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
1,738
Insurances with rates
0
CPT / HCPCS codes
51
Source MRF
Most expensive procedures (gross)
J2997
—
50242-0085-27 - alteplase 100 mg PWDI
Gross
$16,740
CTA Lower Extremity
—
CTA Lower Extremity
Gross
$5,470
44269122 - CT ANGIO LWR EXTR W/O&W/DYE
—
44269122 - CT ANGIO LWR EXTR W/O&W/DYE
Gross
$4,670
CTA Brain
—
CTA Brain
Gross
$4,170
CTA Abd Aorta with runoff
—
CTA Abd Aorta with runoff
Gross
$4,125
CTA Abdomen/Pelvis
—
CTA Abdomen/Pelvis
Gross
$4,125
CTA Aorta
—
CTA Aorta
Gross
$4,125
CT Brain w+wo IV Contrast
—
CT Brain w+wo IV Contrast
Gross
$4,000
CT Thoracic Spine w+wo IV Contrast
—
CT Thoracic Spine w+wo IV Contrast
Gross
$3,900
CTA Chest
—
CTA Chest
Gross
$3,800
CTA Chest for PULMONARY EMBOLISM
—
CTA Chest for PULMONARY EMBOLISM
Gross
$3,800
A9507
—
IN 111 CAPROMAB PND PER DOSE
Gross
$3,798
NM Renal Scan
—
NM Renal Scan
Gross
$3,687
CT Thoracic Spine w/ Contrast
—
CT Thoracic Spine w/ Contrast
Gross
$3,660
44250108 - CT ABDOMEN W
—
44250108 - CT ABDOMEN W
Gross
$3,600
CT Abdomen w/ Contrast
—
CT Abdomen w/ Contrast
Gross
$3,600
CT Abdomen/Pelvis w/ Contrast
—
CT Abdomen/Pelvis w/ Contrast
Gross
$3,600
CT Fistulogram
—
CT Fistulogram
Gross
$3,600
CT Injection
—
CT Injection
Gross
$3,600
CT Thoracic Spine w/o Contrast
—
CT Thoracic Spine w/o Contrast
Gross
$3,600
44258606 - CT PELVIS W
—
44258606 - CT PELVIS W
Gross
$3,600
CT Pelvis w/ Contrast
—
CT Pelvis w/ Contrast
Gross
$3,600
CTA Neck
—
CTA Neck
Gross
$3,600
XR Nephrostogram
—
XR Nephrostogram
Gross
$3,575
CT Cervical Spine w/o Contrast
—
CT Cervical Spine w/o Contrast
Gross
$3,560
CT Lumbar Spine w/ Contrast
—
CT Lumbar Spine w/ Contrast
Gross
$3,560
CT Cervical Spine w/ Contrast
—
CT Cervical Spine w/ Contrast
Gross
$3,550
CT Chest w/ Contrast
—
CT Chest w/ Contrast
Gross
$3,545
CT Chest/Abdomen/Pelvis w/ Contrast
—
CT Chest/Abdomen/Pelvis w/ Contrast
Gross
$3,545
44250110 - CT ABDOMEN W/WO
—
44250110 - CT ABDOMEN W/WO
Gross
$3,540
CT Abdomen w+wo IV Contrast
—
CT Abdomen w+wo IV Contrast
Gross
$3,540
CT Abdomen/Pelvis w+wo IV Contrast
—
CT Abdomen/Pelvis w+wo IV Contrast
Gross
$3,540
41622103 - HT MUSCLE IMAGE SPECT MULT
—
41622103 - HT MUSCLE IMAGE SPECT MULT
Gross
$3,502
CT Parotid w/ Contrast
—
CT Parotid w/ Contrast
Gross
$3,480
CT Soft Tissue Neck w/ Contrast
—
CT Soft Tissue Neck w/ Contrast
Gross
$3,480
NM Gallium Limited
—
NM Gallium Limited
Gross
$3,477
US Biopsy Liver - FNA 1st Lesion
—
US Biopsy Liver - FNA 1st Lesion
Gross
$3,401
US Biopsy Neck - FNA 1st Lesion
—
