45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
13,255
Insurances with rates
15
CPT / HCPCS codes
12,325
Most expensive procedures (gross)
78804
$29,462
NM Tumor Imaging Wb; 2+days
Gross
$29,462
78815
$28,516
NM Tumor Image Pet/CT Skul-T
Gross
$28,516
43653
$26,838
LAPAROSCOPY GASTROSTOMY
Gross
$26,838
J1459
$23,515
Immun Glob G(Igg)/Pro/Iga 0-50
Gross
$23,515
J2406
$22,095
Oritavancin (Kimyrsa) 10 mg
Gross
$22,095
J1162
$15,819
Digifab 40 mg
Gross
$15,819
J1568
$14,300
Immun Globg(Igg)/Malt/Iga Ov50
Gross
$14,300
75860
$13,970
Venography Jugular Cath RS&I
Gross
$13,970
27301
$13,165
DRAIN THIGH/KNEE LESION
Gross
$13,165
75710
$11,345
Angio Ext Unilat S&i
Gross
$11,345
75625
$11,345
Contrast Exam Abdominl Aorta
Gross
$11,345
73115
$9,687
RAD Wrist Arthrgrp S&i Lt
Gross
$9,687
J3262
$9,546
Tocilizumab 400 mg
Gross
$9,546
J0349
$8,651
INJ, Rezafungin, 1 mg
Gross
$8,651
15002
$8,414
Wound PrepTRK/ARM/LEG
Gross
$8,414
50435
$8,412
Nephrostomy Tube Chg
Gross
$8,412
74177
$8,274
CT Abdomen & Pelvis w/Contrast
Gross
$8,274
14040
$7,993
TIS TRNFR F/C/C/M/N/A/G/H/F
Gross
$7,993
32550
$7,908
Insert Pleural Cath
Gross
$7,908
78582
$7,048
NM Nuclear Scan of Lung
Gross
$7,048
75810
$6,816
RAD Vein Spleen/Liver
Gross
$6,816
J0875
$6,741
Dalbavancin HCL
Gross
$6,741
72157
$6,402
MRI Thoracic Spine W/O & W/Dye
Gross
$6,402
72158
$6,378
MRI Lumbar Spine W/O & W/Dye
Gross
$6,378
72156
$6,368
MRI Neck Spine W/O & W/Dye
Gross
$6,368
70553
$6,356
MRI Brain Stem W/O & W/Dye
Gross
$6,356
10005
$6,185
FNA BX W/US Gdn 1st Les
Gross
$6,185
C8923
$6,154
2d Tte W W/O Fol W/Contrast
Gross
$6,154
71552
$6,126
MRI Chest W/&w/O Con
Gross
$6,126
74183
$6,093
MRI Angio Abdom W Orw/O Dye
Gross
$6,093
74175
$6,041
CT Angio Abdom W/O & W/Contras
Gross
$6,041
72197
$5,986
MRI Pelvis W/O & W/Dye
Gross
$5,986
70543
$5,959
MRI Orbt/Fac/Nck W/O &w/Dye
Gross
$5,959
78227
$5,930
NM Hepatobiliary Duct ScanHIDA
Gross
$5,930
73723
$5,820
MRI Joint Lwr Extr W/O&w/Dye R
Gross
$5,820
73221
$5,787
MRI Upper Ext Jnt
Gross
$5,787
73222
$5,787
MRI Upper Ext Jnt W/ Dye
Gross
$5,787
73223
$5,780
MRI Jnt Upr Extr Jnt W/O&w/Dye
Gross
$5,780
49082
$5,584
Abd Paracentesis
Gross
$5,584
75574
$5,551
CT Angio Hrt W/3d Image
Gross
$5,551
75825
$5,551
RAD Venogrphy Caval Inferor W
Gross
$5,551
73220
$5,511
MRI Joint Upr Extrem W/Dye
Gross
$5,511
73720
$5,500
MRI Low Extrem W/&w/O Dye Rt
Gross
$5,500
74176
$5,349
CT Abd & Pelvis W/O Contrast
Gross
$5,349
70552
$5,089
MRI Brain Stem W/Dye
Gross
$5,089
72142
$5,088
MRI Neck Spine W/Dye
Gross
$5,088
72147
$5,054
MRI Thoracic Spn W/Dye
Gross
$5,054
78452
$5,052
NM Hrt Muscle Image Spect
Gross
$5,052
74182
$5,047
MRI Abdomen W Dye
Gross
$5,047
72149
$5,032
MRI Lumbar Spine W/Dye
Gross
$5,032
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 78804 | NM Tumor Imaging Wb; 2+days | $29,462 | $29,462 | — | — | 17 |
| 78815 | NM Tumor Image Pet/CT Skul-T | $28,516 | $28,516 | — | — | 20 |
