45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●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
1,912
Insurances with rates
13
CPT / HCPCS codes
1,504
Most expensive procedures (gross)
L5701
$5,584
REPLACE SOCKET ABOVE KNEE
Gross
$7,445
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
49440
$3,505
G TUBE INSERTION W/GUIDANCE
Gross
$4,673
L4631
$3,502
AFO, WALKING BOOT, CUSTOM
Gross
$4,669
L0464
$3,304
TLSO 4MOD SACRO-SCAP PRE
Gross
$4,405
L5651
$3,002
AK FLEX INNER SICKET EXT FRA
Gross
$4,003
77301
$2,840
RADIATION IMR PLAN
Gross
$3,787
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
49083
$2,331
US GUIDED PARACENTESIS
Gross
$3,108
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
L6712
$2,238
PED TERM DEV, HOOK, VOL CLOS
Gross
$2,984
L8628
$2,237
CID EXT CONTROLLER REPL
Gross
$2,982
L0460
$2,231
TLSO 2MOD SYMPHSIS-STERN PRE
Gross
$2,975
L3766
$2,230
EWHFO W/JOINT(S) CF
Gross
$2,973
L1945
$2,229
AFO MOLDED PLAS RIG ANT TIB
Gross
$2,972
L5707
$2,213
CUSTOM SHAPE CVR HIP DISART
Gross
$2,950
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
L1686
$2,191
HO POST-OP HIP ABDUCTION PREFB
Gross
$2,921
L4000
$2,189
REPL GIRDLE MILWAUKEE ORTH
Gross
$2,919
L6380
$2,184
POSTOP DSG CAST CHG WRST/ELB
Gross
$2,912
L6709
$2,166
TERM DEV MECH HAND COL CLOSE
Gross
$2,888
L1846
$2,144
KO W ADJ FLEX/EXT ROTAT MOLD
Gross
$2,859
L5966
$2,133
HIP FLEXIBLE COVER SYSTEM
Gross
$2,845
L3765
$2,106
EWHFO RIGID W/O JNTS CF
Gross
$2,808
L5780
$2,047
KNEE-SHIN PNEUM/HYDRA PNEUM
Gross
$2,729
L0859
$2,044
MRI COMPATIBLE SYSTEM
Gross
$2,726
73222
$2,042
MRI UPPER EXTREM W CONTRAST
Gross
$2,723
73722
$2,042
MRI LOWER EXTREM JNT W CONTRAS
Gross
$2,723
L8681
$2,042
PT PRGRM FOR IMPLT NEUROSTIM
Gross
$2,723
384
$2,025
PLATELETS 1 UNIT
Gross
$2,700
L3905
$2,006
WHO W/NONTORSION JNT(S) CF
Gross
$2,674
L5639
$2,004
BELOW KNEE WOOD SOCKET
Gross
$2,673
L1843
$1,994
KO SINGLE UPRIGHT CUSTOM FIT
Gross
$2,659
L2136
$1,985
KAFO FEMORAL FX CAST RIGID
Gross
$2,646
L1932
$1,983
AFO RIG ANT TIB PREFAB TCF/=
Gross
$2,644
L0458
$1,982
TLSO 2MOD SYMPHIS-XIPHO PRE
Gross
$2,643
81407
$1,962
MOPATH PROCEDURE LEVEL 8
Gross
$2,616
L5848
$1,944
KNEE-SHIN SYS HYDRAUL STANCE
Gross
$2,592
L3674
$1,941
SO, ABDUCTION, CUSTOM
Gross
$2,588
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| L5701 | REPLACE SOCKET ABOVE KNEE | $7,445 | $5,584 | — | — | 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 |
| 49440 | G TUBE INSERTION W/GUIDANCE | $4,673 | $3,505 | — | — | 3 |
