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
519
Insurances with rates
1
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
6200086
$4,335
CT ABDOMEN/PELVIS W/ IV AND ORAL CONTRAS
Gross
$4,335
6270127
$4,144
CT ABDOMEN/PELVIS W/ IV CONTRAS
Gross
$4,144
6270126
$3,899
CT ABDOMEN/PELVIS W/ ORAL CONTRAS
Gross
$3,899
6200108
$3,708
CT ABDOMEN/PELVIS WITH IV ONLY
Gross
$3,708
6600012
$3,111
MRI MRI BRAIN WO AND W CONTRAST
Gross
$3,111
3900015
$2,904
POLYSOMNOGRAPHY BASIC - FACILITY
Gross
$2,904
9100071
$2,598
TRANSFORAMINAL LUMBAR OR SACRL SNGL LVL
Gross
$2,598
6200029
$2,380
CT PELVIS W/ IV AND ORAL CONTRAST
Gross
$2,380
6600040
$2,328
MRI MRI LOWER EXTREMITY JOINT WO CONTRAS
Gross
$2,328
6600056
$2,328
MRI MRI LOWER EXTREMITY JOINT WO BILATER
Gross
$2,328
6270129
$2,190
CT PELVIS W/ IV CONTRAST
Gross
$2,190
6600021
$2,050
MRI MRI LUMBAR SPINE WO CONTRAST
Gross
$2,050
6270128
$1,944
CT PELVIS W/ORAL CONTRAST
Gross
$1,944
6270062
$1,916
CT ANKLE RIGHT W/ AND W/O
Gross
$1,916
6270065
$1,916
CT FOOT RIGHT W/ AND W/O
Gross
$1,916
6200000
$1,402
CT HEAD W/O
Gross
$1,402
6270063
$1,298
CT FOOT RIGHT W/
Gross
$1,298
6270001
$1,236
CT HEAD W/O
Gross
$1,236
6270122
$1,163
CT ENTEROGRAPHY
Gross
$1,163
6270064
$1,092
CT FOOT RIGHT W/O
Gross
$1,092
6100160
$761
MAMMOGRAM SCREENING
Gross
$761
6300160
$761
MAMMOGRAM SCREENING
Gross
$761
6400004
$628
US ABDOMEN COMPLETE
Gross
$628
6400011
$535
US OB >14 WEEKS
Gross
$535
6400019
$504
US PELVIS TRANSVAGINAL
Gross
$504
6100037
$419
XR LUMBAR SPINE
Gross
$419
1500012
$361
FAMILY PSYCHOTHERAPY WITH PATIENT
Gross
$361
7101604
$351
PT/PTT
Gross
$351
7100249
$320
COMPLETE METABOLIC PROFILE
Gross
$320
7100250
$320
RENAL PROFILE
Gross
$320
7101615
$320
COMPLETE METABOLIC PROFILE DAILY
Gross
$320
6100113
$319
CAD/DIAGNOSTIC MAMMOGRAPHY
Gross
$319
1500011
$309
FAMILY PSYCHOTHERAPY WITHOUT PATIENT
Gross
$309
1500036
$309
INDIV PSYTHRPY OTHER FAC 20-30 - HOSPITA
Gross
$309
1500038
$309
IND PSYCHOTHERAPY INPATIENT - HOSPITAL V
Gross
$309
1500040
$309
IND PSYCHOPHYSIOLOGICAL THERAP - PSYCHIA
Gross
$309
7100243
$268
BASIC METABOLIC PANEL
Gross
$268
7101614
$268
BASIC METABOLIC PANEL DAILY
Gross
$268
7100242
$267
LIVER PANEL
Gross
$267
6100161
$258
MAMMOGRAM 2 BREASTS DIAGNOSTIC
Gross
$258
7101611
$258
HEMOGRAM CHARGE ONLY
Gross
$258
1500005
$251
INDIVIDUAL PSYCHOTHRPY 75-80MI
Gross
$251
1500003
$229
INDIV PSYCHOTHERAPY INSIGHT OR
Gross
$229
71016613
$224
APTT LC
Gross
$224
7100219
$205
PSA LABCORP DIAGNOSTIC
Gross
$205
7101663
$205
PSA INHOUSE DIAGNOSTIC
Gross
$205
1500008
$204
IND PSYCHOTHERAPY W MEDICATION EVALUATIO
Gross
$204
7100212
$201
LIPID PANEL
Gross
$201
1500007
$184
INDIV PSYTHRPY OTHER FAC 20-30
Gross
$184
6100162
$181
MAMMOGRAM 1 BREAST DIAGNOSTIC
Gross
$181
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 6200086 | CT ABDOMEN/PELVIS W/ IV AND ORAL CONTRAS | $4,335 | $4,335 | — | — | 1 |
| 6270127 | CT ABDOMEN/PELVIS W/ IV CONTRAS | $4,144 | $4,144 | — | — | 1 |
| 6270126 | CT ABDOMEN/PELVIS W/ ORAL CONTRAS | $3,899 | $3,899 | — | — | 1 |
| 6200108 | CT ABDOMEN/PELVIS WITH IV ONLY | $3,708 | $3,708 | — | — | 1 |
