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
560
Insurances with rates
11
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
800004
$2,186
POLYSOM 6>YRS SLEEP W/CPAP 4> ADDL PARAM
Gross
$3,123
4300005
$2,085
CT ORBIT SELLA/POST FOSSA W & W/O CONTR
Gross
$2,978
800003
$1,987
POLYSOM 6>YRS SLEEP 4> ADDL PARAM ATTND
Gross
$2,839
4300026
$1,815
CT ABD/PEL W W/O
Gross
$2,593
4300011
$1,781
CT SOFT TISSUE NECK W W/O
Gross
$2,544
4300014
$1,770
CT CHEST WITH AND W/O
Gross
$2,529
4300017
$1,764
CT CERVICAL SPINE W W/O
Gross
$2,520
4200033
$1,750
MR UPPER EXT OTHER THAN JOINT W W/O LT
Gross
$2,500
4200040
$1,750
MR LOWER EXT OTHER THAN JOINT W W/O RT
Gross
$2,500
4300008
$1,536
CT MAXILLOFACIAL (SINUS) WITH & W/O CONT
Gross
$2,194
4300016
$1,439
CT CERVICAL SPINE W
Gross
$2,056
4300004
$1,371
CT ORBIT SELLA/POST FOSSA WITH CONTRAST
Gross
$1,958
4300013
$1,352
CT CHEST WITH
Gross
$1,931
4200013
$1,345
MR BRAIN WITH AND W/O
Gross
$1,921
4300010
$1,343
CT SOFT TISUE NECK WITH
Gross
$1,919
4300023
$1,341
CT LOWER EXT WITH LT
Gross
$1,916
4300019
$1,308
CT LUMBAR SPINE
Gross
$1,868
4200048
$1,302
MRA ABD W/WO CONTRAST
Gross
$1,860
4300007
$1,297
CT MAXILLOFACIAL (SINUS) WITH CONTRAST
Gross
$1,853
4300025
$1,268
CT ABD PELVIS WITH
Gross
$1,811
4200004
$1,262
MR ORBIT/FACE/HEAD WITH AND W/O
Gross
$1,803
4300003
$1,236
CT ORBIT WITHOUT CONTRAST
Gross
$1,766
4300015
$1,233
CT CERVICAL SPINE
Gross
$1,762
4200003
$1,226
MR ORBIT/FACE/NECK WITH
Gross
$1,751
4200032
$1,226
MR UPPER EXT OTHER THAN JOINT WITH RT
Gross
$1,751
4200039
$1,226
MR LOWER EXT OTHER THAN JOINT WITH LT
Gross
$1,751
4300002
$1,224
CT HEAD WITH
Gross
$1,748
4300018
$1,208
CT THORACIC SPINE
Gross
$1,725
4300012
$1,203
CT CHEST W/O
Gross
$1,718
4300021
$1,197
CT UPPER EXT W/O LT
Gross
$1,710
4300022
$1,197
CT LOWER EXT W/O LT
Gross
$1,710
4200002
$1,190
MR ORBIT/FACE/NECK W/O
Gross
$1,700
4200031
$1,190
MR UPPER EXT OTHER THAN JOINT W/O RT
Gross
$1,700
4200038
$1,190
MR LOWER EXT OTHER THAN JOINT W/O LT
Gross
$1,700
4200047
$1,157
MR ABDOMEN W W/O
Gross
$1,653
4400015
$1,147
US PERIPH DOPPLER BILAT LOWER EXT
Gross
$1,638
4300006
$1,145
CT MAXILLOFACIAL(SINUS) W/O
Gross
$1,635
4200012
$1,141
MR BRAIN WITH
Gross
$1,630
4200029
$1,135
MR PELVIS WITH AND W/O
Gross
$1,622
4200043
$1,135
MR ANY JOINT LOWER EXT W W/O LT
Gross
$1,622
4200036
$1,133
MR ANY JOINT UPPER EXT W W/O LT
Gross
$1,618
4300009
$1,131
CT SOFT TISSUE NECK W/O
Gross
$1,616
4300024
$1,131
CT ABD PELVIS W/O
Gross
$1,615
4300020
$1,104
CT PELVIS (R/O FRACTURE)
Gross
$1,577
4400012
$1,095
US ECHO COMPLETE
Gross
$1,564
4400013
$1,095
US ECHO LIMITED
Gross
$1,564
4300001
$1,055
CT HEAD W/O
Gross
$1,507
4200030
$1,046
MRA PELVIS W/WO CONTRAST
Gross
$1,494
4200037
$1,046
MRA UPPER EXT W/WO CONTRAST LT
Gross
$1,494
4200044
$1,046
MRA LOWER EXT W/WO CONTRAST LT
Gross
$1,494
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 800004 | POLYSOM 6>YRS SLEEP W/CPAP 4> ADDL PARAM | $3,123 | $2,186 | — | — | 13 |
| 4300005 | CT ORBIT SELLA/POST FOSSA W & W/O CONTR | $2,978 | $2,085 | — | — | 13 |
| 800003 | POLYSOM 6>YRS SLEEP 4> ADDL PARAM ATTND | $2,839 | $1,987 | — | — | 13 |
| 4300026 | CT ABD/PEL W W/O | $2,593 | $1,815 | — | — | 13 |
| 4300011 | CT SOFT TISSUE NECK W W/O | $2,544 | $1,781 | — | — | 13 |
