONOLYSIS | $11,808 | — | — | — | 0 |
| 49452 | Replacement of gastro-jejunostomy tube | $11,710 | — | — | — | 0 |
| 22315 | CLOSED TX VERT FX W/MANJ | $11,190 | — | — | — | 0 |
| J9050 | Carmustine injection | $10,887 | — | — | — | 0 |
| 35226 | REPAIR BLOOD VESSEL LESION, LOWER EXTREMITY | $10,836 | — | — | — | 0 |
| 21345 | CLOSED TX NOSE/JAW FX WITH FIXATION | $10,773 | — | — | — | 0 |
| 64836 | REPAIR OF HAND OR FOOT NERVE | $10,492 | — | — | — | 0 |
| 21421 | CLOSED TX PALATAL OR MAXILLARY FX | $10,474 | — | — | — | 0 |
| 99471 | PED CRITICAL CARE INITIAL | $10,472 | — | — | — | 0 |
| 21110 | INTERDENTAL FIXATION | $10,390 | — | — | — | 0 |
| 59409 | VAGINAL DELIVERY | $10,384 | — | — | — | 0 |
| 74174 | CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG | $10,369 | — | — | — | 0 |
| 70553 | MRI IAC W&WO CONT 70553 | $10,265 | — | — | — | 0 |
| 72156 | MRI C-SPINE W&WO CONT | $10,265 | — | — | — | 0 |
| 72157 | MRI T-SPINE W&WO CONT | $10,265 | — | — | — | 0 |
| 73220 | MRI UP EXTREM W&WO CONT | $10,265 | — | — | — | 0 |
| 73223 | MRI UP EXTREM JT W&WO CONT | $10,265 | — | — | — | 0 |
| 73720 | MRI LOW EXTREM W&WO CONT | $10,265 | — | — | — | 0 |
| 73723 | MRI LOW EXTREM JT W&WO CONT | $10,265 | — | — | — | 0 |
| 74183 | MRI ABD W&WO CONT | $10,265 | — | — | — | 0 |
| 21390 | TREAT EYE SOCKET FRACTURE | $10,261 | — | — | — | 0 |
| 36558 | INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/> | $10,252 | — | — | — | 0 |
| 24582 | PERCUTANEOUS SKELETAL FIXATION OF HUMERAL CONDYLAR | $10,225 | — | — | — | 0 |
| 13160 | LATE CLOSURE OF WOUND | $10,218 | — | — | — | 0 |
| 27503 | CLOSED TX SUPRACONDYLAR OR TRANSCONDYLAR FEMORAL FX W/ MANIP | $10,127 | — | — | — | 0 |
| 36557 | Insertion of tunneled centrally inserted central venous catheter, < 5 YR | $10,074 | — | — | — | 0 |
| 71275 | CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $10,046 | — | — | — | 0 |
Showing top 50 of 2,621 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.