45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
2,290
Insurances with rates
16
CPT / HCPCS codes
1,525
Most expensive procedures (gross)
43653
$26,838
LAPAROSCOPY GASTROSTOMY
Gross
$26,838
75860
$13,970
Venography Jugular Cath RS&I
Gross
$13,970
27301
$13,165
DRAIN THIGH/KNEE LESION
Gross
$13,165
J2406
$11,976
Oritavancin (Kimyrsa) 10 mg
Gross
$11,976
72157
$9,412
MRI Thoracic Spine W/O & W/Dye
Gross
$9,412
72158
$9,412
MRI Lumbar Spine W/O & W/Dye
Gross
$9,412
71552
$9,412
MRI Chest W/&w/O Con
Gross
$9,412
72197
$9,412
MRI Pelvis W/O & W/Dye
Gross
$9,412
72156
$9,412
MRI Neck Spine W/O & W/Dye
Gross
$9,412
70553
$9,412
MRI Brain Stem W/O & W/Dye
Gross
$9,412
73220
$9,412
MRI Upper Ext W/&w/O Dye
Gross
$9,412
74178
$8,846
CT Abd & Pelv 1/> Regns w/wo c
Gross
$8,846
J1162
$8,574
Digifab 40 mg
Gross
$8,574
15002
$8,414
Wound PrepTRK/ARM/LEG
Gross
$8,414
14040
$7,993
TIS TRNFR F/C/C/M/N/A/G/H/F
Gross
$7,993
74177
$7,941
CT Abdomen & Pelvis w/Contrast
Gross
$7,941
32550
$7,908
Insert Pleural Cath
Gross
$7,908
J1568
$7,751
Immun Globg(Igg)/Malt/Iga Ov50
Gross
$7,751
36558
$7,369
Ins Tunneled CV CATH
Gross
$7,369
78582
$6,773
NM Nuclear Scan of Lung
Gross
$6,773
27613
$6,451
Biopsy Lower Leg Soft Tissue
Gross
$6,451
36514
$6,408
Apheresis Plasma
Gross
$6,408
72130
$6,251
CT Thoracic Spine w/o&w/contra
Gross
$6,251
93312
$6,224
US Tee 2d W/Probe P
Gross
$6,224
72141
$6,059
MRI Neck Spine W/O Dye
Gross
$6,059
72146
$6,059
MRI Thoracic Spine W/O Dye
Gross
$6,059
73220
$6,059
MRI Joint Upr Extrem W/Dye
Gross
$6,059
73221
$6,059
MRI Uppr Ext Jnt W/O Dye
Gross
$6,059
74183
$6,059
MRI Angio Abdom W Orw/O Dye
Gross
$6,059
70551
$6,059
MRI Brain Stem W/O Dye
Gross
$6,059
73721
$6,059
MRI Jnt of Lwr Extre W/O Dye
Gross
$6,059
73723
$6,059
MRI Joint Lwr Extr W/O&w/Dye R
Gross
$6,059
72142
$6,059
MRI Neck Spine W/Dye
Gross
$6,059
72149
$6,059
MRI Lumbar Spine W/Dye
Gross
$6,059
70540
$6,059
MRI Orbit/Face/Neck W/O Dye
Gross
$6,059
71550
$6,059
MRI Chest W/O Dye
Gross
$6,059
72147
$6,059
MRI Thoracic Spn W/Dye
Gross
$6,059
73222
$6,059
MRI Upper Ext Jnt W/ Dye
Gross
$6,059
72148
$6,059
MRI Lumbar Spine W/O Dye
Gross
$6,059
72196
$6,059
MRI Pelvis W/Dye
Gross
$6,059
74182
$6,059
MRI Abdomen W Dye
Gross
$6,059
74181
$6,059
MRI Abdomen W/O Dye
Gross
$6,059
74175
$6,041
CT Angio Abdom W/O & W/Contras
Gross
$6,041
70488
$5,971
CT Maxillofacial W/W
Gross
$5,971
72133
$5,971
CT Lumbar Spine W/W/
Gross
$5,971
75635
$5,971
CT Angio Abdominal Arteries
Gross
$5,971
71275
$5,971
CT Angiography Chest w/Contras
Gross
$5,971
72127
$5,971
CT C-Spine W/O&W/Dye
Gross
$5,971
73202
$5,971
CT Upper Extrem W/W/
Gross
$5,971
78227
$5,930
NM Hepatobiliary Duct ScanHIDA
Gross
$5,930
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 26 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 34 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 31 |
| J2406 | Oritavancin (Kimyrsa) 10 mg | $11,976 | $11,976 | — | — | 29 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $9,412 | $9,412 | — | — | 30 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $9,412 | $9,412 | — | — | 29 |
