45 CFR § 180 compliance
B · 85
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
202
Insurances with rates
29
CPT / HCPCS codes
201
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 74177 | CT ABDOMEN/PELVIS WITH CONTRAS | $130,303 | $58,783 | — | — | 132 |
| 85025 | CBC PLUS DIFF/PLT | $102,430 | $44,264 | — | — | 132 |
| 70450 | CT HEAD W/O CONTRAST | $81,383 | $37,273 | — | — | 130 |
| 85027 | CBC AUTOMATED (NO DIFF) | $77,569 | $33,507 | — | — | 132 |
| 80053 | COMP METABOLIC PNL | $77,569 | $33,507 | — | — | 132 |
| 85730 | APTT LA | $40,901 | $18,085 | — | — | 132 |
| 22554 | ARTHRODESIS ANTERIOR INTERBODY TECHNIQUE INCLUDING MINIMAL DISCECTOMY TO PREPARE INTERSPACE (OTHER T | $40,901 | $18,085 | — | — | 132 |
| 80048 | BASIC METABOLIC PNL | $40,901 | $18,085 | — | — | 132 |
| 72193 | CT PELVIS W/C | $40,901 | $18,085 | — | — | 132 |
| 85610 | DIL PROTIME | $40,901 | $18,085 | — | — | 132 |
| 80076 | HEPATIC FUNCTION PNL | $40,901 | $18,085 | — | — | 132 |
| 80061 | LIPID PANEL | $40,901 | $18,085 | — | — | 132 |
| 70553 | MRI BRAIN W & WO CONTRAST | $40,901 | $18,085 | — | — | 132 |
| 72148 | MRI LUMBAR SPINE WO/C | $40,901 | $18,085 | — | — | 132 |
| 97110 | OT THERAPEUTIC EXERCISE | $40,901 | $18,085 | — | — | 132 |
| 80069 | RENAL FUNCTIONAL PANEL | $40,901 | $18,085 | — | — | 132 |
| 72110 | SPINE LUMBAR MIN 4 VIEWS | $40,901 | $18,085 | — | — | 132 |
| 84153 | TOTAL PSA | $40,901 | $18,085 | — | — | 132 |
| 84443 | TSH WITH FT4 REFLEX | $40,901 | $18,085 | — | — | 132 |
| 76700 | US ABDOMIN | $40,901 | $18,085 | — | — | 132 |
| 20561 | WC DRY NDL 3+ MUSCLES LVL 2 | $40,901 | $18,085 | — | — | 132 |
| 22554 | ARTHRODESIS ANTERIOR INTERBODY TECHNIQUE INCLUDING MINIMAL DISCECTOMY TO PREPARE INTERSPACE (OTHER T | $29,750 | $18,829 | — | — | 132 |
| 24363 | TOTAL ELBOW REPLACEMENT | $12,072 | $26,662 | — | — | 130 |
| 27132 | TOTAL HIP REPLACEMENT | $12,072 | $8,451 | — | — | 79 |
| 27138 | TOTAL HIP REVISION | $12,072 | $8,451 | — | — | 79 |
| 27486 | TOTAL KNEE REVISION | $12,072 | $8,451 | — | — | 79 |
| 27487 | TOTAL KNEE REVISION | $12,072 | $8,451 | — | — | 79 |
| 20937 | ANTERIOR CERVICAL DISC FUSION | $11,777 | $8,244 | — | — | 79 |
| 22600 | POSTERIOR CERVICAL FUSION | $11,777 | $8,244 | — | — | 81 |
| 22849 | POSTERIOR CERVICAL FUSION | $11,777 | $8,244 | — | — | 79 |
| 22630 | POSTERIOR LUMBAR FUSION | $11,777 | $26,662 | — | — | 130 |
| 22610 | POSTERIOR THORACIC FUSION | $11,777 | $8,244 | — | — | 79 |
| 22558 | SPINAL FUSION | $11,777 | $8,244 | — | — | 79 |
| 27447 | TOTAL KNEE REPLACEMENT | $11,551 | $18,829 | — | — | 132 |
| 26951 | AMPUTATION UPPER EXTREMITY | $6,825 | $6,856 | — | — | 130 |
| 25830 | ARTHRODESIS UPPER EXTREMITY | $6,825 | $10,235 | — | — | 130 |
| 26531 | ARTHROPLASTY THUMB | $6,825 | $10,235 | — | — | 130 |
| 25320 | ARTHROPLASTY WRIST | $6,825 | $10,235 | — | — | 130 |
| 25135 | BONE GRAFT | $6,825 | $10,235 | — | — | 130 |
| 27080 | COCCYGECTOMY | $6,825 | $6,856 | — | — | 130 |
| 27356 | CURRETTAGE AND BONE GRAFTING | $6,825 | $18,829 | — | — | 130 |
| 24120 | EXOSTOSIS | $6,825 | $5,254 | — | — | 130 |
| 24149 | EXOSTOSIS | $6,825 | $10,235 | — | — | 130 |
| 26210 | EXOSTOSIS | $6,825 | $3,870 | — | — | 130 |
| 27245 | IM ROD | $6,825 | $4,777 | — | — | 79 |
| 27495 | ORIF FEMUR | $6,825 | $4,777 | — | — | 79 |
| 27514 | ORIF FEMUR | $6,825 | $4,777 | — | — | 79 |
| 26650 | ORIF FINGER | $6,825 | $6,856 | — | — | 130 |
| 26735 | ORIF FINGER | $6,825 | $6,856 | — | — | 130 |
| 26742 | ORIF FINGER | $6,825 | $3,870 | — | — | 130 |
Showing top 50 of 202 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.