45 CFR § 180 compliance
A · 100
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
2,250
Insurances with rates
4
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
109881610
$25,361
Tenecteplase 50 Mg Intravenous Injection[mort]
Gross
$28,179
109863473
$10,456
Antivenin (Crotalidae Ovine) Polyvalent Intravenous Injection[mort]
Gross
$11,618
53655795
$9,450
36556-central Line Greater Than/equal To 5 Years
Gross
$10,500
55016028
$6,372
59409-vaginal Delivery Only
Gross
$7,080
2440003-TC
$6,186
CT scan of abdomen and pelvis with contrast
Gross
$6,873
24349010-TC
$6,125
Ct Angio Abdomen And Pelvis
Gross
$6,806
55025605
$5,855
25605-distal Radial W/ Manipulation
Gross
$6,506
109866884
$5,787
Denosumab (Prolia) 60 Mg/ml Subcutaneous Solution 1 Ml[mort]
Gross
$6,430
55025600
$5,084
25600-distal Radial W/o Manipulation
Gross
$5,649
55027786
$5,084
27786-distal Fibular W/o Manipulation
Gross
$5,649
55028470
$5,084
28470metatarsal W/o Manipulation
Gross
$5,649
109870025
$4,825
Ferric Carboxymaltose (As Elemental Iron) 50 Mg/ml Intravenous Solution 15 Ml[mort]
Gross
$5,361
24018020-TC
$4,529
Ct Angio Abdomen Aorta + Iliofemoral
Gross
$5,032
24026010-TC
$4,307
Ct Angio Abdomen
Gross
$4,785
24045015-TC
$4,307
Ct Angio Lower Extremity Bilateral
Gross
$4,785
73706320-TC
$4,307
Ct Angio Lower Extremity Left
Gross
$4,785
32073706-TC
$4,307
Ct Angio Lower Extremity Right
Gross
$4,785
24045017-TC
$4,307
Ct Angio Upper Extremity Bilateral
Gross
$4,785
73206320-TC
$4,307
Ct Angio Upper Extremity Left
Gross
$4,785
32073206-TC
$4,307
Ct Angio Upper Extremity Right
Gross
$4,785
24034015-TC
$4,208
Ct Angio Brain/head
Gross
$4,676
24034021
$4,208
Ct Angio Head/neck
Gross
$4,676
21414200-TC
$4,156
Ct Angio Chest Pe Protocol
Gross
$4,618
2440004-TC
$4,002
74178 Ct Abdomen And Pelvis W/ + W/o Contrast: Addon
Gross
$4,447
50591001
$3,983
36569-picc Line Insertion Greater Than/equal To 5 Years
Gross
$4,425
55012031
$3,926
12031-scalp/trunk/extremity Less Than/equal To 2.5 Cm
Gross
$4,362
55962010
$3,915
26725-phalanx Shaft W/ Manipulation
Gross
$4,350
55025500
$3,888
25500-radial Shaft W/o Manipulation
Gross
$4,320
55025530
$3,888
25530ulnar Shaft W/o Manipulation
Gross
$4,320
55025560
$3,888
25560-radial & Ulnar Shaft W/o Manipulation
Gross
$4,320
55028430
$3,888
28430talus W/o Manipulation
Gross
$4,320
24400000-TC
$3,776
74176 Ct Abdomen And Pelvis W/o Contrast: Addon
Gross
$4,195
50162323
$3,715
Injection(s) of therapeutic substance
Gross
$4,128
50062323
$3,715
Injection(s) of therapeutic substance
Gross
$4,128
50062311
$3,699
Injection(s) of anesthetic into lower spine using imaging guidance
Gross
$4,110
50062321
$3,615
62321 Epidural Lumbar W/guid Imag
Gross
$4,017
50011403
$3,529
11403 Excision,benign Lesion Diamete Mort
Gross
$3,921
50441000
$3,510
13132-face/neck/hand/feet/genital 2.6-7.5 Cm
