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
1,650
Insurances with rates
17
CPT / HCPCS codes
828
Most expensive procedures (gross)
43653
$26,838
LAPAROSCOPY GASTROSTOMY
Gross
$26,838
52352
$14,744
Cystouretero w/ Stone Removal
Gross
$14,744
31600
$14,111
Tracheostomy Trach Placement
Gross
$14,111
75860
$13,970
Venography Jugular Cath RS&I
Gross
$13,970
75630
$13,449
RAD AORTOGRAPHY LET ARTERIES
Gross
$13,449
75716
$13,449
Arter Xray Leg/Arm
Gross
$13,449
70460
$13,362
CT Head/Brain W/Contrast
Gross
$13,362
70470
$13,362
CT Head/Brain W/O & W/Dye
Gross
$13,362
27301
$13,165
DRAIN THIGH/KNEE LESION
Gross
$13,165
J2406
$11,976
Oritavancin (Kimyrsa) 10 mg
Gross
$11,976
73220
$11,877
MRI Upper Ext W/&w/O Dye
Gross
$11,877
70553
$11,877
MRI Brain Stem W/O & W/Dye
Gross
$11,877
72197
$11,877
MRI Pelvis W/O & W/Dye
Gross
$11,877
72156
$11,877
MRI Neck Spine W/O & W/Dye
Gross
$11,877
72158
$11,877
MRI Lumbar Spine W/O & W/Dye
Gross
$11,877
72157
$11,877
MRI Thoracic Spine W/O & W/Dye
Gross
$11,877
74178
$11,163
CT Abd & Pelv 1/> Regns w/wo c
Gross
$11,163
74177
$10,021
CT Abdomen & Pelvis w/Contrast
Gross
$10,021
31645
$9,232
Bronchoscopy, Initial Procedur
Gross
$9,232
72192
$8,648
CT Pelvis W/O Dye
Gross
$8,648
74150
$8,648
CT Abdomen W/O Contrast
Gross
$8,648
70450
$8,648
CT Head/Brain W/O Dye
Gross
$8,648
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
32550
$7,908
Insert Pleural Cath
Gross
$7,908
J1568
$7,751
Immun Globg(Igg)/Malt/Iga Ov50
Gross
$7,751
72141
$7,646
MRI Neck Spine W/O Dye
Gross
$7,646
72146
$7,646
MRI Thoracic Spine W/O Dye
Gross
$7,646
73222
$7,646
MRI Upper Ext Jnt W/ Dye
Gross
$7,646
72148
$7,646
MRI Lumbar Spine W/O Dye
Gross
$7,646
73721
$7,646
MRI Jnt of Lwr Extre W/O Dye
Gross
$7,646
74181
$7,646
MRI Abdomen W/O Dye
Gross
$7,646
72149
$7,646
MRI Lumbar Spine W/Dye
Gross
$7,646
72196
$7,646
MRI Pelvis W/Dye
Gross
$7,646
72147
$7,646
MRI Thoracic Spn W/Dye
Gross
$7,646
44366
$7,631
Si Endo W BleED Cntrl
Gross
$7,631
44372
$7,631
J-Tube Only
Gross
$7,631
75635
$7,535
CT Angio Abdominal Arteries
Gross
$7,535
71275
$7,535
CT Angiography Chest w/Contras
Gross
$7,535
73202
$7,535
CT Upper Extrem W/W/
Gross
$7,535
72133
$7,535
CT Lumbar Spine W/W/
Gross
$7,535
72127
$7,535
CT C-Spine W/O&W/Dye
Gross
$7,535
73702
$7,442
CT Lwr Extr W/O&w/Dye
Gross
$7,442
71270
$7,442
CT Chest W/O & W/Dye
Gross
$7,442
72194
$7,442
CT Pelvis W/O & W/Dye
Gross
$7,442
74170
$7,442
CT Abdomen W/O & W/Contrast
Gross
$7,442
36558
$7,369
Ins Tunneled CV CATH
Gross
$7,369
32557
$7,027
Insrt Cath Pleura W/Image
Gross
$7,027
36581
$7,013
Replace TunnelED Cv Cath
Gross
$7,013
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 9 |
| 52352 | Cystouretero w/ Stone Removal | $14,744 | $14,744 | — | — | 9 |
| 31600 | Tracheostomy Trach Placement | $14,111 | $14,111 | — | — | 9 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 9 |
| 75630 | RAD AORTOGRAPHY LET ARTERIES | $13,449 | $13,449 | — | — | 9 |
| 75716 | Arter Xray Leg/Arm | $13,449 | $13,449 | — | — | 9 |
