45 CFR § 180 compliance
D · 65
This hospital published part 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
835
Insurances with rates
0
CPT / HCPCS codes
806
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | TNKASE INJ 50MG | $12,211 | $12,211 | — | — | 0 |
| J2506 | NEULASTA ONPRO KIT[6MG/0.6ML] | $10,000 | $10,000 | — | — | 0 |
| 74178 | CT ABD/PEL WWO | $6,825 | $6,825 | — | — | 0 |
| 74174 | CTA C/ABD/PEL | $6,388 | $6,388 | — | — | 0 |
| 74177 | CT ABD/PEL W | $6,274 | $6,274 | — | — | 0 |
| 72156 | MRI C SPINE WWO | $5,455 | $5,455 | — | — | 0 |
| J0897 | XGEVAN 120MG SOLUTION | $5,440 | $5,440 | — | — | 0 |
| J0840 | CROFAB Injectable Solution 1 Vial(s) | $5,373 | $5,373 | — | — | 0 |
| 72158 | MRI LS SPINE WWO | $5,329 | $5,329 | — | — | 0 |
| 74176 | CT ABD/PEL WO | $5,277 | $5,277 | — | — | 0 |
| 70553 | MRI BRAIN WWO | $5,140 | $5,140 | — | — | 0 |
| 74183 | MRI ABDOMEN WWO | $4,825 | $4,825 | — | — | 0 |
| 73720 | MR LOW EXTR W/O JNT W/WO CO | $4,778 | $4,778 | — | — | 0 |
| 72148 | MRI LS SPINE WO | $4,715 | $4,715 | — | — | 0 |
| 71275 | CTA CHEST PE | $4,633 | $4,633 | — | — | 0 |
| 74170 | CT ABDOMEN WWO | $4,384 | $4,384 | — | — | 0 |
| 72197 | MRI PELVIS WWO | $4,358 | $4,358 | — | — | 0 |
| 72146 | MRI T SPINE WO | $4,283 | $4,283 | — | — | 0 |
| 70547 | MRA NECK WO | $4,243 | $4,243 | — | — | 0 |
| 73223 | MRI ELBOW WWO LT,LT | $4,231 | $4,231 | — | — | 0 |
| 72142 | MRI C SPINE W | $4,195 | $4,195 | — | — | 0 |
| 74181 | MRI ABDOMEN WO | $4,195 | $4,195 | — | — | 0 |
| 74175 | CTA ABDOMEN | $3,912 | $3,912 | — | — | 0 |
| 360 | OR-B MAJ 76-90 MIN | $3,895 | $3,895 | — | — | 0 |
| 72141 | MRI C SPINE WO | $3,820 | $3,820 | — | — | 0 |
| 70544 | MRA BRAIN WO | $3,791 | $3,791 | — | — | 0 |
| 70546 | MRA BRAIN WWO | $3,769 | $3,769 | — | — | 0 |
| 74185 | MRA ABDOMEN WWO | $3,769 | $3,769 | — | — | 0 |
| 70545 | MRA BRAIN W | $3,767 | $3,767 | — | — | 0 |
| 75635 | CTA CAP W RUNOFFS | $3,728 | $3,728 | — | — | 0 |
| 70498 | CTA NECK | $3,728 | $3,728 | — | — | 0 |
| C8929 | US ECHO COMPLETE W | $3,649 | $3,649 | — | — | 0 |
| 72125 | CT C SPINE WO | $3,623 | $3,623 | — | — | 0 |
| 73718 | MR LOW EXTR W/O JNT W/O CON | $3,597 | $3,597 | — | — | 0 |
| 73719 | MR LOW EXTR W/O JNT W/CONTR | $3,597 | $3,597 | — | — | 0 |
| 70551 | MRI BRAIN WO | $3,591 | $3,591 | — | — | 0 |
| 70543 | MRI ORBIT/FACE/NECK WWO | $3,587 | $3,587 | — | — | 0 |
| 70552 | MRI BRAIN W | $3,587 | $3,587 | — | — | 0 |
| 72157 | MRI T SPINE WWO | $3,587 | $3,587 | — | — | 0 |
| 72159 | MRA SPINAL CANAL WWO | $3,587 | $3,587 | — | — | 0 |
| 73222 | MRI ELBOW W LT,LT | $3,564 | $3,564 | — | — | 0 |
| 72192 | CT PELVIS WO | $3,518 | $3,518 | — | — | 0 |
| 71260 | CT CHEST W | $3,492 | $3,492 | — | — | 0 |
| 73221 | MR UP EXTR W/JOINT W/O CONT | $3,481 | $3,481 | — | — | 0 |
| 70492 | CT NECK WWO | $3,439 | $3,439 | — | — | 0 |
| 73721 | MR LOWER EXTREMITY W/JNT W/O CONTR | $3,439 | $3,439 | — | — | 0 |
| 43251 | EGD 1 OR MORE LESIONS BY SNARE | $3,413 | $3,413 | — | — | 0 |
| 70542 | MRI ORBIT/FACE/NECK W | $3,404 | $3,404 | — | — | 0 |
| 70549 | MRA NECK WWO | $3,404 | $3,404 | — | — | 0 |
| 71552 | MRI CHEST WWO | $3,404 | $3,404 | — | — | 0 |
Showing top 50 of 835 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.