| L4631 | AFO, WALKING BOOT, CUSTOM | $4,669 | $3,502 | — | — | 3 |
| L0464 | TLSO 4MOD SACRO-SCAP PRE | $4,405 | $3,304 | — | — | 3 |
| L5651 | AK FLEX INNER SICKET EXT FRA | $4,003 | $3,002 | — | — | 3 |
| 77301 | RADIATION IMR PLAN | $3,787 | $2,840 | — | — | 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 |
| 49083 | US GUIDED PARACENTESIS | $3,108 | $2,331 | — | — | 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 |
| L6712 | PED TERM DEV, HOOK, VOL CLOS | $2,984 | $2,238 | — | — | 3 |
| L8628 | CID EXT CONTROLLER REPL | $2,982 | $2,237 | — | — | 3 |
| L0460 | TLSO 2MOD SYMPHSIS-STERN PRE | $2,975 | $2,231 | — | — | 3 |
| L3766 | EWHFO W/JOINT(S) CF | $2,973 | $2,230 | — | — | 3 |
| L1945 | AFO MOLDED PLAS RIG ANT TIB | $2,972 | $2,229 | — | — | 3 |
| L5707 | CUSTOM SHAPE CVR HIP DISART | $2,950 | $2,213 | — | — | 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 |
| L1686 | HO POST-OP HIP ABDUCTION PREFB | $2,921 | $2,191 | — | — | 3 |
| L4000 | REPL GIRDLE MILWAUKEE ORTH | $2,919 | $2,189 | — | — | 3 |
| L6380 | POSTOP DSG CAST CHG WRST/ELB | $2,912 | $2,184 | — | — | 3 |
| L6709 | TERM DEV MECH HAND COL CLOSE | $2,888 | $2,166 | — | — | 3 |
| L1846 | KO W ADJ FLEX/EXT ROTAT MOLD | $2,859 | $2,144 | — | — | 3 |
| L5966 | HIP FLEXIBLE COVER SYSTEM | $2,845 | $2,133 | — | — | 3 |
| L3765 | EWHFO RIGID W/O JNTS CF | $2,808 | $2,106 | — | — | 3 |
| L5780 | KNEE-SHIN PNEUM/HYDRA PNEUM | $2,729 | $2,047 | — | — | 3 |
| L0859 | MRI COMPATIBLE SYSTEM | $2,726 | $2,044 | — | — | 3 |
| 73222 | MRI UPPER EXTREM W CONTRAST | $2,723 | $2,042 | — | — | 3 |
| 73722 | MRI LOWER EXTREM JNT W CONTRAS | $2,723 | $2,042 | — | — | 3 |
| L8681 | PT PRGRM FOR IMPLT NEUROSTIM | $2,723 | $2,042 | — | — | 3 |
| 384 | PLATELETS 1 UNIT | $2,700 | $2,025 | — | — | 3 |
| L3905 | WHO W/NONTORSION JNT(S) CF | $2,674 | $2,006 | — | — | 3 |
| L5639 | BELOW KNEE WOOD SOCKET | $2,673 | $2,004 | — | — | 3 |
| L1843 | KO SINGLE UPRIGHT CUSTOM FIT | $2,659 | $1,994 | — | — | 3 |
| L2136 | KAFO FEMORAL FX CAST RIGID | $2,646 | $1,985 | — | — | 3 |
| L1932 | AFO RIG ANT TIB PREFAB TCF/= | $2,644 | $1,983 | — | — | 3 |
| L0458 | TLSO 2MOD SYMPHIS-XIPHO PRE | $2,643 | $1,982 | — | — | 3 |
| 81407 | MOPATH PROCEDURE LEVEL 8 | $2,616 | $1,962 | — | — | 3 |
| L5848 | KNEE-SHIN SYS HYDRAUL STANCE | $2,592 | $1,944 | — | — | 3 |
| L3674 | SO, ABDUCTION, CUSTOM | $2,588 | $1,941 | — | — | 3 |
Showing top 50 of 1,912 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.