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
856
Insurances with rates
0
CPT / HCPCS codes
173
Source MRF
Most expensive procedures (gross)
72159
$64,894
Mra Spine W Contrast
Gross
$162,236
01840
$55,326
Anesthesia Arterial Line Placement
Gross
$138,315
72040
$49,119
Xray exam neck spine 23 vw
Gross
$122,798
72074
$44,064
Xray exam thorac spine4 >vw
Gross
$110,159
72158
$43,229
Mri lumbar spine w o & w dye
Gross
$108,074
72197
$37,315
Mri pelvis w o & w dye
Gross
$93,287
72130
$36,227
Ct chest spine w o & w dye
Gross
$90,568
72070
$36,167
Xray exam thorac spine 2vws
Gross
$90,417
72020
$32,669
Xray exam of spine 1 view
Gross
$81,673
69420
$32,607
Incision of Eardrum
Gross
$81,516
72147
$30,417
Mri chest spine w dye
Gross
$76,043
72149
$30,417
Mri lumbar spine w dye
Gross
$76,043
72192
$28,862
Ct pelvis w o dye
Gross
$72,155
72146
$28,757
Mri chest spine w o dye
Gross
$71,892
72128
$28,213
Ct chest spine w o dye
Gross
$70,531
72141
$28,155
Mri neck spine w o dye
Gross
$70,387
72148
$28,155
Mri lumbar spine w o dye
Gross
$70,387
72190
$27,847
Xray exam of pelvis
Gross
$69,618
72131
$26,753
Ct lumbar spine w o dye
Gross
$66,882
72080
$26,060
Xray exam thoracolmb 2 > vw
Gross
$65,150
72157
$25,694
Mri chest spine w o & w dye
Gross
$64,236
72170
$23,924
Xray exam of pelvis
Gross
$59,810
72193
$23,058
Ct pelvis w dye
Gross
$57,645
72125
$22,385
Ct neck spine w o dye
Gross
$55,961
72156
$22,324
Mri neck spine w o & w dye
Gross
$55,811
72100
$21,520
Xray exam ls spine 2 3 vws
Gross
$53,800
72195
$21,391
Mri pelvis w o dye
Gross
$53,478
72275
$19,123
IR Epidurography
Gross
$47,806
0124A
$18,297
Adm Sarscv2 30mcg Pfizer Bivalent Booster
Gross
$45,743
72132
$17,700
Ct lumbar spine w dye
Gross
$44,250
72052
$17,560
Xray exam neck spine 6 >vws
Gross
$43,899
72196
$17,339
Mri pelvis w dye
Gross
$43,347
01961
$16,925
Anesthesia CSE Block
Gross
$42,313
72220
$15,956
Xray exam sacrum tailbone
Gross
$39,889
72126
$15,827
Ct neck spine w dye
Gross
$39,568
72129
$15,827
Ct chest spine w dye
Gross
$39,568
VENTILATOR INTENSIVE CARE SERVO-U BASE UNIT( - 6
$12,687
VENTILATOR INTENSIVE CARE SERVO-U BASE UNIT( - 6694800)
Gross
$31,718
SET VENTRICULAR ASSIST IMPELLA RP RIGHT HEART PU
$12,500
SET VENTRICULAR ASSIST IMPELLA RP RIGHT HEART PUMP STERILE LATEX FREE DISPOSABLE( - 004334)
Gross
$31,250
SET VENTRICULAR ASSIST 17.4X13.8IN IMPELLA CP 9.