| 4300014 | CT CHEST WITH AND W/O | $2,529 | $1,770 | — | — | 13 |
| 4300017 | CT CERVICAL SPINE W W/O | $2,520 | $1,764 | — | — | 13 |
| 4200033 | MR UPPER EXT OTHER THAN JOINT W W/O LT | $2,500 | $1,750 | — | — | 13 |
| 4200040 | MR LOWER EXT OTHER THAN JOINT W W/O RT | $2,500 | $1,750 | — | — | 13 |
| 4300008 | CT MAXILLOFACIAL (SINUS) WITH & W/O CONT | $2,194 | $1,536 | — | — | 13 |
| 4300016 | CT CERVICAL SPINE W | $2,056 | $1,439 | — | — | 13 |
| 4300004 | CT ORBIT SELLA/POST FOSSA WITH CONTRAST | $1,958 | $1,371 | — | — | 13 |
| 4300013 | CT CHEST WITH | $1,931 | $1,352 | — | — | 13 |
| 4200013 | MR BRAIN WITH AND W/O | $1,921 | $1,345 | — | — | 13 |
| 4300010 | CT SOFT TISUE NECK WITH | $1,919 | $1,343 | — | — | 13 |
| 4300023 | CT LOWER EXT WITH LT | $1,916 | $1,341 | — | — | 13 |
| 4300019 | CT LUMBAR SPINE | $1,868 | $1,308 | — | — | 13 |
| 4200048 | MRA ABD W/WO CONTRAST | $1,860 | $1,302 | — | — | 13 |
| 4300007 | CT MAXILLOFACIAL (SINUS) WITH CONTRAST | $1,853 | $1,297 | — | — | 13 |
| 4300025 | CT ABD PELVIS WITH | $1,811 | $1,268 | — | — | 13 |
| 4200004 | MR ORBIT/FACE/HEAD WITH AND W/O | $1,803 | $1,262 | — | — | 13 |
| 4300003 | CT ORBIT WITHOUT CONTRAST | $1,766 | $1,236 | — | — | 13 |
| 4300015 | CT CERVICAL SPINE | $1,762 | $1,233 | — | — | 13 |
| 4200003 | MR ORBIT/FACE/NECK WITH | $1,751 | $1,226 | — | — | 13 |
| 4200032 | MR UPPER EXT OTHER THAN JOINT WITH RT | $1,751 | $1,226 | — | — | 13 |
| 4200039 | MR LOWER EXT OTHER THAN JOINT WITH LT | $1,751 | $1,226 | — | — | 13 |
| 4300002 | CT HEAD WITH | $1,748 | $1,224 | — | — | 13 |
| 4300018 | CT THORACIC SPINE | $1,725 | $1,208 | — | — | 13 |
| 4300012 | CT CHEST W/O | $1,718 | $1,203 | — | — | 13 |
| 4300021 | CT UPPER EXT W/O LT | $1,710 | $1,197 | — | — | 13 |
| 4300022 | CT LOWER EXT W/O LT | $1,710 | $1,197 | — | — | 13 |
| 4200002 | MR ORBIT/FACE/NECK W/O | $1,700 | $1,190 | — | — | 13 |
| 4200031 | MR UPPER EXT OTHER THAN JOINT W/O RT | $1,700 | $1,190 | — | — | 13 |
| 4200038 | MR LOWER EXT OTHER THAN JOINT W/O LT | $1,700 | $1,190 | — | — | 13 |
| 4200047 | MR ABDOMEN W W/O | $1,653 | $1,157 | — | — | 13 |
| 4400015 | US PERIPH DOPPLER BILAT LOWER EXT | $1,638 | $1,147 | — | — | 13 |
| 4300006 | CT MAXILLOFACIAL(SINUS) W/O | $1,635 | $1,145 | — | — | 13 |
| 4200012 | MR BRAIN WITH | $1,630 | $1,141 | — | — | 13 |
| 4200029 | MR PELVIS WITH AND W/O | $1,622 | $1,135 | — | — | 13 |
| 4200043 | MR ANY JOINT LOWER EXT W W/O LT | $1,622 | $1,135 | — | — | 13 |
| 4200036 | MR ANY JOINT UPPER EXT W W/O LT | $1,618 | $1,133 | — | — | 13 |
| 4300009 | CT SOFT TISSUE NECK W/O | $1,616 | $1,131 | — | — | 13 |
| 4300024 | CT ABD PELVIS W/O | $1,615 | $1,131 | — | — | 13 |
| 4300020 | CT PELVIS (R/O FRACTURE) | $1,577 | $1,104 | — | — | 13 |
| 4400012 | US ECHO COMPLETE | $1,564 | $1,095 | — | — | 13 |
| 4400013 | US ECHO LIMITED | $1,564 | $1,095 | — | — | 13 |
| 4300001 | CT HEAD W/O | $1,507 | $1,055 | — | — | 13 |
| 4200030 | MRA PELVIS W/WO CONTRAST | $1,494 | $1,046 | — | — | 13 |
| 4200037 | MRA UPPER EXT W/WO CONTRAST LT | $1,494 | $1,046 | — | — | 13 |
| 4200044 | MRA LOWER EXT W/WO CONTRAST LT | $1,494 | $1,046 | — | — | 13 |
Showing top 50 of 560 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.