45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,622
Insurances with rates
20
CPT / HCPCS codes
742
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
72156
$11,377
MRI Neck Spine W/O & W/Dye
Gross
$11,377
72158
$11,377
MRI Lumbar Spine W/O & W/Dye
Gross
$11,377
72157
$11,377
MRI Thoracic Spine W/O & W/Dye
Gross
$11,377
74178
$10,693
CT Abd & Pelv 1/> Regns w/wo c
Gross
$10,693
31645
$9,232
Bronchoscopy, Initial Procedur
Gross
$9,232
J1162
$8,574
Digifab 40 mg
Gross
$8,574
74177
$8,480
CT Abdomen & Pelvis w/Contrast
Gross
$8,480
15002
$8,414
Wound PrepTRK/ARM/LEG
Gross
$8,414
73200
$8,200
CT Upper Extrm W/O Dye Lt
Gross
$8,200
78582
$8,187
NM Nuclear Scan of Lung
Gross
$8,187
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
43245
$7,631
EGD Dilate Stricture
Gross
$7,631
36558
$7,369
Ins Tunneled CV CATH
Gross
$7,369
72146
$7,324
MRI Thoracic Spine W/O Dye
Gross
$7,324
74181
$7,324
MRI Abdomen W/O Dye
Gross
$7,324
72149
$7,324
MRI Lumbar Spine W/Dye
Gross
$7,324
73222
$7,324
MRI Upper Ext Jnt W/ Dye
Gross
$7,324
72147
$7,324
MRI Thoracic Spn W/Dye
Gross
$7,324
72127
$7,217
CT C-Spine W/O&W/Dye
Gross
$7,217
75635
$7,217
CT Angio Abdominal Arteries
Gross
$7,217
71270
$7,129
CT Chest W/O & W/Dye
Gross
$7,129
72148
$6,470
MRI Lumbar Spine W/O Dye
Gross
$6,470
27613
$6,451
Biopsy Lower Leg Soft Tissue
Gross
$6,451
72126
$6,400
CT C-Spine w/Contrast
Gross
$6,400
72129
$6,400
CT Thoracic Spine w/ Contrast
Gross
$6,400
71275
$6,375
CT Angiography Chest w/Contras
Gross
$6,375
70470
$6,297
CT Head/Brain W/O & W/Dye
Gross
$6,297
74170
$6,297
CT Abdomen W/O & W/Contrast
Gross
$6,297
74175
$6,041
CT Angio Abdom W/O & W/Contras
Gross
$6,041
78227
$5,930
NM Hepatobiliary Duct ScanHIDA
Gross
$5,930
72193
$5,653
CT Pelvis W/Dye
Gross
$5,653
70460
$5,653
CT Head/Brain W/Contrast
Gross
$5,653
71260
$5,653
CT Chest W/ Dye
Gross
$5,653
74160
$5,653
CT Abdomen W/Contrast
Gross
$5,653
73702
$5,640
CT LO EXTR W/WO contrast BILAT
Gross
$5,640
49082
$5,584
Abd Paracentesis
Gross
$5,584
74176
$5,488
CT Abd & Pelvis W/O Contrast
Gross
$5,488
31600
$5,271
Tracheostomy Trach Placement
Gross
$5,271
J3262
$5,174
Tocilizumab 400 mg
Gross
$5,174
72130
$5,165
CT Thoracic Spine w/o&w/contra
Gross
$5,165
43239
$5,000
EGD Biopsy Single/Multi
Gross
$5,000
J1306
$4,923
Inclisiran Sodium
Gross
$4,923
74174
$4,909
CT Angio Abd&pelv W/O&w/Contra
Gross
$4,909
78305
$4,900
NM Abscess Imaging Multiple Ar
Gross
$4,900
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 25 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 21 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 25 |
| J2406 | Oritavancin (Kimyrsa) 10 mg | $11,976 | $11,976 | — | — | 25 |
| 72156 | MRI Neck Spine W/O & W/Dye | $11,377 | $11,377 | — | — | 26 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $11,377 | $11,377 | — | — | 24 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $11,377 | $11,377 | — | — | 26 |
| 74178 | CT Abd & Pelv 1/> Regns w/wo c | $10,693 | $10,693 | — | — | 25 |
