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
1,411
Insurances with rates
7
CPT / HCPCS codes
1,396
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | VTENECTEPLASE 50MG INJ KT 1MG X | $44,562 | — | $35,650 | $43,671 | 12 |
| J3100 | TENECTEPLASE 50MG INJ | $21,500 | — | $17,200 | $21,070 | 12 |
| J3380 | VEDOLIZUMAB-ENTYVIO | $20,848 | — | $16,678 | $20,431 | 12 |
| J2505 | PEGFILGRASTIM 6MG/0.6ML INJ | $15,982 | — | $12,785 | $15,662 | 12 |
| 74174 | CTA ABD/PEL W&W/O CONTRAST | $6,882 | — | $5,505 | $6,744 | 12 |
| 74178 | CT ABD/PELVIS W/WO CONTRAST | $6,515 | — | $5,212 | $6,384 | 12 |
| 70553 | MRI BRAIN W/WO CONTRAST | $6,335 | — | $5,068 | $6,208 | 12 |
| 72158 | MRI L-SPINE W/WO CONTRAST | $6,311 | — | $5,049 | $6,185 | 12 |
| G0390 | TRAUMA RESP TM W/CRITCARE | $5,409 | — | $4,327 | $5,301 | 12 |
| 74177 | CT ABD/PELVIS WITH CONTRAST | $4,963 | — | $3,970 | $4,864 | 12 |
| 74183 | MRI ABD W/WO CONTRAST | $4,941 | — | $3,953 | $4,842 | 12 |
| 72157 | MRI T-SPINE W/WO CONTRAST | $4,912 | — | $3,930 | $4,814 | 12 |
| 72156 | MRI C-SPINE W/WO CONTRAST | $4,739 | — | $3,791 | $4,645 | 12 |
| 70546 | MRA HEAD W/WO CONTRAST | $4,719 | — | $3,776 | $4,625 | 12 |
| 73720 | MRI LO EXT W/WO JNT W/WO | $4,667 | — | $3,733 | $4,574 | 12 |
| 72197 | MRI PELVIS W/WO CONTRAST | $4,647 | — | $3,717 | $4,554 | 12 |
| 71552 | MRI CHEST W/WO CONTRAST | $4,622 | — | $3,697 | $4,529 | 12 |
| 70549 | MRA NECK W/WO CONTRAST | $4,566 | — | $3,652 | $4,474 | 12 |
| 72142 | MRI C SPINE WC | $4,503 | — | $3,602 | $4,413 | 12 |
| 43247 | EGD W/ FB REMOVAL | $4,433 | — | $3,547 | $4,345 | 12 |
| 71275 | CTA CHEST | $4,288 | — | $3,430 | $4,202 | 12 |
| 72127 | CT CERVICAL W/WO CONTRAST | $4,222 | — | $3,378 | $4,138 | 12 |
| 73223 | MRI UP EXT W/JNT W/WO | $4,190 | — | $3,352 | $4,106 | 12 |
| 64999 | NERVOUS SYS OTH SURG/PROC | $4,101 | — | $3,281 | $4,019 | 12 |
| 70543 | MRI ORB/FACE/NECK W/WO | $4,097 | — | $3,277 | $4,015 | 12 |
| 70552 | MRI-BRAIN WITH CONTRAST | $4,061 | — | $3,249 | $3,980 | 12 |
| 73723 | MRI LO EXT W/JNT W/WO | $4,002 | — | $3,201 | $3,922 | 12 |
| 24101 | PF ARTHROTOMY ELBW W/EXP | $3,999 | — | $3,199 | $3,919 | 12 |
| 74175 | CTA ABDOMEN | $3,951 | — | $3,161 | $3,872 | 12 |
| 73220 | MRI UP EXT W/O JNT W/WO | $3,933 | — | $3,146 | $3,854 | 12 |
| 72148 | MRI L-SPINE W/O CONTRAST | $3,897 | — | $3,117 | $3,819 | 12 |
| 24000 | PF ARTHRO ELBW EXP/DRAIN/RO FB | $3,882 | — | $3,105 | $3,804 | 12 |
| 75635 | CTA ABD AOR/BI ILIOFEM LO | $3,877 | — | $3,102 | $3,799 | 12 |
| 15940 | EXC ISCHIAL PRESS ULCR W/SUTRE | $3,875 | — | $3,100 | $3,798 | 12 |
| 74176 | CT ABD/PELVIS WO CONTRAST | $3,855 | — | $3,084 | $3,778 | 12 |
| 70498 | CTA CARTOID | $3,830 | — | $3,064 | $3,754 | 12 |
| 11047 | DEBRIDE BONE EA ADD 20 SQ CM | $3,711 | — | $2,969 | $3,636 | 12 |
| 70496 | CTA HEAD (COW) | $3,701 | — | $2,961 | $3,627 | 12 |
| 72141 | MRI C-SPINE W/O CONTRAST | $3,686 | — | $2,949 | $3,612 | 12 |
| 72130 | CT THORACIC WITH/WO CONTRAST | $3,684 | — | $2,947 | $3,611 | 12 |
| 70551 | MRI BRAIN W/O CONTRAST | $3,643 | — | $2,914 | $3,570 | 12 |
| 26350 | PF REPAIR FLEX TENDON WO GRAFT | $3,614 | — | $2,891 | $3,542 | 12 |
| 72149 | MRI L SPINE W/CONTRAST | $3,594 | — | $2,876 | $3,523 | 12 |
| 73202 | CT UP EXT W/WO CONTRAST | $3,586 | — | $2,869 | $3,514 | 12 |
| 44389 | COLON STOMA W/BX SINGLE MULT | $3,553 | — | $2,842 | $3,482 | 12 |
| 71270 | CT CHEST W/WO CONTRAST DIAG | $3,546 | — | $2,837 | $3,475 | 12 |
| 72133 | CT LUMBAR WITH/WO CONTRAST | $3,538 | — | $2,830 | $3,467 | 12 |
| 70492 | CT ST NECK W/WO CONTRAST | $3,527 | — | $2,821 | $3,456 | 12 |
| 73706 | CTA LOWER EXTREMITY | $3,503 | — | $2,802 | $3,433 | 12 |
| 72146 | MRI T-SPINE W/O CONTRAST | $3,477 | — | $2,781 | $3,407 | 12 |
Showing top 50 of 1,411 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.