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
102
Insurances with rates
7
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
481
—
Sf Cl Lhc W/Cornry/Vent/Grft/L
Gross
$40,350
323
—
Angio Visceral Sel/Suprasels&i
Gross
$35,399
616
—
Sfmc MRI Le Non Jt R Wo Contra
Gross
$9,314
618
—
Sfmc Mra Abd Wo Fol W/Contrast
Gross
$8,940
614
—
Sfmc MRI Le Nonjnt L Wo Contra
Gross
$8,292
275
—
Sf -Pacemaker Dc Zephyr Dr Xl
Gross
$7,275
362
—
Hc Img Guide Fluid Coll Drain
Gross
$7,000
829
—
EMERGENT OP DIALYSIS ESRD PT
Gross
$4,934
361
—
Sf -Sp Tunneled Central Vent C
Gross
$4,189
352
—
Sf -Cta Chest Wwo Contrast Inc
Gross
$4,021
610
—
MRI Any Joint Upper Ext
Gross
$4,000
612
—
MRI THORACIC/SPINE W/O Contra
Gross
$3,470
351
—
Sf -Cta Head Wwo Contrast Inc
Gross
$3,366
611
—
Sf -MRI Brain W/Wo Contrast
Gross
$3,314
278
—
HC CATH HEMODIALYSIS LONG TERM
Gross
$2,800
390
—
Smc Plts Aph Lr
Gross
$2,800
920
—
Sf -Venogram Injection Extremi
Gross
$2,482
342
—
Sf -I131 Therapeutic
Gross
$2,358
615
—
MRA NECK W/ CONTRAST
Gross
$2,294
206
$1,400
ROOM AND BOARD (ICU)
Gross
$2,100
200
$1,400
ROOM AND BOARD (ICU/VENT)
Gross
$2,100
350
—
CT Spine/Cervical W Contrast
Gross
$2,100
940
—
Sf -Picc Line Plcmt- Dynamic I
Gross
$1,877
190
$728
ROOM AND BOARD (SUB ACUTE)
Gross
$1,700
110
$1,150
ROOM AND BOARD (MED SURG/INTERMEDIATE)
Gross
$1,700
483
—
Sf-Tee Cardiogram W/O V
Gross
$1,600
254
—
LEXISCAN
Gross
$1,477
272
—
HC STERILE SUPPLY
Gross
$1,380
450
—
Sf-Emergency Level 5
Gross
$1,187
360
—
Picc Line -Vascular Access
Gross
$910
320
—
XR Tibia & Fibula
Gross
$871
740
—
Sf -EEG A/D W/Ps/Hv Optional
Gross
$860
420
—
Non-Selective Debridement
Gross
$828
482
—
Sf -Pedi Stress Test
Gross
$803
372
—
Sfmc Mod SED Same Phys/Qhp 5>y
Gross
$790
312
—
Sf-Tissue Prep Routine 3
Gross
$757
540
—
MEDICAL TRANSPORT-AMBULANCE
Gross
$750
922
—
Sf -Visual Evoked Potential (V
Gross
$714
921
—
Sf -Us Dp Vein Thromb/Dup
Gross
$713
480
—
CPR
Gross
$707
510
—
Sfmc Sp Office Visit
Gross
$705
750
—
Sfmc Office Visit -Endo
Gross
$705
801
—
Hemodialysis Per Treatment
Gross
$702
732
—
Sf-Offsite Telemetry Monitorin
Gross
$424
302
—
LAB-DETECT HEP C AB
Gross
$405
311
—
Sfmc Flow Cytometry, First Mkr
Gross
$282
402
—
Us Guide for Vascular Access
Gross
$273
310
—
Sf -If Biop Study L.rock
Gross
$257
271
—
Sfmc Binder Univ Xlg
Gross
$251
324
—
Sf -Chest 1 View
Gross
$242
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 481 | Sf Cl Lhc W/Cornry/Vent/Grft/L | $40,350 | — | — | — | 0 |
| 323 | Angio Visceral Sel/Suprasels&i | $35,399 | — | — | — | 0 |
| 616 | Sfmc MRI Le Non Jt R Wo Contra | $9,314 | — | — | — | 0 |
| 618 | Sfmc Mra Abd Wo Fol W/Contrast | $8,940 | — | — | — | 0 |
| 614 | Sfmc MRI Le Nonjnt L Wo Contra | $8,292 | — | — | — | 0 |
