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
2,613
Insurances with rates
4
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
5091000
$26,401
ALTEPLASE 100MG VIAL (TISSUE PLASMOGE
Gross
$26,401
5020380
$9,594
ANTIVENIN RATTLESNAKE/CROFAB VIAL
Gross
$9,594
4572156
$5,861
MRI CERVICAL SPINAL CANAL W/WO CONTRA
Gross
$5,861
4570553
$5,801
MRI BRAIN W/WO CONTRAST
Gross
$5,801
4572157
$5,738
MRI THORACIC SPINAL CANAL W/WO CONTRA
Gross
$5,738
4572158
$5,681
MRI LUMBAR SPINAL CANAL W/WO CONTRAST
Gross
$5,681
4574183
$5,490
MRI ABDOMEN W/WO CONTRAST
Gross
$5,490
50314680
$4,798
SIMPONI ARIA 50MG/4ML (GOLIMUMAB)
Gross
$4,798
50314723
$4,798
SIMPONI ARIA 50MG/4ML OR 12.5MG/ML
Gross
$4,798
4570546
$4,642
MRA HEAD W/WO CONTRAST
Gross
$4,642
4074178
$4,637
CT ABDOMEN/PELVIS W/WO CONTRAST
Gross
$4,637
4572197
$4,637
MRI PELVIS W/WO CONTRAST
Gross
$4,637
8032110
$4,606
THRACOTOMY WITH TRAUMATIC HEMMORRHAGE
Gross
$4,606
8559409
$4,200
VAGINAL DELIVERY ONLY WITH /WO EPI
Gross
$4,200
8059409
$4,028
ER RM DELIVERY
Gross
$4,028
8026910
$3,972
AMPUTATION METACARPAL W FINGER SINGLE
Gross
$3,972
4571552
$3,961
MRI CHEST W/WO CONTRAST
Gross
$3,961
4074177
$3,946
CT ABDOMEN/PELVIS W/ CONTRAST
Gross
$3,946
4570543
$3,929
MRI ORBIT FACE AND/OR NECK W/WO CONTR
Gross
$3,929
4075635
$3,855
CT ANGIOGRAPHY ABDOMINAL AORTA RUN OF
Gross
$3,855
8032000
$3,825
THORACENTESIS NEEDLE OR CATH ASPIRATI
Gross
$3,825
8027252
$3,743
CLO TX Hinpatient DISLOCATION WITH ANESTHEIA
Gross
$3,743
4090003
$3,707
CT ANGIOGRAPHY RIGHT LOWER EXTREMITY
Gross
$3,707
4090004
$3,707
CT ANGIOGRAPHY LEFT LOWER EXTREMITY W
Gross
$3,707
4075662
$3,620
CT ANGIOGRAPHY EXTERNAL CAROTID
Gross
$3,620
8032100
$3,614
THRACOTOMY WITH EXPLORATION
Gross
$3,614
4590021
$3,584
MRI NON-JOINT RT UPPER EXTREMITY W/WO
Gross
$3,584
4590022
$3,584
MRI NON-JOINT LEFT UPPER EXTREMITY W/
Gross
$3,584
50314675
$3,580
SPIRIVA INHALER ***90 COUNT*** (inpatientRAT
Gross
$3,580
4570549
$3,451
MRA NECK W/WO CONTRAST
Gross
$3,451
4075724
$3,421
CT ANGIOGRAPHY RENAL BILATERAL SELECT
Gross
$3,421
8032160
$3,394
THRACOTOMY WITH CARDIAC MASSAGE
Gross
$3,394
4572149
$3,333
MRI LUMBAR SPINAL CANAL W/ CONTRAST
Gross
$3,333
8015110
$3,328
EPIDERMAL AUTOGRAFT FIRST 100SQ CM OR
Gross
$3,328
4570552
$3,276
MRI BRAIN W/ CONTRAST
Gross
$3,276
4572142
$3,248
MRI CERVICAL SPINAL CANAL W/ CONTRAST
Gross
$3,248
4572147
$3,247
MRI THORACIC SPINAL CANAL W/ CONTRAST