$12,500
SET VENTRICULAR ASSIST 17.4X13.8IN IMPELLA CP 9.3IN 10-40C PUMP CONTROLLER 26.1LB( - 0048-0003)
Gross
$31,250
PUMP IAB IMPELLA 5L/MIN CATHETER MICROAXIAL( - 0
$12,500
PUMP IAB IMPELLA 5L/MIN CATHETER MICROAXIAL( - 005062)
Gross
$31,250
PUMP PERFUSION IMPELLA CARDIOPULMONARY BYPASS NO
$12,500
PUMP PERFUSION IMPELLA CARDIOPULMONARY BYPASS NONROLLER STERILE LATEX FREE DISPOSABLE( - 005082)
Gross
$31,250
72202
$12,316
Xray exam si joints 3 > vws
Gross
$30,790
CASSETTE INFUSION PUMP IMPELLA NONROLLER CONTROL
$12,000
CASSETTE INFUSION PUMP IMPELLA NONROLLER CONTROLLER NONSTERILE LATEX FREE REUSABLE CARDIOPULMONARY B
Gross
$30,000
72050
$10,613
Xray exam neck spine 4 5vws
Gross
$26,534
67930
$10,385
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick
Gross
$25,962
72133
$8,721
Ct lumbar spine w o & w dye
Gross
$21,803
69210
$7,007
Remove impacted ear wax uni
Gross
$17,516
72110
$6,780
Xray exam l2 spine 4 >vws
Gross
$16,951
72191
$5,412
Ct angiograph pelv w o&w dye
Gross
$13,530
C2622
$4,323
PROSTHESIS PENILE SPECTRA 16CM 720074-02( - 720074-02)
Gross
$10,808
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 72159 | Mra Spine W Contrast | $162,236 | $64,894 | $46,152 | $46,152 | 0 |
| 01840 | Anesthesia Arterial Line Placement | $138,315 | $55,326 | $20,972 | $133,573 | 0 |
| 72040 | Xray exam neck spine 23 vw | $122,798 | $49,119 | $20,212 | $233,998 | 0 |
| 72074 | Xray exam thorac spine4 >vw | $110,159 | $44,064 | $27,689 | $64,064 | 0 |
| 72158 | Mri lumbar spine w o & w dye | $108,074 | $43,229 | $13,210 | $36,068 | 0 |
| 72197 | Mri pelvis w o & w dye | $93,287 | $37,315 | $13,938 | $93,287 | 0 |
| 72130 | Ct chest spine w o & w dye | $90,568 | $36,227 | — | — | 0 |
| 72070 | Xray exam thorac spine 2vws | $90,417 | $36,167 | $15,357 | $88,249 | 0 |
| 72020 | Xray exam of spine 1 view | $81,673 | $32,669 | $7,671 | $30,959 | 0 |
| 69420 | Incision of Eardrum | $81,516 | $32,607 | — | — | 0 |
| 72147 | Mri chest spine w dye | $76,043 | $30,417 | $8,025 | $76,022 | 0 |
| 72149 | Mri lumbar spine w dye | $76,043 | $30,417 | $7,671 | $30,959 | 0 |
| 72192 | Ct pelvis w o dye | $72,155 | $28,862 | $6,952 | $52,680 | 0 |
| 72146 | Mri chest spine w o dye | $71,892 | $28,757 | $10,073 | $86,580 | 0 |
| 72128 | Ct chest spine w o dye | $70,531 | $28,213 | $16,702 | $72,312 | 0 |
| 72141 | Mri neck spine w o dye | $70,387 | $28,155 | $7,736 | $55,951 | 0 |
| 72148 | Mri lumbar spine w o dye | $70,387 | $28,155 | $6,289 | $70,996 | 0 |
| 72190 | Xray exam of pelvis | $69,618 | $27,847 | $903 | $58,263 | 0 |
| 72131 | Ct lumbar spine w o dye | $66,882 | $26,753 | $11,007 | $70,769 | 0 |
| 72080 | Xray exam thoracolmb 2 > vw | $65,150 | $26,060 | $9,456 | $110,433 | 0 |
| 72157 | Mri chest spine w o & w dye | $64,236 | $25,694 | $20,140 | $54,015 | 0 |
| 72170 | Xray exam of pelvis | $59,810 | $23,924 | $13,138 | $60,361 | 0 |
