45 CFR § 180 compliance
A · 100
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
3,716
Insurances with rates
8
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4400936-JZ
$7,675
Crofab Iv Up To 1 Gm
Gross
$7,675
4402317
$7,255
Danazol 200 Mg Cap
Gross
$7,255
4160085-TC
$4,200
Ct Abd/pelvis Wo/w C
Gross
$4,200
4400632
$4,170
Effexor Xr 75 Mg. Ca
Gross
$4,170
4300610
$3,900
Brca1 & Brca2,compre
Gross
$3,900
4160079-TC
$3,881
Ct Brain Wo/w Contra
Gross
$3,881
4160077-TC
$3,762
Ct Head Wo/w Contras
Gross
$3,762
4900018
$3,703
Mattress/ Air Pressu
Gross
$3,703
4160084-TC
$3,600
CT scan of abdomen and pelvis with contrast
Gross
$3,600
4160018-TC
$3,267
Ct Neck Sft Tis W/co
Gross
$3,267
4600447
$3,182
Cl Trmt Thigh Fx/man
Gross
$3,182
4160078-TC
$3,168
Ct Chest Wo/w Contra
Gross
$3,168
4160080-TC
$3,153
Ct Pelvis Wo/w Contr
Gross
$3,153
4160083-TC
$3,000
Ct Abd/pelvis W/ou C
Gross
$3,000
4160042-TC
$2,900
Ct Wrist Lt W/contra
Gross
$2,900
4160050-TC
$2,900
Ct Wrist Rt W/contra
Gross
$2,900
4160044-TC
$2,871
Ct Forearm Lt W/cont
Gross
$2,871
4160053-TC
$2,871
Ct Forearm Rt W/out
Gross
$2,871
4160086-TC
$2,850
Ct Shouldr Lt W/o Co
Gross
$2,850
4160087-TC
$2,850
Ct Shouldr Rt W/o Co
Gross
$2,850
4160045-TC
$2,838
Ct Forearm Lt W/out
Gross
$2,838
4160049-TC
$2,838
Ct Hand Rt W/out Con
Gross
$2,838
4160047-TC
$2,838
Ct Humerus Lt W/o Co
Gross
$2,838
4160055-TC
$2,838
Ct Humerus Rt W/out
Gross
$2,838
4160043-TC
$2,838
Ct Wrist Lt W/out Co
Gross
$2,838
4160051-TC
$2,838
Ct Wrist Rt W/out Co
Gross
$2,838
4300539
$2,762
Stratify Jcv Antibod
Gross
$2,762
4600067
$2,703
Distl Radius W/manip
Gross
$2,703
4160091-TC
$2,600
Ct Neck Spine Wo & W
Gross
$2,600
4160088-TC
$2,574
Cta Head And Neck
Gross
$2,574
4160012-TC
$2,500
Ct Sinuses W/contras
Gross
$2,500
4160034-TC
$2,500
Ct Spine Cerv W/cont
Gross
$2,500
4160016-TC
$2,475
Ct Neck W/contrast
Gross
$2,475
4600400
$2,465
Trtm Fract Rad/ulna
Gross
$2,465
4160013-TC
$2,450
Ct Sinuses W/out Con
Gross
$2,450
4160035-TC
$2,450
Ct Spine Cerv W/out
Gross
$2,450
4300465
$2,411
M/a Ind Lymphc Panel
Gross
$2,411
4160092-TC
$2,400
Ct Chst Spine Wo & W
Gross
$2,400
4402158
$2,400
Elimite 5% Cream
Gross
$2,400
4160036-TC
$2,300
Ct Thoracic Spne W/c
Gross
$2,300
4160038-TC
$2,277
Ct Lumbar Spne W/con
Gross
$2,277
4160037-TC
$2,277
Ct Thoracic Spne W/o
Gross
$2,277
4160058-TC
$2,231
Ct Ankle Lt W/contra
Gross
$2,231
4160066-TC
$2,231
Ct Ankle Rt W/contra
Gross
$2,231
4160062-TC
$2,231
Ct Femur Lt W/contra
Gross
$2,231
4160070-TC
$2,231
Ct Femur Rt W/contra
Gross
$2,231
4160056-TC
$2,231
Ct Foot Lt W/contras
Gross
$2,231
4160064-TC
$2,231
Ct Foot Rt W/contras
Gross
$2,231
4160052-TC
$2,231
Ct Forearm Rt W/cont
Gross
$2,231
4160048-TC
$2,231
Ct Hand Rt W/contras
Gross
$2,231
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4400936-JZ | Crofab Iv Up To 1 Gm | $7,675 | $7,675 | $4,605 | $7,675 | 18 |
| 4402317 | Danazol 200 Mg Cap | $7,255 | $7,255 | $4,353 | $7,255 | 18 |
| 4160085-TC | Ct Abd/pelvis Wo/w C | $4,200 | $4,200 | $2,520 | $4,200 | 18 |
| 4400632 | Effexor Xr 75 Mg. Ca | $4,170 | $4,170 | $2,502 | $4,170 | 18 |
| 4300610 | Brca1 & Brca2,compre | $3,900 | $3,900 | $2,340 | $3,900 | 18 |
| 4160079-TC | Ct Brain Wo/w Contra | $3,881 | $3,881 | $2,329 | $3,881 | 18 |
| 4160077-TC | Ct Head Wo/w Contras | $3,762 | $3,762 | $2,257 | $3,762 | 18 |
| 4900018 | Mattress/ Air Pressu | $3,703 | $3,703 | $2,222 | $3,703 | 18 |
