45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
8,481
Insurances with rates
3
CPT / HCPCS codes
5,302
Most expensive procedures (gross)
200035
$23,761
alteplase 100 mg intravenous injection [VERD]
Gross
$31,681
200864
$20,519
tenecteplase 50 mg intravenous injection [VERD]
Gross
$27,359
200268
$12,417
digoxin immune FAB 40 mg intravenous injection [VERD]
Gross
$16,556
200953
$11,881
alteplase 50 mg Powd [VERD]
Gross
$15,841
200065
$8,635
antivenin (Crotalidae ovine) polyvalent intravenous injection [VERD]
Gross
$11,513
2424686
$5,972
CT Angio Abdomen and Pelvis
Gross
$7,962
8673070
$4,848
27222 - Clsd Tx hip socket w/manip
Gross
$6,464
2424644
$4,822
CT Abdomen and Pelvis w/ + w/o Contrast
Gross
$6,429
2389455
$4,589
Critical Care Ill/Injured Patient Init 30-74 Min 99291
Gross
$6,118
8078250
$4,589
99291 - Critical Care, 30-74
Gross
$6,118
2424647
$4,519
CT Abdomen and Pelvis w/ Contrast
Gross
$6,025
8819210
$4,508
36557-Insert Central Venous Cath<5yrs
Gross
$6,010
8085548
$4,433
ROOM/BED: Swing Bed
Gross
$5,911
1168730
$4,327
MRI Abdomen w/ + w/o Contrast
Gross
$5,769
1168796
$4,327
MRI Brain w/ + w/o Contrast
Gross
$5,769
1169008
$4,327
MRI Lower Extremity w/ + w/o Cnt Left
Gross
$5,769
1169010
$4,327
MRI Lower Extremity w/ + w/o Cnt Right
Gross
$5,769
1169024
$4,327
MRI Pelvis w/ + w/o Contrast
Gross
$5,769
1169050
$4,327
MRI Spine Cervical w/ + w/o Contrast
Gross
$5,769
1169056
$4,327
MRI Spine Lumbar w/ + w/o Contrast
Gross
$5,769
1169062
$4,327
MRI Spine Thoracic w/ + w/o Contrast
Gross
$5,769
1169108
$4,327
MRI Upper Extremity w/ + w/o Cnt Left
Gross
$5,769
1169110
$4,327
MRI Upper Extremity w/ + w/o Cnt Right
Gross
$5,769
8044414
$4,327
MRI UE Joint w/ + w/o Contrast Left
Gross
$5,769
8044417
$4,327
MRI UE Joint w/ + w/o Contrast Right
Gross
$5,769
8102176
$4,268
21320-Nasal Bone w/ Stabilization
Gross
$5,690
8102452
$4,089
59409-Vaginal Delivery Only
Gross
$5,452
8819193
$4,061
20525-Remove foreign body in muscle;deep
Gross
$5,414
2424650
$3,992
CT Abdomen and Pelvis w/o Contrast
Gross
$5,323
8047932
$3,900
MRI Orbits w/ + w/o Contrast
Gross
$5,200
8673093
$3,900
36558 - Insert Central Venous cath w/o port
Gross
$5,200
1168649
$3,600
MRA Brain/Head w/ + w/o Contrast
Gross
$4,800
1168732
$3,579
MRI Abdomen w/ Contrast
Gross
$4,772
1168798
$3,579
MRI Brain w/ Contrast
Gross
$4,772
1169026
$3,579
MRI Pelvis w/ Contrast
Gross
$4,772
1169052
$3,579
MRI Spine Cervical w/ Contrast
Gross
$4,772
1169058
$3,579
MRI Spine Lumbar w/ Contrast
Gross
$4,772
1169064
$3,579
MRI Spine Thoracic w/ Contrast
Gross
$4,772
1168230
$3,571
CT Neck Soft Tissue w/ + w/o Contrast
Gross
$4,761
9875119
$3,470
22315 - Vertebral Body w/manipulation
Gross
$4,626
1168679
$3,450
MRA Neck w/ + w/o Contrast
Gross
$4,600
8093216
$3,450
CT Angio Abdominal Aorta with Runoff
Gross
$4,600
1168236
$3,449
CT Spine Cervical w/ + w/o Contrast
Gross
$4,599
8673074
$3,446
27257 - Hip w/ Manipulation & Anesthesia
Gross
$4,595
9243987
$3,446
27257 - Spontaneous Hip w/Anesthesia
Gross
$4,595
8044420
$3,412
MRI UE Joint w/ Contrast Right
Gross
$4,549
8073857
$3,412
MRI UE Joint w/ Contrast Left
Gross
$4,549
9875355
$3,399
43238 - Esophagogastroduodenscopy w/US
Gross
$4,532
1169014
$3,380
MRI Lower Extremity w/ Contrast Left
Gross
$4,507
1169016
$3,380
MRI Lower Extremity w/ Contrast Right
Gross
$4,507
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 200035 | alteplase 100 mg intravenous injection [VERD] | $31,681 | $23,761 | — | — | 0 |
| 200864 | tenecteplase 50 mg intravenous injection [VERD] | $27,359 | $20,519 | — | — | 0 |
| 200268 | digoxin immune FAB 40 mg intravenous injection [VERD] | $16,556 | $12,417 | — | — | 0 |
| 200953 | alteplase 50 mg Powd [VERD] | $15,841 | $11,881 | — | — | 0 |
