45 CFR § 180 compliance
A · 100
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
1,210
Insurances with rates
5
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
27628011
$9,781
Tenotomy, Percutaneous, Toe; Multiple Tendons
Gross
$12,226
5800554
$5,670
Mra Head W/ + W/o Contrast
Gross
$7,088
5748815
$5,143
Pet Skullmid Thigh
Gross
$6,429
5748816
$5,016
Pet Whole Body
Gross
$6,270
5404180
$4,717
Ct Angiography Abdomen/pelvis W/ + W/o C
Gross
$5,896
5402157
$5,389
Ct Abdomen/pelvis W + W/o Contrast
Gross
$5,807
5800545
$4,543
Mra Head W/ Contrast
Gross
$5,679
5804183
$4,109
Mri Abdomen W/ + W/o Contrast
Gross
$5,136
2704885
$4,058
Obstetric care, planned cesarean delivery
Gross
$5,073
3403490
$3,962
Remove Malig Lesion W/margins, Face, Ears, Eyelids, Nose, Lips; Diam 4.0+ Cm Charge
Gross
$4,952
5402156
$3,958
CT scan of abdomen and pelvis with contrast
Gross
$4,947
5802156
$3,849
Mri Spine Cervical W/ + W/o Contrast
Gross
$4,811
2701300
$3,683
Obstetric care, planned vaginal delivery
Gross
$4,604
5402155
$3,548
Ct Abdomen/pelvis W/o Contrast
Gross
$4,435
5405635
$3,500
Ct Angiography Aorta W/ Runoff
Gross
$4,375
5802197
$3,413
Mri Pelvis W/ + W/o Contrast
Gross
$4,266
5802157
$3,368
Mri Spine Thoracic W/ + W/o Contrast
Gross
$4,210
401420
$3,350
Polysomnography; Age 6 Years Or Older, Sleep Staging With 4 Or More With Initiation Of Continuous
Gross
$4,187
5802158
$3,346
Mri Spine Lumbar W/ + W/o Contrast
Gross
$4,182
5801552
$3,345
Mri Chest W/ + W/o Contrast
Gross
$4,181
5802147
$3,230
Mri Spine Thoracic W/ Contrast
Gross
$4,038
5800553
$3,210
MRI Scan
Gross
$4,012
5802142
$3,207
Mri Spine Cervical W/ Contrast
Gross
$4,009
401410
$3,163
Sleep study
Gross
$3,954
5803729-LT
$3,158
Mri Le Joint W/ Contrast Left
Gross
$3,948
5803222
$3,158
Mri Ue Joint W/ Contrast Right
Gross
$3,948
5803724-LT
$3,116
Mri Le Joint W/ + W/o Contrast Left
Gross
$3,895
5803723-RT
$3,116
Mri Le Joint W/ + W/o Contrast Right
Gross
$3,895
5807054
$3,102
Mra Neck W/ + W/o Contrast
Gross
$3,878
5803722-RT
$3,037
Mri Le Joint W/ Contrast Right
Gross
$3,796
5803727-LT
$2,991
Mri Le Non Joint W/ + W/o Contrast Left
Gross
$3,739
5803720-RT
$2,991
Mri Le Non Joint W/ + W/o Contrast Right
Gross
$3,739
5801550
$2,974
Mri Chest W/o Contrast
Gross
$3,717
5800550
$2,964
Mri Face Neck Orbit W/ + W/o Contrast
Gross
$3,705
5404185
$2,949
Ct Angiography Pelvis W/ + W/o Contrast
Gross
$3,686
5800552
$2,942
Mri Brain W/ Contrast
Gross
$3,677
5804181
$2,913
Mri Abdomen W/o Contrast
Gross
$3,641
5401275
$2,911
Ct Angiography Chest W/wo Contrast
Gross
$3,639
5802148
$2,900
MRI scan of lower spinal canal
Gross