Gross
$3,900
55582030
$3,377
12053-face/ear/eye/nose/lip 5.1-7.5 Cm
Gross
$3,752
50580000
$3,375
Removal Tunneled Central Venou
Gross
$3,750
50064415
$3,362
64405 Greater Occipital Nerve Block Mort
Gross
$3,735
55092300
$3,220
36430 Tr Blood Adm 0-24 Hours Mort
Gross
$3,578
55010140
$3,173
10140-i&d Hematoma/seroma/fluid
Gross
$3,525
24042010-TC
$3,131
70498 Ct Angio Neck W/ Contrast: Addon
Gross
$3,479
40030262
$3,024
93225 Holter Monitor 24hr W/event Mort
Gross
$3,360
50062310
$2,881
64479 Epidural Lumbar Subarach, C Or
Gross
$3,201
55023500
$2,881
23500clavicular W/o Manipulation
Gross
$3,201
55026641
$2,881
26641-carpometacarpal Thumb
Gross
$3,201
55026720
$2,881
26720-phalanx Shaft W/o Manipulation
Gross
$3,201
55099291
$2,880
99291critical Care, 30-74
Gross
$3,200
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 109881610 | Tenecteplase 50 Mg Intravenous Injection[mort] | $28,179 | $25,361 | $8,172 | $28,179 | 4 |
| 109863473 | Antivenin (Crotalidae Ovine) Polyvalent Intravenous Injection[mort] | $11,618 | $10,456 | $3,369 | $11,618 | 4 |
| 53655795 | 36556-central Line Greater Than/equal To 5 Years | $10,500 | $9,450 | $3,045 | $10,500 | 4 |
| 55016028 | 59409-vaginal Delivery Only | $7,080 | $6,372 | $2,053 | $7,080 | 4 |
| 2440003-TC | CT scan of abdomen and pelvis with contrast | $6,873 | $6,186 | $1,993 | $6,873 | 4 |
| 24349010-TC | Ct Angio Abdomen And Pelvis | $6,806 | $6,125 | $1,974 | $6,806 | 4 |
| 55025605 | 25605-distal Radial W/ Manipulation | $6,506 | $5,855 | $1,887 | $6,506 | 4 |
| 109866884 | Denosumab (Prolia) 60 Mg/ml Subcutaneous Solution 1 Ml[mort] | $6,430 | $5,787 | $1,865 | $6,430 | 4 |
| 55025600 | 25600-distal Radial W/o Manipulation | $5,649 | $5,084 | $1,638 | $5,649 | 4 |
| 55027786 | 27786-distal Fibular W/o Manipulation | $5,649 | $5,084 | $1,638 | $5,649 | 4 |
| 55028470 | 28470metatarsal W/o Manipulation | $5,649 | $5,084 | $1,638 | $5,649 | 4 |
| 109870025 | Ferric Carboxymaltose (As Elemental Iron) 50 Mg/ml Intravenous Solution 15 Ml[mort] | $5,361 | $4,825 | $1,555 | $5,361 | 4 |
| 24018020-TC | Ct Angio Abdomen Aorta + Iliofemoral | $5,032 | $4,529 | $1,459 | $5,032 | 4 |
| 24026010-TC | Ct Angio Abdomen | $4,785 | $4,307 | $1,388 | $4,785 | 4 |
| 24045015-TC | Ct Angio Lower Extremity Bilateral | $4,785 | $4,307 | $1,388 | $4,785 | 4 |
| 73706320-TC | Ct Angio Lower Extremity Left | $4,785 | $4,307 | $1,388 | $4,785 | 4 |
| 32073706-TC | Ct Angio Lower Extremity Right | $4,785 | $4,307 | $1,388 | $4,785 | 4 |
| 24045017-TC | Ct Angio Upper Extremity Bilateral | $4,785 | $4,307 | $1,388 | $4,785 | 4 |
| 73206320-TC | Ct Angio Upper Extremity Left | $4,785 | $4,307 | $1,388 | $4,785 | 4 |
| 32073206-TC | Ct Angio Upper Extremity Right | $4,785 | $4,307 | $1,388 | $4,785 | 4 |
| 24034015-TC | Ct Angio Brain/head | $4,676 | $4,208 | $1,356 | $4,676 | 4 |
