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
525
Insurances with rates
12
CPT / HCPCS codes
22
Source MRF
Most expensive procedures (gross)
Chronic Lung Disease with major complications
$15,758
Chronic Lung Disease with major complications
Gross
$31,517
Degenerative nervous system disorders without co
$14,365
Degenerative nervous system disorders without complications
Gross
$28,730
Signs & symptoms of musculoskeletal system & con
$6,203
Signs & symptoms of musculoskeletal system & connective tissue without major complications
Gross
$12,407
4071176011
$4,225
TNKase 50 MG KIT 50 mg, 1 each
Gross
$8,450
407100701
$1,825
PROLIA 60MG INJ
Gross
$3,649
PAT274177
$1,291
CT ABD&PELVIS WITH CONTRAST
Gross
$2,582
PAT4042741
$1,169
CT ABD & PELVIS WITHOUT CONTRAST
Gross
$2,338
404274178
$1,166
CT ABD&PEL WITH/WITHOUT CONTR
Gross
$2,332
PAT4047127
$1,154
THORAX WITH AND WITHOUT CONTRAST
Gross
$2,308
SUE74170
$1,136
CT ABDOMEN W/WO GASTRO & OPTIRAY
Gross
$2,272
SUE72193
$1,091
PELVIS W GASTRO/OPTIRAY
Gross
$2,181
RS4042130
$1,089
THORAX WITH AND WITHOUT
Gross
$2,177
SUE74160
$1,081
CT ABDOMEN WITH
Gross
$2,162
SUE99291ER
$1,067
CRITICAL CARE/99285 ER
Gross
$2,133
404274176
$1,056
CT ABD&PELVIS WITHOUT CONTRAST
Gross
$2,112
404274177
$1,056
CT ABD/PELVIS WITH CONTRAST
Gross
$2,112
SUE71270/O
$1,032
THORAX72170.OPRAY
Gross
$2,064
PAT71270
$1,032
THORAX WITH AND WITHOUT
Gross
$2,064
PAT4042130
$1,032
THORAX WITH AND WITHOUT
Gross
$2,064
SUE71275WO
$1,020
CT CHEST/OPTIRAY
Gross
$2,039
PAT4042712
$1,020
CTA CHEST WITH/WITHOUT
Gross
$2,039
PAT4042340
$1,009
CT SOFT TISSUE NECK WITH & W/O
Gross
$2,017
407171021
$982
PROLIA 60 MG/ML SYRINGE 1 ea, 1 mL
Gross
$1,964
SUE70491/4
$968
CT SOFT NECK TISSUE/OPTIRAY
Gross
$1,936
407171001
$955
PROLIA 60 MG/ML SYRINGE 1 ea, 1 mL
Gross
$1,910
PAT4042330
$847
CT SOFT TISSUE NECK WITH
Gross
$1,694
PAT404260
$847
CT ABDOMEN WITH OPTIRAY
Gross
$1,694
323120
$815
CRITICAL CARE
Gross
$1,630
PAT70490
$810
CT SOFT TISSUE NECK WITHOUT
Gross
$1,620
404240
$795
HEAD WITH AND WITHOUT
Gross
$1,590
4042130
$789
THORAX WITH AND WITHOUT
Gross
$1,578
3012110
$785
RESPITE ROOM CHG
Gross
$1,570
404270
$780
CT ABDOMEN WITH AND WITHOUT
Gross
$1,560
4042120
$777
THORAX WITH
Gross
$1,553
404271275
$777
CTA CHEST
Gross
$1,553
4042340
$766
CT SOFT TISSUE NECK WITH & W/O
Gross
$1,531
4042540
$758
LOWER EXTREMITIES WITH AND WIT
Gross
$1,515
4042510
$735
PELVIS WITH
Gross
$1,469
4042330
$725
CT SOFT TISSUE NECK WITH
Gross
$1,450
4042530
$725
LOWER EXTREMITIES WITHOUT
Gross
$1,450
404260
$725
CT ABDOMEN WITH
Gross
$1,450
4042360
$725
CT MAXILLOFACIAL WITH CONTRAST
Gross
$1,450
404220
$688
HEAD WITHOUT
Gross
$1,376
4042350
$688
CT MAXILLOFACIAL W/O
Gross
$1,376
4042260
$688
LUMBAR SPINE WITHOUT
Gross
$1,376
4042500
$688
PELVIS WITHOUT
Gross
$1,376
4042320
$688
CT SOFT TISSUE NECK WITHOUT
Gross
$1,376
4042230
$678
CERVICAL SPINE WITHOUT
Gross
$1,355
404250
$652
CT ABDOMEN W/O
Gross
$1,304
TP71250
$648
THORAX WITHOUT/ ADD'L LABS VP
Gross
$1,296
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Chronic Lung Disease with major complications | Chronic Lung Disease with major complications | $31,517 | $15,758 | — | — | 1 |
| Degenerative nervous system disorders without co | Degenerative nervous system disorders without complications | $28,730 | $14,365 | — | — | 1 |
