45 CFR § 180 compliance
A · 100
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
1,915
Insurances with rates
5
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
3304479
$6,190
64635 Bilat L/s Rf Ablation
Gross
$7,737
3302550
$6,014
32550 Insertion Of Indwelling Tunneled Pleural Catheter With Cuff
Gross
$7,518
3237088
$5,093
27087pelvis Or Hip; Deep
Gross
$6,366
3231320
$5,018
21320-nasal Bone W/ Stabilization
Gross
$6,273
3239409
$4,720
59409-vaginal Delivery Only
Gross
$5,900
3239414
$4,720
59414delivery Of Placenta
Gross
$5,900
4001552-TC
$4,426
Mri Chest W/ + W/o Contrast
Gross
$5,533
4000543-TC
$4,410
Mri Face Neck Orbit W/ + W/o Contrast
Gross
$5,513
3304457
$4,330
64495 Bilat Third Level
Gross
$5,413
3233333
$4,264
23333shoulder; Deep
Gross
$5,330
3234201
$4,264
24201upper Arm/elbow Deep
Gross
$5,330
3237086
$4,264
27086pelvis Or Hip; Subcutaneous Tissue
Gross
$5,330
3230180
$4,172
10180-i&d Postop Wound Infection Complex
Gross
$5,215
4002156-TC
$4,107
Mri Spine Cervical W/ + W/o Contrast
Gross
$5,134
4002158-TC
$4,107
Mri Spine Lumbar W/ + W/o Contrast
Gross
$5,134
4002157-TC
$4,107
Mri Spine Thoracic W/ + W/o Contrast
Gross
$5,134
3304481
$3,960
64636 Bilat Add Levels
Gross
$4,950
3304455
$3,937
64494 Bilat Second Level
Gross
$4,921
4000452-TC
$3,833
Mri Face Neck Orbit W/ Contrast
Gross
$4,791
4000549-TC
$3,806
Mra Neck W/ + W/o Contrast
Gross
$4,758
3234655
$3,758
24655radial Head/neck W/ Manipulation
Gross
$4,697
4004183-TC
$3,561
Mri Abdomen W/ + W/o Contrast
Gross
$4,451
4003720-TC
$3,186
Mri Foot W/ + W/o Contrast Left
Gross
$3,982
4000004-TC
$3,186
Mri Foot W/ + W/o Contrast Right
Gross
$3,982
4004216-TC
$3,186
Mri Lower Extremity W/ + W/o Cnt Left
Gross
$3,982
4004215-TC
$3,186
Mri Lower Extremity W/ + W/o Cnt Right
Gross
$3,982
4004186-TC
$3,186
Mri Upper Extremity W/ + W/o Cnt Left
Gross
$3,982
4004187-TC
$3,186
Mri Upper Extremity W/ + W/o Cnt Right
Gross
$3,982
4000548-TC
$3,173
Mra Neck W/ Contrast
Gross
$3,966
3304469
$3,094
64624 Dstrj Nulyt Agt Gnclr Nrv
Gross
$3,868
3304471
$3,094
64625 Radiofrequency Abltj Nrv Nrvtg Si Jt W/img Gdn
Gross
$3,868
3304475
$3,094
64633 Cervical/thoracic Ablation
Gross
$3,868
3232039
$3,086
12037-scalp/trunk/extremity Greater Than 30.0 Cm
Gross
$3,858
AE-4700
$3,086
Broselow Resuscitation Kit
Gross
$3,858
4000540-TC
$3,015
Mri Face Neck Orbit W/o Contrast
Gross
$3,769
3232049
$2,939
12047-neck/hand/feet/genital Greater Than 30.0 Cm
Gross
$3,674
3226562
$2,878
36561 Tc Insertion Of Tunneled Central Line With Port
Gross
$3,597
3223233
$2,866
43233 Egd Balloon Dil Esoph30 Mm/>
Gross
$3,583
3223246
$2,747
43245 Tc Egd Dilation Gastric/duodenal Stricture
Gross
$3,434
3220101
$2,747