Gross
$3,247
8025561
$3,193
ER CRITICAL CARE ROOM FEE
Gross
$3,193
8027607
$3,165
INCISION OF LEG OR ANKLE
Gross
$3,165
4071275
$3,163
CT ANGIOGRAPHY CHEST W/ CONTRAST
Gross
$3,163
4072133
$3,134
CT LUMBAR SPINE W/WO CONTRAST
Gross
$3,134
8527252
$3,129
CRITICAL CARE UP TO 74MIN
Gross
$3,129
4072127
$3,126
CT CERVICAL SPINE W/WO CONTRAST
Gross
$3,126
8033020
$3,105
PERICARDIOTOMY FOR REMOVAL OF CLOT/FB
Gross
$3,105
8040654
$3,072
REPAIR Linpatient FULL THICKNESS OVER HALF
Gross
$3,072
8027385
$3,049
SUTURE OF QUADRICEPS OR HAMSTRING MUS
Gross
$3,049
4572146
$3,021
MRI THORACIC SPINAL CANAL W/O CONTRAS
Gross
$3,021
4572159
$3,017
MRA SPINAL CANAL W/ OR W/O CONTRAST
Gross
$3,017
4571551
$3,008
MRI CHEST W/ CONTRAST
Gross
$3,008
4590011
$2,992
MRI ANY JOINT LEFT LOWER EXTREMITY W/
Gross
$2,992
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 5091000 | ALTEPLASE 100MG VIAL (TISSUE PLASMOGE | $26,401 | $26,401 | — | — | 4 |
| 5020380 | ANTIVENIN RATTLESNAKE/CROFAB VIAL | $9,594 | $9,594 | — | — | 4 |
| 4572156 | MRI CERVICAL SPINAL CANAL W/WO CONTRA | $5,861 | $5,861 | — | — | 4 |
| 4570553 | MRI BRAIN W/WO CONTRAST | $5,801 | $5,801 | — | — | 4 |
| 4572157 | MRI THORACIC SPINAL CANAL W/WO CONTRA | $5,738 | $5,738 | — | — | 4 |
| 4572158 | MRI LUMBAR SPINAL CANAL W/WO CONTRAST | $5,681 | $5,681 | — | — | 4 |
| 4574183 | MRI ABDOMEN W/WO CONTRAST | $5,490 | $5,490 | — | — | 4 |
| 50314680 | SIMPONI ARIA 50MG/4ML (GOLIMUMAB) | $4,798 | $4,798 | — | — | 4 |
| 50314723 | SIMPONI ARIA 50MG/4ML OR 12.5MG/ML | $4,798 | $4,798 | — | — | 4 |
| 4570546 | MRA HEAD W/WO CONTRAST | $4,642 | $4,642 | — | — | 4 |
| 4074178 | CT ABDOMEN/PELVIS W/WO CONTRAST | $4,637 | $4,637 | — | — | 4 |
| 4572197 | MRI PELVIS W/WO CONTRAST | $4,637 | $4,637 | — | — | 4 |
| 8032110 | THRACOTOMY WITH TRAUMATIC HEMMORRHAGE | $4,606 | $4,606 | — | — | 4 |
| 8559409 | VAGINAL DELIVERY ONLY WITH /WO EPI | $4,200 | $4,200 | — | — | 4 |
| 8059409 | ER RM DELIVERY | $4,028 | $4,028 | — | — | 4 |
| 8026910 | AMPUTATION METACARPAL W FINGER SINGLE | $3,972 | $3,972 | — | — | 4 |
| 4571552 | MRI CHEST W/WO CONTRAST | $3,961 | $3,961 | — | — | 4 |
| 4074177 | CT ABDOMEN/PELVIS W/ CONTRAST | $3,946 | $3,946 | — | — | 4 |
| 4570543 | MRI ORBIT FACE AND/OR NECK W/WO CONTR | $3,929 | $3,929 | — | — | 4 |
| 4075635 | CT ANGIOGRAPHY ABDOMINAL AORTA RUN OF | $3,855 | $3,855 | — | — | 4 |