US Biopsy Neck - FNA 1st Lesion
Gross
$3,401
US Biopsy Thyroid - FNA 1st Lesion
—
US Biopsy Thyroid - FNA 1st Lesion
Gross
$3,401
44258610 - CT PELVIS W/WO
—
44258610 - CT PELVIS W/WO
Gross
$3,375
CT Pelvis w+wo IV Contrast
—
CT Pelvis w+wo IV Contrast
Gross
$3,375
CT Chest w+wo IV Contrast
—
CT Chest w+wo IV Contrast
Gross
$3,370
CT Chest/Abdomen/Pelvis w+wo IV Contrast
—
CT Chest/Abdomen/Pelvis w+wo IV Contrast
Gross
$3,370
CT Facial Bones w/ Contrast
—
CT Facial Bones w/ Contrast
Gross
$3,370
CT Orbits w/ Contrast
—
CT Orbits w/ Contrast
Gross
$3,370
CT TMJs w/ Contrast
—
CT TMJs w/ Contrast
Gross
$3,370
CT Lumbar Spine w/o Contrast
—
CT Lumbar Spine w/o Contrast
Gross
$3,360
CARD BLD SPECT W/EF WM
—
CARD BLD SPECT W/EF WM
Gross
$3,267
CT Chest Low Dose Screening w/o contrast
—
CT Chest Low Dose Screening w/o contrast
Gross
$3,200
CT Chest w/o Contrast
—
CT Chest w/o Contrast
Gross
$3,200
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | 50242-0085-27 - alteplase 100 mg PWDI | $16,740 | — | — | — | 0 |
| CTA Lower Extremity | CTA Lower Extremity | $5,470 | — | — | — | 0 |
| 44269122 - CT ANGIO LWR EXTR W/O&W/DYE | 44269122 - CT ANGIO LWR EXTR W/O&W/DYE | $4,670 | — | — | — | 0 |
| CTA Brain | CTA Brain | $4,170 | — | — | — | 0 |
| CTA Abd Aorta with runoff | CTA Abd Aorta with runoff | $4,125 | — | — | — | 0 |
| CTA Abdomen/Pelvis | CTA Abdomen/Pelvis | $4,125 | — | — | — | 0 |
| CTA Aorta | CTA Aorta | $4,125 | — | — | — | 0 |
| CT Brain w+wo IV Contrast | CT Brain w+wo IV Contrast | $4,000 | — | — | — | 0 |
| CT Thoracic Spine w+wo IV Contrast | CT Thoracic Spine w+wo IV Contrast | $3,900 | — | — | — | 0 |
| CTA Chest | CTA Chest | $3,800 | — | — | — | 0 |
| CTA Chest for PULMONARY EMBOLISM | CTA Chest for PULMONARY EMBOLISM | $3,800 | — | — | — | 0 |
| A9507 | IN 111 CAPROMAB PND PER DOSE | $3,798 | — | — | — | 0 |
| NM Renal Scan | NM Renal Scan | $3,687 | — | — | — | 0 |
| CT Thoracic Spine w/ Contrast | CT Thoracic Spine w/ Contrast | $3,660 | — | — | — | 0 |
| 44250108 - CT ABDOMEN W | 44250108 - CT ABDOMEN W | $3,600 | — | — | — | 0 |
| CT Abdomen w/ Contrast | CT Abdomen w/ Contrast | $3,600 | — | — | — | 0 |
| CT Abdomen/Pelvis w/ Contrast | CT Abdomen/Pelvis w/ Contrast | $3,600 | — | — | — | 0 |
| CT Fistulogram | CT Fistulogram | $3,600 | — | — | — | 0 |
| CT Injection | CT Injection | $3,600 | — | — | — | 0 |
| CT Thoracic Spine w/o Contrast | CT Thoracic Spine w/o Contrast | $3,600 | — | — | — | 0 |
| 44258606 - CT PELVIS W | 44258606 - CT PELVIS W | $3,600 | — | — | — | 0 |
