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
3,352
Insurances with rates
2
CPT / HCPCS codes
522
Source MRF
Most expensive procedures (gross)
4810913T01
$45,211
HC PERQ TCAT THER RX DELIVER NTRAC BALLOON 1ST MAJ COR ART W/IMG
Gross
$45,211
3613721201
$38,451
HC THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX
Gross
$38,451
3337737101
$35,677
HC TR SRS 1 SESSION MULTI COBALT 60
Gross
$35,677
250
$33,460
PRIVIGEN 20 GM/200ML IV SOLN
Gross
$33,460
3612393101
$23,545
HC INCIS/DRAIN ARM/ELBOW INFECT BURSA
Gross
$23,545
3612420001
$23,545
HC REMOVE FB UPPER ARM/ELBOW SUBQ
Gross
$23,545
3612601101
$23,545
HC DRAIN FINGER ABSCESS,COMPLICATED
Gross
$23,545
3615510001
$23,545
HC DRAINAGE SCROTAL WALL ABSCESS
Gross
$23,545
3600000098
$23,407
HC OR ROBOT - LEVEL 5 FIRST 30 MINUTES
Gross
$23,407
3612524801
$23,406
HC REMOVE FOREARM/WRIST FOREIGN BODY
Gross
$23,406
3612550501
$23,406
HC CLOSED RX RADIAL SHAFT FX,MANIPULATN
Gross
$23,406
3612563501
$23,406
HC CLOSED RX CARPAL FX,MAIPULATN
Gross
$23,406
3612674201
$23,406
HC CLOSE RX FINGR ARTICULAR FX,MANIP
Gross
$23,406
3612781801
$23,406
HC CLOSED RX TRIMALLEOLAR FX,MANIP
Gross
$23,406
3108116202
$23,238
HC BRCA 1&2 SEQUENCING - ARUP
Gross
$23,238
4810914T01
$22,605
HC PERQ TCAT THER RX DELIVER NTRAC BALLOON SEPARATE
Gross
$22,605
3600000096
$22,155
HC OR ROBOT - LEVEL 4 FIRST 30 MINUTES
Gross
$22,155
3600000094
$18,890
HC OR ROBOT - LEVEL 3 FIRST 30 MINUTES
Gross
$18,890
3613657301
$18,579
HC INSERTION PICC W/RS&I 5 YR/>
Gross
$18,579
3600000092
$17,589
HC OR ROBOT - LEVEL 2 FIRST 30 MINUTES
Gross
$17,589
3614604001
$17,421
HC I&D PERIRECTAL ABSCESS
Gross
$17,421
3337730101
$16,847
HC RADIATION THERAPY INTENSITY MODULATED THERAPY PLAN - IMRT
Gross
$16,847
3527417801
$16,387
HC CT SCAN,ABDOMEN AND PELVIS,COMBO
Gross
$16,387
3600000090
$15,771
HC OR ROBOT - LEVEL 1 FIRST 30 MINUTES
Gross
$15,771
3600000068
$15,689
HC OR NEURO - LEVEL 5 FIRST 30 MINUTES
Gross
$15,689
3527417401
$15,222
HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES
Gross
$15,222
3008122901
$14,771
HC GENE ANALYSIS - SNP VARIANTS
Gross
$14,771
3108122901
$14,771
HC MOLECULAR PATHOLOGY - CYTOGENOMIC MICROARRAY ANALYSIS, CNV & SNP
Gross
$14,771
3600000066
$14,437
HC OR NEURO - LEVEL 4 FIRST 30 MINUTES
Gross
$14,437
3600000058
$14,248
HC OR GYN - LEVEL 5 FIRST 30 MINUTES
Gross
$14,248
36000000D2
$13,569
HC OR OB - LEVEL 5 FIRST 30 MINUTES
Gross
$13,569
3527417701
$13,471
HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST
Gross
$13,471
3614605001
$13,242
HC I&D PERIANAL ABSCESS,SUPERFICIAL
Gross
$13,242
3600000028
$13,105
HC OR CARD - LEVEL 5 FIRST 30 MINUTES
Gross
$13,105
3600000056
$12,890
HC OR GYN - LEVEL 4 FIRST 30 MINUTES
Gross
$12,890
3600000088
$12,708
HC OR ORTHO - LEVEL 5 FIRST 30 MINUTES
Gross
$12,708
3600000048
$12,521
