45 CFR § 180 compliance
F · 50
This hospital published little 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
4,801
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
1620548
—
ALPHA PRIME STIMULATOR
Gross
$30,752
1620578
—
SIDUS STEM FREE ANCHOR
Gross
$12,994
1620556
—
TAILORS PLATE
Gross
$9,750
1620181
—
XCELLERATE
Gross
$8,700
1620857
—
LYOPHILIZED AMNIONTIC MEMBRANE
Gross
$8,700
1650240
—
OR 1-15 MIN D
Gross
$8,541
4000026
—
PET/CT WHOLE BODY
Gross
$8,500
1620698
—
PLATE 30MM
Gross
$8,250
4000025
—
PET/CT BOD SKULL/ THIGH
Gross
$8,250
2010607
—
CT ABD&PELV WITH&WITHOUT CONTRAST
Gross
$8,127
4000024
—
PET/CT LIMTED AREA
Gross
$7,750
1620646
—
OSSEOTI MULTIHOLE
Gross
$7,717
1620583
—
COMP PRIMARY STEM
Gross
$7,590
2074178
—
MRA CAROTID W/WO
Gross
$7,218
1710274
—
VAGINAL DELIV ER
Gross
$7,106
1610139
—
MEMBRANE GRAFT 3X6
Gross
$6,675
2010660
—
CTA ADB & PELVIS
Gross
$6,547
4000002
—
NUCMED SPECT CARD REST&STRESS
Gross
$6,500
1620681
—
V92 BONE MATRIX
Gross
$6,375
2010214
—
VENOGRAM
Gross
$6,315
1620159
—
PSN FEM CR CMT CCR
Gross
$6,113
2310003
—
SLEEP STUDY SPLIT
Gross
$6,050
2010608
—
CT ABD&PELV WITH CONTRAST
Gross
$6,002
2070544
—
MRI ORB FA NE WO/W C
Gross
$5,967
1620357
—
TKL SPDBRG IMP SYS
Gross
$5,914
1620234
—
LAPIDUS PLATE RIGHT
Gross
$5,784
1620642
—
CERT BIOLOXD OPT HD
Gross
$5,753
1627802
—
CYSTO W BOTOX
Gross
$5,685
1650029
—
PERIPHERAL NERVE EVAL
Gross
$5,502
1620777
—
RFA LUMB/SACR 1 JNT
Gross
$5,343
2072157
—
MRI T-SPINE WO/W CON
Gross
$5,294
2310004
—
SLEEP STUDY CONTIN
Gross
$5,214
2072156
—
MRI C-SPINE WO/W CON
Gross
$5,198
2073722
—
MRI-LOEXTJOINW/WOCON
Gross
$5,177
2071552
—
MRI CHEST WO&W
Gross
$5,147
2073220
—
MRI UPP/EXT W/WO CON
Gross
$5,103
2072198
—
MRI PELVIS WITH & WITHOUT CONTRAST
Gross
$5,100
2072158
—
MRI L-SPINE WO/W CON
Gross
$5,077
2010609
—
CT ABD&PELV WO CONT
Gross
$5,052
2074183
—
MRI ABD WO&W
Gross
$5,042
2074179
—
MRA ABDOMEN W/WO
Gross
$4,951
1620648
—
TPRLC 133 T1 PSS
Gross
$4,950
1620658
—
ECHO POR FMRL RPP
Gross
$4,950
4000004
—
NUC MED GATED SPEC EJEC FRAC
Gross
$4,899
2070553
—
MRI BRAIN W0/W CONST
Gross
$4,898
2071551
—
MRI CHEST W/
Gross
$4,886
2072142
—
MRI C-SPINE W CONTRA
Gross
$4,886
2072147
—
MRI T-SPINE W CONTRA
Gross
$4,886
2074182
—
MRI ABD WITH
Gross
$4,886
1628663
—
NERVE PROTECT 7X40
Gross
$4,850
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1620548 | ALPHA PRIME STIMULATOR | $30,752 | — | — | — | 0 |
| 1620578 | SIDUS STEM FREE ANCHOR | $12,994 | — | — | — | 0 |
| 1620556 | TAILORS PLATE | $9,750 | — | — | — | 0 |
| 1620181 | XCELLERATE | $8,700 | — | — | — | 0 |
| 1620857 | LYOPHILIZED AMNIONTIC MEMBRANE | $8,700 | — | — | — | 0 |