$3,625
5402152
$2,898
Ct Abdomen W/ + W/o Contrast
Gross
$3,622
5803224-LT
$2,880
Mri Ue Joint W/ + W/o Contrast Left
Gross
$3,600
5803223-RT
$2,880
Mri Ue Joint W/ + W/o Contrast Right
Gross
$3,600
5800551
$2,854
Mri Brain W/o Contrast
Gross
$3,567
5802141
$2,846
Mri Spine Cervical W/o Contrast
Gross
$3,557
5800540
$2,843
Mri Face Neck Orbit W/o Contrast
Gross
$3,554
5803229-LT
$2,778
Mri Ue Non Joint W/ + W/o Contrast Left
Gross
$3,473
5803220-RT
$2,778
Mri Ue Non Joint W/ + W/o Contrast Right
Gross
$3,473
5802196
$2,751
Mri Pelvis W/ Contrast
Gross
$3,439
5802146
$2,688
Mri Spine Thoracic W/o Contrast
Gross
$3,360
5801555
$2,685
Mra Chest W/ + W/o Contrast
Gross
$3,356
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 27628011 | Tenotomy, Percutaneous, Toe; Multiple Tendons | $12,226 | $9,781 | $7,200 | $15,185 | 9 |
| 5800554 | Mra Head W/ + W/o Contrast | $7,088 | $5,670 | $4,891 | $8,803 | 9 |
| 5748815 | Pet Skullmid Thigh | $6,429 | $5,143 | $4,436 | $7,985 | 9 |
| 5748816 | Pet Whole Body | $6,270 | $5,016 | $4,326 | $7,787 | 9 |
| 5404180 | Ct Angiography Abdomen/pelvis W/ + W/o C | $5,896 | $4,717 | $4,068 | $7,323 | 9 |
| 5402157 | Ct Abdomen/pelvis W + W/o Contrast | $5,807 | $5,389 | $4,007 | $7,212 | 9 |
| 5800545 | Mra Head W/ Contrast | $5,679 | $4,543 | $3,919 | $7,200 | 9 |
| 5804183 | Mri Abdomen W/ + W/o Contrast | $5,136 | $4,109 | $3,544 | $7,200 | 9 |
| 2704885 | Obstetric care, planned cesarean delivery | $5,073 | $4,058 | $3,500 | $7,200 | 9 |
| 3403490 | Remove Malig Lesion W/margins, Face, Ears, Eyelids, Nose, Lips; Diam 4.0+ Cm Charge | $4,952 | $3,962 | $3,417 | $7,200 | 9 |
| 5402156 | CT scan of abdomen and pelvis with contrast | $4,947 | $3,958 | $3,413 | $7,200 | 9 |
| 5802156 | Mri Spine Cervical W/ + W/o Contrast | $4,811 | $3,849 | $3,320 | $7,200 | 9 |
| 2701300 | Obstetric care, planned vaginal delivery | $4,604 | $3,683 | $3,177 | $7,200 | 9 |
| 5402155 | Ct Abdomen/pelvis W/o Contrast | $4,435 | $3,548 | $3,060 | $7,200 | 9 |
| 5405635 | Ct Angiography Aorta W/ Runoff | $4,375 | $3,500 | $3,019 | $7,200 | 9 |
| 5802197 | Mri Pelvis W/ + W/o Contrast | $4,266 | $3,413 | $2,944 | $7,200 | 9 |
| 5802157 | Mri Spine Thoracic W/ + W/o Contrast | $4,210 | $3,368 | $2,905 | $7,200 | 9 |
| 401420 | Polysomnography; Age 6 Years Or Older, Sleep Staging With 4 Or More With Initiation Of Continuous | $4,187 | $3,350 | $2,889 | $7,200 | 9 |
| 5802158 | Mri Spine Lumbar W/ + W/o Contrast | $4,182 | $3,346 | $2,886 | $7,200 | 9 |
| 5801552 | Mri Chest W/ + W/o Contrast | $4,181 | $3,345 | $2,885 | $7,200 | 9 |
