45 CFR § 180 compliance
D · 65
This hospital published part 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
3,330
Insurances with rates
7
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4306980-6
$8,117
DIGIFAB 40MG VIAL
Gross
$11,596
4306573-9
$6,281
CROFAB ANTIVEN 1GM
Gross
$8,973
3140254-8
$2,614
REVISION COLOSTOMY S
Gross
$3,734
70040-1
$2,491
CT LOWER E W&W/O C B
Gross
$3,558
70034-4
$2,341
CT UPPER E W&W/O C B
Gross
$3,344
4030746-4
$2,319
ANTIDNASE B STREP AB
Gross
$3,313
70038-5
$2,243
CT LOWER EX W/CON BI
Gross
$3,204
3140199-5
$2,146
CEN LINE PLACE >5YRS
Gross
$3,066
4306114-2
$2,059
INVEGA SUSTENNA156MG
Gross
$2,942
70032-8
$2,050
CT UPPER EX W/CON BI
Gross
$2,928
70036-9
$1,841
CT LOWER EX W/O C BI
Gross
$2,630
70029-4
$1,628
CT UPPER EX W/O C BI
Gross
$2,326
90060-5
$1,503
PICC INSERTION
Gross
$2,147
4306859-2
$1,464
RABIES IG KEDRAB 2ML
Gross
$2,092
4306677-8
$1,394
HEP B 1MM GLOB 5ML
Gross
$1,991
90074-6
$1,322
REPLACEMENT PICC
Gross
$1,889
90075-3
$1,303
REMOVAL PICC
Gross
$1,862
70039-3
$1,242
CT LOWER E W&W/O C L
Gross
$1,774
70135-9
$1,242
CT LOWER E W&W/O C R
Gross
$1,774
3140238-1
$1,176
OPEN TREAT/TIBIAL FX
Gross
$1,680
70033-6
$1,170
CT UPPER E W&W/O C L
Gross
$1,672
70132-6
$1,170
CT UPPER E W&W/O C R
Gross
$1,672
4001472-2
$1,147
JW TETANUS IMM. GLOBULIN
Gross
$1,639
4301472-9
$1,147
TETANUS IMM.GLOBULIN
Gross
$1,639
70037-7
$1,121
CT LOWER EX W/CON LT
Gross
$1,602
70134-2
$1,121
CT LOWER EX W/CON RT
Gross
$1,602
3129032-3
$1,076
CRITICAL CARE 30-74 MIN
Gross
$1,537
3140226-6
$1,047
VAGINAL DELIVERY
Gross
$1,495
70031-0
$1,025
CT UPPER EX W/CON LT
Gross
$1,464
70131-8
$1,025
CT UPPER EX W/CON RT
Gross
$1,464
70114-4
$1,008
CT FACIAL/SINUS W/WO
Gross
$1,440
3100003-7
$932
PRIVATE ROOM GENERAL
Gross
$1,331
5513517-2
$926
TUBE BLAKEMORE ADULT
Gross
$1,323
70035-1
$921
CT LOWER EX W/O C LT
Gross
$1,315
70133-4
$921
CT LOWER EX W/O C RT
Gross
$1,315
70113-6
$882
CT FACIAL/SINUS W/CO
Gross
$1,260
70030-2
$881
CT UPPER EX W/O C LT
Gross
$1,258
70130-0
$881
CT UPPER EX W/O C RT
Gross
$1,258
4307023-4
$876
PHENTOLAMINE 5MG VL
Gross
$1,251
70028-6
$865
CT L-SPINE W&W/O CON
Gross
$1,235
3050000-3
$864
PRIVATE ROOM GENERAL
Gross
$1,234
90055-5
$858
U/S VENOUS DOPP BIL
Gross
$1,226
70105-2
$855
CT ABD W&W/O CONT
Gross
$1,222
90052-2
$850
U/S CAROTID ART
Gross
$1,214
90053-0
$841
DOPPLER COLOR FLOW
Gross
$1,201
90051-4
$841
ECHO. DOPPLER ANALYS
Gross
$1,201
90050-6
$841
ECHO. M-MODE/2D
Gross
$1,201
70102-9
$830
CT BRAIN W&W/O CONT
Gross
$1,186
70120-1
$818
CT CHEST W&W/O CONT
Gross
$1,168
70117-7
$818
CT NECK W&W/O CONT
Gross
$1,168
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4306980-6 | DIGIFAB 40MG VIAL | $11,596 | $8,117 | — | — | 0 |
| 4306573-9 | CROFAB ANTIVEN 1GM | $8,973 | $6,281 | — | — | 0 |
| 3140254-8 | REVISION COLOSTOMY S | $3,734 | $2,614 | — | — | 0 |
| 70040-1 | CT LOWER E W&W/O C B | $3,558 | $2,491 | — | — | 1 |
| 70034-4 | CT UPPER E W&W/O C B | $3,344 | $2,341 | — | — | 1 |