| 31645 | Bronchoscopy, Initial Procedur | $9,232 | $9,232 | — | — | 26 |
| J1162 | Digifab 40 mg | $8,574 | $8,574 | — | — | 26 |
| 74177 | CT Abdomen & Pelvis w/Contrast | $8,480 | $8,480 | — | — | 26 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 25 |
| 73200 | CT Upper Extrm W/O Dye Lt | $8,200 | $8,200 | — | — | 24 |
| 78582 | NM Nuclear Scan of Lung | $8,187 | $8,187 | — | — | 26 |
| 14040 | TIS TRNFR F/C/C/M/N/A/G/H/F | $7,993 | $7,993 | — | — | 26 |
| 32550 | Insert Pleural Cath | $7,908 | $7,908 | — | — | 29 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $7,751 | $7,751 | — | — | 24 |
| 43245 | EGD Dilate Stricture | $7,631 | $7,631 | — | — | 25 |
| 36558 | Ins Tunneled CV CATH | $7,369 | $7,369 | — | — | 25 |
| 72146 | MRI Thoracic Spine W/O Dye | $7,324 | $7,324 | — | — | 25 |
| 74181 | MRI Abdomen W/O Dye | $7,324 | $7,324 | — | — | 22 |
| 72149 | MRI Lumbar Spine W/Dye | $7,324 | $7,324 | — | — | 23 |
| 73222 | MRI Upper Ext Jnt W/ Dye | $7,324 | $7,324 | — | — | 25 |
| 72147 | MRI Thoracic Spn W/Dye | $7,324 | $7,324 | — | — | 24 |
| 72127 | CT C-Spine W/O&W/Dye | $7,217 | $7,217 | — | — | 25 |
| 75635 | CT Angio Abdominal Arteries | $7,217 | $7,217 | — | — | 24 |
| 71270 | CT Chest W/O & W/Dye | $7,129 | $7,129 | — | — | 23 |
| 72148 | MRI Lumbar Spine W/O Dye | $6,470 | $6,470 | — | — | 23 |
| 27613 | Biopsy Lower Leg Soft Tissue | $6,451 | $6,451 | — | — | 25 |
| 72126 | CT C-Spine w/Contrast | $6,400 | $6,400 | — | — | 24 |
| 72129 | CT Thoracic Spine w/ Contrast | $6,400 | $6,400 | — | — | 25 |
| 71275 | CT Angiography Chest w/Contras | $6,375 | $6,375 | — | — | 25 |
| 70470 | CT Head/Brain W/O & W/Dye | $6,297 | $6,297 | — | — | 26 |
| 74170 | CT Abdomen W/O & W/Contrast | $6,297 | $6,297 | — | — | 23 |
| 74175 | CT Angio Abdom W/O & W/Contras | $6,041 | $6,041 | — | — | 25 |
| 78227 | NM Hepatobiliary Duct ScanHIDA | $5,930 | $5,930 | — | — | 23 |
| 72193 | CT Pelvis W/Dye | $5,653 | $5,653 | — | — | 22 |
| 70460 | CT Head/Brain W/Contrast | $5,653 | $5,653 | — | — | 27 |
| 71260 | CT Chest W/ Dye | $5,653 | $5,653 | — | — | 23 |
| 74160 | CT Abdomen W/Contrast | $5,653 | $5,653 | — | — | 23 |
| 73702 | CT LO EXTR W/WO contrast BILAT | $5,640 | $5,640 | — | — | 23 |
| 49082 | Abd Paracentesis | $5,584 | $5,584 | — | — | 23 |
| 74176 | CT Abd & Pelvis W/O Contrast | $5,488 | $5,488 | — | — | 24 |
| 31600 | Tracheostomy Trach Placement | $5,271 | $5,271 | — | — | 27 |
| J3262 | Tocilizumab 400 mg | $5,174 | $5,174 | — | — | 22 |
| 72130 | CT Thoracic Spine w/o&w/contra | $5,165 | $5,165 | — | — | 25 |
| 43239 | EGD Biopsy Single/Multi | $5,000 | $5,000 | — | — | 25 |
| J1306 | Inclisiran Sodium | $4,923 | $4,923 | — | — | 23 |
| 74174 | CT Angio Abd&pelv W/O&w/Contra | $4,909 | $4,909 | — | — | 25 |
| 78305 | NM Abscess Imaging Multiple Ar | $4,900 | $4,900 | — | — | 26 |
Showing top 50 of 1,622 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.