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: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,482
Insurances with rates
11
CPT / HCPCS codes
1,073
Most expensive procedures (gross)
36581
$8,561
REPLACE TUNNELED CV CATHETER
Gross
$11,414
L5701
$5,584
REPLACE SOCKET ABOVE KNEE
Gross
$7,445
L5649
$4,738
ISCH CONTAINMT/NARROW M-I SO
Gross
$6,317
81408
$4,635
MOPATH PROCEDURE LEVEL 9
Gross
$6,180
L2036
$4,414
KAFO PLAS DOUB FREE KNEE MOL
Gross
$5,885
L0486
$4,385
TLSO RIGID LINED CUST FAB TWO
Gross
$5,846
L0484
$4,121
TLSO RIGID PLASTIC CUST FAB
Gross
$5,495
49440
$3,505
G TUBE INSERTION W/GUIDANCE
Gross
$4,673
L4631
$3,502
AFO, WALKING BOOT, CUSTOM
Gross
$4,669
L0464
$3,304
TLSO 4MOD SACRO-SCAP PRE
Gross
$4,405
73222
$3,203
MRI UPPER EXTREM W CONTRAST
Gross
$4,270
73722
$3,203
MRI LOWER EXTREM JNT W CONTRAS
Gross
$4,270
32555
$3,033
US THORACENTESIS
Gross
$4,044
36589
$3,033
REMOVE TUNNELED CV DEVICE
Gross
$4,044
L5651
$3,002
AK FLEX INNER SICKET EXT FRA
Gross
$4,003
77301
$2,840
RADIATION IMR PLAN
Gross
$3,787
L2020
$2,777
KAFO DBL SOLID STIRRUP BAND/
Gross
$3,702
99283
$2,740
EMERGENCY ROOM-MODERATE
Gross
$3,653
L0637
$2,641
LSO SAG-CORONAL PANEL PREFAB
Gross
$3,521
L0650
$2,641
LSO SC R ANT/POS PNL PRE OTS
Gross
$3,521
49083
$2,331
US GUIDED PARACENTESIS
Gross
$3,108
L0640
$2,326
LSO S/C SHELL/PANEL CUSTOM
Gross
$3,101
L0631
$2,282
LSO SAG-CORO RIGID FRAME PREFB
Gross
$3,043
L0648
$2,282
LSO SAG R AN/POS PNL PRE OTS
Gross
$3,043
L0460
$2,231
TLSO 2MOD SYMPHSIS-STERN PRE
Gross
$2,975
L1945
$2,229
AFO MOLDED PLAS RIG ANT TIB
Gross
$2,972
L0456
$2,210
TLSO FLEX PREFAB
Gross
$2,947
L0457
$2,210
TLSO FLEX TRNK SJ-SS PRE OTS
Gross
$2,947
610
$2,207
MRI CHEST W/ CONTRAST
Gross
$2,943
70542
$2,192
MRI FACE NECK ORBIT W CONTRAST
Gross
$2,922
70543
$2,192
MRI FACE NECK ORBIT W + W/O CO
Gross
$2,922
70545
$2,192
MRA HEAD W CONTRAST
Gross
$2,922
70546
$2,192
MRA HEAD W + W/O CONTRAST
Gross
$2,922
70548
$2,192
MRA NECK W CONTRAST
Gross
$2,922
70549
$2,192
MRA NECK W + W/O CONTRAST
Gross
$2,922
70552
$2,192
MRI BRAIN W CONTRAST
Gross
$2,922
70553
$2,192
MRI BRAIN W/ + W/O CONTRAST
Gross
$2,922
72149
$2,192
MRI SPINE LUMBAR W/ CONTRAST
Gross
$2,922
72156
$2,192
MRI SPINE CERVICAL W/ + W/O CO
Gross
$2,922
72158
$2,192
MRI SPINE LUMBAR W/ + W/O CONT
Gross
$2,922
72196
$2,192
MRI PELVIS W CONTRAST
Gross
$2,922
72197
$2,192
MRI PELVIS W + W/O CONTRAST
Gross
$2,922
73201
$2,192
CT UPPER EXTREM W CONTRAST
Gross
$2,922
73223
$2,192
MRI UPPER EXTREM W/+W/O CONTRA
Gross
$2,922
73719
$2,192
MRI LOWER EXTREM NON JNT W CON
Gross
$2,922
73720
$2,192
MRI LOWER EXTREM NON JNT W/+W/
Gross
$2,922
73723
$2,192
MRI LOWER EXTREM JNT W/+W/O CO
Gross
$2,922
74177
$2,192
CT ABDOMEN/PELVIS W/ CONTRAST
Gross
$2,922
74182
$2,192
MRI ABDOMEN W CONTRAST
Gross
$2,922
74183
$2,192
MRI ABDOMEN W + W/O CONTRAST
Gross
$2,922
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 36581 | REPLACE TUNNELED CV CATHETER | $11,414 | $8,561 | — | — | 1 |
| L5701 | REPLACE SOCKET ABOVE KNEE | $7,445 | $5,584 | — | — | 1 |
| L5649 | ISCH CONTAINMT/NARROW M-I SO | $6,317 | $4,738 | — | — | 1 |
| 81408 | MOPATH PROCEDURE LEVEL 9 | $6,180 | $4,635 | — | — | 1 |
| L2036 | KAFO PLAS DOUB FREE KNEE MOL | $5,885 | $4,414 | — | — | 1 |
| L0486 | TLSO RIGID LINED CUST FAB TWO | $5,846 | $4,385 | — | — | 1 |