| 5802147 | Mri Spine Thoracic W/ Contrast | $4,038 | $3,230 | $2,786 | $7,200 | 9 |
| 5800553 | MRI Scan | $4,012 | $3,210 | $2,768 | $7,200 | 9 |
| 5802142 | Mri Spine Cervical W/ Contrast | $4,009 | $3,207 | $2,766 | $7,200 | 9 |
| 401410 | Sleep study | $3,954 | $3,163 | $2,728 | $7,200 | 9 |
| 5803729-LT | Mri Le Joint W/ Contrast Left | $3,948 | $3,158 | $2,724 | $7,200 | 9 |
| 5803222 | Mri Ue Joint W/ Contrast Right | $3,948 | $3,158 | $2,724 | $7,200 | 9 |
| 5803724-LT | Mri Le Joint W/ + W/o Contrast Left | $3,895 | $3,116 | $2,688 | $7,200 | 9 |
| 5803723-RT | Mri Le Joint W/ + W/o Contrast Right | $3,895 | $3,116 | $2,688 | $7,200 | 9 |
| 5807054 | Mra Neck W/ + W/o Contrast | $3,878 | $3,102 | $2,676 | $7,200 | 9 |
| 5803722-RT | Mri Le Joint W/ Contrast Right | $3,796 | $3,037 | $2,619 | $7,200 | 9 |
| 5803727-LT | Mri Le Non Joint W/ + W/o Contrast Left | $3,739 | $2,991 | $2,580 | $7,200 | 9 |
| 5803720-RT | Mri Le Non Joint W/ + W/o Contrast Right | $3,739 | $2,991 | $2,580 | $7,200 | 9 |
| 5801550 | Mri Chest W/o Contrast | $3,717 | $2,974 | $2,565 | $7,200 | 9 |
| 5800550 | Mri Face Neck Orbit W/ + W/o Contrast | $3,705 | $2,964 | $2,556 | $7,200 | 9 |
| 5404185 | Ct Angiography Pelvis W/ + W/o Contrast | $3,686 | $2,949 | $2,543 | $7,200 | 9 |
| 5800552 | Mri Brain W/ Contrast | $3,677 | $2,942 | $2,537 | $7,200 | 9 |
| 5804181 | Mri Abdomen W/o Contrast | $3,641 | $2,913 | $2,512 | $7,200 | 9 |
| 5401275 | Ct Angiography Chest W/wo Contrast | $3,639 | $2,911 | $2,511 | $7,200 | 9 |
| 5802148 | MRI scan of lower spinal canal | $3,625 | $2,900 | $2,501 | $7,200 | 9 |
| 5402152 | Ct Abdomen W/ + W/o Contrast | $3,622 | $2,898 | $2,499 | $7,200 | 9 |
| 5803224-LT | Mri Ue Joint W/ + W/o Contrast Left | $3,600 | $2,880 | $2,484 | $7,200 | 9 |
| 5803223-RT | Mri Ue Joint W/ + W/o Contrast Right | $3,600 | $2,880 | $2,484 | $7,200 | 9 |
| 5800551 | Mri Brain W/o Contrast | $3,567 | $2,854 | $2,461 | $7,200 | 9 |
| 5802141 | Mri Spine Cervical W/o Contrast | $3,557 | $2,846 | $2,454 | $7,200 | 9 |
| 5800540 | Mri Face Neck Orbit W/o Contrast | $3,554 | $2,843 | $2,452 | $7,200 | 9 |
| 5803229-LT | Mri Ue Non Joint W/ + W/o Contrast Left | $3,473 | $2,778 | $2,396 | $7,200 | 9 |
| 5803220-RT | Mri Ue Non Joint W/ + W/o Contrast Right | $3,473 | $2,778 | $2,396 | $7,200 | 9 |
| 5802196 | Mri Pelvis W/ Contrast | $3,439 | $2,751 | $2,373 | $7,200 | 9 |
| 5802146 | Mri Spine Thoracic W/o Contrast | $3,360 | $2,688 | $2,318 | $7,200 | 9 |
| 5801555 | Mra Chest W/ + W/o Contrast | $3,356 | $2,685 | $2,316 | $7,200 | 9 |
Showing top 50 of 1,210 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.