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
1,481
Insurances with rates
13
CPT / HCPCS codes
1,072
Most expensive procedures (gross)
L5701
$5,584
REPLACE SOCKET ABOVE KNEE
Gross
$7,445
L5649
$4,738
ISCH CONTAINMT/NARROW M-I SO
Gross
$6,317
81408
$4,635
MOPATH PROCEDURE LEVEL 9
Gross
$6,180
L2036
$4,414
KAFO PLAS DOUB FREE KNEE MOL
Gross
$5,885
L0486
$4,385
TLSO RIGID LINED CUST FAB TWO
Gross
$5,846
L0484
$4,121
TLSO RIGID PLASTIC CUST FAB
Gross
$5,495
750
$4,054
PEG TUBE PLACEMENT
Gross
$5,405
49440
$3,505
G TUBE INSERTION W/GUIDANCE
Gross
$4,673
L4631
$3,502
AFO, WALKING BOOT, CUSTOM
Gross
$4,669
L0464
$3,304
TLSO 4MOD SACRO-SCAP PRE
Gross
$4,405
L5651
$3,002
AK FLEX INNER SICKET EXT FRA
Gross
$4,003
77301
$2,840
RADIATION IMR PLAN
Gross
$3,787
L2020
$2,777
KAFO DBL SOLID STIRRUP BAND/
Gross
$3,702
99283
$2,740
EMERGENCY ROOM-MODERATE
Gross
$3,653
L0637
$2,641
LSO SAG-CORONAL PANEL PREFAB
Gross
$3,521
L0650
$2,641
LSO SC R ANT/POS PNL PRE OTS
Gross
$3,521
70553
$2,527
MRI BRAIN W/ + W/O CONTRAST
Gross
$3,369
72158
$2,527
MRI SPINE LUMBAR W/ + W/O CONT
Gross
$3,369
72156
$2,358
MRI SPINE CERVICAL W/ + W/O CO
Gross
$3,144
73222
$2,342
MRI UPPER EXTREM W CONTRAST
Gross
$3,123
73722
$2,342
MRI LOWER EXTREM JNT W CONTRAS
Gross
$3,123
49083
$2,331
US GUIDED PARACENTESIS
Gross
$3,108
L0640
$2,326
LSO S/C SHELL/PANEL CUSTOM
Gross
$3,101
L0631
$2,282
LSO SAG-CORO RIGID FRAME PREFB
Gross
$3,043
L0648
$2,282
LSO SAG R AN/POS PNL PRE OTS
Gross
$3,043
74230
$2,277
VIDEOFLUOROSCOPIC SWALLOW STUD
Gross
$3,036
32555
$2,235
US THORACENTESIS
Gross
$2,980
L0460
$2,231
TLSO 2MOD SYMPHSIS-STERN PRE
Gross
$2,975
L1945
$2,229
AFO MOLDED PLAS RIG ANT TIB
Gross
$2,972
L0456
$2,210
TLSO FLEX PREFAB
Gross
$2,947
L0457
$2,210
TLSO FLEX TRNK SJ-SS PRE OTS
Gross
$2,947
610
$2,207
MRI CHEST W/ CONTRAST
Gross
$2,943
L1686
$2,191
HO POST-OP HIP ABDUCTION PREFB
Gross
$2,921
384
$2,025
PLATELETS 1 UNIT
Gross
$2,700
L3905
$2,006
WHO W/NONTORSION JNT(S) CF
Gross
$2,674
L1843
$1,994
KO SINGLE UPRIGHT CUSTOM FIT
Gross
$2,659
L1932
$1,983
AFO RIG ANT TIB PREFAB TCF/=
Gross
$2,644
L0458
$1,982
TLSO 2MOD SYMPHIS-XIPHO PRE
Gross
$2,643
81407
$1,962
MOPATH PROCEDURE LEVEL 8
Gross
$2,616
L5950
$1,912
ENDO AK ULTRA-LIGHT MATERIAL
Gross
$2,549
L1845
$1,902
KO W/ADJ FLEX/EXT ROTAT CUS
Gross
$2,536
L1951
$1,867
AFO SPIRAL PREFABRICATED
Gross
$2,489
70551
$1,845
MRI BRAIN W/O CONTRAST
Gross
$2,460
51710
$1,815
BLADDER TUBE CHANGE
Gross
$2,420
36556
$1,800
CENTRAL INSERT VENOUS CATHETER
Gross
$2,400
72148
$1,796
MRI SPINE LUMBAR W/O CONTRAST
Gross
$2,394
L2510
$1,736
TH/WGHT BEAR QUAD-LAT BRIM M
Gross
$2,314
70542
$1,704
MRI FACE NECK ORBIT W CONTRAST
Gross
$2,272
70543
$1,704
MRI FACE NECK ORBIT W + W/O CO
Gross
$2,272
70545
$1,704
MRA HEAD W CONTRAST
Gross
$2,272
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| L5701 | REPLACE SOCKET ABOVE KNEE | $7,445 | $5,584 | — | — | 3 |
| L5649 | ISCH CONTAINMT/NARROW M-I SO | $6,317 | $4,738 | — | — | 3 |
| 81408 | MOPATH PROCEDURE LEVEL 9 | $6,180 | $4,635 | — | — | 3 |
| L2036 | KAFO PLAS DOUB FREE KNEE MOL | $5,885 | $4,414 | — | — | 3 |
| L0486 | TLSO RIGID LINED CUST FAB TWO | $5,846 | $4,385 | — | — | 3 |
