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
106
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
481
—
PLACE PTC DE STENT(S) EA ADDL ART BR LM
Gross
$19,446
361
—
STAB PHLEBECTOMY RT EXTR >20 INCISIONS
Gross
$17,905
278
—
STENT WALLFLEX DUODENAL
Gross
$17,602
323
—
XR ANGIOGRAPHY EXTREMITY S&I RT
Gross
$16,679
519
—
BX PRST8 TPRNL US GUIDED
Gross
$14,690
319
—
SOL ORG NEOPL GENO SEQ ANLYS PNL
Gross
$13,034
404
—
PET CT WHOLE BODY INITIAL
Gross
$12,174
450
—
TREAT FEM SHAFT FX CLOSED W MAN BIL
Gross
$11,295
360
—
SURGERY LEVEL 2 FIRST 30 MINUTES
Gross
$10,910
761
—
THORACENTESIS W IMAGING BIL
Gross
$7,454
610
—
MRI BREAST WO CONTRAST BIL
Gross
$6,802
750
—
COLONOSCOPY FLEXIBLE W BAND LIGATION(S)
Gross
$6,691
618
—
MRA UPPER EXT WWO CONTRAST LT
Gross
$6,403
612
—
MRI T-SPINE WWO CONTRAST
Gross
$6,343
615
—
MRA HEAD WWO CONTRAST
Gross
$6,343
174
—
ROOM NEWBORN LEVEL IV
Gross
$6,174
352
—
CT ABDOMEN-PELVIS W CONTRAST
Gross
$6,139
320
—
XR ENDO CATH PANCREATIC DUCTAL SYS S&I
Gross
$5,430
723
—
CIRCUMCISION USING CLAMP-DEV W REG BLOCK
Gross
$5,045
611
—
MRI BRAIN INCL STEM W CONTRAST
Gross
$5,023
173
—
ROOM NEWBORN LEVEL III
Gross
$4,642
200
—
ROOM INTENSIVE CARE
Gross
$4,537
614
—
MRI BREAST WO CONTRAST RT
Gross
$4,309
616
—
MRA LOWER EXT WO CONTRAST LT
Gross
$4,239
110
—
ROOM PRIVATE ISOLATION 2E-3E
Gross
$4,187
206
—
ROOM PRIVATE PCU W TELEMETRY
Gross
$4,136
480
—
CARDIOVERSION ELECTIVE EXTERNAL
Gross
$3,881
722
—
NEONATAL RESUSCITATION
Gross
$3,567
172
—
ROOM NEWBORN LEVEL II
Gross
$3,490
516
—
REPAIR WOUND COMPLEX F-A-G-HF 2.6-7.5CM
Gross
$3,103
341
—
NM BONE MARROW IMAGING WHOLE BODY
Gross
$2,916
310
—
HLA CLASS I TYPING HIGH RESOLUTION COMPL
Gross
$2,820
350
—
CT GUIDANCE FOR NEEDLE PLACEMENT S&I
Gross
$2,780
171
—
ROOM NEWBORN LEVEL I
Gross
$2,624
351
—
CT HEAD-BRAIN WWO CONTRAST
Gross
$2,601
322
—
XR ARTHOGRAPHY KNEE S&I RT
Gross
$2,520
391
—
TRANSFUSION BLOOD-BLOOD PRODUCTS
Gross
$2,384
333
—
RAD THERAPY SIMULATION INTERMEDIATE
Gross
$2,220
390
—
RBC LEUKOCYTES REDUCED EA UNIT
Gross
$2,026
482
—
CARDIOVASCULAR STRESS TEST TRACING ONLY
Gross
$1,974
331
—
CHEMO ADMIN INTO CNS INCL SPINAL PUNC
Gross
$1,926
740
—
EEG INCL AWAKE AND DROWSY RECORDING
Gross
$1,864
921
—
US DUPLEX EXTR VEINS COMPLETE BIL
Gross
$1,838
276
—
LENS IOL ACRYSOF IQ RESTOR MFT COVERED
Gross
$1,770
170
—
ROOM NEWBORN ROUTINE
Gross
$1,746
343
—
FLUORODEOXYGLUCOSE F-18 FDG STUDY DOSE
Gross
$1,698
470
—
AUDITORY EVOKED POTENTIALS SCREENING
Gross
$1,341
540
—
ALS LEVEL I NON-EMERGENT DX-TX SITE-SNF
Gross
$1,240
983
—
TREAT PHALANG SHAFT FX CL EA W MAN F3
Gross
$1,224
762
—
OBSERVATION 1ST HOUR
Gross
$1,153
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 481 | PLACE PTC DE STENT(S) EA ADDL ART BR LM | $19,446 | — | — | — | 0 |
| 361 | STAB PHLEBECTOMY RT EXTR >20 INCISIONS | $17,905 | — | — | — | 0 |
| 278 | STENT WALLFLEX DUODENAL | $17,602 | — | — | — | 0 |
| 323 | XR ANGIOGRAPHY EXTREMITY S&I RT | $16,679 | — | — | — | 0 |
| 519 | BX PRST8 TPRNL US GUIDED | $14,690 | — | — | — | 0 |