| 4030746-4 | ANTIDNASE B STREP AB | $3,313 | $2,319 | — | — | 1 |
| 70038-5 | CT LOWER EX W/CON BI | $3,204 | $2,243 | — | — | 1 |
| 3140199-5 | CEN LINE PLACE >5YRS | $3,066 | $2,146 | — | — | 5 |
| 4306114-2 | INVEGA SUSTENNA156MG | $2,942 | $2,059 | — | — | 0 |
| 70032-8 | CT UPPER EX W/CON BI | $2,928 | $2,050 | — | — | 1 |
| 70036-9 | CT LOWER EX W/O C BI | $2,630 | $1,841 | — | — | 1 |
| 70029-4 | CT UPPER EX W/O C BI | $2,326 | $1,628 | — | — | 1 |
| 90060-5 | PICC INSERTION | $2,147 | $1,503 | — | — | 5 |
| 4306859-2 | RABIES IG KEDRAB 2ML | $2,092 | $1,464 | — | — | 0 |
| 4306677-8 | HEP B 1MM GLOB 5ML | $1,991 | $1,394 | — | — | 0 |
| 90074-6 | REPLACEMENT PICC | $1,889 | $1,322 | — | — | 5 |
| 90075-3 | REMOVAL PICC | $1,862 | $1,303 | — | — | 0 |
| 70039-3 | CT LOWER E W&W/O C L | $1,774 | $1,242 | — | — | 1 |
| 70135-9 | CT LOWER E W&W/O C R | $1,774 | $1,242 | — | — | 1 |
| 3140238-1 | OPEN TREAT/TIBIAL FX | $1,680 | $1,176 | — | — | 0 |
| 70033-6 | CT UPPER E W&W/O C L | $1,672 | $1,170 | — | — | 1 |
| 70132-6 | CT UPPER E W&W/O C R | $1,672 | $1,170 | — | — | 1 |
| 4001472-2 | JW TETANUS IMM. GLOBULIN | $1,639 | $1,147 | — | — | 0 |
| 4301472-9 | TETANUS IMM.GLOBULIN | $1,639 | $1,147 | — | — | 0 |
| 70037-7 | CT LOWER EX W/CON LT | $1,602 | $1,121 | — | — | 1 |
| 70134-2 | CT LOWER EX W/CON RT | $1,602 | $1,121 | — | — | 1 |
| 3129032-3 | CRITICAL CARE 30-74 MIN | $1,537 | $1,076 | — | — | 1 |
| 3140226-6 | VAGINAL DELIVERY | $1,495 | $1,047 | — | — | 0 |
| 70031-0 | CT UPPER EX W/CON LT | $1,464 | $1,025 | — | — | 1 |
| 70131-8 | CT UPPER EX W/CON RT | $1,464 | $1,025 | — | — | 1 |
| 70114-4 | CT FACIAL/SINUS W/WO | $1,440 | $1,008 | — | — | 1 |
| 3100003-7 | PRIVATE ROOM GENERAL | $1,331 | $932 | — | — | 3 |
| 5513517-2 | TUBE BLAKEMORE ADULT | $1,323 | $926 | — | — | 0 |
| 70035-1 | CT LOWER EX W/O C LT | $1,315 | $921 | — | — | 1 |
| 70133-4 | CT LOWER EX W/O C RT | $1,315 | $921 | — | — | 1 |
| 70113-6 | CT FACIAL/SINUS W/CO | $1,260 | $882 | — | — | 1 |
| 70030-2 | CT UPPER EX W/O C LT | $1,258 | $881 | — | — | 1 |
| 70130-0 | CT UPPER EX W/O C RT | $1,258 | $881 | — | — | 1 |
| 4307023-4 | PHENTOLAMINE 5MG VL | $1,251 | $876 | — | — | 0 |
| 70028-6 | CT L-SPINE W&W/O CON | $1,235 | $865 | — | — | 1 |
| 3050000-3 | PRIVATE ROOM GENERAL | $1,234 | $864 | — | — | 3 |
| 90055-5 | U/S VENOUS DOPP BIL | $1,226 | $858 | — | — | 1 |
| 70105-2 | CT ABD W&W/O CONT | $1,222 | $855 | — | — | 1 |
| 90052-2 | U/S CAROTID ART | $1,214 | $850 | — | — | 1 |
| 90053-0 | DOPPLER COLOR FLOW | $1,201 | $841 | — | — | 0 |
| 90051-4 | ECHO. DOPPLER ANALYS | $1,201 | $841 | — | — | 0 |
| 90050-6 | ECHO. M-MODE/2D | $1,201 | $841 | — | — | 0 |
| 70102-9 | CT BRAIN W&W/O CONT | $1,186 | $830 | — | — | 1 |
| 70120-1 | CT CHEST W&W/O CONT | $1,168 | $818 | — | — | 1 |
| 70117-7 | CT NECK W&W/O CONT | $1,168 | $818 | — | — | 1 |
Showing top 50 of 3,330 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.