| 71552 | MRI Chest W/&w/O Con | $9,412 | $9,412 | — | — | 34 |
| 72197 | MRI Pelvis W/O & W/Dye | $9,412 | $9,412 | — | — | 31 |
| 72156 | MRI Neck Spine W/O & W/Dye | $9,412 | $9,412 | — | — | 31 |
| 70553 | MRI Brain Stem W/O & W/Dye | $9,412 | $9,412 | — | — | 30 |
| 73220 | MRI Upper Ext W/&w/O Dye | $9,412 | $9,412 | — | — | 28 |
| 74178 | CT Abd & Pelv 1/> Regns w/wo c | $8,846 | $8,846 | — | — | 31 |
| J1162 | Digifab 40 mg | $8,574 | $8,574 | — | — | 26 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 28 |
| 14040 | TIS TRNFR F/C/C/M/N/A/G/H/F | $7,993 | $7,993 | — | — | 28 |
| 74177 | CT Abdomen & Pelvis w/Contrast | $7,941 | $7,941 | — | — | 30 |
| 32550 | Insert Pleural Cath | $7,908 | $7,908 | — | — | 26 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $7,751 | $7,751 | — | — | 27 |
| 36558 | Ins Tunneled CV CATH | $7,369 | $7,369 | — | — | 31 |
| 78582 | NM Nuclear Scan of Lung | $6,773 | $6,773 | — | — | 32 |
| 27613 | Biopsy Lower Leg Soft Tissue | $6,451 | $6,451 | — | — | 27 |
| 36514 | Apheresis Plasma | $6,408 | $6,408 | — | — | 23 |
| 72130 | CT Thoracic Spine w/o&w/contra | $6,251 | $6,251 | — | — | 32 |
| 93312 | US Tee 2d W/Probe P | $6,224 | $6,224 | — | — | 34 |
| 72141 | MRI Neck Spine W/O Dye | $6,059 | $6,059 | — | — | 35 |
| 72146 | MRI Thoracic Spine W/O Dye | $6,059 | $6,059 | — | — | 29 |
| 73220 | MRI Joint Upr Extrem W/Dye | $6,059 | $6,059 | — | — | 33 |
| 73221 | MRI Uppr Ext Jnt W/O Dye | $6,059 | $6,059 | — | — | 32 |
| 74183 | MRI Angio Abdom W Orw/O Dye | $6,059 | $6,059 | — | — | 32 |
| 70551 | MRI Brain Stem W/O Dye | $6,059 | $6,059 | — | — | 30 |
| 73721 | MRI Jnt of Lwr Extre W/O Dye | $6,059 | $6,059 | — | — | 29 |
| 73723 | MRI Joint Lwr Extr W/O&w/Dye R | $6,059 | $6,059 | — | — | 30 |
| 72142 | MRI Neck Spine W/Dye | $6,059 | $6,059 | — | — | 32 |
| 72149 | MRI Lumbar Spine W/Dye | $6,059 | $6,059 | — | — | 29 |
| 70540 | MRI Orbit/Face/Neck W/O Dye | $6,059 | $6,059 | — | — | 30 |
| 71550 | MRI Chest W/O Dye | $6,059 | $6,059 | — | — | 32 |
| 72147 | MRI Thoracic Spn W/Dye | $6,059 | $6,059 | — | — | 31 |
| 73222 | MRI Upper Ext Jnt W/ Dye | $6,059 | $6,059 | — | — | 30 |
| 72148 | MRI Lumbar Spine W/O Dye | $6,059 | $6,059 | — | — | 29 |
| 72196 | MRI Pelvis W/Dye | $6,059 | $6,059 | — | — | 31 |
| 74182 | MRI Abdomen W Dye | $6,059 | $6,059 | — | — | 31 |
| 74181 | MRI Abdomen W/O Dye | $6,059 | $6,059 | — | — | 32 |
| 74175 | CT Angio Abdom W/O & W/Contras | $6,041 | $6,041 | — | — | 32 |
| 70488 | CT Maxillofacial W/W | $5,971 | $5,971 | — | — | 32 |
| 72133 | CT Lumbar Spine W/W/ | $5,971 | $5,971 | — | — | 31 |
| 75635 | CT Angio Abdominal Arteries | $5,971 | $5,971 | — | — | 29 |
| 71275 | CT Angiography Chest w/Contras | $5,971 | $5,971 | — | — | 28 |
| 72127 | CT C-Spine W/O&W/Dye | $5,971 | $5,971 | — | — | 34 |
| 73202 | CT Upper Extrem W/W/ | $5,971 | $5,971 | — | — | 31 |
| 78227 | NM Hepatobiliary Duct ScanHIDA | $5,930 | $5,930 | — | — | 32 |
Showing top 50 of 2,290 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.