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
2,795
Insurances with rates
0
CPT / HCPCS codes
1
Source MRF
Most expensive procedures (gross)
3337737101
—
HC TR SRS 1 SESSION MULTI COBALT 60
Gross
$98,343
3613326301
—
HC RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD
Gross
$80,607
3612502801
—
HC I&D FOREARM/WRIST DEEP ABSC/HEMATOMA
Gross
$17,043
36126765PB
—
HC OPEN TX DISTAL PHALANGEAL FRACTURE EACH
Gross
$16,876
7905059001
—
HC FRAGMENT KIDNEY STONE/ ESWL
Gross
$16,178
3108116202
—
HC BRCA 1&2 SEQUENCING - ARUP
Gross
$15,186
3612393001
—
HC I&D UPPER ARM/ELBOW DEEP ABSC/HEMATOMA
Gross
$14,868
3612784201
—
HC CLOSED RX ANKLE DISLOCATN,ANESTH
Gross
$14,527
3600000058
—
HC OR GYN - LEVEL 5 FIRST 30 MINUTES
Gross
$13,223
3337730101
—
HC RADIATION THERAPY INTENSITY MODULATED THERAPY PLAN - IMRT
Gross
$12,265
3612365501
—
HC CLOSED RX SHLDR DISLOC,ANESTHESIA
Gross
$10,857
3612819201
—
HC PBB REMV FOOT FOREIGN BODY,DEEP
Gross
$10,684
3615415001
—
HC CIRCUMCISION W/ CLAMP OR DEVICE
Gross
$10,462
3615510001
—
HC DRAINAGE SCROTAL WALL ABSCESS
Gross
$10,037
3527417701
—
HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST
Gross
$9,769
3612052001
—
HC REMOVAL OF FOREIGN BODY
Gross
$9,505
3337776301
—
HC BRACHYTHERAPY INTRACAVITARY COMPLEX
Gross
$9,218
7225941401
—
HC DELIVER PLACENTA
Gross
$9,090
3600000098
—
HC OR ROBOT - LEVEL 5 FIRST 30 MINUTES
Gross
$9,004
3008122901
—
HC GENE ANALYSIS - SNP VARIANTS
Gross
$8,930
3527417601
—
HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST
Gross
$8,908
3613657101
—
HC INSERT PICC W/ SUB-Q PORT
Gross
$8,892
3612393101
—
HC INCIS/DRAIN ARM/ELBOW INFECT BURSA
Gross
$8,857
3612462001
—
HC CLOSED RX MONTEGGIA FX/DISLOC ELBOW
Gross
$8,794
3612550501
—
HC CLOSED RX RADIAL SHAFT FX,MANIPULATN
Gross
$8,794
3612556501
—
HC CLOSED RX RAD/ULNA SHAFT FX,MANIP
Gross
$8,794
3612781801
—
HC CLOSED RX TRIMALLEOLAR FX,MANIP
Gross
$8,794
3612366501
—
HC CLOSED RX SHLDR DISLOC,GR TUB FX
Gross
$8,712
3612560501
—
HC CLOSED RX DIST RAD/ULNA FX,MANIPUL
Gross
$8,712
3613656901
—
HC INSERTION PICC W/O IMG GDN 5 YR/>
Gross
$8,684
3600000096
—
HC OR ROBOT - LEVEL 4 FIRST 30 MINUTES
Gross
$8,330
36000000D2
—
HC OR OB - LEVEL 5 FIRST 30 MINUTES
Gross
$8,273
3600000094
—
HC OR ROBOT - LEVEL 3 FIRST 30 MINUTES
Gross
$7,754
7500000009
—
HC GI/ENDO - LEVEL 5 FIRST 5 MINUTES
Gross
$7,569
75000000C1
—
HC OR ENDO - LEVEL 5 FIRST 5 MINUTES
Gross
$7,569
3417845201
—
HC MYOCARDIAL SPECT MULTIPLE STUDIES
Gross
$7,369
3600000092
—
