45 CFR § 180 compliance
F · 50
This hospital published little 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
3,014
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4405456
—
TRELLEGY ELLIPTA 200-62.5-25
Gross
$5,730
4405505
—
NEUPOGEN 480MCG/0.8ML
Gross
$4,550
4690187
—
OT ADLS 90 MIN
Gross
$3,450
4650149
—
PT SELECTIVE DEBRID < 20 CM
Gross
$3,449
4650150
—
PT SELECTIVE DEBRID > 20 CM
Gross
$3,449
4220030
—
CT LOW EXTREM WWO CTR LT
Gross
$2,961
4220031
—
CT LOW EXTREM WWO CTR RT
Gross
$2,961
4220052
—
CT UP EXTREM W/WO CST LT
Gross
$2,961
4220053
—
CT UP EXTREM W/WO CTR RT
Gross
$2,961
4220059
—
CT EXTREMITY LOWER BILAT W/WO
Gross
$2,961
4220062
—
CT EXTREMITY UPPER BILAT W/WO
Gross
$2,961
4220074
—
CT KNEE BILAT W/WO
Gross
$2,961
4690186
—
OT ADLS 75 MIN
Gross
$2,875
4600350
—
PEG TUBE REPLACEMENT
Gross
$2,862
4220039
—
CT NECK W/W/O CONTRAST
Gross
$2,859
4220033
—
CT L-SPINE W/W/O CONTRST
Gross
$2,823
4300469
—
PLATELETS, PHERESIS
Gross
$2,787
4220057
—
CT CERVICAL SPINE W/WO
Gross
$2,694
4220048
—
CT T-SPINE WITH CONTRAST
Gross
$2,637
4600020
—
I&D PILONIDAL CYST SIMPLE-FAC
Gross
$2,609
4220023
—
CT HEAD/BRAIN W/W/O CONT
Gross
$2,602
4405457
—
TRELEGY ELLIPTA 100/62.2/25
Gross
$2,570
4405485
—
TRELEGY INHALER 100/62.5/35
Gross
$2,569
4220041
—
CT ORBITS W/WO CONT
Gross
$2,454
4220040
—
CT NECK WITH CONTRAST
Gross
$2,440
4600051
—
CENTRAL LINE PLACEMENT ER/FAC
Gross
$2,414
4220034
—
CT L-SPINE WITH CONTRAST
Gross
$2,403
4220019
—
CT CHEST W/W/O CONTRAST
Gross
$2,400
4220020
—
CT CHEST WITH CONTRAST
Gross
$2,400
4220038
—
CT NECK W/O CONTRAST
Gross
$2,372
4220077
—
CT THORACIC SPINE W/WO
Gross
$2,344
4220037
—
CT MAXILO/SINUS WWO CONT
Gross
$2,332
4600069
—
DEFIBRILLATION
Gross
$2,330
4220021
—
CT C-SPINE W/O CONTRAST
Gross
$2,325
4300078
—
CMV DNA QUANT
Gross
$2,222
4200081
—
US ECHOCARDIOGRAM COMPLETE
Gross
$2,197
4220069
—
CT HAND BILAT WC
Gross
$2,194
4300287
—
FIBROSURE NASH
Gross
$2,186
4220042
—
CT ORBITS WITH CONTRAST
Gross
$2,153
4220090
—
CT PE STUDY W/C
Gross
$2,149
4220004
—
CT ABD&PEL W/WO CONTRAST
Gross
$2,133
4220043
—
CT ORBITS WO CONT
Gross
$2,118
4220100
—
CT TEMPORAL / MASTOID
Gross
$2,118
4402364
—
LIRAGLUTIDE SOLN PEN 18MG/3ML
Gross
$2,107
4220018
—
CT CHEST W/O CONTRAST
Gross
$2,096
4220032
—
CT L-SPINE W/O CONTRAST
Gross
$2,096
4220058
—
CT CERVICAL SPINE WC
Gross
$2,065
4220047
—
CT T-SPINE W/O CONTRAST
Gross
$2,053
4220026
—
CT LOW EXTREM W/O CTR LT
Gross
$2,043
4220027
—
CT LOW EXTREM W/O CTR RT
Gross
$2,043
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4405456 | TRELLEGY ELLIPTA 200-62.5-25 | $5,730 | — | — | — | 0 |
| 4405505 | NEUPOGEN 480MCG/0.8ML | $4,550 | — | — | — | 0 |
| 4690187 | OT ADLS 90 MIN | $3,450 | — | — | — | 0 |
| 4650149 | PT SELECTIVE DEBRID < 20 CM | $3,449 | — | — | — | 0 |
| 4650150 | PT SELECTIVE DEBRID > 20 CM | $3,449 | — | — | — | 0 |