| Signs & symptoms of musculoskeletal system & con | Signs & symptoms of musculoskeletal system & connective tissue without major complications | $12,407 | $6,203 | — | — | 2 |
| 4071176011 | TNKase 50 MG KIT 50 mg, 1 each | $8,450 | $4,225 | — | — | 2 |
| 407100701 | PROLIA 60MG INJ | $3,649 | $1,825 | — | — | 1 |
| PAT274177 | CT ABD&PELVIS WITH CONTRAST | $2,582 | $1,291 | — | — | 13 |
| PAT4042741 | CT ABD & PELVIS WITHOUT CONTRAST | $2,338 | $1,169 | — | — | 17 |
| 404274178 | CT ABD&PEL WITH/WITHOUT CONTR | $2,332 | $1,166 | — | — | 7 |
| PAT4047127 | THORAX WITH AND WITHOUT CONTRAST | $2,308 | $1,154 | — | — | 3 |
| SUE74170 | CT ABDOMEN W/WO GASTRO & OPTIRAY | $2,272 | $1,136 | — | — | 3 |
| SUE72193 | PELVIS W GASTRO/OPTIRAY | $2,181 | $1,091 | — | — | 1 |
| RS4042130 | THORAX WITH AND WITHOUT | $2,177 | $1,089 | — | — | 3 |
| SUE74160 | CT ABDOMEN WITH | $2,162 | $1,081 | — | — | 2 |
| SUE99291ER | CRITICAL CARE/99285 ER | $2,133 | $1,067 | — | — | 3 |
| 404274176 | CT ABD&PELVIS WITHOUT CONTRAST | $2,112 | $1,056 | — | — | 17 |
| 404274177 | CT ABD/PELVIS WITH CONTRAST | $2,112 | $1,056 | — | — | 13 |
| SUE71270/O | THORAX72170.OPRAY | $2,064 | $1,032 | — | — | 3 |
| PAT71270 | THORAX WITH AND WITHOUT | $2,064 | $1,032 | — | — | 3 |
| PAT4042130 | THORAX WITH AND WITHOUT | $2,064 | $1,032 | — | — | 3 |
| SUE71275WO | CT CHEST/OPTIRAY | $2,039 | $1,020 | — | — | 6 |
| PAT4042712 | CTA CHEST WITH/WITHOUT | $2,039 | $1,020 | — | — | 6 |
| PAT4042340 | CT SOFT TISSUE NECK WITH & W/O | $2,017 | $1,009 | — | — | 1 |
| 407171021 | PROLIA 60 MG/ML SYRINGE 1 ea, 1 mL | $1,964 | $982 | — | — | 1 |
| SUE70491/4 | CT SOFT NECK TISSUE/OPTIRAY | $1,936 | $968 | — | — | 3 |
| 407171001 | PROLIA 60 MG/ML SYRINGE 1 ea, 1 mL | $1,910 | $955 | — | — | 1 |
| PAT4042330 | CT SOFT TISSUE NECK WITH | $1,694 | $847 | — | — | 3 |
| PAT404260 | CT ABDOMEN WITH OPTIRAY | $1,694 | $847 | — | — | 2 |
| 323120 | CRITICAL CARE | $1,630 | $815 | — | — | 3 |
| PAT70490 | CT SOFT TISSUE NECK WITHOUT | $1,620 | $810 | — | — | 3 |
| 404240 | HEAD WITH AND WITHOUT | $1,590 | $795 | — | — | 4 |
| 4042130 | THORAX WITH AND WITHOUT | $1,578 | $789 | — | — | 3 |
| 3012110 | RESPITE ROOM CHG | $1,570 | $785 | — | — | 4 |
| 404270 | CT ABDOMEN WITH AND WITHOUT | $1,560 | $780 | — | — | 3 |
| 4042120 | THORAX WITH | $1,553 | $777 | — | — | 4 |
| 404271275 | CTA CHEST | $1,553 | $777 | — | — | 6 |
| 4042340 | CT SOFT TISSUE NECK WITH & W/O | $1,531 | $766 | — | — | 1 |
| 4042540 | LOWER EXTREMITIES WITH AND WIT | $1,515 | $758 | — | — | 2 |
| 4042510 | PELVIS WITH | $1,469 | $735 | — | — | 1 |
| 4042330 | CT SOFT TISSUE NECK WITH | $1,450 | $725 | — | — | 3 |
| 4042530 | LOWER EXTREMITIES WITHOUT | $1,450 | $725 | — | — | 6 |
| 404260 | CT ABDOMEN WITH | $1,450 | $725 | — | — | 2 |
| 4042360 | CT MAXILLOFACIAL WITH CONTRAST | $1,450 | $725 | — | — | 1 |
| 404220 | HEAD WITHOUT | $1,376 | $688 | — | — | 16 |
| 4042350 | CT MAXILLOFACIAL W/O | $1,376 | $688 | — | — | 7 |
| 4042260 | LUMBAR SPINE WITHOUT | $1,376 | $688 | — | — | 8 |
| 4042500 | PELVIS WITHOUT | $1,376 | $688 | — | — | 5 |
| 4042320 | CT SOFT TISSUE NECK WITHOUT | $1,376 | $688 | — | — | 3 |
| 4042230 | CERVICAL SPINE WITHOUT | $1,355 | $678 | — | — | 10 |
| 404250 | CT ABDOMEN W/O | $1,304 | $652 | — | — | 6 |
| TP71250 | THORAX WITHOUT/ ADD'L LABS VP | $1,296 | $648 | — | — | 11 |
Showing top 50 of 525 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.