HC OR GENERAL - LEVEL 5 FIRST 30 MINUTES
Gross
$12,521
3600000026
$12,286
HC OR CARD - LEVEL 4 FIRST 30 MINUTES
Gross
$12,286
3600000078
$12,091
HC OR OPTH - LEVEL 5 FIRST 30 MINUTES
Gross
$12,091
3600000086
$11,971
HC OR ORTHO - LEVEL 4 FIRST 30 MINUTES
Gross
$11,971
36000000C9
$11,937
HC OR OB - LEVEL 4 FIRST 30 MINUTES
Gross
$11,937
3614908301
$11,705
HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE
Gross
$11,705
3600000076
$11,584
HC OR OPTH - LEVEL 4 FIRST 30 MINUTES
Gross
$11,584
3600000054
$11,539
HC OR GYN - LEVEL 3 FIRST 30 MINUTES
Gross
$11,539
3600000046
$11,246
HC OR GENERAL - LEVEL 4 FIRST 30 MINUTES
Gross
$11,246
3600000064
$11,172
HC OR NEURO - LEVEL 3 FIRST 30 MINUTES
Gross
$11,172
3527417601
$11,072
HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST
Gross
$11,072
3600000084
$10,666
HC OR ORTHO - LEVEL 3 FIRST 30 MINUTES
Gross
$10,666
3600000074
$10,379
HC OR OPTH - LEVEL 3 FIRST 30 MINUTES
Gross
$10,379
390P907301
$10,351
HC BLOOD PRODUCT - PLATELET PHERESIS PATHOGEN REDUCED
Gross
$10,351
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4810913T01 | HC PERQ TCAT THER RX DELIVER NTRAC BALLOON 1ST MAJ COR ART W/IMG | $45,211 | $45,211 | — | — | 0 |
| 3613721201 | HC THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX | $38,451 | $38,451 | — | — | 0 |
| 3337737101 | HC TR SRS 1 SESSION MULTI COBALT 60 | $35,677 | $35,677 | — | — | 0 |
| 250 | PRIVIGEN 20 GM/200ML IV SOLN | $33,460 | $33,460 | — | — | 0 |
| 3612393101 | HC INCIS/DRAIN ARM/ELBOW INFECT BURSA | $23,545 | $23,545 | — | — | 0 |
| 3612420001 | HC REMOVE FB UPPER ARM/ELBOW SUBQ | $23,545 | $23,545 | — | — | 0 |
| 3612601101 | HC DRAIN FINGER ABSCESS,COMPLICATED | $23,545 | $23,545 | — | — | 0 |
| 3615510001 | HC DRAINAGE SCROTAL WALL ABSCESS | $23,545 | $23,545 | — | — | 0 |
| 3600000098 | HC OR ROBOT - LEVEL 5 FIRST 30 MINUTES | $23,407 | $23,407 | — | — | 0 |
| 3612524801 | HC REMOVE FOREARM/WRIST FOREIGN BODY | $23,406 | $23,406 | — | — | 0 |
| 3612550501 | HC CLOSED RX RADIAL SHAFT FX,MANIPULATN | $23,406 | $23,406 | — | — | 0 |
| 3612563501 | HC CLOSED RX CARPAL FX,MAIPULATN | $23,406 | $23,406 | — | — | 0 |
| 3612674201 | HC CLOSE RX FINGR ARTICULAR FX,MANIP | $23,406 | $23,406 | — | — | 0 |
| 3612781801 | HC CLOSED RX TRIMALLEOLAR FX,MANIP | $23,406 | $23,406 | — | — | 0 |
| 3108116202 | HC BRCA 1&2 SEQUENCING - ARUP | $23,238 | $23,238 | — | — | 0 |
| 4810914T01 | HC PERQ TCAT THER RX DELIVER NTRAC BALLOON SEPARATE | $22,605 | $22,605 | — | — | 0 |
| 3600000096 | HC OR ROBOT - LEVEL 4 FIRST 30 MINUTES | $22,155 | $22,155 | — | — | 0 |
| 3600000094 | HC OR ROBOT - LEVEL 3 FIRST 30 MINUTES | $18,890 | $18,890 | — | — | 0 |
| 3613657301 | HC INSERTION PICC W/RS&I 5 YR/> | $18,579 | $18,579 | — | — | 0 |
| 3600000092 | HC OR ROBOT - LEVEL 2 FIRST 30 MINUTES | $17,589 | $17,589 | — | — | 0 |
