45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
468
Insurances with rates
0
CPT / HCPCS codes
417
Most expensive procedures (gross)
74183
$3,364
MRI ABDOMEN W/WO CONTRAST
Gross
$3,364
70543
$3,363
MRI ORBIT OR STN W/WO CONTRAST
Gross
$3,363
72147
$3,148
MRI T SPINE W/CONTRAST
Gross
$3,148
72142
$2,835
MRI C SPINE W/CONTRAST
Gross
$2,835
72156
$2,835
MRI C SPINE W/WO CONTRAST
Gross
$2,835
72159
$2,835
MRI C SPINE(NECK) ANGIO W/ CONTRAS
Gross
$2,835
72149
$2,835
MRI LUMBAR SPINE W CONTRAST
Gross
$2,835
70553
$2,760
MRI BRAIN W/WO CONTRAST
Gross
$2,760
74182
$2,688
MRI ABDOMEN W/CONTRAST
Gross
$2,688
70542
$2,687
MRI STN W/CONTRAST
Gross
$2,687
72157
$2,669
MRI T SPINE W/WO CONTRAST
Gross
$2,669
72146
$2,528
MRI T SPINE WO CONTRAST
Gross
$2,528
74181
$2,434
MRI ABDOMEN WO CONTRAST
Gross
$2,434
70540
$2,433
MRI ORBIT OR STN WO CONTRAST
Gross
$2,433
73220
$2,403
MRI SCAPULA W/WO CONTRAST R OR L
Gross
$2,403
70546
$2,401
MRI BRAIN MRA W/WO CONTRAST
Gross
$2,401
70545
$2,401
MRI BRAIN MRV W/ CONTRAST
Gross
$2,401
71550
$2,375
MRI SC JOINT WO CONTRAST
Gross
$2,375
72197
$2,340
MRI PELVIS ANGIO W/WO CONTRAST
Gross
$2,340
73223
$2,323
MRI ANY JNT UPPER EXTREM W/WO CONT
Gross
$2,323
71552
$2,255
MRI CHEST W/WO CONTRAST
Gross
$2,255
70552
$2,238
MRI BRAIN W/CONTRAST
Gross
$2,238
72141
$2,156
MRI C SPINE W/O CONTRAST
Gross
$2,156
72148
$2,156
MRI LUMBAR SPINE W/O CONTRAST
Gross
$2,156
73219
$2,108
MRI CLAVICLE W CONTRAST R OR L
Gross
$2,108
73222
$2,108
MRI SHOULDER, ELBOW OR WRIST W/
Gross
$2,108
73221
$2,108
MRI SHOULDER, ELBOW OR WRIST W/O
Gross
$2,108
73721
$2,010
MRI HIP, KNEE OR ANKLE WO CONTRAST
Gross
$2,010
73723
$2,010
MRI HIP,KNEE OR ANKLE W/O & W CONT
Gross
$2,010
73720
$2,010
MRI THIGH, LOWER LEG OR FOOT
Gross
$2,010
72196
$2,002
MRI PELVIS OR SACRUM W/CONTRAST
Gross
$2,002
70544
$1,977
MRI BRAIN MRA WO CONTRAST
Gross
$1,977
72195
$1,701
MRI PELVIS ANGIO WO CONTRAST
Gross
$1,701
73722
$1,697
MRI ANKLE,KNEE OR ANKLE W/CONTRAST
Gross
$1,697
73718
$1,383
MRI THIGH, LOWER LEG, OR FOOT
Gross
$1,383
73218
$1,316
MRI UPPER EXT WO HUMERUS,FOREAM,HD
Gross
$1,316
99285
$1,205
E.R. - LEVEL V
Gross
$1,205
87507
$839
GI PATHOGEN PANEL PCR (MAYO)
Gross
$839
93307
$757
ECHOCARDIOLOGY- 2D COMPLETE
Gross
$757
87633
$715
RESPIRATORY PANEL
Gross
$715
99284
$675
E.R. - LEVEL IV
Gross
$675
0070U
$650
GYP2D6 GENOTYPE CASCADE V MAYO
Gross
$650
93325
$574
ECHOCARDIOLOGY- COLOR FLOW DOPPLER
Gross
$574
99283
$525
E.R. - LEVEL III
Gross
$525
81225
$513
CYP2C19 GENOTYPE, V,MAYO
Gross
$513
A0429QNYY
$500
AMB - BLS, EMERGENT
Gross
$500
72052
$488
CERVICAL WITH FLEXION & EXTENTSION
Gross
$488
87535
$436
HIV1 DNA/RNA QUAL
Gross
$436
70130TC
$431
MASTOID - MIN 3 PER SIDE
Gross
$431
70260
$427
SKULL - COMPLETE 4 VIEWS
Gross
$427
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 74183 | MRI ABDOMEN W/WO CONTRAST | $3,364 | $3,364 | — | — | 0 |
| 70543 | MRI ORBIT OR STN W/WO CONTRAST | $3,363 | $3,363 | — | — | 0 |
| 72147 | MRI T SPINE W/CONTRAST | $3,148 | $3,148 | — | — | 0 |
| 72142 | MRI C SPINE W/CONTRAST | $2,835 | $2,835 | — | — | 0 |
| 72156 | MRI C SPINE W/WO CONTRAST | $2,835 | $2,835 | — | — | 0 |