| 4160084-TC | CT scan of abdomen and pelvis with contrast | $3,600 | $3,600 | $2,160 | $3,600 | 18 |
| 4160018-TC | Ct Neck Sft Tis W/co | $3,267 | $3,267 | $1,960 | $3,267 | 18 |
| 4600447 | Cl Trmt Thigh Fx/man | $3,182 | $3,182 | $1,909 | $3,182 | 18 |
| 4160078-TC | Ct Chest Wo/w Contra | $3,168 | $3,168 | $1,901 | $3,168 | 18 |
| 4160080-TC | Ct Pelvis Wo/w Contr | $3,153 | $3,153 | $1,892 | $3,153 | 18 |
| 4160083-TC | Ct Abd/pelvis W/ou C | $3,000 | $3,000 | $1,800 | $3,000 | 18 |
| 4160042-TC | Ct Wrist Lt W/contra | $2,900 | $2,900 | $1,740 | $2,900 | 18 |
| 4160050-TC | Ct Wrist Rt W/contra | $2,900 | $2,900 | $1,740 | $2,900 | 18 |
| 4160044-TC | Ct Forearm Lt W/cont | $2,871 | $2,871 | $1,723 | $2,871 | 18 |
| 4160053-TC | Ct Forearm Rt W/out | $2,871 | $2,871 | $1,723 | $2,871 | 18 |
| 4160086-TC | Ct Shouldr Lt W/o Co | $2,850 | $2,850 | $1,710 | $2,850 | 18 |
| 4160087-TC | Ct Shouldr Rt W/o Co | $2,850 | $2,850 | $1,710 | $2,850 | 18 |
| 4160045-TC | Ct Forearm Lt W/out | $2,838 | $2,838 | $1,703 | $2,838 | 18 |
| 4160049-TC | Ct Hand Rt W/out Con | $2,838 | $2,838 | $1,703 | $2,838 | 18 |
| 4160047-TC | Ct Humerus Lt W/o Co | $2,838 | $2,838 | $1,703 | $2,838 | 18 |
| 4160055-TC | Ct Humerus Rt W/out | $2,838 | $2,838 | $1,703 | $2,838 | 18 |
| 4160043-TC | Ct Wrist Lt W/out Co | $2,838 | $2,838 | $1,703 | $2,838 | 18 |
| 4160051-TC | Ct Wrist Rt W/out Co | $2,838 | $2,838 | $1,703 | $2,838 | 18 |
| 4300539 | Stratify Jcv Antibod | $2,762 | $2,762 | $1,657 | $2,762 | 18 |
| 4600067 | Distl Radius W/manip | $2,703 | $2,703 | $1,622 | $2,703 | 18 |
| 4160091-TC | Ct Neck Spine Wo & W | $2,600 | $2,600 | $1,560 | $2,600 | 18 |
| 4160088-TC | Cta Head And Neck | $2,574 | $2,574 | $1,544 | $2,574 | 18 |
| 4160012-TC | Ct Sinuses W/contras | $2,500 | $2,500 | $1,500 | $2,500 | 18 |
| 4160034-TC | Ct Spine Cerv W/cont | $2,500 | $2,500 | $1,500 | $2,500 | 18 |
| 4160016-TC | Ct Neck W/contrast | $2,475 | $2,475 | $1,485 | $2,475 | 18 |
| 4600400 | Trtm Fract Rad/ulna | $2,465 | $2,465 | $1,479 | $2,465 | 18 |
| 4160013-TC | Ct Sinuses W/out Con | $2,450 | $2,450 | $1,470 | $2,450 | 18 |
| 4160035-TC | Ct Spine Cerv W/out | $2,450 | $2,450 | $1,470 | $2,450 | 18 |
| 4300465 | M/a Ind Lymphc Panel | $2,411 | $2,411 | $1,447 | $2,411 | 18 |
| 4160092-TC | Ct Chst Spine Wo & W | $2,400 | $2,400 | $1,440 | $2,400 | 18 |
| 4402158 | Elimite 5% Cream | $2,400 | $2,400 | $1,440 | $2,400 | 18 |
| 4160036-TC | Ct Thoracic Spne W/c | $2,300 | $2,300 | $1,380 | $2,300 | 18 |
| 4160038-TC | Ct Lumbar Spne W/con | $2,277 | $2,277 | $1,366 | $2,277 | 18 |
| 4160037-TC | Ct Thoracic Spne W/o | $2,277 | $2,277 | $1,366 | $2,277 | 18 |
| 4160058-TC | Ct Ankle Lt W/contra | $2,231 | $2,231 | $1,339 | $2,231 | 18 |
| 4160066-TC | Ct Ankle Rt W/contra | $2,231 | $2,231 | $1,339 | $2,231 | 18 |
| 4160062-TC | Ct Femur Lt W/contra | $2,231 | $2,231 | $1,339 | $2,231 | 18 |
| 4160070-TC | Ct Femur Rt W/contra | $2,231 | $2,231 | $1,339 | $2,231 | 18 |
| 4160056-TC | Ct Foot Lt W/contras | $2,231 | $2,231 | $1,339 | $2,231 | 18 |
| 4160064-TC | Ct Foot Rt W/contras | $2,231 | $2,231 | $1,339 | $2,231 | 18 |
| 4160052-TC | Ct Forearm Rt W/cont | $2,231 | $2,231 | $1,339 | $2,231 | 18 |
| 4160048-TC | Ct Hand Rt W/contras | $2,231 | $2,231 | $1,339 | $2,231 | 18 |
Showing top 50 of 3,716 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.