| 8032000 | THORACENTESIS NEEDLE OR CATH ASPIRATI | $3,825 | $3,825 | — | — | 4 |
| 8027252 | CLO TX Hinpatient DISLOCATION WITH ANESTHEIA | $3,743 | $3,743 | — | — | 4 |
| 4090003 | CT ANGIOGRAPHY RIGHT LOWER EXTREMITY | $3,707 | $3,707 | — | — | 4 |
| 4090004 | CT ANGIOGRAPHY LEFT LOWER EXTREMITY W | $3,707 | $3,707 | — | — | 4 |
| 4075662 | CT ANGIOGRAPHY EXTERNAL CAROTID | $3,620 | $3,620 | — | — | 4 |
| 8032100 | THRACOTOMY WITH EXPLORATION | $3,614 | $3,614 | — | — | 4 |
| 4590021 | MRI NON-JOINT RT UPPER EXTREMITY W/WO | $3,584 | $3,584 | — | — | 4 |
| 4590022 | MRI NON-JOINT LEFT UPPER EXTREMITY W/ | $3,584 | $3,584 | — | — | 4 |
| 50314675 | SPIRIVA INHALER ***90 COUNT*** (inpatientRAT | $3,580 | $3,580 | — | — | 4 |
| 4570549 | MRA NECK W/WO CONTRAST | $3,451 | $3,451 | — | — | 4 |
| 4075724 | CT ANGIOGRAPHY RENAL BILATERAL SELECT | $3,421 | $3,421 | — | — | 4 |
| 8032160 | THRACOTOMY WITH CARDIAC MASSAGE | $3,394 | $3,394 | — | — | 4 |
| 4572149 | MRI LUMBAR SPINAL CANAL W/ CONTRAST | $3,333 | $3,333 | — | — | 4 |
| 8015110 | EPIDERMAL AUTOGRAFT FIRST 100SQ CM OR | $3,328 | $3,328 | — | — | 4 |
| 4570552 | MRI BRAIN W/ CONTRAST | $3,276 | $3,276 | — | — | 4 |
| 4572142 | MRI CERVICAL SPINAL CANAL W/ CONTRAST | $3,248 | $3,248 | — | — | 4 |
| 4572147 | MRI THORACIC SPINAL CANAL W/ CONTRAST | $3,247 | $3,247 | — | — | 4 |
| 8025561 | ER CRITICAL CARE ROOM FEE | $3,193 | $3,193 | — | — | 4 |
| 8027607 | INCISION OF LEG OR ANKLE | $3,165 | $3,165 | — | — | 4 |
| 4071275 | CT ANGIOGRAPHY CHEST W/ CONTRAST | $3,163 | $3,163 | — | — | 4 |
| 4072133 | CT LUMBAR SPINE W/WO CONTRAST | $3,134 | $3,134 | — | — | 4 |
| 8527252 | CRITICAL CARE UP TO 74MIN | $3,129 | $3,129 | — | — | 4 |
| 4072127 | CT CERVICAL SPINE W/WO CONTRAST | $3,126 | $3,126 | — | — | 4 |
| 8033020 | PERICARDIOTOMY FOR REMOVAL OF CLOT/FB | $3,105 | $3,105 | — | — | 4 |
| 8040654 | REPAIR Linpatient FULL THICKNESS OVER HALF | $3,072 | $3,072 | — | — | 4 |
| 8027385 | SUTURE OF QUADRICEPS OR HAMSTRING MUS | $3,049 | $3,049 | — | — | 4 |
| 4572146 | MRI THORACIC SPINAL CANAL W/O CONTRAS | $3,021 | $3,021 | — | — | 4 |
| 4572159 | MRA SPINAL CANAL W/ OR W/O CONTRAST | $3,017 | $3,017 | — | — | 4 |
| 4571551 | MRI CHEST W/ CONTRAST | $3,008 | $3,008 | — | — | 4 |
| 4590011 | MRI ANY JOINT LEFT LOWER EXTREMITY W/ | $2,992 | $2,992 | — | — | 4 |
Showing top 50 of 2,613 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.