| 24034021 | Ct Angio Head/neck | $4,676 | $4,208 | $1,356 | $4,676 | 4 |
| 21414200-TC | Ct Angio Chest Pe Protocol | $4,618 | $4,156 | $1,339 | $4,618 | 4 |
| 2440004-TC | 74178 Ct Abdomen And Pelvis W/ + W/o Contrast: Addon | $4,447 | $4,002 | $1,290 | $4,447 | 4 |
| 50591001 | 36569-picc Line Insertion Greater Than/equal To 5 Years | $4,425 | $3,983 | $1,283 | $4,425 | 4 |
| 55012031 | 12031-scalp/trunk/extremity Less Than/equal To 2.5 Cm | $4,362 | $3,926 | $1,265 | $4,362 | 4 |
| 55962010 | 26725-phalanx Shaft W/ Manipulation | $4,350 | $3,915 | $1,262 | $4,350 | 4 |
| 55025500 | 25500-radial Shaft W/o Manipulation | $4,320 | $3,888 | $1,253 | $4,320 | 4 |
| 55025530 | 25530ulnar Shaft W/o Manipulation | $4,320 | $3,888 | $1,253 | $4,320 | 4 |
| 55025560 | 25560-radial & Ulnar Shaft W/o Manipulation | $4,320 | $3,888 | $1,253 | $4,320 | 4 |
| 55028430 | 28430talus W/o Manipulation | $4,320 | $3,888 | $1,253 | $4,320 | 4 |
| 24400000-TC | 74176 Ct Abdomen And Pelvis W/o Contrast: Addon | $4,195 | $3,776 | $1,217 | $4,195 | 4 |
| 50162323 | Injection(s) of therapeutic substance | $4,128 | $3,715 | $1,197 | $3,715 | 3 |
| 50062323 | Injection(s) of therapeutic substance | $4,128 | $3,715 | $1,197 | $3,715 | 3 |
| 50062311 | Injection(s) of anesthetic into lower spine using imaging guidance | $4,110 | $3,699 | $1,192 | $3,699 | 3 |
| 50062321 | 62321 Epidural Lumbar W/guid Imag | $4,017 | $3,615 | $1,165 | $4,017 | 4 |
| 50011403 | 11403 Excision,benign Lesion Diamete Mort | $3,921 | $3,529 | $1,137 | $3,921 | 4 |
| 50441000 | 13132-face/neck/hand/feet/genital 2.6-7.5 Cm | $3,900 | $3,510 | $1,131 | $3,900 | 4 |
| 55582030 | 12053-face/ear/eye/nose/lip 5.1-7.5 Cm | $3,752 | $3,377 | $1,088 | $3,752 | 4 |
| 50580000 | Removal Tunneled Central Venou | $3,750 | $3,375 | $1,088 | $3,750 | 4 |
| 50064415 | 64405 Greater Occipital Nerve Block Mort | $3,735 | $3,362 | $1,083 | $3,735 | 4 |
| 55092300 | 36430 Tr Blood Adm 0-24 Hours Mort | $3,578 | $3,220 | $1,038 | $3,578 | 4 |
| 55010140 | 10140-i&d Hematoma/seroma/fluid | $3,525 | $3,173 | $1,022 | $3,525 | 4 |
| 24042010-TC | 70498 Ct Angio Neck W/ Contrast: Addon | $3,479 | $3,131 | $1,009 | $3,479 | 4 |
| 40030262 | 93225 Holter Monitor 24hr W/event Mort | $3,360 | $3,024 | $974 | $3,360 | 4 |
| 50062310 | 64479 Epidural Lumbar Subarach, C Or | $3,201 | $2,881 | $928 | $3,201 | 4 |
| 55023500 | 23500clavicular W/o Manipulation | $3,201 | $2,881 | $928 | $3,201 | 4 |
| 55026641 | 26641-carpometacarpal Thumb | $3,201 | $2,881 | $928 | $3,201 | 4 |
| 55026720 | 26720-phalanx Shaft W/o Manipulation | $3,201 | $2,881 | $928 | $3,201 | 4 |
| 55099291 | 99291critical Care, 30-74 | $3,200 | $2,880 | $928 | $3,200 | 4 |
Showing top 50 of 2,250 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.