| 200065 | antivenin (Crotalidae ovine) polyvalent intravenous injection [VERD] | $11,513 | $8,635 | — | — | 0 |
| 2424686 | CT Angio Abdomen and Pelvis | $7,962 | $5,972 | — | — | 0 |
| 8673070 | 27222 - Clsd Tx hip socket w/manip | $6,464 | $4,848 | — | — | 0 |
| 2424644 | CT Abdomen and Pelvis w/ + w/o Contrast | $6,429 | $4,822 | — | — | 0 |
| 2389455 | Critical Care Ill/Injured Patient Init 30-74 Min 99291 | $6,118 | $4,589 | — | — | 0 |
| 8078250 | 99291 - Critical Care, 30-74 | $6,118 | $4,589 | — | — | 0 |
| 2424647 | CT Abdomen and Pelvis w/ Contrast | $6,025 | $4,519 | — | — | 0 |
| 8819210 | 36557-Insert Central Venous Cath<5yrs | $6,010 | $4,508 | — | — | 0 |
| 8085548 | ROOM/BED: Swing Bed | $5,911 | $4,433 | — | — | 0 |
| 1168730 | MRI Abdomen w/ + w/o Contrast | $5,769 | $4,327 | — | — | 0 |
| 1168796 | MRI Brain w/ + w/o Contrast | $5,769 | $4,327 | — | — | 0 |
| 1169008 | MRI Lower Extremity w/ + w/o Cnt Left | $5,769 | $4,327 | — | — | 0 |
| 1169010 | MRI Lower Extremity w/ + w/o Cnt Right | $5,769 | $4,327 | — | — | 0 |
| 1169024 | MRI Pelvis w/ + w/o Contrast | $5,769 | $4,327 | — | — | 0 |
| 1169050 | MRI Spine Cervical w/ + w/o Contrast | $5,769 | $4,327 | — | — | 0 |
| 1169056 | MRI Spine Lumbar w/ + w/o Contrast | $5,769 | $4,327 | — | — | 0 |
| 1169062 | MRI Spine Thoracic w/ + w/o Contrast | $5,769 | $4,327 | — | — | 0 |
| 1169108 | MRI Upper Extremity w/ + w/o Cnt Left | $5,769 | $4,327 | — | — | 0 |
| 1169110 | MRI Upper Extremity w/ + w/o Cnt Right | $5,769 | $4,327 | — | — | 0 |
| 8044414 | MRI UE Joint w/ + w/o Contrast Left | $5,769 | $4,327 | — | — | 0 |
| 8044417 | MRI UE Joint w/ + w/o Contrast Right | $5,769 | $4,327 | — | — | 0 |
| 8102176 | 21320-Nasal Bone w/ Stabilization | $5,690 | $4,268 | — | — | 0 |
| 8102452 | 59409-Vaginal Delivery Only | $5,452 | $4,089 | — | — | 0 |
| 8819193 | 20525-Remove foreign body in muscle;deep | $5,414 | $4,061 | — | — | 0 |
| 2424650 | CT Abdomen and Pelvis w/o Contrast | $5,323 | $3,992 | — | — | 0 |
| 8047932 | MRI Orbits w/ + w/o Contrast | $5,200 | $3,900 | — | — | 0 |
| 8673093 | 36558 - Insert Central Venous cath w/o port | $5,200 | $3,900 | — | — | 0 |
| 1168649 | MRA Brain/Head w/ + w/o Contrast | $4,800 | $3,600 | — | — | 0 |
| 1168732 | MRI Abdomen w/ Contrast | $4,772 | $3,579 | — | — | 0 |
| 1168798 | MRI Brain w/ Contrast | $4,772 | $3,579 | — | — | 0 |
| 1169026 | MRI Pelvis w/ Contrast | $4,772 | $3,579 | — | — | 0 |
| 1169052 | MRI Spine Cervical w/ Contrast | $4,772 | $3,579 | — | — | 0 |
| 1169058 | MRI Spine Lumbar w/ Contrast | $4,772 | $3,579 | — | — | 0 |
| 1169064 | MRI Spine Thoracic w/ Contrast | $4,772 | $3,579 | — | — | 0 |
| 1168230 | CT Neck Soft Tissue w/ + w/o Contrast | $4,761 | $3,571 | — | — | 0 |
| 9875119 | 22315 - Vertebral Body w/manipulation | $4,626 | $3,470 | — | — | 0 |
| 1168679 | MRA Neck w/ + w/o Contrast | $4,600 | $3,450 | — | — | 0 |
| 8093216 | CT Angio Abdominal Aorta with Runoff | $4,600 | $3,450 | — | — | 0 |
| 1168236 | CT Spine Cervical w/ + w/o Contrast | $4,599 | $3,449 | — | — | 0 |
| 8673074 | 27257 - Hip w/ Manipulation & Anesthesia | $4,595 | $3,446 | — | — | 0 |
| 9243987 | 27257 - Spontaneous Hip w/Anesthesia | $4,595 | $3,446 | — | — | 0 |
| 8044420 | MRI UE Joint w/ Contrast Right | $4,549 | $3,412 | — | — | 0 |
| 8073857 | MRI UE Joint w/ Contrast Left | $4,549 | $3,412 | — | — | 0 |
| 9875355 | 43238 - Esophagogastroduodenscopy w/US | $4,532 | $3,399 | — | — | 0 |
| 1169014 | MRI Lower Extremity w/ Contrast Left | $4,507 | $3,380 | — | — | 0 |
| 1169016 | MRI Lower Extremity w/ Contrast Right | $4,507 | $3,380 | — | — | 0 |
Showing top 50 of 8,481 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.