45 CFR § 180 compliance
C · 70
This hospital published part 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
1,491
Insurances with rates
15
CPT / HCPCS codes
1,082
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| L5701 | REPLACE SOCKET ABOVE KNEE | $7,445 | $5,584 | — | — | 9 |
| 49440 | G TUBE INSERTION W/GUIDANCE | $7,111 | $5,333 | — | — | 9 |
| L5649 | ISCH CONTAINMT/NARROW M-I SO | $6,317 | $4,738 | — | — | 9 |
| 81408 | MOPATH PROCEDURE LEVEL 9 | $6,000 | $4,500 | — | — | 9 |
| L2036 | KAFO PLAS DOUB FREE KNEE MOL | $5,885 | $4,414 | — | — | 9 |
| L0486 | TLSO RIGID LINED CUST FAB TWO | $5,846 | $4,385 | — | — | 9 |
| 333 | RADIATION 3D RADIOTHERAPY PLAN | $5,820 | $4,365 | — | — | 9 |
| L0484 | TLSO RIGID PLASTIC CUST FAB | $5,495 | $4,121 | — | — | 9 |
| L4631 | AFO, WALKING BOOT, CUSTOM | $4,669 | $3,502 | — | — | 9 |
| L0464 | TLSO 4MOD SACRO-SCAP PRE | $4,405 | $3,304 | — | — | 9 |
| 49083 | US GUIDED PARACENTESIS | $4,160 | $3,120 | — | — | 9 |
| L5651 | AK FLEX INNER SICKET EXT FRA | $4,003 | $3,002 | — | — | 9 |
| 610 | MRI CHEST W/ CONTRAST | $3,887 | $2,915 | — | — | 9 |
| 73222 | MRI UPPER EXTREM W CONTRAST | $3,887 | $2,915 | — | — | 9 |
| 73722 | MRI LOWER EXTREM JNT W CONTRAS | $3,887 | $2,915 | — | — | 9 |
| 77301 | RADIATION IMR PLAN | $3,787 | $2,840 | — | — | 9 |
| L2020 | KAFO DBL SOLID STIRRUP BAND/ | $3,702 | $2,777 | — | — | 9 |
| L0637 | LSO SAG-CORONAL PANEL PREFAB | $3,521 | $2,641 | — | — | 9 |
| L0650 | LSO SC R ANT/POS PNL PRE OTS | $3,521 | $2,641 | — | — | 9 |
| 51710 | BLADDER TUBE CHANGE | $3,515 | $2,636 | — | — | 9 |
| 36589 | REMOVE TUNNELED CV DEVICE | $3,364 | $2,523 | — | — | 9 |
| 77385 | RADIATION IMRT SIMPLE | $3,345 | $2,509 | — | — | 9 |
| 77386 | RADIATION IMRT COMPLEX | $3,345 | $2,509 | — | — | 9 |
| 77470 | RADIATION SPECIAL TREATMENT | $3,345 | $2,509 | — | — | 9 |
| 78582 | NM PULM PERFUSION W/ VENTILATI | $3,126 | $2,345 | — | — | 9 |
| L0640 | LSO S/C SHELL/PANEL CUSTOM | $3,101 | $2,326 | — | — | 9 |
| L0631 | LSO SAG-CORO RIGID FRAME PREFB | $3,043 | $2,282 | — | — | 9 |
| L0648 | LSO SAG R AN/POS PNL PRE OTS | $3,043 | $2,282 | — | — | 9 |
| L0460 | TLSO 2MOD SYMPHSIS-STERN PRE | $2,975 | $2,231 | — | — | 9 |
| L1945 | AFO MOLDED PLAS RIG ANT TIB | $2,972 | $2,229 | — | — | 9 |
| L0456 | TLSO FLEX PREFAB | $2,947 | $2,210 | — | — | 9 |
| L0457 | TLSO FLEX TRNK SJ-SS PRE OTS | $2,947 | $2,210 | — | — | 9 |
| L1686 | HO POST-OP HIP ABDUCTION PREFB | $2,921 | $2,191 | — | — | 9 |
| 78306 | NM BONE JOINT IMAGE WHOLE BODY | $2,753 | $2,065 | — | — | 9 |
| 78580 | NM PULMONARY PERFUSION | $2,753 | $2,065 | — | — | 9 |
| 70542 | MRI FACE NECK ORBIT W CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 70543 | MRI FACE NECK ORBIT W + W/O CO | $2,687 | $2,015 | — | — | 9 |
| 70545 | MRA HEAD W CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 70546 | MRA HEAD W + W/O CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 70548 | MRA NECK W CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 70549 | MRA NECK W + W/O CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 70552 | MRI BRAIN W CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 70553 | MRI BRAIN W/ + W/O CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 72126 | CT SPINE CERVICAL W/ CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 72132 | CT SPINE LUMBAR W/ CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 72142 | MRI SPINE CERVICAL W/ CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 72147 | MRI SPINE THORACIC W/ CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 72149 | MRI SPINE LUMBAR W/ CONTRAST | $2,687 | $2,015 | — | — | 9 |
| 72156 | MRI SPINE CERVICAL W/ + W/O CO | $2,687 | $2,015 | — | — | 9 |
| 72157 | MRI SPINE THORACIC W/ + W/O CO | $2,687 | $2,015 | — | — | 9 |
Showing top 50 of 1,491 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.