45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
618
Insurances with rates
6
CPT / HCPCS codes
361
Most expensive procedures (gross)
37225,50
$34,699
FEM/POP ANGIOPLASTY/ATHERECTOMY B/L
Gross
$49,570
37229,50
$33,012
TIB/PER ANGIOPLASTY/ATHERECTOMY BIL
Gross
$47,160
37225
$17,350
FEM/POP ANGIOPLASTY/ATHERECTOMY U/L
Gross
$24,785
C1767
$15,582
INTER STIM STAGE II DEVICE (IMPLANT) - MEDICARE
Gross
$22,259
0238T
$12,974
ILIAC ATHERECTOMY U/L
Gross
$18,534
37238
$12,357
XA STENT VEIN OTHER INITIAL
Gross
$17,653
34707
$10,951
XA ILIAC ANEURYSM REPAIR W/ENDO
Gross
$15,645
37234
$9,184
TIB/PER ANGIOPLASTY/STENT ADV
Gross
$13,119
36222
$7,262
XA CCA/IA EXTRA UL
Gross
$10,375
37193
$5,659
XA RETRIEVAL OF IVC FILTER
Gross
$8,084
36227
$5,166
XA ECA UL
Gross
$7,380
19083,50
$4,662
US BREAST BIOPSY BIL W SPEC/ US GUIDANCE
Gross
$6,660
J2993,TB
$4,611
RETAVASE INJ:18.1MG
Gross
$6,588
73202,50
$4,284
CT HAND BIL W/WO
Gross
$6,120
37213
$4,240
XA ART OR VEN THROMBOLYSIS NEXT DAY
Gross
$6,058
C2623
$4,237
C CATH TRANSLUMINAL PLASTY,DRUG COATED
Gross
$6,052
74178
$3,939
CT UROGRAM W/WO (IMH)
Gross
$5,627
19082,50
$3,799
MA BIL BREAST BIOPSY W SPEC/STEREO EA AD
Gross
$5,428
73701,50
$3,717
CT HIP BIL W/
Gross
$5,311
73201,50
$3,602
CT FOREARM BIL W/
Gross
$5,146
612
$3,574
MR CERVICAL W/WO
Gross
$5,105
74177
$3,518
CT ABD/PEL W/
Gross
$5,026
74174
$3,489
CT ANGIO ABD/PEL
Gross
$4,984
610
$3,420
MR CHEST(CLAV)W/W0
Gross
$4,886
73723,RT
$3,332
MR ANKLE RT W/WO
Gross
$4,760
73223,LT
$3,320
MR WRIST LT W/WO
Gross
$4,742
73220,RT
$3,130
MR FOREARM RT W/WO
Gross
$4,471
73700,50
$3,076
CT KNEE BIL W/O
Gross
$4,394
73200,50
$3,072
CT SHOULDER BIL W/O
Gross
$4,389
361
$2,972
ENDOVENOUS RF 1ST VEIN
Gross
$4,245
49406
$2,919
ABSCESS/CYST DRAINAGE (PERITONEAL OR RETROPERITONEAL) - (IMH)
Gross
$4,170
49180
$2,919
ABDOMINAL/RETROPERITONEAL BIOPSY, PERCUTANEOUS (IMH)
Gross
$4,170
32408
$2,919
LUNG BIOPSY, PERCUTANEOUS (IMH)
Gross
$4,170
74176
$2,896
CT RENAL STONE PROTOCOL
Gross
$4,136
611
$2,802
MR BRAIN W/
Gross
$4,002
275
$2,732
LEAD-NOT SINGLE PASS
Gross
$3,902
360
$2,708
CERVICAL RADIO FREQUENCY
Gross
$3,869
340
$2,705
NM BONE SPECT
Gross
$3,864
A0434
$2,682
SCT
Gross
$3,832
73222,LT
$2,613
MR SHOULDER LT W/
Gross
$3,733
C1888
$2,531
VENASEAL CLOSURE SYSTEM
Gross
$3,615
75635
$2,450
CT ANGIO FEMORAL RUNOFF
Gross
$3,500
71275
$2,409
CT ANGIO PE CHEST
Gross
$3,441
74175
$2,373
CT ANGIO ABD
Gross
$3,390
352
$2,369
CT ANGIO PELVIS
Gross
$3,384
72127
$2,369
CT CERVICAL W/WO
Gross
$3,384
73718,RT
$2,361
MR FOOT RT W/O
Gross
$3,372
58661
$2,356
STERILIZATION LAPAROSCOPIC
Gross
$3,365
350
$2,354
CT BREAST W/O
Gross
$3,363
90375
$2,351
RABIES IMMUNE GLOBULIN INJ 10ML VL
Gross
$3,359
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 37225,50 | FEM/POP ANGIOPLASTY/ATHERECTOMY B/L | $49,570 | $34,699 | — | — | 0 |
| 37229,50 | TIB/PER ANGIOPLASTY/ATHERECTOMY BIL | $47,160 | $33,012 | — | — | 0 |
| 37225 | FEM/POP ANGIOPLASTY/ATHERECTOMY U/L | $24,785 | $17,350 | — | — | 0 |
| C1767 | INTER STIM STAGE II DEVICE (IMPLANT) - MEDICARE | $22,259 | $15,582 | — | — | 0 |
