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
1,492
Insurances with rates
13
CPT / HCPCS codes
1,084
Most expensive procedures (gross)
L5701
$5,584
REPLACE SOCKET ABOVE KNEE
Gross
$7,445
49440
$4,843
G TUBE INSERTION W/GUIDANCE
Gross
$6,457
750
$4,843
PEG TUBE PLACEMENT
Gross
$6,457
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
77301
$4,075
RADIATION IMR PLAN
Gross
$5,433
L4631
$3,502
AFO, WALKING BOOT, CUSTOM
Gross
$4,669
L0464
$3,304
TLSO 4MOD SACRO-SCAP PRE
Gross
$4,405
49083
$3,110
US GUIDED PARACENTESIS
Gross
$4,147
L5651
$3,002
AK FLEX INNER SICKET EXT FRA
Gross
$4,003
73222
$2,912
MRI UPPER EXTREM W CONTRAST
Gross
$3,882
73722
$2,912
MRI LOWER EXTREM JNT W CONTRAS
Gross
$3,882
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
51710
$2,614
BLADDER TUBE CHANGE
Gross
$3,485
77385
$2,544
RADIATION IMRT SIMPLE
Gross
$3,392
77386
$2,544
RADIATION IMRT COMPLEX
Gross
$3,392
77470
$2,544
RADIATION SPECIAL TREATMENT
Gross
$3,392
32555
$2,540
US THORACENTESIS
Gross
$3,386
78582
$2,431
NM PULM PERFUSION W/ VENTILATI
Gross
$3,241
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
78306
$2,192
NM BONE JOINT IMAGE WHOLE BODY
Gross
$2,923
78580
$2,192
NM PULMONARY PERFUSION
Gross
$2,923
L1686
$2,191
HO POST-OP HIP ABDUCTION PREFB
Gross
$2,921
70542
$2,174
MRI FACE NECK ORBIT W CONTRAST
Gross
$2,898
70543
$2,174
MRI FACE NECK ORBIT W + W/O CO
Gross
$2,898
70545
$2,174
MRA HEAD W CONTRAST
Gross
$2,898
70546
$2,174
MRA HEAD W + W/O CONTRAST
Gross
$2,898
70548
$2,174
MRA NECK W CONTRAST
Gross
$2,898
70549
$2,174
MRA NECK W + W/O CONTRAST
Gross
$2,898
70552
$2,174
MRI BRAIN W CONTRAST
Gross
$2,898
70553
$2,174
MRI BRAIN W/ + W/O CONTRAST
Gross
$2,898
72126
$2,174
CT SPINE CERVICAL W/ CONTRAST
Gross
$2,898
72132
$2,174
CT SPINE LUMBAR W/ CONTRAST
Gross
$2,898
72142
$2,174
MRI SPINE CERVICAL W/ CONTRAST
Gross
$2,898
72147
$2,174
MRI SPINE THORACIC W/ CONTRAST
Gross
$2,898
72149
$2,174
MRI SPINE LUMBAR W/ CONTRAST
Gross
$2,898
72156
$2,174
MRI SPINE CERVICAL W/ + W/O CO
Gross
$2,898
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| L5701 | REPLACE SOCKET ABOVE KNEE | $7,445 | $5,584 | — | — | 3 |
| 49440 | G TUBE INSERTION W/GUIDANCE | $6,457 | $4,843 | — | — | 3 |
| 750 | PEG TUBE PLACEMENT | $6,457 | $4,843 | — | — | 3 |
| L5649 | ISCH CONTAINMT/NARROW M-I SO | $6,317 | $4,738 | — | — | 3 |
| 81408 | MOPATH PROCEDURE LEVEL 9 | $6,180 | $4,635 | — | — | 3 |
| L2036 | KAFO PLAS DOUB FREE KNEE MOL | $5,885 | $4,414 | — | — | 3 |
| L0486 | TLSO RIGID LINED CUST FAB TWO | $5,846 | $4,385 | — | — | 3 |
| L0484 | TLSO RIGID PLASTIC CUST FAB | $5,495 | $4,121 | — | — | 3 |
| 77301 | RADIATION IMR PLAN | $5,433 | $4,075 | — | — | 3 |
| L4631 | AFO, WALKING BOOT, CUSTOM | $4,669 | $3,502 | — | — | 3 |
| L0464 | TLSO 4MOD SACRO-SCAP PRE | $4,405 | $3,304 | — | — | 3 |
| 49083 | US GUIDED PARACENTESIS | $4,147 | $3,110 | — | — | 3 |