| 6600012 | MRI MRI BRAIN WO AND W CONTRAST | $3,111 | $3,111 | — | — | 1 |
| 3900015 | POLYSOMNOGRAPHY BASIC - FACILITY | $2,904 | $2,904 | — | — | 1 |
| 9100071 | TRANSFORAMINAL LUMBAR OR SACRL SNGL LVL | $2,598 | $2,598 | — | — | 1 |
| 6200029 | CT PELVIS W/ IV AND ORAL CONTRAST | $2,380 | $2,380 | — | — | 1 |
| 6600040 | MRI MRI LOWER EXTREMITY JOINT WO CONTRAS | $2,328 | $2,328 | — | — | 1 |
| 6600056 | MRI MRI LOWER EXTREMITY JOINT WO BILATER | $2,328 | $2,328 | — | — | 1 |
| 6270129 | CT PELVIS W/ IV CONTRAST | $2,190 | $2,190 | — | — | 1 |
| 6600021 | MRI MRI LUMBAR SPINE WO CONTRAST | $2,050 | $2,050 | — | — | 1 |
| 6270128 | CT PELVIS W/ORAL CONTRAST | $1,944 | $1,944 | — | — | 1 |
| 6270062 | CT ANKLE RIGHT W/ AND W/O | $1,916 | $1,916 | — | — | 1 |
| 6270065 | CT FOOT RIGHT W/ AND W/O | $1,916 | $1,916 | — | — | 1 |
| 6200000 | CT HEAD W/O | $1,402 | $1,402 | — | — | 1 |
| 6270063 | CT FOOT RIGHT W/ | $1,298 | $1,298 | — | — | 1 |
| 6270001 | CT HEAD W/O | $1,236 | $1,236 | — | — | 1 |
| 6270122 | CT ENTEROGRAPHY | $1,163 | $1,163 | — | — | 1 |
| 6270064 | CT FOOT RIGHT W/O | $1,092 | $1,092 | — | — | 1 |
| 6100160 | MAMMOGRAM SCREENING | $761 | $761 | — | — | 1 |
| 6300160 | MAMMOGRAM SCREENING | $761 | $761 | — | — | 1 |
| 6400004 | US ABDOMEN COMPLETE | $628 | $628 | — | — | 1 |
| 6400011 | US OB >14 WEEKS | $535 | $535 | — | — | 1 |
| 6400019 | US PELVIS TRANSVAGINAL | $504 | $504 | — | — | 1 |
| 6100037 | XR LUMBAR SPINE | $419 | $419 | — | — | 1 |
| 1500012 | FAMILY PSYCHOTHERAPY WITH PATIENT | $361 | $361 | — | — | 1 |
| 7101604 | PT/PTT | $351 | $351 | — | — | 0 |
| 7100249 | COMPLETE METABOLIC PROFILE | $320 | $320 | — | — | 0 |
| 7100250 | RENAL PROFILE | $320 | $320 | — | — | 0 |
| 7101615 | COMPLETE METABOLIC PROFILE DAILY | $320 | $320 | — | — | 0 |
| 6100113 | CAD/DIAGNOSTIC MAMMOGRAPHY | $319 | $319 | — | — | 1 |
| 1500011 | FAMILY PSYCHOTHERAPY WITHOUT PATIENT | $309 | $309 | — | — | 1 |
| 1500036 | INDIV PSYTHRPY OTHER FAC 20-30 - HOSPITA | $309 | $309 | — | — | 1 |
| 1500038 | IND PSYCHOTHERAPY INPATIENT - HOSPITAL V | $309 | $309 | — | — | 1 |
| 1500040 | IND PSYCHOPHYSIOLOGICAL THERAP - PSYCHIA | $309 | $309 | — | — | 1 |
| 7100243 | BASIC METABOLIC PANEL | $268 | $268 | — | — | 0 |
| 7101614 | BASIC METABOLIC PANEL DAILY | $268 | $268 | — | — | 0 |
| 7100242 | LIVER PANEL | $267 | $267 | — | — | 0 |
| 6100161 | MAMMOGRAM 2 BREASTS DIAGNOSTIC | $258 | $258 | — | — | 1 |
| 7101611 | HEMOGRAM CHARGE ONLY | $258 | $258 | — | — | 0 |
| 1500005 | INDIVIDUAL PSYCHOTHRPY 75-80MI | $251 | $251 | — | — | 1 |
| 1500003 | INDIV PSYCHOTHERAPY INSIGHT OR | $229 | $229 | — | — | 1 |
| 71016613 | APTT LC | $224 | $224 | — | — | 0 |
| 7100219 | PSA LABCORP DIAGNOSTIC | $205 | $205 | — | — | 0 |
| 7101663 | PSA INHOUSE DIAGNOSTIC | $205 | $205 | — | — | 0 |
| 1500008 | IND PSYCHOTHERAPY W MEDICATION EVALUATIO | $204 | $204 | — | — | 1 |
| 7100212 | LIPID PANEL | $201 | $201 | — | — | 0 |
| 1500007 | INDIV PSYTHRPY OTHER FAC 20-30 | $184 | $184 | — | — | 1 |
| 6100162 | MAMMOGRAM 1 BREAST DIAGNOSTIC | $181 | $181 | — | — | 1 |
Showing top 50 of 519 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.