HC OR ROBOT - LEVEL 2 FIRST 30 MINUTES
Gross
$7,049
3337776101
—
HC BRACHYTHERAPY INTRACAVITARY SIMPLE
Gross
$7,013
3337776201
—
HC BRACHYTHERAPY INTRACAVITARY INTERMEDIATE
Gross
$7,013
36000000C9
—
HC OR OB - LEVEL 4 FIRST 30 MINUTES
Gross
$6,922
3600000048
—
HC OR GENERAL - LEVEL 5 FIRST 30 MINUTES
Gross
$6,799
3600000068
—
HC OR NEURO - LEVEL 5 FIRST 30 MINUTES
Gross
$6,799
3616449301
—
HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL
Gross
$6,728
3600000088
—
HC OR ORTHO - LEVEL 5 FIRST 30 MINUTES
Gross
$6,669
3600000090
—
HC OR ROBOT - LEVEL 1 FIRST 30 MINUTES
Gross
$6,628
3614604001
—
HC I&D PERIRECTAL ABSCESS
Gross
$6,546
3600000028
—
HC OR CARD - LEVEL 5 FIRST 30 MINUTES
Gross
$6,403
390P903502
—
HC PLATELET PHERES LEUKOREDUCED LVDS
Gross
$6,328
6117055302
—
HC MRI BRAIN COMBO
Gross
$6,244
3517047001
—
HC CT SCAN HEAD COMBO
Gross
$6,236
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 3337737101 | HC TR SRS 1 SESSION MULTI COBALT 60 | $98,343 | — | — | — | 0 |
| 3613326301 | HC RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD | $80,607 | — | — | — | 0 |
| 3612502801 | HC I&D FOREARM/WRIST DEEP ABSC/HEMATOMA | $17,043 | — | — | — | 0 |
| 36126765PB | HC OPEN TX DISTAL PHALANGEAL FRACTURE EACH | $16,876 | — | — | — | 0 |
| 7905059001 | HC FRAGMENT KIDNEY STONE/ ESWL | $16,178 | — | — | — | 0 |
| 3108116202 | HC BRCA 1&2 SEQUENCING - ARUP | $15,186 | — | — | — | 0 |
| 3612393001 | HC I&D UPPER ARM/ELBOW DEEP ABSC/HEMATOMA | $14,868 | — | — | — | 0 |
| 3612784201 | HC CLOSED RX ANKLE DISLOCATN,ANESTH | $14,527 | — | — | — | 0 |
| 3600000058 | HC OR GYN - LEVEL 5 FIRST 30 MINUTES | $13,223 | — | — | — | 0 |
| 3337730101 | HC RADIATION THERAPY INTENSITY MODULATED THERAPY PLAN - IMRT | $12,265 | — | — | — | 0 |
| 3612365501 | HC CLOSED RX SHLDR DISLOC,ANESTHESIA | $10,857 | — | — | — | 0 |
| 3612819201 | HC PBB REMV FOOT FOREIGN BODY,DEEP | $10,684 | — | — | — | 0 |
| 3615415001 | HC CIRCUMCISION W/ CLAMP OR DEVICE | $10,462 | — | — | — | 0 |
| 3615510001 | HC DRAINAGE SCROTAL WALL ABSCESS | $10,037 | — | — | — | 0 |
| 3527417701 | HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST | $9,769 | — | — | — | 0 |
| 3612052001 | HC REMOVAL OF FOREIGN BODY | $9,505 | — | — | — | 0 |
| 3337776301 | HC BRACHYTHERAPY INTRACAVITARY COMPLEX | $9,218 | — | — | — | 0 |
| 7225941401 | HC DELIVER PLACENTA | $9,090 | — | — | — | 0 |
| 3600000098 | HC OR ROBOT - LEVEL 5 FIRST 30 MINUTES | $9,004 | — | — | — | 0 |
| 3008122901 | HC GENE ANALYSIS - SNP VARIANTS | $8,930 | — | — | — | 0 |