| 70460 | CT Head/Brain W/Contrast | $13,362 | $13,362 | — | — | 9 |
| 70470 | CT Head/Brain W/O & W/Dye | $13,362 | $13,362 | — | — | 9 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 9 |
| J2406 | Oritavancin (Kimyrsa) 10 mg | $11,976 | $11,976 | — | — | 10 |
| 73220 | MRI Upper Ext W/&w/O Dye | $11,877 | $11,877 | — | — | 9 |
| 70553 | MRI Brain Stem W/O & W/Dye | $11,877 | $11,877 | — | — | 9 |
| 72197 | MRI Pelvis W/O & W/Dye | $11,877 | $11,877 | — | — | 9 |
| 72156 | MRI Neck Spine W/O & W/Dye | $11,877 | $11,877 | — | — | 9 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $11,877 | $11,877 | — | — | 9 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $11,877 | $11,877 | — | — | 9 |
| 74178 | CT Abd & Pelv 1/> Regns w/wo c | $11,163 | $11,163 | — | — | 9 |
| 74177 | CT Abdomen & Pelvis w/Contrast | $10,021 | $10,021 | — | — | 9 |
| 31645 | Bronchoscopy, Initial Procedur | $9,232 | $9,232 | — | — | 9 |
| 72192 | CT Pelvis W/O Dye | $8,648 | $8,648 | — | — | 9 |
| 74150 | CT Abdomen W/O Contrast | $8,648 | $8,648 | — | — | 9 |
| 70450 | CT Head/Brain W/O Dye | $8,648 | $8,648 | — | — | 9 |
| J1162 | Digifab 40 mg | $8,574 | $8,574 | — | — | 10 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 9 |
| 14040 | TIS TRNFR F/C/C/M/N/A/G/H/F | $7,993 | $7,993 | — | — | 9 |
| 32550 | Insert Pleural Cath | $7,908 | $7,908 | — | — | 9 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $7,751 | $7,751 | — | — | 10 |
| 72141 | MRI Neck Spine W/O Dye | $7,646 | $7,646 | — | — | 9 |
| 72146 | MRI Thoracic Spine W/O Dye | $7,646 | $7,646 | — | — | 9 |
| 73222 | MRI Upper Ext Jnt W/ Dye | $7,646 | $7,646 | — | — | 9 |
| 72148 | MRI Lumbar Spine W/O Dye | $7,646 | $7,646 | — | — | 9 |
| 73721 | MRI Jnt of Lwr Extre W/O Dye | $7,646 | $7,646 | — | — | 9 |
| 74181 | MRI Abdomen W/O Dye | $7,646 | $7,646 | — | — | 9 |
| 72149 | MRI Lumbar Spine W/Dye | $7,646 | $7,646 | — | — | 9 |
| 72196 | MRI Pelvis W/Dye | $7,646 | $7,646 | — | — | 9 |
| 72147 | MRI Thoracic Spn W/Dye | $7,646 | $7,646 | — | — | 9 |
| 44366 | Si Endo W BleED Cntrl | $7,631 | $7,631 | — | — | 9 |
| 44372 | J-Tube Only | $7,631 | $7,631 | — | — | 9 |
| 75635 | CT Angio Abdominal Arteries | $7,535 | $7,535 | — | — | 9 |
| 71275 | CT Angiography Chest w/Contras | $7,535 | $7,535 | — | — | 9 |
| 73202 | CT Upper Extrem W/W/ | $7,535 | $7,535 | — | — | 9 |
| 72133 | CT Lumbar Spine W/W/ | $7,535 | $7,535 | — | — | 9 |
| 72127 | CT C-Spine W/O&W/Dye | $7,535 | $7,535 | — | — | 9 |
| 73702 | CT Lwr Extr W/O&w/Dye | $7,442 | $7,442 | — | — | 9 |
| 71270 | CT Chest W/O & W/Dye | $7,442 | $7,442 | — | — | 9 |
| 72194 | CT Pelvis W/O & W/Dye | $7,442 | $7,442 | — | — | 9 |
| 74170 | CT Abdomen W/O & W/Contrast | $7,442 | $7,442 | — | — | 9 |
| 36558 | Ins Tunneled CV CATH | $7,369 | $7,369 | — | — | 9 |
| 32557 | Insrt Cath Pleura W/Image | $7,027 | $7,027 | — | — | 9 |
| 36581 | Replace TunnelED Cv Cath | $7,013 | $7,013 | — | — | 9 |
Showing top 50 of 1,650 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.