45 CFR § 180 compliance
B · 85
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
60
Insurances with rates
7
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
612
—
MRI SPINE LUMBAR WO W CONTRAST
Gross
$5,488
610
—
MRA HEAD WO CONTRAST
Gross
$3,044
276
—
BC-IOL PRESBYOPIC
Gross
$2,919
148
—
3W NCCR INTL PRIVATE
Gross
$2,903
360
—
OR TIME CHG,LEV7,1ST 30 MIN
Gross
$2,504
118
—
2W REHAB PRIVATE
Gross
$2,466
128
—
3E REHAB SEMI-PRIVATE
Gross
$2,241
611
—
MRI BRAIN WO CONTRAST
Gross
$2,190
352
—
CT ABD & PELV WITH CONTRAST
Gross
$1,796
351
—
CT NECK WO CONTRAST
Gross
$1,528
341
—
PULM VENT AERO OR GAS W PERF
Gross
$1,276
361
—
INJ PARAVERT F JNT L/S 1 LEV
Gross
$833
274
—
FO FINGR STATIC CUST ORTHO FIT
Gross
$781
710
—
REC RM-1ST 1/2 HR
Gross
$737
312
—
IMMUNOHISTO ANTIBODY SLIDE
Gross
$728
740
—
EEG AWAKE/SLEEP
Gross
$698
335
—
IV CHEMO INFUSION INIT HR
Gross
$681
801
—
HEMODIALYSIS INPATIENT
Gross
$653
402
—
US RETROPERITONEAL COMPLETE
Gross
$618
306
—
INF AGT NUC ACD;GI PTH 6-11TAR
Gross
$593
424
—
PT EVAL MOD COMPLEX
Gross
$574
434
—
OT EVAL MOD COMPLEX
Gross
$574
278
—
SCR SYN O LOCK ST W/T8 2.7X14
Gross
$542
444
—
SPEECH SOUND LANG COMPREHEN
Gross
$501
311
—
TISSUE PREPARATION -LEVEL V
Gross
$500
310
—
IMMUNOFLUOR STUDY,EA AB, DIR
Gross
$500
922
—
NERVE CONDUCT STUDIES 9 TO 10
Gross
$497
480
—
INTERROGATION VAD IN PERSON
Gross
$458
921
—
UE VENOUS DUPLEX-LIMITED
Gross
$449
450
—
IV INFUSION INITIAL HOUR
Gross
$415
272
—
MASK NAS DREAMWEAR LG W/HDGEAR
Gross
$398
302
—
CD4/CD8 LYMPHOCYTE RATIO
Gross
$351
370
—
ANESTH TIME EA 15 MIN
Gross
$326
343
—
XENON XE 133, PER 10 MCI
Gross
$318
471
—
HEARING TEST COMP
Gross
$282
320
—
BC-SPINE, THORACIC AP & LAT
Gross
$281
324
—
CHEST 2 VIEWS
Gross
$281
762
—
OBSERVATION PER HOUR
Gross
$280
423
—
PT THERAPEUTIC EX GROUP
Gross
$258
920
—
VISUAL FIELD EXAM EXT
Gross
$241
250
—
FENTANYL 100MCG/HR TD PATCH
Gross
$235
440
—
SP COMM/COG/LANG TX
Gross
$233
410
—
NEB TREATMENT
Gross
$209
433
—
OT FUNCTIONAL MOBILITY GRP
Gross
$204
530
—
OMT 7-8 BODY REGIONS INVOLVED
Gross
$203
443
—
SPEECH/LANGUAGE TX GROUP
Gross
$190
270
—
SLING DISP FLITES XL
Gross
$179
481
—
CARDIAC CATH MINUTE
Gross
$164
390
—
COMPATIBILITY TEST EA UNIT,ANT
Gross
$157
301
—
DRUG SCRN QNT GABAPENTIN
Gross
$155
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 612 | MRI SPINE LUMBAR WO W CONTRAST | $5,488 | — | $622 | $8,404 | 12 |
| 610 | MRA HEAD WO CONTRAST | $3,044 | — | $345 | $4,916 | 12 |
| 276 | BC-IOL PRESBYOPIC | $2,919 | — | $331 | $2,481 | 12 |
| 148 | 3W NCCR INTL PRIVATE | $2,903 | — | $329 | $2,468 | 10 |
| 360 | OR TIME CHG,LEV7,1ST 30 MIN | $2,504 | — | $284 | $2,128 | 12 |
| 118 | 2W REHAB PRIVATE | $2,466 | — | $280 | $2,500 | 12 |
| 128 | 3E REHAB SEMI-PRIVATE | $2,241 | — | $254 | $2,100 | 12 |
| 611 | MRI BRAIN WO CONTRAST | $2,190 | — | $248 | $3,334 | 12 |