| 4220030 | CT LOW EXTREM WWO CTR LT | $2,961 | — | — | — | 0 |
| 4220031 | CT LOW EXTREM WWO CTR RT | $2,961 | — | — | — | 0 |
| 4220052 | CT UP EXTREM W/WO CST LT | $2,961 | — | — | — | 0 |
| 4220053 | CT UP EXTREM W/WO CTR RT | $2,961 | — | — | — | 0 |
| 4220059 | CT EXTREMITY LOWER BILAT W/WO | $2,961 | — | — | — | 0 |
| 4220062 | CT EXTREMITY UPPER BILAT W/WO | $2,961 | — | — | — | 0 |
| 4220074 | CT KNEE BILAT W/WO | $2,961 | — | — | — | 0 |
| 4690186 | OT ADLS 75 MIN | $2,875 | — | — | — | 0 |
| 4600350 | PEG TUBE REPLACEMENT | $2,862 | — | — | — | 0 |
| 4220039 | CT NECK W/W/O CONTRAST | $2,859 | — | — | — | 0 |
| 4220033 | CT L-SPINE W/W/O CONTRST | $2,823 | — | — | — | 0 |
| 4300469 | PLATELETS, PHERESIS | $2,787 | — | — | — | 0 |
| 4220057 | CT CERVICAL SPINE W/WO | $2,694 | — | — | — | 0 |
| 4220048 | CT T-SPINE WITH CONTRAST | $2,637 | — | — | — | 0 |
| 4600020 | I&D PILONIDAL CYST SIMPLE-FAC | $2,609 | — | — | — | 0 |
| 4220023 | CT HEAD/BRAIN W/W/O CONT | $2,602 | — | — | — | 0 |
| 4405457 | TRELEGY ELLIPTA 100/62.2/25 | $2,570 | — | — | — | 0 |
| 4405485 | TRELEGY INHALER 100/62.5/35 | $2,569 | — | — | — | 0 |
| 4220041 | CT ORBITS W/WO CONT | $2,454 | — | — | — | 0 |
| 4220040 | CT NECK WITH CONTRAST | $2,440 | — | — | — | 0 |
| 4600051 | CENTRAL LINE PLACEMENT ER/FAC | $2,414 | — | — | — | 0 |
| 4220034 | CT L-SPINE WITH CONTRAST | $2,403 | — | — | — | 0 |
| 4220019 | CT CHEST W/W/O CONTRAST | $2,400 | — | — | — | 0 |
| 4220020 | CT CHEST WITH CONTRAST | $2,400 | — | — | — | 0 |
| 4220038 | CT NECK W/O CONTRAST | $2,372 | — | — | — | 0 |
| 4220077 | CT THORACIC SPINE W/WO | $2,344 | — | — | — | 0 |
| 4220037 | CT MAXILO/SINUS WWO CONT | $2,332 | — | — | — | 0 |
| 4600069 | DEFIBRILLATION | $2,330 | — | — | — | 0 |
| 4220021 | CT C-SPINE W/O CONTRAST | $2,325 | — | — | — | 0 |
| 4300078 | CMV DNA QUANT | $2,222 | — | — | — | 0 |
| 4200081 | US ECHOCARDIOGRAM COMPLETE | $2,197 | — | — | — | 0 |
| 4220069 | CT HAND BILAT WC | $2,194 | — | — | — | 0 |
| 4300287 | FIBROSURE NASH | $2,186 | — | — | — | 0 |
| 4220042 | CT ORBITS WITH CONTRAST | $2,153 | — | — | — | 0 |
| 4220090 | CT PE STUDY W/C | $2,149 | — | — | — | 0 |
| 4220004 | CT ABD&PEL W/WO CONTRAST | $2,133 | — | — | — | 0 |
| 4220043 | CT ORBITS WO CONT | $2,118 | — | — | — | 0 |
| 4220100 | CT TEMPORAL / MASTOID | $2,118 | — | — | — | 0 |
| 4402364 | LIRAGLUTIDE SOLN PEN 18MG/3ML | $2,107 | — | — | — | 0 |
| 4220018 | CT CHEST W/O CONTRAST | $2,096 | — | — | — | 0 |
| 4220032 | CT L-SPINE W/O CONTRAST | $2,096 | — | — | — | 0 |
| 4220058 | CT CERVICAL SPINE WC | $2,065 | — | — | — | 0 |
| 4220047 | CT T-SPINE W/O CONTRAST | $2,053 | — | — | — | 0 |
| 4220026 | CT LOW EXTREM W/O CTR LT | $2,043 | — | — | — | 0 |
| 4220027 | CT LOW EXTREM W/O CTR RT | $2,043 | — | — | — | 0 |
Showing top 50 of 3,014 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.