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
2,457
Insurances with rates
0
CPT / HCPCS codes
36
Source MRF
Most expensive procedures (gross)
1174183
—
MRI-ABDOMEN WITH & w/O CONTRAST
Gross
$3,197
21002489
—
INVEGA SUSTENNA INJ. 234mg
Gross
$3,026
B1002489
—
BWC-INVEGA SUSTENNA INJ. 234mg
Gross
$3,026
21002578
—
HUMIRA INJ 40mg/0.8ml (PER SYRINGE)
Gross
$2,918
893975
—
PVL-PORTAL VEIN DUPLEX
Gross
$2,633
1173218
—
MRI-UE OTHER THAN JOINT, w/OUT CONTRAST
Gross
$2,419
1173718
—
MRI-LE OTHER THAN JOINT, w/OUT CONTRAST
Gross
$2,390
B1002595
—
BWC-ABILIFY MAINTENA INJ 400mg
Gross
$2,302
1170553
—
MRI-BRAIN (INCLUDING STEM) W & WO CONTRAST
Gross
$2,131
21002490
—
INVEGA SUSTENNA INJ. 156mg
Gross
$2,018
B1002490
—
BWC-INVEGA SUSTENNA INJ. 156mg
Gross
$2,018
893970
—
PVL-UE VENOUS DUPLEX
Gross
$1,923
BW93970
—
BWC-PVL-UE VENOUS DUPLEX
Gross
$1,923
90400
—
IP ROOM/CARE-ADOLESCENT NEUROPSYCH
Gross
$1,598
G30000814
—
G-HEPATITIS C VIRUS SUBTYPR
Gross
$1,516
21002613
—
INVEGA SUSTENNA INJ. 117mg
Gross
$1,514
B1002613
—
BWC-INVEGA SUSTENNA INJ. 117mg
Gross
$1,514
90200
—
IP ROOM/CARE-CHILD & ADOLESCENT
Gross
$1,358
BW60300
—
BW-BOARD & MEDICAL ADOLESCENT
Gross
$1,358
51026
—
BOARD & MEDICAL-C & A EATING DISORDERS
Gross
$1,358
1173221
—
MRI-ANY JOINT UE, w/OUT CONTRAST
Gross
$1,354
90100
—
IP ROOM/CARE-ADULT
Gross
$1,304
90122
—
IP SEMI-PRIV ROOM/CARE-ADULT
Gross
$1,304
BW60200
—
BW-ROOM & MEDICAL ADULT
Gross
$1,304
90102
—
IP ROOM/CARE-ADULT CRISIS
Gross
$1,304
50026
—
BOARD & MEDICAL-ADULT EATING DISORDER
Gross
$1,304
90101
—
IP ROOM/CARE-TRAUMA
Gross
$1,304
1170551
—
MRI-BRAIN (INCLUDING STEM) w/OUT CONTRAST
Gross
$1,267
BW70551
—
BWC-MRI-BRAIN (INCLUDING STEM) w/OUT CONTRAST
Gross
$1,267
1172141
—
MRI-SPINAL CANAL/CONTENTS,CERVICAL w/OUT CONTRAST
Gross
$1,210
893971
—
PVL-LE VENOUS DUPLEX-LIMITED
Gross
$1,170
BW93971
—
BWC-PVL-LE VENOUS DUPLEX-LIMITED
Gross
$1,170
90300
—
IP ROOM/CARE-GERIATRIC
Gross
$1,156
21002260
—
RISPERDAL CONSTA 50mg/2mL INJ (BILLER PER INJ 08/01/2017)
Gross
$1,104
ED76805
—
BWC-US-PREG UTERUS,TRANSAB, GREATER or EQUAL 14WKS,0DAYS
Gross
$1,087
776881
—
US-EXTREMITY,COMPLETE,JOINT/NON-VASCULAR EXTREMITY
Gross
$1,045
BW76536
—
BWC-US-SOFT TISSUE,HEAD & NECK
Gross
$1,045
776700
—
US-ABDOMEN,COMPLETE,REAL TIME w/IMAGE DOCUMENTATION
Gross