| 352 | CT ABD & PELV WITH CONTRAST | $1,796 | — | $204 | $2,744 | 12 |
| 351 | CT NECK WO CONTRAST | $1,528 | — | $173 | $2,563 | 12 |
| 341 | PULM VENT AERO OR GAS W PERF | $1,276 | — | $145 | $1,085 | 12 |
| 361 | INJ PARAVERT F JNT L/S 1 LEV | $833 | — | $94.41 | $708 | 12 |
| 274 | FO FINGR STATIC CUST ORTHO FIT | $781 | — | $88.53 | $738 | 12 |
| 710 | REC RM-1ST 1/2 HR | $737 | — | $83.52 | $626 | 12 |
| 312 | IMMUNOHISTO ANTIBODY SLIDE | $728 | — | $82.59 | $647 | 12 |
| 740 | EEG AWAKE/SLEEP | $698 | — | $79.16 | $698 | 12 |
| 335 | IV CHEMO INFUSION INIT HR | $681 | — | $77.23 | $579 | 12 |
| 801 | HEMODIALYSIS INPATIENT | $653 | — | $74.08 | $750 | 12 |
| 402 | US RETROPERITONEAL COMPLETE | $618 | — | $70.03 | $567 | 12 |
| 306 | INF AGT NUC ACD;GI PTH 6-11TAR | $593 | — | $67.28 | $547 | 12 |
| 424 | PT EVAL MOD COMPLEX | $574 | — | $65.07 | $526 | 12 |
| 434 | OT EVAL MOD COMPLEX | $574 | — | $65.07 | $529 | 12 |
| 278 | SCR SYN O LOCK ST W/T8 2.7X14 | $542 | — | $61.45 | $461 | 12 |
| 444 | SPEECH SOUND LANG COMPREHEN | $501 | — | $56.77 | $462 | 12 |
| 311 | TISSUE PREPARATION -LEVEL V | $500 | — | $56.73 | $425 | 12 |
| 310 | IMMUNOFLUOR STUDY,EA AB, DIR | $500 | — | $56.73 | $425 | 12 |
| 922 | NERVE CONDUCT STUDIES 9 TO 10 | $497 | — | $56.33 | $422 | 12 |
| 480 | INTERROGATION VAD IN PERSON | $458 | — | $51.88 | $390 | 12 |
| 921 | UE VENOUS DUPLEX-LIMITED | $449 | — | $50.92 | $402 | 12 |
| 450 | IV INFUSION INITIAL HOUR | $415 | — | $47.03 | $353 | 12 |
| 272 | MASK NAS DREAMWEAR LG W/HDGEAR | $398 | — | $45.11 | $369 | 12 |
| 302 | CD4/CD8 LYMPHOCYTE RATIO | $351 | — | $39.76 | $298 | 12 |
| 370 | ANESTH TIME EA 15 MIN | $326 | — | $36.99 | $277 | 12 |
| 343 | XENON XE 133, PER 10 MCI | $318 | — | $36.03 | $270 | 12 |
| 471 | HEARING TEST COMP | $282 | — | $31.95 | $255 | 12 |
| 320 | BC-SPINE, THORACIC AP & LAT | $281 | — | $31.81 | $256 | 12 |
| 324 | CHEST 2 VIEWS | $281 | — | $31.81 | $252 | 12 |
| 762 | OBSERVATION PER HOUR | $280 | — | $31.74 | $238 | 12 |
| 423 | PT THERAPEUTIC EX GROUP | $258 | — | $29.23 | $248 | 12 |
| 920 | VISUAL FIELD EXAM EXT | $241 | — | $27.32 | $206 | 12 |
| 250 | FENTANYL 100MCG/HR TD PATCH | $235 | — | $26.65 | $215 | 12 |
| 440 | SP COMM/COG/LANG TX | $233 | — | $26.46 | $213 | 12 |
| 410 | NEB TREATMENT | $209 | — | $23.67 | $177 | 12 |
| 433 | OT FUNCTIONAL MOBILITY GRP | $204 | — | $23.09 | $187 | 12 |
| 530 | OMT 7-8 BODY REGIONS INVOLVED | $203 | — | $23.02 | $173 | 12 |
| 443 | SPEECH/LANGUAGE TX GROUP | $190 | — | $21.53 | $188 | 12 |
| 270 | SLING DISP FLITES XL | $179 | — | $20.24 | $162 | 12 |
| 481 | CARDIAC CATH MINUTE | $164 | — | $18.6 | $139 | 12 |
| 390 | COMPATIBILITY TEST EA UNIT,ANT | $157 | — | $17.81 | $134 | 12 |
| 301 | DRUG SCRN QNT GABAPENTIN | $155 | — | $17.58 | $155 | 12 |
Showing top 50 of 60 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.