| 3527417601 | HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST | $8,908 | — | — | — | 0 |
| 3613657101 | HC INSERT PICC W/ SUB-Q PORT | $8,892 | — | — | — | 0 |
| 3612393101 | HC INCIS/DRAIN ARM/ELBOW INFECT BURSA | $8,857 | — | — | — | 0 |
| 3612462001 | HC CLOSED RX MONTEGGIA FX/DISLOC ELBOW | $8,794 | — | — | — | 0 |
| 3612550501 | HC CLOSED RX RADIAL SHAFT FX,MANIPULATN | $8,794 | — | — | — | 0 |
| 3612556501 | HC CLOSED RX RAD/ULNA SHAFT FX,MANIP | $8,794 | — | — | — | 0 |
| 3612781801 | HC CLOSED RX TRIMALLEOLAR FX,MANIP | $8,794 | — | — | — | 0 |
| 3612366501 | HC CLOSED RX SHLDR DISLOC,GR TUB FX | $8,712 | — | — | — | 0 |
| 3612560501 | HC CLOSED RX DIST RAD/ULNA FX,MANIPUL | $8,712 | — | — | — | 0 |
| 3613656901 | HC INSERTION PICC W/O IMG GDN 5 YR/> | $8,684 | — | — | — | 0 |
| 3600000096 | HC OR ROBOT - LEVEL 4 FIRST 30 MINUTES | $8,330 | — | — | — | 0 |
| 36000000D2 | HC OR OB - LEVEL 5 FIRST 30 MINUTES | $8,273 | — | — | — | 0 |
| 3600000094 | HC OR ROBOT - LEVEL 3 FIRST 30 MINUTES | $7,754 | — | — | — | 0 |
| 7500000009 | HC GI/ENDO - LEVEL 5 FIRST 5 MINUTES | $7,569 | — | — | — | 0 |
| 75000000C1 | HC OR ENDO - LEVEL 5 FIRST 5 MINUTES | $7,569 | — | — | — | 0 |
| 3417845201 | HC MYOCARDIAL SPECT MULTIPLE STUDIES | $7,369 | — | — | — | 0 |
| 3600000092 | HC OR ROBOT - LEVEL 2 FIRST 30 MINUTES | $7,049 | — | — | — | 0 |
| 3337776101 | HC BRACHYTHERAPY INTRACAVITARY SIMPLE | $7,013 | — | — | — | 0 |
| 3337776201 | HC BRACHYTHERAPY INTRACAVITARY INTERMEDIATE | $7,013 | — | — | — | 0 |
| 36000000C9 | HC OR OB - LEVEL 4 FIRST 30 MINUTES | $6,922 | — | — | — | 0 |
| 3600000048 | HC OR GENERAL - LEVEL 5 FIRST 30 MINUTES | $6,799 | — | — | — | 0 |
| 3600000068 | HC OR NEURO - LEVEL 5 FIRST 30 MINUTES | $6,799 | — | — | — | 0 |
| 3616449301 | HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL | $6,728 | — | — | — | 0 |
| 3600000088 | HC OR ORTHO - LEVEL 5 FIRST 30 MINUTES | $6,669 | — | — | — | 0 |
| 3600000090 | HC OR ROBOT - LEVEL 1 FIRST 30 MINUTES | $6,628 | — | — | — | 0 |
| 3614604001 | HC I&D PERIRECTAL ABSCESS | $6,546 | — | — | — | 0 |
| 3600000028 | HC OR CARD - LEVEL 5 FIRST 30 MINUTES | $6,403 | — | — | — | 0 |
| 390P903502 | HC PLATELET PHERES LEUKOREDUCED LVDS | $6,328 | — | — | — | 0 |
| 6117055302 | HC MRI BRAIN COMBO | $6,244 | — | — | — | 0 |
| 3517047001 | HC CT SCAN HEAD COMBO | $6,236 | — | — | — | 0 |
Showing top 50 of 2,795 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.