| L0484 | TLSO RIGID PLASTIC CUST FAB | $5,495 | $4,121 | — | — | 3 |
| 750 | PEG TUBE PLACEMENT | $5,405 | $4,054 | — | — | 3 |
| 49440 | G TUBE INSERTION W/GUIDANCE | $4,673 | $3,505 | — | — | 3 |
| L4631 | AFO, WALKING BOOT, CUSTOM | $4,669 | $3,502 | — | — | 3 |
| L0464 | TLSO 4MOD SACRO-SCAP PRE | $4,405 | $3,304 | — | — | 3 |
| L5651 | AK FLEX INNER SICKET EXT FRA | $4,003 | $3,002 | — | — | 3 |
| 77301 | RADIATION IMR PLAN | $3,787 | $2,840 | — | — | 3 |
| L2020 | KAFO DBL SOLID STIRRUP BAND/ | $3,702 | $2,777 | — | — | 3 |
| 99283 | EMERGENCY ROOM-MODERATE | $3,653 | $2,740 | — | — | 3 |
| L0637 | LSO SAG-CORONAL PANEL PREFAB | $3,521 | $2,641 | — | — | 3 |
| L0650 | LSO SC R ANT/POS PNL PRE OTS | $3,521 | $2,641 | — | — | 3 |
| 70553 | MRI BRAIN W/ + W/O CONTRAST | $3,369 | $2,527 | — | — | 3 |
| 72158 | MRI SPINE LUMBAR W/ + W/O CONT | $3,369 | $2,527 | — | — | 3 |
| 72156 | MRI SPINE CERVICAL W/ + W/O CO | $3,144 | $2,358 | — | — | 3 |
| 73222 | MRI UPPER EXTREM W CONTRAST | $3,123 | $2,342 | — | — | 3 |
| 73722 | MRI LOWER EXTREM JNT W CONTRAS | $3,123 | $2,342 | — | — | 3 |
| 49083 | US GUIDED PARACENTESIS | $3,108 | $2,331 | — | — | 3 |
| L0640 | LSO S/C SHELL/PANEL CUSTOM | $3,101 | $2,326 | — | — | 3 |
| L0631 | LSO SAG-CORO RIGID FRAME PREFB | $3,043 | $2,282 | — | — | 3 |
| L0648 | LSO SAG R AN/POS PNL PRE OTS | $3,043 | $2,282 | — | — | 3 |
| 74230 | VIDEOFLUOROSCOPIC SWALLOW STUD | $3,036 | $2,277 | — | — | 3 |
| 32555 | US THORACENTESIS | $2,980 | $2,235 | — | — | 3 |
| L0460 | TLSO 2MOD SYMPHSIS-STERN PRE | $2,975 | $2,231 | — | — | 3 |
| L1945 | AFO MOLDED PLAS RIG ANT TIB | $2,972 | $2,229 | — | — | 3 |
| L0456 | TLSO FLEX PREFAB | $2,947 | $2,210 | — | — | 3 |
| L0457 | TLSO FLEX TRNK SJ-SS PRE OTS | $2,947 | $2,210 | — | — | 3 |
| 610 | MRI CHEST W/ CONTRAST | $2,943 | $2,207 | — | — | 3 |
| L1686 | HO POST-OP HIP ABDUCTION PREFB | $2,921 | $2,191 | — | — | 3 |
| 384 | PLATELETS 1 UNIT | $2,700 | $2,025 | — | — | 3 |
| L3905 | WHO W/NONTORSION JNT(S) CF | $2,674 | $2,006 | — | — | 3 |
| L1843 | KO SINGLE UPRIGHT CUSTOM FIT | $2,659 | $1,994 | — | — | 3 |
| L1932 | AFO RIG ANT TIB PREFAB TCF/= | $2,644 | $1,983 | — | — | 3 |
| L0458 | TLSO 2MOD SYMPHIS-XIPHO PRE | $2,643 | $1,982 | — | — | 3 |
| 81407 | MOPATH PROCEDURE LEVEL 8 | $2,616 | $1,962 | — | — | 3 |
| L5950 | ENDO AK ULTRA-LIGHT MATERIAL | $2,549 | $1,912 | — | — | 3 |
| L1845 | KO W/ADJ FLEX/EXT ROTAT CUS | $2,536 | $1,902 | — | — | 3 |
| L1951 | AFO SPIRAL PREFABRICATED | $2,489 | $1,867 | — | — | 3 |
| 70551 | MRI BRAIN W/O CONTRAST | $2,460 | $1,845 | — | — | 3 |
| 51710 | BLADDER TUBE CHANGE | $2,420 | $1,815 | — | — | 3 |
| 36556 | CENTRAL INSERT VENOUS CATHETER | $2,400 | $1,800 | — | — | 3 |
| 72148 | MRI SPINE LUMBAR W/O CONTRAST | $2,394 | $1,796 | — | — | 3 |
| L2510 | TH/WGHT BEAR QUAD-LAT BRIM M | $2,314 | $1,736 | — | — | 3 |
| 70542 | MRI FACE NECK ORBIT W CONTRAST | $2,272 | $1,704 | — | — | 3 |
| 70543 | MRI FACE NECK ORBIT W + W/O CO | $2,272 | $1,704 | — | — | 3 |
| 70545 | MRA HEAD W CONTRAST | $2,272 | $1,704 | — | — | 3 |
Showing top 50 of 1,481 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.