| 72193 | Ct pelvis w dye | $57,645 | $23,058 | $9,343 | $93,939 | 0 |
| 72125 | Ct neck spine w o dye | $55,961 | $22,385 | $11,430 | $51,455 | 0 |
| 72156 | Mri neck spine w o & w dye | $55,811 | $22,324 | $5,454 | $36,068 | 0 |
| 72100 | Xray exam ls spine 2 3 vws | $53,800 | $21,520 | $6,130 | $36,074 | 0 |
| 72195 | Mri pelvis w o dye | $53,478 | $21,391 | $2,557 | $15,949 | 0 |
| 72275 | IR Epidurography | $47,806 | $19,123 | — | — | 0 |
| 0124A | Adm Sarscv2 30mcg Pfizer Bivalent Booster | $45,743 | $18,297 | — | — | 0 |
| 72132 | Ct lumbar spine w dye | $44,250 | $17,700 | — | — | 0 |
| 72052 | Xray exam neck spine 6 >vws | $43,899 | $17,560 | $11,066 | $56,439 | 0 |
| 72196 | Mri pelvis w dye | $43,347 | $17,339 | $20,456 | $75,255 | 0 |
| 01961 | Anesthesia CSE Block | $42,313 | $16,925 | $8,352 | $42,313 | 0 |
| 72220 | Xray exam sacrum tailbone | $39,889 | $15,956 | $7,301 | $39,903 | 0 |
| 72126 | Ct neck spine w dye | $39,568 | $15,827 | — | — | 0 |
| 72129 | Ct chest spine w dye | $39,568 | $15,827 | — | — | 0 |
| VENTILATOR INTENSIVE CARE SERVO-U BASE UNIT( - 6 | VENTILATOR INTENSIVE CARE SERVO-U BASE UNIT( - 6694800) | $31,718 | $12,687 | — | — | 0 |
| SET VENTRICULAR ASSIST IMPELLA RP RIGHT HEART PU | SET VENTRICULAR ASSIST IMPELLA RP RIGHT HEART PUMP STERILE LATEX FREE DISPOSABLE( - 004334) | $31,250 | $12,500 | — | — | 0 |
| SET VENTRICULAR ASSIST 17.4X13.8IN IMPELLA CP 9. | SET VENTRICULAR ASSIST 17.4X13.8IN IMPELLA CP 9.3IN 10-40C PUMP CONTROLLER 26.1LB( - 0048-0003) | $31,250 | $12,500 | — | — | 0 |
| PUMP IAB IMPELLA 5L/MIN CATHETER MICROAXIAL( - 0 | PUMP IAB IMPELLA 5L/MIN CATHETER MICROAXIAL( - 005062) | $31,250 | $12,500 | — | — | 0 |
| PUMP PERFUSION IMPELLA CARDIOPULMONARY BYPASS NO | PUMP PERFUSION IMPELLA CARDIOPULMONARY BYPASS NONROLLER STERILE LATEX FREE DISPOSABLE( - 005082) | $31,250 | $12,500 | — | — | 0 |
| 72202 | Xray exam si joints 3 > vws | $30,790 | $12,316 | $15,681 | $34,878 | 0 |
| CASSETTE INFUSION PUMP IMPELLA NONROLLER CONTROL | CASSETTE INFUSION PUMP IMPELLA NONROLLER CONTROLLER NONSTERILE LATEX FREE REUSABLE CARDIOPULMONARY B | $30,000 | $12,000 | — | — | 0 |
| 72050 | Xray exam neck spine 4 5vws | $26,534 | $10,613 | $5,114 | $26,534 | 0 |
| 67930 | Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick | $25,962 | $10,385 | — | — | 0 |
| 72133 | Ct lumbar spine w o & w dye | $21,803 | $8,721 | $42,828 | $42,828 | 0 |
| 69210 | Remove impacted ear wax uni | $17,516 | $7,007 | — | — | 0 |
| 72110 | Xray exam l2 spine 4 >vws | $16,951 | $6,780 | $5,114 | $25,904 | 0 |
| 72191 | Ct angiograph pelv w o&w dye | $13,530 | $5,412 | — | — | 0 |
| C2622 | PROSTHESIS PENILE SPECTRA 16CM 720074-02( - 720074-02) | $10,808 | $4,323 | — | — | 0 |
Showing top 50 of 856 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.