| CT Pelvis w/ Contrast | CT Pelvis w/ Contrast | $3,600 | — | — | — | 0 |
| CTA Neck | CTA Neck | $3,600 | — | — | — | 0 |
| XR Nephrostogram | XR Nephrostogram | $3,575 | — | — | — | 0 |
| CT Cervical Spine w/o Contrast | CT Cervical Spine w/o Contrast | $3,560 | — | — | — | 0 |
| CT Lumbar Spine w/ Contrast | CT Lumbar Spine w/ Contrast | $3,560 | — | — | — | 0 |
| CT Cervical Spine w/ Contrast | CT Cervical Spine w/ Contrast | $3,550 | — | — | — | 0 |
| CT Chest w/ Contrast | CT Chest w/ Contrast | $3,545 | — | — | — | 0 |
| CT Chest/Abdomen/Pelvis w/ Contrast | CT Chest/Abdomen/Pelvis w/ Contrast | $3,545 | — | — | — | 0 |
| 44250110 - CT ABDOMEN W/WO | 44250110 - CT ABDOMEN W/WO | $3,540 | — | — | — | 0 |
| CT Abdomen w+wo IV Contrast | CT Abdomen w+wo IV Contrast | $3,540 | — | — | — | 0 |
| CT Abdomen/Pelvis w+wo IV Contrast | CT Abdomen/Pelvis w+wo IV Contrast | $3,540 | — | — | — | 0 |
| 41622103 - HT MUSCLE IMAGE SPECT MULT | 41622103 - HT MUSCLE IMAGE SPECT MULT | $3,502 | — | — | — | 0 |
| CT Parotid w/ Contrast | CT Parotid w/ Contrast | $3,480 | — | — | — | 0 |
| CT Soft Tissue Neck w/ Contrast | CT Soft Tissue Neck w/ Contrast | $3,480 | — | — | — | 0 |
| NM Gallium Limited | NM Gallium Limited | $3,477 | — | — | — | 0 |
| US Biopsy Liver - FNA 1st Lesion | US Biopsy Liver - FNA 1st Lesion | $3,401 | — | — | — | 0 |
| US Biopsy Neck - FNA 1st Lesion | US Biopsy Neck - FNA 1st Lesion | $3,401 | — | — | — | 0 |
| US Biopsy Thyroid - FNA 1st Lesion | US Biopsy Thyroid - FNA 1st Lesion | $3,401 | — | — | — | 0 |
| 44258610 - CT PELVIS W/WO | 44258610 - CT PELVIS W/WO | $3,375 | — | — | — | 0 |
| CT Pelvis w+wo IV Contrast | CT Pelvis w+wo IV Contrast | $3,375 | — | — | — | 0 |
| CT Chest w+wo IV Contrast | CT Chest w+wo IV Contrast | $3,370 | — | — | — | 0 |
| CT Chest/Abdomen/Pelvis w+wo IV Contrast | CT Chest/Abdomen/Pelvis w+wo IV Contrast | $3,370 | — | — | — | 0 |
| CT Facial Bones w/ Contrast | CT Facial Bones w/ Contrast | $3,370 | — | — | — | 0 |
| CT Orbits w/ Contrast | CT Orbits w/ Contrast | $3,370 | — | — | — | 0 |
| CT TMJs w/ Contrast | CT TMJs w/ Contrast | $3,370 | — | — | — | 0 |
| CT Lumbar Spine w/o Contrast | CT Lumbar Spine w/o Contrast | $3,360 | — | — | — | 0 |
| CARD BLD SPECT W/EF WM | CARD BLD SPECT W/EF WM | $3,267 | — | — | — | 0 |
| CT Chest Low Dose Screening w/o contrast | CT Chest Low Dose Screening w/o contrast | $3,200 | — | — | — | 0 |
| CT Chest w/o Contrast | CT Chest w/o Contrast | $3,200 | — | — | — | 0 |
Showing top 50 of 1,738 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.