45 CFR § 180 compliance
B · 85
This hospital published most 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
2,085
Insurances with rates
24
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
8338588_1
$56,603
INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)
Gross
$56,603
8317434_1
$33,890
INJECTION, TENECTEPLASE, 1 MG
Gross
$33,890
6083478_1
$12,563
Sleep study in sleep lab with continuous airway pressure (6 years or older)
Gross
$12,563
5889710_1
$11,460
Sleep study in sleep lab (6 years or older)
Gross
$11,460
8028202_1
$8,100
ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION
Gross
$8,100
5374059_2
$5,465
Biopsy of lining of uterus and/or removal of polyp using an endoscope
Gross
$5,465
5602458_1
$5,244
CT scan of abdomen and pelvis before and after contrast
Gross
$5,244
8028201_1
$5,204
ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION
Gross
$5,204
8339204_1
$5,190
INJECTION, DALBAVANCIN, 5 MG
Gross
$5,190
5715439_1
$5,181
CT scan of blood vessels of abdomen and pelvis with contrast
Gross
$5,181
8028232_1
$4,925
INTENSIVE CARE UNIT - INTERMEDIATE ICU
Gross
$4,925
8028231_1
$4,923
ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OTHER
Gross
$4,923
5452586_2
$4,625
Closed treatment of broken bone in forefoot or midfoot
Gross
$4,625
5375515_1
$4,564
CT scan of abdomen and pelvis with contrast
Gross
$4,564
8028229_1
$4,531
ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OTHER
Gross
$4,531
616368_1
$3,734
CT scan of pelvis with contrast
Gross
$3,734
6064820_1
$3,256
Emergency department visit with moderate level of medical decision making
Gross
$3,256
622748_1
$3,214
CT scan of abdominal aorta and both leg arteries with contrast
Gross
$3,214
6041599_2
$3,180
Vaginal delivery
Gross
$3,180
616425_1
$3,086
CT scan of abdomen and pelvis without contrast
Gross
$3,086
5377249_1
$3,069
CT scan of abdomen and pelvis without contrast
Gross
$3,069
5884101_1
$3,002
COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTR
Gross
$3,002
5452056_2
$2,934
Drainage of deep abscess or blood accumulation of thigh or knee
Gross
$2,934
5744456_1
$2,886
CT scan of leg without contrast
Gross
$2,886
622849_1
$2,828
CT scan of blood vessels of chest with contrast
Gross
$2,828
623229_1
$2,827
CT scan of head or brain before and after contrast
Gross
$2,827
618908_1
$2,802
MRI scan of abdomen before and after contrast
Gross
$2,802
619355_1
$2,791
MRI scan of brain before and after contrast
Gross
$2,791
5998352_1
$2,787
CT scan of blood vessels of chest with contrast
Gross
$2,787
622866_1
$2,768
CT scan of blood vessels of chest with contrast
Gross
$2,768
619623_1
$2,730
MRI scan of lower spinal canal before and after contrast
Gross
$2,730
622699_1
$2,659
CT scan of abdomen with contrast
Gross
$2,659
5616400_1
$2,637
MRI scan of leg before and after contrast
Gross
$2,637
618992_1
$2,621
MRI scan of upper spinal canal before and after contrast
Gross
$2,621
6743579_1
$2,616
Ultrasound study of arm or leg veins with compression and maneuvers
Gross
$2,616
5451876_2
$2,611
Treatment of broken finger at midportion or part near hand
Gross
$2,611
619802_1
$2,591
MRI scan of middle spinal canal before and after contrast
Gross
$2,591
2890104_1
$2,583
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Gross
$2,583
5375517_1
$2,542
CT scan of chest with contrast
Gross
$2,542
622897_1
$2,463
CT scan of chest with contrast
Gross
$2,463
623270_1
$2,453
CT scan head or brain without contrast
Gross
$2,453
5799146_1
$2,320
Critical care, first 30-74 minutes
Gross
$2,320
622832_1
$2,294
CT scan of upper spine without contrast
Gross
$2,294
616454_1
$2,286
CT scan of soft tissue of neck with contrast
Gross
$2,286
6889202_1
$2,284
Transfusion of blood or blood products
Gross
$2,284
6088762_1
$2,265
TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE
Gross
$2,265
616599_1
$2,250
CT scan of middle spine without contrast
Gross
$2,250
5746404_1
$2,149
CT scan of cranial cavity with contrast
Gross
$2,149
8320701_1
$2,126
KETAMINE 200 MG/20 ML VIAL
Gross
$2,126
5594326_2
$2,100
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm
Gross
$2,100
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 8338588_1 | INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE) | $56,603 | $56,603 | — | — | 22 |
| 8317434_1 | INJECTION, TENECTEPLASE, 1 MG | $33,890 | $33,890 | — | — | 22 |
| 6083478_1 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | $12,563 | $12,563 | — | — | 22 |