43250 Tc Egd Flex Removal Lesion(s) By Hot Biopsy Forceps
Gross
$3,434
4004182-TC
$2,715
Mri Abdomen W/ Contrast
Gross
$3,394
3249977
$2,577
A0434 Advanced Life Support Speciality Emergent 4 Hour Transport Techfee
Gross
$3,221
3231045
$2,531
11044bone, First 20 Cm Or Less
Gross
$3,164
3235029
$2,531
24200-upper Arm/elbow Subcutaneous
Gross
$3,164
MCK2A-17-100-4
$2,520
Coolief 100mm X 4mm (Lumbar, Sij)
Gross
$3,150
CRKA-17-50-4
$2,520
Coolief 50mm X 4mm (Knee)
Gross
$3,150
CRKA-17-50-2
$2,520
Coolief 50mm X 2mm (Cervical)
Gross
$3,150
CRKA-17-75-2
$2,520
Coolief 75mm X 2mm (Cervical)
Gross
$3,150
CRKA-17-75-4
$2,520
Coolief 75mm X 4mm (Lumbar,sij,knee)
Gross
$3,150
CRKA-17-75-5.5
$2,520
Coolief 75mm X 5.5mm (Thoracic)
Gross
$3,150
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 3304479 | 64635 Bilat L/s Rf Ablation | $7,737 | $6,190 | $7,257 | $7,582 | 6 |
| 3302550 | 32550 Insertion Of Indwelling Tunneled Pleural Catheter With Cuff | $7,518 | $6,014 | $7,051 | $7,368 | 6 |
| 3237088 | 27087pelvis Or Hip; Deep | $6,366 | $5,093 | $5,971 | $6,239 | 6 |
| 3231320 | 21320-nasal Bone W/ Stabilization | $6,273 | $5,018 | $5,883 | $6,148 | 6 |
| 3239409 | 59409-vaginal Delivery Only | $5,900 | $4,720 | $5,534 | $5,782 | 6 |
| 3239414 | 59414delivery Of Placenta | $5,900 | $4,720 | $5,534 | $5,782 | 6 |
| 4001552-TC | Mri Chest W/ + W/o Contrast | $5,533 | $4,426 | $5,189 | $5,422 | 6 |
| 4000543-TC | Mri Face Neck Orbit W/ + W/o Contrast | $5,513 | $4,410 | $5,171 | $5,403 | 6 |
| 3304457 | 64495 Bilat Third Level | $5,413 | $4,330 | $5,077 | $5,305 | 6 |
| 3233333 | 23333shoulder; Deep | $5,330 | $4,264 | $4,999 | $5,223 | 6 |
| 3234201 | 24201upper Arm/elbow Deep | $5,330 | $4,264 | $4,999 | $5,223 | 6 |
| 3237086 | 27086pelvis Or Hip; Subcutaneous Tissue | $5,330 | $4,264 | $4,999 | $5,223 | 6 |
| 3230180 | 10180-i&d Postop Wound Infection Complex | $5,215 | $4,172 | $4,891 | $5,111 | 6 |
| 4002156-TC | Mri Spine Cervical W/ + W/o Contrast | $5,134 | $4,107 | $4,815 | $5,031 | 6 |
| 4002158-TC | Mri Spine Lumbar W/ + W/o Contrast | $5,134 | $4,107 | $4,815 | $5,031 | 6 |
| 4002157-TC | Mri Spine Thoracic W/ + W/o Contrast | $5,134 | $4,107 | $4,815 | $5,031 | 6 |
| 3304481 | 64636 Bilat Add Levels | $4,950 | $3,960 | $4,643 | $4,851 | 6 |
| 3304455 | 64494 Bilat Second Level | $4,921 | $3,937 | $4,615 | $4,823 | 6 |
| 4000452-TC | Mri Face Neck Orbit W/ Contrast | $4,791 | $3,833 | $4,493 | $4,695 | 6 |
| 4000549-TC | Mra Neck W/ + W/o Contrast | $4,758 | $3,806 | $4,463 | $4,663 | 6 |
| 3234655 | 24655radial Head/neck W/ Manipulation | $4,697 | $3,758 | $4,405 | $4,603 | 6 |
| 4004183-TC | Mri Abdomen W/ + W/o Contrast | $4,451 | $3,561 | $4,175 | $4,362 | 6 |