$961
BW76700
—
BWC-US-ABDOMEN,COMPLETE,REAL TIME w/IMAGE DOCUMENTATION
Gross
$961
776770
—
US-RETROPERITONEAL,COMPLETE, REAL TIME
Gross
$920
BW76770
—
BWC-US-RETROPERITONEAL,COMPLETE, REAL TIME
Gross
$920
776856
—
US-PELVIC,(NON-OB),COMPLETE
Gross
$878
BW76801
—
BWC-US-ECHOGRAPHY-PREGNANCY,LESS THAN 14 WKS
Gross
$878
BW76856
—
BWC-US-PELVIC,(NON-OB),COMPLETE
Gross
$878
776705
—
US-ABDOMEN,LIMITED,REAL TIME w/IMAGE DOCUMENTATION
Gross
$752
BW76705
—
BWC-US-ABDOMEN,LIMITED,REAL TIME w/IMAGE DOCUMENTATION
Gross
$752
21002259
—
RISPERDAL CONSTA 37.5mg INJ (BILLED PER INJ 08/01/2017)
Gross
$750
B1002259
—
BWC-RISPERDAL CONSTA 37.5mg INJ
Gross
$750
G30000793
—
G-HEPATITIS C VIRUS RNA QUANT BY
Gross
$714
G30000798
—
G-HIV-1, QUANTIFICATION
Gross
$714
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1174183 | MRI-ABDOMEN WITH & w/O CONTRAST | $3,197 | — | — | — | 0 |
| 21002489 | INVEGA SUSTENNA INJ. 234mg | $3,026 | — | — | — | 0 |
| B1002489 | BWC-INVEGA SUSTENNA INJ. 234mg | $3,026 | — | — | — | 0 |
| 21002578 | HUMIRA INJ 40mg/0.8ml (PER SYRINGE) | $2,918 | — | — | — | 0 |
| 893975 | PVL-PORTAL VEIN DUPLEX | $2,633 | — | — | — | 0 |
| 1173218 | MRI-UE OTHER THAN JOINT, w/OUT CONTRAST | $2,419 | — | — | — | 0 |
| 1173718 | MRI-LE OTHER THAN JOINT, w/OUT CONTRAST | $2,390 | — | — | — | 0 |
| B1002595 | BWC-ABILIFY MAINTENA INJ 400mg | $2,302 | — | — | — | 0 |
| 1170553 | MRI-BRAIN (INCLUDING STEM) W & WO CONTRAST | $2,131 | — | — | — | 0 |
| 21002490 | INVEGA SUSTENNA INJ. 156mg | $2,018 | — | — | — | 0 |
| B1002490 | BWC-INVEGA SUSTENNA INJ. 156mg | $2,018 | — | — | — | 0 |
| 893970 | PVL-UE VENOUS DUPLEX | $1,923 | — | — | — | 0 |
| BW93970 | BWC-PVL-UE VENOUS DUPLEX | $1,923 | — | — | — | 0 |
| 90400 | IP ROOM/CARE-ADOLESCENT NEUROPSYCH | $1,598 | — | — | — | 0 |
| G30000814 | G-HEPATITIS C VIRUS SUBTYPR | $1,516 | — | — | — | 0 |
| 21002613 | INVEGA SUSTENNA INJ. 117mg | $1,514 | — | — | — | 0 |
| B1002613 | BWC-INVEGA SUSTENNA INJ. 117mg | $1,514 | — | — | — | 0 |
| 90200 | IP ROOM/CARE-CHILD & ADOLESCENT | $1,358 | — | — | — | 0 |
| BW60300 | BW-BOARD & MEDICAL ADOLESCENT | $1,358 | — | — | — | 0 |
| 51026 | BOARD & MEDICAL-C & A EATING DISORDERS | $1,358 | — | — | — | 0 |
| 1173221 | MRI-ANY JOINT UE, w/OUT CONTRAST | $1,354 | — | — | — | 0 |
