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
1,197
Insurances with rates
12
CPT / HCPCS codes
877
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ALTEPLASE INJ 100MG | $53,850 | $32,310 | — | — | 20 |
| J3101 | TNKASE 50MG INJ | $35,210 | $21,126 | — | — | 20 |
| A2025 | MIRO3D 100 CM3/CM3 | $30,557 | $18,334 | — | — | 20 |
| 90377 | KEDRAB 1500UNIT/10ML | $22,799 | $13,679 | — | — | 20 |
| RYANODEX 250MG/5ML INJ | RYANODEX 250MG/5ML INJ | $17,257 | $10,354 | — | — | 20 |
| LITHOTRIPSY UNILAT 1ST 10 MIN | LITHOTRIPSY UNILAT 1ST 10 MIN | $14,486 | $8,692 | — | — | 20 |
| OB SURGERY LEVEL 3 1ST 30 MINS | OB SURGERY LEVEL 3 1ST 30 MINS | $11,475 | $6,885 | — | — | 20 |
| Q4197 | PURAPLY XT 4.91X4.91(25)/SQCM | $11,305 | $6,783 | — | — | 20 |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,552 | $6,331 | — | — | 2 |
| 74178 | CT ABD+PELVIS W+WO CONTRAST | $8,784 | $5,270 | — | — | 20 |
| Q4101 | APLIGRAF DISK KIT 44 SQ CM | $8,479 | $5,087 | — | — | 20 |
| 74174 | CT ANG ABD+PLVS W OR WO CNTRS | $8,071 | $4,843 | — | — | 20 |
| Q4133 | GRAFIX PL PRIME 12 SQ CM/SQCM | $8,047 | $4,828 | — | — | 20 |
| 70553 | MR HEAD W/WO CONTRAST | $7,671 | $4,603 | — | — | 20 |
| Q4159 | AFFINITY 2.25 SQ CM/SQCM | $7,648 | $4,589 | — | — | 20 |
| 74177 | CT ABD+PELVIS W/CONTRAST | $7,079 | $4,247 | — | — | 20 |
| 73706 | CT ANG L EXT W OR WO CONTR BIL | $6,993 | $4,196 | — | — | 20 |
| J2357 | XOLAIR 150MG SYRINGE | $6,029 | $3,617 | — | — | 20 |
| 23605 | CLS TX PROX HUM FX W/MAN RT | $5,683 | $3,410 | — | — | 20 |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,628 | $3,377 | — | — | 2 |
| 74176 | CT ABD+PELVIS WO CONTRAST | $5,488 | $3,293 | — | — | 20 |
| 70551 | MR HEAD W/O CONTRAST | $5,342 | $3,205 | — | — | 20 |
| 72146 | MR THORACIC W/O CONTRAST | $5,342 | $3,205 | — | — | 20 |
| 73221 | MR UP EXT JNT WO CON LT | $5,342 | $3,205 | — | — | 20 |
| 73223 | MR UP EXT JNT W+WO CON LT | $5,342 | $3,205 | — | — | 20 |
| 73721 | MR LOW EXT JNT WO CON LT | $5,342 | $3,205 | — | — | 20 |
| 72148 | MR LUMBAR SPINE W/O CONTRAST | $5,089 | $3,053 | — | — | 20 |
| 70540 | MR ORBIT/FACE/NECK WO CNTRST | $5,087 | $3,052 | — | — | 20 |
| 72141 | MR C-SPINE W/O CONTRAST | $5,087 | $3,052 | — | — | 20 |
| 72194 | CT PELVIS W/WO CONTRAST | $5,026 | $3,016 | — | — | 20 |
| 99285 | CRITICAL CARE 1ST 30-74M | $4,960 | $2,976 | — | — | 20 |
| 73700 | CT LOW EXTREMITY WO CON BIL | $4,878 | $2,927 | — | — | 20 |
| 71270 | CT CHEST W/WO CONTRAST | $4,833 | $2,900 | — | — | 20 |
| 71275 | CT ANG CHST W OR WO CONTR | $4,489 | $2,693 | — | — | 20 |
| 72127 | CT C-SPINE W/WO CONTRAST | $4,489 | $2,693 | — | — | 20 |
| 23655 | CLS TX DSLC SHLD W/MAN W/M LT | $4,242 | $2,545 | — | — | 20 |
| 24605 | CLS RED DISLC ELBOW W/ANES RT | $4,242 | $2,545 | — | — | 20 |
| 26775 | CLS TX FNGR DSL W/MAN W/AN F4 | $4,242 | $2,545 | — | — | 20 |
| 72125 | CT C-SPINE WO CONTRAST | $4,229 | $2,537 | — | — | 20 |
| 72126 | CT C-SPINE W/CONTRAST | $4,103 | $2,462 | — | — | 20 |
| 71260 | CT CHEST W/CONTRAST | $4,038 | $2,423 | — | — | 20 |
| 93306 | ECHO COMP W DOPPLER & COLOR | $3,961 | $2,377 | — | — | 20 |
| 72193 | CT PELVIS W/CONTRAST | $3,929 | $2,357 | — | — | 20 |
| 70482 | CT ORBITS W/WO CONTRAST | $3,911 | $2,347 | — | — | 20 |
| 70488 | CT FACIAL W/WO CONTRAST | $3,911 | $2,347 | — | — | 20 |
| 70492 | CT SFT TISSUE NECK W/WO CNTRST | $3,911 | $2,347 | — | — | 20 |
| 73218 | MR UP EXT NON JNT WO CON RT | $3,844 | $2,306 | — | — | 20 |
| 74170 | CT ABD W/WO CONTRAST | $3,761 | $2,257 | — | — | 20 |
| 72128 | CT THORACIC SPINE WO CONTRAST | $3,745 | $2,247 | — | — | 20 |
| 70470 | CT HEAD W/WO CONTRAST | $3,734 | $2,240 | — | — | 20 |
Showing top 50 of 1,197 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.