| 4003720-TC | Mri Foot W/ + W/o Contrast Left | $3,982 | $3,186 | $3,735 | $3,902 | 6 |
| 4000004-TC | Mri Foot W/ + W/o Contrast Right | $3,982 | $3,186 | $3,735 | $3,902 | 6 |
| 4004216-TC | Mri Lower Extremity W/ + W/o Cnt Left | $3,982 | $3,186 | $3,735 | $3,902 | 6 |
| 4004215-TC | Mri Lower Extremity W/ + W/o Cnt Right | $3,982 | $3,186 | $3,735 | $3,902 | 6 |
| 4004186-TC | Mri Upper Extremity W/ + W/o Cnt Left | $3,982 | $3,186 | $3,735 | $3,902 | 6 |
| 4004187-TC | Mri Upper Extremity W/ + W/o Cnt Right | $3,982 | $3,186 | $3,735 | $3,902 | 6 |
| 4000548-TC | Mra Neck W/ Contrast | $3,966 | $3,173 | $3,720 | $3,887 | 6 |
| 3304469 | 64624 Dstrj Nulyt Agt Gnclr Nrv | $3,868 | $3,094 | $3,628 | $3,791 | 6 |
| 3304471 | 64625 Radiofrequency Abltj Nrv Nrvtg Si Jt W/img Gdn | $3,868 | $3,094 | $3,628 | $3,791 | 6 |
| 3304475 | 64633 Cervical/thoracic Ablation | $3,868 | $3,094 | $3,628 | $3,791 | 6 |
| 3232039 | 12037-scalp/trunk/extremity Greater Than 30.0 Cm | $3,858 | $3,086 | $3,618 | $3,781 | 6 |
| AE-4700 | Broselow Resuscitation Kit | $3,858 | $3,086 | $3,618 | $3,781 | 6 |
| 4000540-TC | Mri Face Neck Orbit W/o Contrast | $3,769 | $3,015 | $3,535 | $3,694 | 6 |
| 3232049 | 12047-neck/hand/feet/genital Greater Than 30.0 Cm | $3,674 | $2,939 | $3,446 | $3,601 | 6 |
| 3226562 | 36561 Tc Insertion Of Tunneled Central Line With Port | $3,597 | $2,878 | $3,374 | $3,525 | 6 |
| 3223233 | 43233 Egd Balloon Dil Esoph30 Mm/> | $3,583 | $2,866 | $3,360 | $3,511 | 6 |
| 3223246 | 43245 Tc Egd Dilation Gastric/duodenal Stricture | $3,434 | $2,747 | $3,221 | $3,365 | 6 |
| 3220101 | 43250 Tc Egd Flex Removal Lesion(s) By Hot Biopsy Forceps | $3,434 | $2,747 | $3,221 | $3,365 | 6 |
| 4004182-TC | Mri Abdomen W/ Contrast | $3,394 | $2,715 | $3,183 | $3,326 | 6 |
| 3249977 | A0434 Advanced Life Support Speciality Emergent 4 Hour Transport Techfee | $3,221 | $2,577 | $3,021 | $3,157 | 6 |
| 3231045 | 11044bone, First 20 Cm Or Less | $3,164 | $2,531 | $2,968 | $3,101 | 6 |
| 3235029 | 24200-upper Arm/elbow Subcutaneous | $3,164 | $2,531 | $2,968 | $3,101 | 6 |
| MCK2A-17-100-4 | Coolief 100mm X 4mm (Lumbar, Sij) | $3,150 | $2,520 | $2,954 | $3,087 | 6 |
| CRKA-17-50-4 | Coolief 50mm X 4mm (Knee) | $3,150 | $2,520 | $2,954 | $3,087 | 6 |
| CRKA-17-50-2 | Coolief 50mm X 2mm (Cervical) | $3,150 | $2,520 | $2,954 | $3,087 | 6 |
| CRKA-17-75-2 | Coolief 75mm X 2mm (Cervical) | $3,150 | $2,520 | $2,954 | $3,087 | 6 |
| CRKA-17-75-4 | Coolief 75mm X 4mm (Lumbar,sij,knee) | $3,150 | $2,520 | $2,954 | $3,087 | 6 |
| CRKA-17-75-5.5 | Coolief 75mm X 5.5mm (Thoracic) | $3,150 | $2,520 | $2,954 | $3,087 | 6 |
Showing top 50 of 1,915 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.