| 72159 | MRI C SPINE(NECK) ANGIO W/ CONTRAS | $2,835 | $2,835 | — | — | 0 |
| 72149 | MRI LUMBAR SPINE W CONTRAST | $2,835 | $2,835 | — | — | 0 |
| 70553 | MRI BRAIN W/WO CONTRAST | $2,760 | $2,760 | — | — | 0 |
| 74182 | MRI ABDOMEN W/CONTRAST | $2,688 | $2,688 | — | — | 0 |
| 70542 | MRI STN W/CONTRAST | $2,687 | $2,687 | — | — | 0 |
| 72157 | MRI T SPINE W/WO CONTRAST | $2,669 | $2,669 | — | — | 0 |
| 72146 | MRI T SPINE WO CONTRAST | $2,528 | $2,528 | — | — | 0 |
| 74181 | MRI ABDOMEN WO CONTRAST | $2,434 | $2,434 | — | — | 0 |
| 70540 | MRI ORBIT OR STN WO CONTRAST | $2,433 | $2,433 | — | — | 0 |
| 73220 | MRI SCAPULA W/WO CONTRAST R OR L | $2,403 | $2,403 | — | — | 0 |
| 70546 | MRI BRAIN MRA W/WO CONTRAST | $2,401 | $2,401 | — | — | 0 |
| 70545 | MRI BRAIN MRV W/ CONTRAST | $2,401 | $2,401 | — | — | 0 |
| 71550 | MRI SC JOINT WO CONTRAST | $2,375 | $2,375 | — | — | 0 |
| 72197 | MRI PELVIS ANGIO W/WO CONTRAST | $2,340 | $2,340 | — | — | 0 |
| 73223 | MRI ANY JNT UPPER EXTREM W/WO CONT | $2,323 | $2,323 | — | — | 0 |
| 71552 | MRI CHEST W/WO CONTRAST | $2,255 | $2,255 | — | — | 0 |
| 70552 | MRI BRAIN W/CONTRAST | $2,238 | $2,238 | — | — | 0 |
| 72141 | MRI C SPINE W/O CONTRAST | $2,156 | $2,156 | — | — | 0 |
| 72148 | MRI LUMBAR SPINE W/O CONTRAST | $2,156 | $2,156 | — | — | 0 |
| 73219 | MRI CLAVICLE W CONTRAST R OR L | $2,108 | $2,108 | — | — | 0 |
| 73222 | MRI SHOULDER, ELBOW OR WRIST W/ | $2,108 | $2,108 | — | — | 0 |
| 73221 | MRI SHOULDER, ELBOW OR WRIST W/O | $2,108 | $2,108 | — | — | 0 |
| 73721 | MRI HIP, KNEE OR ANKLE WO CONTRAST | $2,010 | $2,010 | — | — | 0 |
| 73723 | MRI HIP,KNEE OR ANKLE W/O & W CONT | $2,010 | $2,010 | — | — | 0 |
| 73720 | MRI THIGH, LOWER LEG OR FOOT | $2,010 | $2,010 | — | — | 0 |
| 72196 | MRI PELVIS OR SACRUM W/CONTRAST | $2,002 | $2,002 | — | — | 0 |
| 70544 | MRI BRAIN MRA WO CONTRAST | $1,977 | $1,977 | — | — | 0 |
| 72195 | MRI PELVIS ANGIO WO CONTRAST | $1,701 | $1,701 | — | — | 0 |
| 73722 | MRI ANKLE,KNEE OR ANKLE W/CONTRAST | $1,697 | $1,697 | — | — | 0 |
| 73718 | MRI THIGH, LOWER LEG, OR FOOT | $1,383 | $1,383 | — | — | 0 |
| 73218 | MRI UPPER EXT WO HUMERUS,FOREAM,HD | $1,316 | $1,316 | — | — | 0 |
| 99285 | E.R. - LEVEL V | $1,205 | $1,205 | — | — | 0 |
| 87507 | GI PATHOGEN PANEL PCR (MAYO) | $839 | $839 | — | — | 0 |
| 93307 | ECHOCARDIOLOGY- 2D COMPLETE | $757 | $757 | — | — | 0 |
| 87633 | RESPIRATORY PANEL | $715 | $715 | — | — | 0 |
| 99284 | E.R. - LEVEL IV | $675 | $675 | — | — | 0 |
| 0070U | GYP2D6 GENOTYPE CASCADE V MAYO | $650 | $650 | — | — | 0 |
| 93325 | ECHOCARDIOLOGY- COLOR FLOW DOPPLER | $574 | $574 | — | — | 0 |
| 99283 | E.R. - LEVEL III | $525 | $525 | — | — | 0 |
| 81225 | CYP2C19 GENOTYPE, V,MAYO | $513 | $513 | — | — | 0 |
| A0429QNYY | AMB - BLS, EMERGENT | $500 | $500 | — | — | 0 |
| 72052 | CERVICAL WITH FLEXION & EXTENTSION | $488 | $488 | — | — | 0 |
| 87535 | HIV1 DNA/RNA QUAL | $436 | $436 | — | — | 0 |
| 70130TC | MASTOID - MIN 3 PER SIDE | $431 | $431 | — | — | 0 |
| 70260 | SKULL - COMPLETE 4 VIEWS | $427 | $427 | — | — | 0 |
Showing top 50 of 468 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.