45 CFR § 180 compliance
F · 55
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
1,598
Insurances with rates
17
CPT / HCPCS codes
735
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 610 | HC - MRA NECK W/O &W/CONTRAST MATERIAL | $6,218 | $6,218 | — | — | 34 |
| 618 | HC - MRA SPINAL CANAL WITHOUT CONTRAST, SPINAL CANAL AND CONTENTS | $5,142 | $5,142 | — | — | 33 |
| 615 | HC - MRA HEAD W/O CONTRST MATERIAL | $4,413 | $4,413 | — | — | 34 |
| 619 | HC - MRI TEMPOROMANDIBULAR JOINT | $4,290 | $4,290 | — | — | 34 |
| 612 | HC - MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | $3,697 | $3,697 | — | — | 34 |
| 720 | HC - VAGINAL DELIVERY ONLY | $3,280 | $3,280 | — | — | 31 |
| 750 | HC - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $3,168 | $3,168 | — | — | 31 |
| 120 | HC - ROOM RATE - SEMI-PRIVATE | $2,892 | $2,892 | — | — | 38 |
| 483 | HC - ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | $2,839 | $2,839 | — | — | 31 |
| 351 | HC - CT HEAD/BRAIN W/O CONTRAST MATERIAL | $2,106 | $2,106 | — | — | 34 |
| 350 | HC - COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | $2,042 | $2,042 | — | — | 34 |
| 352 | HC - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST | $2,042 | $2,042 | — | — | 34 |
| 19083 | PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID | $1,851 | $1,851 | — | — | 40 |
| 921 | HC - DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY | $1,783 | $1,783 | — | — | 31 |
| 90380 | PR RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE | $1,767 | $1,767 | — | — | 15 |
| 90381 | PR RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE | $1,767 | $1,767 | — | — | 15 |
| 482 | HC - CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $1,361 | $1,361 | — | — | 31 |
| 77778 | CHG INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX | $1,357 | $1,357 | — | — | 40 |
| 77763 | CHG INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX | $1,341 | $1,341 | — | — | 40 |
| 390 | HC - RED BLOOD CELLS, LEUKOCYTES REDUCED, EACH UNIT | $1,189 | $1,189 | — | — | 29 |
| 391 | HC - TRANSFUSION BLOOD/BLOOD COMPONENTS | $1,161 | $1,161 | — | — | 31 |
| 335 | HC - CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG | $1,020 | $1,020 | — | — | 31 |
| 306 | HC - MAYO IODINE, SERUM | $964 | $964 | — | — | 31 |
| 45390 | PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION | $928 | $928 | — | — | 40 |
| 329 | HC - DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL | $904 | $904 | — | — | 34 |
| 77762 | CHG INTRACAVITARY RADIATION SOURCE APPLIC INTERMED | $892 | $892 | — | — | 40 |
| 636 | PR RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ | $844 | $844 | — | — | 35 |
| 77772 | CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS | $831 | $831 | — | — | 40 |
| 77750 | CHG NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE | $775 | $775 | — | — | 40 |
| 43254 | PR EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION | $753 | $753 | — | — | 40 |
| 90792 | PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES | $700 | $700 | — | — | 41 |
| 762 | HC - DIRECT ADMISSION OF PATIENT FOR HOSPITAL OBSERVATION CARE | $674 | $674 | — | — | 31 |
| 361 | HC - REMOVAL INTRAUTERINE DEVICE IUD | $658 | $658 | — | — | 39 |
| 90791 | PR PSYCHIATRIC DIAGNOSTIC EVALUATION | $623 | $623 | — | — | 41 |
| 982 | PR INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB | $610 | $610 | — | — | 40 |
| 320 | HC - RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY | $608 | $608 | — | — | 34 |
| 77761 | CHG INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE | $596 | $596 | — | — | 40 |
| 90621 | PR MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM | $589 | $589 | — | — | 18 |
| 77771 | CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL | $588 | $588 | — | — | 40 |
| 90837 | PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $577 | $577 | — | — | 41 |
| 98003 | PR SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN | $573 | $573 | — | — | 16 |
| 90839 | PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES | $554 | $554 | — | — | 40 |
| 401 | HC - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $537 | $537 | — | — | 33 |
| 94729 | PR CO DIFFUSING CAPACITY | $530 | $530 | — | — | 40 |
| 90697 | PR DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR | $530 | $530 | — | — | 17 |
| 94726 | PR PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST | $524 | $524 | — | — | 40 |
| 98011 | PR SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN | $524 | $524 | — | — | 16 |
| 402 | HC - OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN | $477 | $477 | — | — | 34 |
| 90838 | PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN | $457 | $457 | — | — | 41 |
| 77307 | CHG TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY | $449 | $449 | — | — | 40 |
Showing top 50 of 1,598 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.