45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●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
131
Insurances with rates
18
CPT / HCPCS codes
0
Most expensive procedures (gross)
057
$32,674
Degenerative Nervous System Disorders Without McC
Gross
$43,565
885
$24,633
Psychoses
Gross
$32,844
882
$24,548
Neuroses Except Depressive
Gross
$32,731
883
$19,879
Disorders Of Personality And Impulse Control
Gross
$26,505
881
$18,551
Depressive Neuroses
Gross
$24,734
880
$14,609
Acute Adjustment Reaction And Psychosocial Dysfunction
Gross
$19,478
897
$13,719
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC
Gross
$18,292
884
$11,687
Organic Disturbances And Intellectual Disability
Gross
$15,583
894
$7,325
Alcohol, Drug Abuse Or Dependence, Left Ama
Gross
$9,767
PX-61000040
$4,347
MRI Pelvis W&W/O Cont
Gross
$5,796
PX-61000015
$4,289
MRI Orbit/Face/Neck W&W/O Cont
Gross
$5,718
PX-61000018
$4,241
MRI Brain W&W/O Cont
Gross
$5,654
PX-61000030
$4,217
MRI C-Spine W&W/O Cont
Gross
$5,623
PX-61000032
$4,169
MRI L-Spine W&W/O Cont
Gross
$5,558
PX-61000031
$3,890
MRI T-Spine W&W/O Cont
Gross
$5,187
PX-61000016
$3,264
MRI Brain W/O Cont
Gross
$4,352
PX-61000038
$3,239
MRI Pelvis W/O Cont
Gross
$4,319
PX-61000050
$3,057
MRI Upr Ext Joint W/O Cont
Gross
$4,076
PX-90000164
$3,005
Visit Esketamine, > 56m
Gross
$4,007
PX-61000026
$2,895
MRI T-Spine W/O Cont
Gross
$3,860
PX-61000024
$2,887
MRI C-Spine W/O Cont
Gross
$3,849
PX-61000028
$2,869
MRI L-Spine W/O Cont
Gross
$3,825
PX-61000122
$2,816
MRI Tmj Unilat or Bilat
Gross
$3,754
PX-90000163
$2,114
Visit Esketamine 56m or Less
Gross
$2,818
PX-96100064
$686
Repet Ocd Tms Tx Subseq Motr Threshld W/Deliv & Mngt
Gross
$914
PX-96100061
$686
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt
Gross
$914
PX-96100062
$659
Ocd Transcranial Magnetic Stimulation Treatment,Planning
Gross
$879
PX-96100059
$659
Transcranial Magnetic Stimulation Treatment,Planning
Gross
$879
PX-90000009
$639
Electroconvulsive Therapy
Gross
$852
PX-99900338
$617
Repet Ocd Tms Tx Initial W/Map/Motr Threshld/Del&M
Gross
$822
PX-90000001
$617
Transcranial Mag Stim Ther Tx Initl
Gross
$822
PX-26000003
$600
IV Infus Non-Chemo Initial Up to 1 Hr - 96365
Gross
$800
PX-96100029
$464
Pf Psych Diag Evaluation W/Med Serv
Gross
$618
PX-99900340
$458
Repet Ocd Tms Tx Subseq Motr Threshld W/Deliv & Mn
Gross
$610
PX-90000003
$458
Transcranial Mag Stim Ther Tx Redet
Gross
$610
PX-90000173
$449
Psych Synchronous Audio-Video Visit New Mod Mdm 45 Min
Gross
$599
PX-51000653
$449
Synchronous Audio-Video Visit New Mod Mdm 45 Min
Gross
$599
PX-74000019
$435
Eeg Awake/Asleep
Gross
$580
PX-96100049
$435
Office Visit, Established Pat
Gross
$580
PX-98301599
$434
MRI Brain Combo
Gross
$578
PX-98301614
$434
MRI, Cerv Spine Combo
Gross
$578
PX-90000135
$419
Psychological Tst Eval Svc Phys/Qhp First Hour
Gross
$559
PX-96100028
$413
Pf Psychiatric Diagnostic Eval
Gross
$550
PX-90000137
$410
Neuropsychological Tst Eval Phys/Qhp 1st Hour
Gross
$546
PX-96000068
$407
Psych Synchronous Audio-Video Visit New Mod Mdm 45 Min
Gross
$542
PX-96000073
$407
Psych Synchronous Audio-Video Vst Est High Mdm 40 Min
Gross
$542
PX-98301590
$406
MRI, Face, Neck, Combo
Gross
$541
PX-51000084
$387
Office Visit, Established Pat
Gross
$516
PX-90000103
$387
Office Visit, Established Pat
Gross
$516
PX-90000178
$387
Psych Synchronous Audio-Video Vst Est High Mdm 40 Min
Gross
$516
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 057 | Degenerative Nervous System Disorders Without McC | $43,565 | $32,674 | — | — | 1 |
| 885 | Psychoses | $32,844 | $24,633 | — | — | 8 |
| 882 | Neuroses Except Depressive | $32,731 | $24,548 | — | — | 4 |
| 883 | Disorders Of Personality And Impulse Control | $26,505 | $19,879 | — | — | 1 |