| 3614604001 | HC I&D PERIRECTAL ABSCESS | $17,421 | $17,421 | — | — | 0 |
| 3337730101 | HC RADIATION THERAPY INTENSITY MODULATED THERAPY PLAN - IMRT | $16,847 | $16,847 | — | — | 0 |
| 3527417801 | HC CT SCAN,ABDOMEN AND PELVIS,COMBO | $16,387 | $16,387 | — | — | 0 |
| 3600000090 | HC OR ROBOT - LEVEL 1 FIRST 30 MINUTES | $15,771 | $15,771 | — | — | 0 |
| 3600000068 | HC OR NEURO - LEVEL 5 FIRST 30 MINUTES | $15,689 | $15,689 | — | — | 0 |
| 3527417401 | HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES | $15,222 | $15,222 | — | — | 0 |
| 3008122901 | HC GENE ANALYSIS - SNP VARIANTS | $14,771 | $14,771 | — | — | 0 |
| 3108122901 | HC MOLECULAR PATHOLOGY - CYTOGENOMIC MICROARRAY ANALYSIS, CNV & SNP | $14,771 | $14,771 | — | — | 0 |
| 3600000066 | HC OR NEURO - LEVEL 4 FIRST 30 MINUTES | $14,437 | $14,437 | — | — | 0 |
| 3600000058 | HC OR GYN - LEVEL 5 FIRST 30 MINUTES | $14,248 | $14,248 | — | — | 0 |
| 36000000D2 | HC OR OB - LEVEL 5 FIRST 30 MINUTES | $13,569 | $13,569 | — | — | 0 |
| 3527417701 | HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST | $13,471 | $13,471 | — | — | 0 |
| 3614605001 | HC I&D PERIANAL ABSCESS,SUPERFICIAL | $13,242 | $13,242 | — | — | 0 |
| 3600000028 | HC OR CARD - LEVEL 5 FIRST 30 MINUTES | $13,105 | $13,105 | — | — | 0 |
| 3600000056 | HC OR GYN - LEVEL 4 FIRST 30 MINUTES | $12,890 | $12,890 | — | — | 0 |
| 3600000088 | HC OR ORTHO - LEVEL 5 FIRST 30 MINUTES | $12,708 | $12,708 | — | — | 0 |
| 3600000048 | HC OR GENERAL - LEVEL 5 FIRST 30 MINUTES | $12,521 | $12,521 | — | — | 0 |
| 3600000026 | HC OR CARD - LEVEL 4 FIRST 30 MINUTES | $12,286 | $12,286 | — | — | 0 |
| 3600000078 | HC OR OPTH - LEVEL 5 FIRST 30 MINUTES | $12,091 | $12,091 | — | — | 0 |
| 3600000086 | HC OR ORTHO - LEVEL 4 FIRST 30 MINUTES | $11,971 | $11,971 | — | — | 0 |
| 36000000C9 | HC OR OB - LEVEL 4 FIRST 30 MINUTES | $11,937 | $11,937 | — | — | 0 |
| 3614908301 | HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $11,705 | $11,705 | — | — | 0 |
| 3600000076 | HC OR OPTH - LEVEL 4 FIRST 30 MINUTES | $11,584 | $11,584 | — | — | 0 |
| 3600000054 | HC OR GYN - LEVEL 3 FIRST 30 MINUTES | $11,539 | $11,539 | — | — | 0 |
| 3600000046 | HC OR GENERAL - LEVEL 4 FIRST 30 MINUTES | $11,246 | $11,246 | — | — | 0 |
| 3600000064 | HC OR NEURO - LEVEL 3 FIRST 30 MINUTES | $11,172 | $11,172 | — | — | 0 |
| 3527417601 | HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST | $11,072 | $11,072 | — | — | 0 |
| 3600000084 | HC OR ORTHO - LEVEL 3 FIRST 30 MINUTES | $10,666 | $10,666 | — | — | 0 |
| 3600000074 | HC OR OPTH - LEVEL 3 FIRST 30 MINUTES | $10,379 | $10,379 | — | — | 0 |
| 390P907301 | HC BLOOD PRODUCT - PLATELET PHERESIS PATHOGEN REDUCED | $10,351 | $10,351 | — | — | 0 |
Showing top 50 of 3,352 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.