| 0238T | ILIAC ATHERECTOMY U/L | $18,534 | $12,974 | — | — | 0 |
| 37238 | XA STENT VEIN OTHER INITIAL | $17,653 | $12,357 | — | — | 0 |
| 34707 | XA ILIAC ANEURYSM REPAIR W/ENDO | $15,645 | $10,951 | — | — | 0 |
| 37234 | TIB/PER ANGIOPLASTY/STENT ADV | $13,119 | $9,184 | — | — | 0 |
| 36222 | XA CCA/IA EXTRA UL | $10,375 | $7,262 | — | — | 0 |
| 37193 | XA RETRIEVAL OF IVC FILTER | $8,084 | $5,659 | — | — | 0 |
| 36227 | XA ECA UL | $7,380 | $5,166 | — | — | 0 |
| 19083,50 | US BREAST BIOPSY BIL W SPEC/ US GUIDANCE | $6,660 | $4,662 | — | — | 0 |
| J2993,TB | RETAVASE INJ:18.1MG | $6,588 | $4,611 | — | — | 0 |
| 73202,50 | CT HAND BIL W/WO | $6,120 | $4,284 | — | — | 1 |
| 37213 | XA ART OR VEN THROMBOLYSIS NEXT DAY | $6,058 | $4,240 | — | — | 0 |
| C2623 | C CATH TRANSLUMINAL PLASTY,DRUG COATED | $6,052 | $4,237 | — | — | 0 |
| 74178 | CT UROGRAM W/WO (IMH) | $5,627 | $3,939 | — | — | 1 |
| 19082,50 | MA BIL BREAST BIOPSY W SPEC/STEREO EA AD | $5,428 | $3,799 | — | — | 0 |
| 73701,50 | CT HIP BIL W/ | $5,311 | $3,717 | — | — | 1 |
| 73201,50 | CT FOREARM BIL W/ | $5,146 | $3,602 | — | — | 1 |
| 612 | MR CERVICAL W/WO | $5,105 | $3,574 | — | — | 1 |
| 74177 | CT ABD/PEL W/ | $5,026 | $3,518 | — | — | 1 |
| 74174 | CT ANGIO ABD/PEL | $4,984 | $3,489 | — | — | 1 |
| 610 | MR CHEST(CLAV)W/W0 | $4,886 | $3,420 | — | — | 1 |
| 73723,RT | MR ANKLE RT W/WO | $4,760 | $3,332 | — | — | 1 |
| 73223,LT | MR WRIST LT W/WO | $4,742 | $3,320 | — | — | 1 |
| 73220,RT | MR FOREARM RT W/WO | $4,471 | $3,130 | — | — | 1 |
| 73700,50 | CT KNEE BIL W/O | $4,394 | $3,076 | — | — | 1 |
| 73200,50 | CT SHOULDER BIL W/O | $4,389 | $3,072 | — | — | 1 |
| 361 | ENDOVENOUS RF 1ST VEIN | $4,245 | $2,972 | — | — | 0 |
| 49406 | ABSCESS/CYST DRAINAGE (PERITONEAL OR RETROPERITONEAL) - (IMH) | $4,170 | $2,919 | — | — | 0 |
| 49180 | ABDOMINAL/RETROPERITONEAL BIOPSY, PERCUTANEOUS (IMH) | $4,170 | $2,919 | — | — | 0 |
| 32408 | LUNG BIOPSY, PERCUTANEOUS (IMH) | $4,170 | $2,919 | — | — | 0 |
| 74176 | CT RENAL STONE PROTOCOL | $4,136 | $2,896 | — | — | 1 |
| 611 | MR BRAIN W/ | $4,002 | $2,802 | — | — | 1 |
| 275 | LEAD-NOT SINGLE PASS | $3,902 | $2,732 | — | — | 0 |
| 360 | CERVICAL RADIO FREQUENCY | $3,869 | $2,708 | — | — | 0 |
| 340 | NM BONE SPECT | $3,864 | $2,705 | — | — | 0 |
| A0434 | SCT | $3,832 | $2,682 | — | — | 0 |
| 73222,LT | MR SHOULDER LT W/ | $3,733 | $2,613 | — | — | 1 |
| C1888 | VENASEAL CLOSURE SYSTEM | $3,615 | $2,531 | — | — | 0 |
| 75635 | CT ANGIO FEMORAL RUNOFF | $3,500 | $2,450 | — | — | 1 |
| 71275 | CT ANGIO PE CHEST | $3,441 | $2,409 | — | — | 1 |
| 74175 | CT ANGIO ABD | $3,390 | $2,373 | — | — | 1 |
| 352 | CT ANGIO PELVIS | $3,384 | $2,369 | — | — | 1 |
| 72127 | CT CERVICAL W/WO | $3,384 | $2,369 | — | — | 1 |
| 73718,RT | MR FOOT RT W/O | $3,372 | $2,361 | — | — | 1 |
| 58661 | STERILIZATION LAPAROSCOPIC | $3,365 | $2,356 | — | — | 0 |
| 350 | CT BREAST W/O | $3,363 | $2,354 | — | — | 1 |
| 90375 | RABIES IMMUNE GLOBULIN INJ 10ML VL | $3,359 | $2,351 | — | — | 0 |
Showing top 50 of 618 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.