| 275 | Sf -Pacemaker Dc Zephyr Dr Xl | $7,275 | — | — | — | 0 |
| 362 | Hc Img Guide Fluid Coll Drain | $7,000 | — | — | — | 0 |
| 829 | EMERGENT OP DIALYSIS ESRD PT | $4,934 | — | — | — | 0 |
| 361 | Sf -Sp Tunneled Central Vent C | $4,189 | — | — | — | 0 |
| 352 | Sf -Cta Chest Wwo Contrast Inc | $4,021 | — | — | — | 0 |
| 610 | MRI Any Joint Upper Ext | $4,000 | — | — | — | 0 |
| 612 | MRI THORACIC/SPINE W/O Contra | $3,470 | — | — | — | 0 |
| 351 | Sf -Cta Head Wwo Contrast Inc | $3,366 | — | — | — | 0 |
| 611 | Sf -MRI Brain W/Wo Contrast | $3,314 | — | — | — | 0 |
| 278 | HC CATH HEMODIALYSIS LONG TERM | $2,800 | — | — | — | 0 |
| 390 | Smc Plts Aph Lr | $2,800 | — | — | — | 0 |
| 920 | Sf -Venogram Injection Extremi | $2,482 | — | — | — | 0 |
| 342 | Sf -I131 Therapeutic | $2,358 | — | — | — | 0 |
| 615 | MRA NECK W/ CONTRAST | $2,294 | — | — | — | 0 |
| 206 | ROOM AND BOARD (ICU) | $2,100 | $1,400 | $1,078 | $1,700 | 8 |
| 200 | ROOM AND BOARD (ICU/VENT) | $2,100 | $1,400 | $1,078 | $1,800 | 8 |
| 350 | CT Spine/Cervical W Contrast | $2,100 | — | — | — | 0 |
| 940 | Sf -Picc Line Plcmt- Dynamic I | $1,877 | — | — | — | 0 |
| 190 | ROOM AND BOARD (SUB ACUTE) | $1,700 | $728 | $900 | $1,500 | 8 |
| 110 | ROOM AND BOARD (MED SURG/INTERMEDIATE) | $1,700 | $1,150 | $1,078 | $1,600 | 8 |
| 483 | Sf-Tee Cardiogram W/O V | $1,600 | — | — | — | 0 |
| 254 | LEXISCAN | $1,477 | — | — | — | 0 |
| 272 | HC STERILE SUPPLY | $1,380 | — | — | — | 0 |
| 450 | Sf-Emergency Level 5 | $1,187 | — | — | — | 0 |
| 360 | Picc Line -Vascular Access | $910 | — | — | — | 0 |
| 320 | XR Tibia & Fibula | $871 | — | — | — | 0 |
| 740 | Sf -EEG A/D W/Ps/Hv Optional | $860 | — | — | — | 0 |
| 420 | Non-Selective Debridement | $828 | — | — | — | 0 |
| 482 | Sf -Pedi Stress Test | $803 | — | — | — | 0 |
| 372 | Sfmc Mod SED Same Phys/Qhp 5>y | $790 | — | — | — | 0 |
| 312 | Sf-Tissue Prep Routine 3 | $757 | — | — | — | 0 |
| 540 | MEDICAL TRANSPORT-AMBULANCE | $750 | — | — | — | 0 |
| 922 | Sf -Visual Evoked Potential (V | $714 | — | — | — | 0 |
| 921 | Sf -Us Dp Vein Thromb/Dup | $713 | — | — | — | 0 |
| 480 | CPR | $707 | — | — | — | 0 |
| 510 | Sfmc Sp Office Visit | $705 | — | — | — | 0 |
| 750 | Sfmc Office Visit -Endo | $705 | — | — | — | 0 |
| 801 | Hemodialysis Per Treatment | $702 | — | — | — | 0 |
| 732 | Sf-Offsite Telemetry Monitorin | $424 | — | — | — | 0 |
| 302 | LAB-DETECT HEP C AB | $405 | — | — | — | 0 |
| 311 | Sfmc Flow Cytometry, First Mkr | $282 | — | — | — | 0 |
| 402 | Us Guide for Vascular Access | $273 | — | — | — | 0 |
| 310 | Sf -If Biop Study L.rock | $257 | — | — | — | 0 |
| 271 | Sfmc Binder Univ Xlg | $251 | — | — | — | 0 |
| 324 | Sf -Chest 1 View | $242 | — | — | — | 0 |
Showing top 50 of 102 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.