| L5651 | AK FLEX INNER SICKET EXT FRA | $4,003 | $3,002 | — | — | 3 |
| 73222 | MRI UPPER EXTREM W CONTRAST | $3,882 | $2,912 | — | — | 3 |
| 73722 | MRI LOWER EXTREM JNT W CONTRAS | $3,882 | $2,912 | — | — | 3 |
| L2020 | KAFO DBL SOLID STIRRUP BAND/ | $3,702 | $2,777 | — | — | 3 |
| 99283 | EMERGENCY ROOM-MODERATE | $3,653 | $2,740 | — | — | 3 |
| L0637 | LSO SAG-CORONAL PANEL PREFAB | $3,521 | $2,641 | — | — | 3 |
| L0650 | LSO SC R ANT/POS PNL PRE OTS | $3,521 | $2,641 | — | — | 3 |
| 51710 | BLADDER TUBE CHANGE | $3,485 | $2,614 | — | — | 3 |
| 77385 | RADIATION IMRT SIMPLE | $3,392 | $2,544 | — | — | 3 |
| 77386 | RADIATION IMRT COMPLEX | $3,392 | $2,544 | — | — | 3 |
| 77470 | RADIATION SPECIAL TREATMENT | $3,392 | $2,544 | — | — | 3 |
| 32555 | US THORACENTESIS | $3,386 | $2,540 | — | — | 3 |
| 78582 | NM PULM PERFUSION W/ VENTILATI | $3,241 | $2,431 | — | — | 3 |
| L0640 | LSO S/C SHELL/PANEL CUSTOM | $3,101 | $2,326 | — | — | 3 |
| L0631 | LSO SAG-CORO RIGID FRAME PREFB | $3,043 | $2,282 | — | — | 3 |
| L0648 | LSO SAG R AN/POS PNL PRE OTS | $3,043 | $2,282 | — | — | 3 |
| L0460 | TLSO 2MOD SYMPHSIS-STERN PRE | $2,975 | $2,231 | — | — | 3 |
| L1945 | AFO MOLDED PLAS RIG ANT TIB | $2,972 | $2,229 | — | — | 3 |
| L0456 | TLSO FLEX PREFAB | $2,947 | $2,210 | — | — | 3 |
| L0457 | TLSO FLEX TRNK SJ-SS PRE OTS | $2,947 | $2,210 | — | — | 3 |
| 610 | MRI CHEST W/ CONTRAST | $2,943 | $2,207 | — | — | 3 |
| 78306 | NM BONE JOINT IMAGE WHOLE BODY | $2,923 | $2,192 | — | — | 3 |
| 78580 | NM PULMONARY PERFUSION | $2,923 | $2,192 | — | — | 3 |
| L1686 | HO POST-OP HIP ABDUCTION PREFB | $2,921 | $2,191 | — | — | 3 |
| 70542 | MRI FACE NECK ORBIT W CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 70543 | MRI FACE NECK ORBIT W + W/O CO | $2,898 | $2,174 | — | — | 3 |
| 70545 | MRA HEAD W CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 70546 | MRA HEAD W + W/O CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 70548 | MRA NECK W CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 70549 | MRA NECK W + W/O CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 70552 | MRI BRAIN W CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 70553 | MRI BRAIN W/ + W/O CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 72126 | CT SPINE CERVICAL W/ CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 72132 | CT SPINE LUMBAR W/ CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 72142 | MRI SPINE CERVICAL W/ CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 72147 | MRI SPINE THORACIC W/ CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 72149 | MRI SPINE LUMBAR W/ CONTRAST | $2,898 | $2,174 | — | — | 3 |
| 72156 | MRI SPINE CERVICAL W/ + W/O CO | $2,898 | $2,174 | — | — | 3 |
Showing top 50 of 1,492 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.