| 881 | Depressive Neuroses | $24,734 | $18,551 | — | — | 4 |
| 880 | Acute Adjustment Reaction And Psychosocial Dysfunction | $19,478 | $14,609 | — | — | 4 |
| 897 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC | $18,292 | $13,719 | — | — | 4 |
| 884 | Organic Disturbances And Intellectual Disability | $15,583 | $11,687 | — | — | 2 |
| 894 | Alcohol, Drug Abuse Or Dependence, Left Ama | $9,767 | $7,325 | — | — | 1 |
| PX-61000040 | MRI Pelvis W&W/O Cont | $5,796 | $4,347 | — | — | 2 |
| PX-61000015 | MRI Orbit/Face/Neck W&W/O Cont | $5,718 | $4,289 | — | — | 2 |
| PX-61000018 | MRI Brain W&W/O Cont | $5,654 | $4,241 | — | — | 8 |
| PX-61000030 | MRI C-Spine W&W/O Cont | $5,623 | $4,217 | — | — | 2 |
| PX-61000032 | MRI L-Spine W&W/O Cont | $5,558 | $4,169 | — | — | 1 |
| PX-61000031 | MRI T-Spine W&W/O Cont | $5,187 | $3,890 | — | — | 1 |
| PX-61000016 | MRI Brain W/O Cont | $4,352 | $3,264 | — | — | 6 |
| PX-61000038 | MRI Pelvis W/O Cont | $4,319 | $3,239 | — | — | 2 |
| PX-61000050 | MRI Upr Ext Joint W/O Cont | $4,076 | $3,057 | — | — | 1 |
| PX-90000164 | Visit Esketamine, > 56m | $4,007 | $3,005 | — | — | 6 |
| PX-61000026 | MRI T-Spine W/O Cont | $3,860 | $2,895 | — | — | 3 |
| PX-61000024 | MRI C-Spine W/O Cont | $3,849 | $2,887 | — | — | 4 |
| PX-61000028 | MRI L-Spine W/O Cont | $3,825 | $2,869 | — | — | 5 |
| PX-61000122 | MRI Tmj Unilat or Bilat | $3,754 | $2,816 | — | — | 1 |
| PX-90000163 | Visit Esketamine 56m or Less | $2,818 | $2,114 | — | — | 3 |
| PX-96100064 | Repet Ocd Tms Tx Subseq Motr Threshld W/Deliv & Mngt | $914 | $686 | — | — | 4 |
| PX-96100061 | Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt | $914 | $686 | — | — | 4 |
| PX-96100062 | Ocd Transcranial Magnetic Stimulation Treatment,Planning | $879 | $659 | — | — | 4 |
| PX-96100059 | Transcranial Magnetic Stimulation Treatment,Planning | $879 | $659 | — | — | 4 |
| PX-90000009 | Electroconvulsive Therapy | $852 | $639 | — | — | 7 |
| PX-99900338 | Repet Ocd Tms Tx Initial W/Map/Motr Threshld/Del&M | $822 | $617 | — | — | 4 |
| PX-90000001 | Transcranial Mag Stim Ther Tx Initl | $822 | $617 | — | — | 4 |
| PX-26000003 | IV Infus Non-Chemo Initial Up to 1 Hr - 96365 | $800 | $600 | — | — | 8 |
| PX-96100029 | Pf Psych Diag Evaluation W/Med Serv | $618 | $464 | — | — | 2 |
| PX-99900340 | Repet Ocd Tms Tx Subseq Motr Threshld W/Deliv & Mn | $610 | $458 | — | — | 4 |
| PX-90000003 | Transcranial Mag Stim Ther Tx Redet | $610 | $458 | — | — | 4 |
| PX-90000173 | Psych Synchronous Audio-Video Visit New Mod Mdm 45 Min | $599 | $449 | — | — | 1 |
| PX-51000653 | Synchronous Audio-Video Visit New Mod Mdm 45 Min | $599 | $449 | — | — | 1 |
| PX-74000019 | Eeg Awake/Asleep | $580 | $435 | — | — | 2 |
| PX-96100049 | Office Visit, Established Pat | $580 | $435 | — | — | 1 |
| PX-98301599 | MRI Brain Combo | $578 | $434 | — | — | 8 |
| PX-98301614 | MRI, Cerv Spine Combo | $578 | $434 | — | — | 2 |
| PX-90000135 | Psychological Tst Eval Svc Phys/Qhp First Hour | $559 | $419 | — | — | 1 |
| PX-96100028 | Pf Psychiatric Diagnostic Eval | $550 | $413 | — | — | 3 |
| PX-90000137 | Neuropsychological Tst Eval Phys/Qhp 1st Hour | $546 | $410 | — | — | 3 |
| PX-96000068 | Psych Synchronous Audio-Video Visit New Mod Mdm 45 Min | $542 | $407 | — | — | 1 |
| PX-96000073 | Psych Synchronous Audio-Video Vst Est High Mdm 40 Min | $542 | $407 | — | — | 1 |
| PX-98301590 | MRI, Face, Neck, Combo | $541 | $406 | — | — | 2 |
| PX-51000084 | Office Visit, Established Pat | $516 | $387 | — | — | 7 |
| PX-90000103 | Office Visit, Established Pat | $516 | $387 | — | — | 7 |
| PX-90000178 | Psych Synchronous Audio-Video Vst Est High Mdm 40 Min | $516 | $387 | — | — | 1 |
Showing top 50 of 131 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.