| 1650240 | OR 1-15 MIN D | $8,541 | — | — | — | 0 |
| 4000026 | PET/CT WHOLE BODY | $8,500 | — | — | — | 0 |
| 1620698 | PLATE 30MM | $8,250 | — | — | — | 0 |
| 4000025 | PET/CT BOD SKULL/ THIGH | $8,250 | — | — | — | 0 |
| 2010607 | CT ABD&PELV WITH&WITHOUT CONTRAST | $8,127 | — | — | — | 0 |
| 4000024 | PET/CT LIMTED AREA | $7,750 | — | — | — | 0 |
| 1620646 | OSSEOTI MULTIHOLE | $7,717 | — | — | — | 0 |
| 1620583 | COMP PRIMARY STEM | $7,590 | — | — | — | 0 |
| 2074178 | MRA CAROTID W/WO | $7,218 | — | — | — | 0 |
| 1710274 | VAGINAL DELIV ER | $7,106 | — | — | — | 0 |
| 1610139 | MEMBRANE GRAFT 3X6 | $6,675 | — | — | — | 0 |
| 2010660 | CTA ADB & PELVIS | $6,547 | — | — | — | 0 |
| 4000002 | NUCMED SPECT CARD REST&STRESS | $6,500 | — | — | — | 0 |
| 1620681 | V92 BONE MATRIX | $6,375 | — | — | — | 0 |
| 2010214 | VENOGRAM | $6,315 | — | — | — | 0 |
| 1620159 | PSN FEM CR CMT CCR | $6,113 | — | — | — | 0 |
| 2310003 | SLEEP STUDY SPLIT | $6,050 | — | — | — | 0 |
| 2010608 | CT ABD&PELV WITH CONTRAST | $6,002 | — | — | — | 0 |
| 2070544 | MRI ORB FA NE WO/W C | $5,967 | — | — | — | 0 |
| 1620357 | TKL SPDBRG IMP SYS | $5,914 | — | — | — | 0 |
| 1620234 | LAPIDUS PLATE RIGHT | $5,784 | — | — | — | 0 |
| 1620642 | CERT BIOLOXD OPT HD | $5,753 | — | — | — | 0 |
| 1627802 | CYSTO W BOTOX | $5,685 | — | — | — | 0 |
| 1650029 | PERIPHERAL NERVE EVAL | $5,502 | — | — | — | 0 |
| 1620777 | RFA LUMB/SACR 1 JNT | $5,343 | — | — | — | 0 |
| 2072157 | MRI T-SPINE WO/W CON | $5,294 | — | — | — | 0 |
| 2310004 | SLEEP STUDY CONTIN | $5,214 | — | — | — | 0 |
| 2072156 | MRI C-SPINE WO/W CON | $5,198 | — | — | — | 0 |
| 2073722 | MRI-LOEXTJOINW/WOCON | $5,177 | — | — | — | 0 |
| 2071552 | MRI CHEST WO&W | $5,147 | — | — | — | 0 |
| 2073220 | MRI UPP/EXT W/WO CON | $5,103 | — | — | — | 0 |
| 2072198 | MRI PELVIS WITH & WITHOUT CONTRAST | $5,100 | — | — | — | 0 |
| 2072158 | MRI L-SPINE WO/W CON | $5,077 | — | — | — | 0 |
| 2010609 | CT ABD&PELV WO CONT | $5,052 | — | — | — | 0 |
| 2074183 | MRI ABD WO&W | $5,042 | — | — | — | 0 |
| 2074179 | MRA ABDOMEN W/WO | $4,951 | — | — | — | 0 |
| 1620648 | TPRLC 133 T1 PSS | $4,950 | — | — | — | 0 |
| 1620658 | ECHO POR FMRL RPP | $4,950 | — | — | — | 0 |
| 4000004 | NUC MED GATED SPEC EJEC FRAC | $4,899 | — | — | — | 0 |
| 2070553 | MRI BRAIN W0/W CONST | $4,898 | — | — | — | 0 |
| 2071551 | MRI CHEST W/ | $4,886 | — | — | — | 0 |
| 2072142 | MRI C-SPINE W CONTRA | $4,886 | — | — | — | 0 |
| 2072147 | MRI T-SPINE W CONTRA | $4,886 | — | — | — | 0 |
| 2074182 | MRI ABD WITH | $4,886 | — | — | — | 0 |
| 1628663 | NERVE PROTECT 7X40 | $4,850 | — | — | — | 0 |
Showing top 50 of 4,801 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.