| 5889710_1 | Sleep study in sleep lab (6 years or older) | $11,460 | $11,460 | — | — | 22 |
| 8028202_1 | ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION | $8,100 | $8,100 | — | — | 22 |
| 5374059_2 | Biopsy of lining of uterus and/or removal of polyp using an endoscope | $5,465 | $5,465 | — | — | 22 |
| 5602458_1 | CT scan of abdomen and pelvis before and after contrast | $5,244 | $5,244 | — | — | 22 |
| 8028201_1 | ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION | $5,204 | $5,204 | — | — | 22 |
| 8339204_1 | INJECTION, DALBAVANCIN, 5 MG | $5,190 | $5,190 | — | — | 22 |
| 5715439_1 | CT scan of blood vessels of abdomen and pelvis with contrast | $5,181 | $5,181 | — | — | 22 |
| 8028232_1 | INTENSIVE CARE UNIT - INTERMEDIATE ICU | $4,925 | $4,925 | — | — | 22 |
| 8028231_1 | ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OTHER | $4,923 | $4,923 | — | — | 22 |
| 5452586_2 | Closed treatment of broken bone in forefoot or midfoot | $4,625 | $4,625 | — | — | 22 |
| 5375515_1 | CT scan of abdomen and pelvis with contrast | $4,564 | $4,564 | — | — | 22 |
| 8028229_1 | ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OTHER | $4,531 | $4,531 | — | — | 22 |
| 616368_1 | CT scan of pelvis with contrast | $3,734 | $3,734 | — | — | 22 |
| 6064820_1 | Emergency department visit with moderate level of medical decision making | $3,256 | $3,256 | — | — | 22 |
| 622748_1 | CT scan of abdominal aorta and both leg arteries with contrast | $3,214 | $3,214 | — | — | 22 |
| 6041599_2 | Vaginal delivery | $3,180 | $3,180 | — | — | 26 |
| 616425_1 | CT scan of abdomen and pelvis without contrast | $3,086 | $3,086 | — | — | 22 |
| 5377249_1 | CT scan of abdomen and pelvis without contrast | $3,069 | $3,069 | — | — | 22 |
| 5884101_1 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTR | $3,002 | $3,002 | — | — | 22 |
| 5452056_2 | Drainage of deep abscess or blood accumulation of thigh or knee | $2,934 | $2,934 | — | — | 26 |
| 5744456_1 | CT scan of leg without contrast | $2,886 | $2,886 | — | — | 22 |
| 622849_1 | CT scan of blood vessels of chest with contrast | $2,828 | $2,828 | — | — | 22 |
| 623229_1 | CT scan of head or brain before and after contrast | $2,827 | $2,827 | — | — | 22 |
| 618908_1 | MRI scan of abdomen before and after contrast | $2,802 | $2,802 | — | — | 22 |
| 619355_1 | MRI scan of brain before and after contrast | $2,791 | $2,791 | — | — | 22 |
| 5998352_1 | CT scan of blood vessels of chest with contrast | $2,787 | $2,787 | — | — | 22 |
| 622866_1 | CT scan of blood vessels of chest with contrast | $2,768 | $2,768 | — | — | 22 |
| 619623_1 | MRI scan of lower spinal canal before and after contrast | $2,730 | $2,730 | — | — | 22 |
| 622699_1 | CT scan of abdomen with contrast | $2,659 | $2,659 | — | — | 22 |
| 5616400_1 | MRI scan of leg before and after contrast | $2,637 | $2,637 | — | — | 22 |
| 618992_1 | MRI scan of upper spinal canal before and after contrast | $2,621 | $2,621 | — | — | 22 |
| 6743579_1 | Ultrasound study of arm or leg veins with compression and maneuvers | $2,616 | $2,616 | — | — | 22 |
| 5451876_2 | Treatment of broken finger at midportion or part near hand | $2,611 | $2,611 | — | — | 22 |
| 619802_1 | MRI scan of middle spinal canal before and after contrast | $2,591 | $2,591 | — | — | 22 |
| 2890104_1 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $2,583 | $2,583 | — | — | 22 |
| 5375517_1 | CT scan of chest with contrast | $2,542 | $2,542 | — | — | 22 |
| 622897_1 | CT scan of chest with contrast | $2,463 | $2,463 | — | — | 22 |
| 623270_1 | CT scan head or brain without contrast | $2,453 | $2,453 | — | — | 22 |
| 5799146_1 | Critical care, first 30-74 minutes | $2,320 | $2,320 | — | — | 22 |
| 622832_1 | CT scan of upper spine without contrast | $2,294 | $2,294 | — | — | 22 |
| 616454_1 | CT scan of soft tissue of neck with contrast | $2,286 | $2,286 | — | — | 22 |
| 6889202_1 | Transfusion of blood or blood products | $2,284 | $2,284 | — | — | 22 |
| 6088762_1 | TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE | $2,265 | $2,265 | — | — | 22 |
| 616599_1 | CT scan of middle spine without contrast | $2,250 | $2,250 | — | — | 22 |
| 5746404_1 | CT scan of cranial cavity with contrast | $2,149 | $2,149 | — | — | 22 |
| 8320701_1 | KETAMINE 200 MG/20 ML VIAL | $2,126 | $2,126 | — | — | 22 |
| 5594326_2 | Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm | $2,100 | $2,100 | — | — | 22 |
Showing top 50 of 2,085 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.