| 90100 | IP ROOM/CARE-ADULT | $1,304 | — | — | — | 0 |
| 90122 | IP SEMI-PRIV ROOM/CARE-ADULT | $1,304 | — | — | — | 0 |
| BW60200 | BW-ROOM & MEDICAL ADULT | $1,304 | — | — | — | 0 |
| 90102 | IP ROOM/CARE-ADULT CRISIS | $1,304 | — | — | — | 0 |
| 50026 | BOARD & MEDICAL-ADULT EATING DISORDER | $1,304 | — | — | — | 0 |
| 90101 | IP ROOM/CARE-TRAUMA | $1,304 | — | — | — | 0 |
| 1170551 | MRI-BRAIN (INCLUDING STEM) w/OUT CONTRAST | $1,267 | — | — | — | 0 |
| BW70551 | BWC-MRI-BRAIN (INCLUDING STEM) w/OUT CONTRAST | $1,267 | — | — | — | 0 |
| 1172141 | MRI-SPINAL CANAL/CONTENTS,CERVICAL w/OUT CONTRAST | $1,210 | — | — | — | 0 |
| 893971 | PVL-LE VENOUS DUPLEX-LIMITED | $1,170 | — | — | — | 0 |
| BW93971 | BWC-PVL-LE VENOUS DUPLEX-LIMITED | $1,170 | — | — | — | 0 |
| 90300 | IP ROOM/CARE-GERIATRIC | $1,156 | — | — | — | 0 |
| 21002260 | RISPERDAL CONSTA 50mg/2mL INJ (BILLER PER INJ 08/01/2017) | $1,104 | — | — | — | 0 |
| ED76805 | BWC-US-PREG UTERUS,TRANSAB, GREATER or EQUAL 14WKS,0DAYS | $1,087 | — | — | — | 0 |
| 776881 | US-EXTREMITY,COMPLETE,JOINT/NON-VASCULAR EXTREMITY | $1,045 | — | — | — | 0 |
| BW76536 | BWC-US-SOFT TISSUE,HEAD & NECK | $1,045 | — | — | — | 0 |
| 776700 | US-ABDOMEN,COMPLETE,REAL TIME w/IMAGE DOCUMENTATION | $961 | — | — | — | 0 |
| BW76700 | BWC-US-ABDOMEN,COMPLETE,REAL TIME w/IMAGE DOCUMENTATION | $961 | — | — | — | 0 |
| 776770 | US-RETROPERITONEAL,COMPLETE, REAL TIME | $920 | — | — | — | 0 |
| BW76770 | BWC-US-RETROPERITONEAL,COMPLETE, REAL TIME | $920 | — | — | — | 0 |
| 776856 | US-PELVIC,(NON-OB),COMPLETE | $878 | — | — | — | 0 |
| BW76801 | BWC-US-ECHOGRAPHY-PREGNANCY,LESS THAN 14 WKS | $878 | — | — | — | 0 |
| BW76856 | BWC-US-PELVIC,(NON-OB),COMPLETE | $878 | — | — | — | 0 |
| 776705 | US-ABDOMEN,LIMITED,REAL TIME w/IMAGE DOCUMENTATION | $752 | — | — | — | 0 |
| BW76705 | BWC-US-ABDOMEN,LIMITED,REAL TIME w/IMAGE DOCUMENTATION | $752 | — | — | — | 0 |
| 21002259 | RISPERDAL CONSTA 37.5mg INJ (BILLED PER INJ 08/01/2017) | $750 | — | — | — | 0 |
| B1002259 | BWC-RISPERDAL CONSTA 37.5mg INJ | $750 | — | — | — | 0 |
| G30000793 | G-HEPATITIS C VIRUS RNA QUANT BY | $714 | — | — | — | 0 |
| G30000798 | G-HIV-1, QUANTIFICATION | $714 | — | — | — | 0 |
Showing top 50 of 2,457 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.