| L0484 | TLSO RIGID PLASTIC CUST FAB | $5,495 | $4,121 | — | — | 1 |
| 49440 | G TUBE INSERTION W/GUIDANCE | $4,673 | $3,505 | — | — | 1 |
| L4631 | AFO, WALKING BOOT, CUSTOM | $4,669 | $3,502 | — | — | 1 |
| L0464 | TLSO 4MOD SACRO-SCAP PRE | $4,405 | $3,304 | — | — | 1 |
| 73222 | MRI UPPER EXTREM W CONTRAST | $4,270 | $3,203 | — | — | 1 |
| 73722 | MRI LOWER EXTREM JNT W CONTRAS | $4,270 | $3,203 | — | — | 1 |
| 32555 | US THORACENTESIS | $4,044 | $3,033 | — | — | 1 |
| 36589 | REMOVE TUNNELED CV DEVICE | $4,044 | $3,033 | — | — | 1 |
| L5651 | AK FLEX INNER SICKET EXT FRA | $4,003 | $3,002 | — | — | 1 |
| 77301 | RADIATION IMR PLAN | $3,787 | $2,840 | — | — | 1 |
| L2020 | KAFO DBL SOLID STIRRUP BAND/ | $3,702 | $2,777 | — | — | 1 |
| 99283 | EMERGENCY ROOM-MODERATE | $3,653 | $2,740 | — | — | 1 |
| L0637 | LSO SAG-CORONAL PANEL PREFAB | $3,521 | $2,641 | — | — | 1 |
| L0650 | LSO SC R ANT/POS PNL PRE OTS | $3,521 | $2,641 | — | — | 1 |
| 49083 | US GUIDED PARACENTESIS | $3,108 | $2,331 | — | — | 1 |
| L0640 | LSO S/C SHELL/PANEL CUSTOM | $3,101 | $2,326 | — | — | 1 |
| L0631 | LSO SAG-CORO RIGID FRAME PREFB | $3,043 | $2,282 | — | — | 1 |
| L0648 | LSO SAG R AN/POS PNL PRE OTS | $3,043 | $2,282 | — | — | 1 |
| L0460 | TLSO 2MOD SYMPHSIS-STERN PRE | $2,975 | $2,231 | — | — | 1 |
| L1945 | AFO MOLDED PLAS RIG ANT TIB | $2,972 | $2,229 | — | — | 1 |
| L0456 | TLSO FLEX PREFAB | $2,947 | $2,210 | — | — | 1 |
| L0457 | TLSO FLEX TRNK SJ-SS PRE OTS | $2,947 | $2,210 | — | — | 1 |
| 610 | MRI CHEST W/ CONTRAST | $2,943 | $2,207 | — | — | 1 |
| 70542 | MRI FACE NECK ORBIT W CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 70543 | MRI FACE NECK ORBIT W + W/O CO | $2,922 | $2,192 | — | — | 1 |
| 70545 | MRA HEAD W CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 70546 | MRA HEAD W + W/O CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 70548 | MRA NECK W CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 70549 | MRA NECK W + W/O CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 70552 | MRI BRAIN W CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 70553 | MRI BRAIN W/ + W/O CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 72149 | MRI SPINE LUMBAR W/ CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 72156 | MRI SPINE CERVICAL W/ + W/O CO | $2,922 | $2,192 | — | — | 1 |
| 72158 | MRI SPINE LUMBAR W/ + W/O CONT | $2,922 | $2,192 | — | — | 1 |
| 72196 | MRI PELVIS W CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 72197 | MRI PELVIS W + W/O CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 73201 | CT UPPER EXTREM W CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 73223 | MRI UPPER EXTREM W/+W/O CONTRA | $2,922 | $2,192 | — | — | 1 |
| 73719 | MRI LOWER EXTREM NON JNT W CON | $2,922 | $2,192 | — | — | 1 |
| 73720 | MRI LOWER EXTREM NON JNT W/+W/ | $2,922 | $2,192 | — | — | 1 |
| 73723 | MRI LOWER EXTREM JNT W/+W/O CO | $2,922 | $2,192 | — | — | 1 |
| 74177 | CT ABDOMEN/PELVIS W/ CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 74182 | MRI ABDOMEN W CONTRAST | $2,922 | $2,192 | — | — | 1 |
| 74183 | MRI ABDOMEN W + W/O CONTRAST | $2,922 | $2,192 | — | — | 1 |
Showing top 50 of 1,482 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.