| 319 | SOL ORG NEOPL GENO SEQ ANLYS PNL | $13,034 | — | — | — | 0 |
| 404 | PET CT WHOLE BODY INITIAL | $12,174 | — | — | — | 0 |
| 450 | TREAT FEM SHAFT FX CLOSED W MAN BIL | $11,295 | — | — | — | 0 |
| 360 | SURGERY LEVEL 2 FIRST 30 MINUTES | $10,910 | — | — | — | 0 |
| 761 | THORACENTESIS W IMAGING BIL | $7,454 | — | — | — | 0 |
| 610 | MRI BREAST WO CONTRAST BIL | $6,802 | — | — | — | 0 |
| 750 | COLONOSCOPY FLEXIBLE W BAND LIGATION(S) | $6,691 | — | — | — | 0 |
| 618 | MRA UPPER EXT WWO CONTRAST LT | $6,403 | — | — | — | 0 |
| 612 | MRI T-SPINE WWO CONTRAST | $6,343 | — | — | — | 0 |
| 615 | MRA HEAD WWO CONTRAST | $6,343 | — | — | — | 0 |
| 174 | ROOM NEWBORN LEVEL IV | $6,174 | — | — | — | 0 |
| 352 | CT ABDOMEN-PELVIS W CONTRAST | $6,139 | — | — | — | 0 |
| 320 | XR ENDO CATH PANCREATIC DUCTAL SYS S&I | $5,430 | — | — | — | 0 |
| 723 | CIRCUMCISION USING CLAMP-DEV W REG BLOCK | $5,045 | — | — | — | 0 |
| 611 | MRI BRAIN INCL STEM W CONTRAST | $5,023 | — | — | — | 0 |
| 173 | ROOM NEWBORN LEVEL III | $4,642 | — | — | — | 0 |
| 200 | ROOM INTENSIVE CARE | $4,537 | — | — | — | 0 |
| 614 | MRI BREAST WO CONTRAST RT | $4,309 | — | — | — | 0 |
| 616 | MRA LOWER EXT WO CONTRAST LT | $4,239 | — | — | — | 0 |
| 110 | ROOM PRIVATE ISOLATION 2E-3E | $4,187 | — | — | — | 0 |
| 206 | ROOM PRIVATE PCU W TELEMETRY | $4,136 | — | — | — | 0 |
| 480 | CARDIOVERSION ELECTIVE EXTERNAL | $3,881 | — | — | — | 0 |
| 722 | NEONATAL RESUSCITATION | $3,567 | — | — | — | 0 |
| 172 | ROOM NEWBORN LEVEL II | $3,490 | — | — | — | 0 |
| 516 | REPAIR WOUND COMPLEX F-A-G-HF 2.6-7.5CM | $3,103 | — | — | — | 0 |
| 341 | NM BONE MARROW IMAGING WHOLE BODY | $2,916 | — | — | — | 0 |
| 310 | HLA CLASS I TYPING HIGH RESOLUTION COMPL | $2,820 | — | — | — | 0 |
| 350 | CT GUIDANCE FOR NEEDLE PLACEMENT S&I | $2,780 | — | — | — | 0 |
| 171 | ROOM NEWBORN LEVEL I | $2,624 | — | — | — | 0 |
| 351 | CT HEAD-BRAIN WWO CONTRAST | $2,601 | — | — | — | 0 |
| 322 | XR ARTHOGRAPHY KNEE S&I RT | $2,520 | — | — | — | 0 |
| 391 | TRANSFUSION BLOOD-BLOOD PRODUCTS | $2,384 | — | — | — | 0 |
| 333 | RAD THERAPY SIMULATION INTERMEDIATE | $2,220 | — | — | — | 0 |
| 390 | RBC LEUKOCYTES REDUCED EA UNIT | $2,026 | — | — | — | 0 |
| 482 | CARDIOVASCULAR STRESS TEST TRACING ONLY | $1,974 | — | — | — | 0 |
| 331 | CHEMO ADMIN INTO CNS INCL SPINAL PUNC | $1,926 | — | — | — | 0 |
| 740 | EEG INCL AWAKE AND DROWSY RECORDING | $1,864 | — | — | — | 0 |
| 921 | US DUPLEX EXTR VEINS COMPLETE BIL | $1,838 | — | — | — | 0 |
| 276 | LENS IOL ACRYSOF IQ RESTOR MFT COVERED | $1,770 | — | — | — | 0 |
| 170 | ROOM NEWBORN ROUTINE | $1,746 | — | — | — | 0 |
| 343 | FLUORODEOXYGLUCOSE F-18 FDG STUDY DOSE | $1,698 | — | — | — | 0 |
| 470 | AUDITORY EVOKED POTENTIALS SCREENING | $1,341 | — | — | — | 0 |
| 540 | ALS LEVEL I NON-EMERGENT DX-TX SITE-SNF | $1,240 | — | — | — | 0 |
| 983 | TREAT PHALANG SHAFT FX CL EA W MAN F3 | $1,224 | — | — | — | 0 |
| 762 | OBSERVATION 1ST HOUR | $1,153 | — | — | — | 0 |
Showing top 50 of 106 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.