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 22 |
| J1459 | Immun Glob G(Igg)/Pro/Iga 0-50 | $23,515 | $23,515 | — | — | 20 |
| J2406 | Oritavancin (Kimyrsa) 10 mg | $22,095 | $22,095 | — | — | 20 |
| J1162 | Digifab 40 mg | $15,819 | $15,819 | — | — | 17 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $14,300 | $14,300 | — | — | 20 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 20 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 20 |
| 75710 | Angio Ext Unilat S&i | $11,345 | $11,345 | — | — | 20 |
| 75625 | Contrast Exam Abdominl Aorta | $11,345 | $11,345 | — | — | 20 |
| 73115 | RAD Wrist Arthrgrp S&i Lt | $9,687 | $9,687 | — | — | 16 |
| J3262 | Tocilizumab 400 mg | $9,546 | $9,546 | — | — | 20 |
| J0349 | INJ, Rezafungin, 1 mg | $8,651 | $8,651 | — | — | 16 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 18 |
| 50435 | Nephrostomy Tube Chg | $8,412 | $8,412 | — | — | 19 |
| 74177 | CT Abdomen & Pelvis w/Contrast | $8,274 | $8,274 | — | — | 19 |
| 14040 | TIS TRNFR F/C/C/M/N/A/G/H/F | $7,993 | $7,993 | — | — | 20 |
| 32550 | Insert Pleural Cath | $7,908 | $7,908 | — | — | 21 |
| 78582 | NM Nuclear Scan of Lung | $7,048 | $7,048 | — | — | 17 |
| 75810 | RAD Vein Spleen/Liver | $6,816 | $6,816 | — | — | 18 |
| J0875 | Dalbavancin HCL | $6,741 | $6,741 | — | — | 19 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $6,402 | $6,402 | — | — | 19 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $6,378 | $6,378 | — | — | 17 |
| 72156 | MRI Neck Spine W/O & W/Dye | $6,368 | $6,368 | — | — | 19 |
| 70553 | MRI Brain Stem W/O & W/Dye | $6,356 | $6,356 | — | — | 19 |
| 10005 | FNA BX W/US Gdn 1st Les | $6,185 | $6,185 | — | — | 18 |
| C8923 | 2d Tte W W/O Fol W/Contrast | $6,154 | $6,154 | — | — | 18 |
| 71552 | MRI Chest W/&w/O Con | $6,126 | $6,126 | — | — | 17 |
| 74183 | MRI Angio Abdom W Orw/O Dye | $6,093 | $6,093 | — | — | 21 |
| 74175 | CT Angio Abdom W/O & W/Contras | $6,041 | $6,041 | — | — | 18 |
| 72197 | MRI Pelvis W/O & W/Dye | $5,986 | $5,986 | — | — | 15 |
| 70543 | MRI Orbt/Fac/Nck W/O &w/Dye | $5,959 | $5,959 | — | — | 16 |
| 78227 | NM Hepatobiliary Duct ScanHIDA | $5,930 | $5,930 | — | — | 19 |
| 73723 | MRI Joint Lwr Extr W/O&w/Dye R | $5,820 | $5,820 | — | — | 17 |
| 73221 | MRI Upper Ext Jnt | $5,787 | $5,787 | — | — | 21 |
| 73222 | MRI Upper Ext Jnt W/ Dye | $5,787 | $5,787 | — | — | 19 |
| 73223 | MRI Jnt Upr Extr Jnt W/O&w/Dye | $5,780 | $5,780 | — | — | 18 |
| 49082 | Abd Paracentesis | $5,584 | $5,584 | — | — | 20 |
| 75574 | CT Angio Hrt W/3d Image | $5,551 | $5,551 | — | — | 17 |
| 75825 | RAD Venogrphy Caval Inferor W | $5,551 | $5,551 | — | — | 18 |
| 73220 | MRI Joint Upr Extrem W/Dye | $5,511 | $5,511 | — | — | 20 |
| 73720 | MRI Low Extrem W/&w/O Dye Rt | $5,500 | $5,500 | — | — | 20 |
| 74176 | CT Abd & Pelvis W/O Contrast | $5,349 | $5,349 | — | — | 16 |
| 70552 | MRI Brain Stem W/Dye | $5,089 | $5,089 | — | — | 14 |
| 72142 | MRI Neck Spine W/Dye | $5,088 | $5,088 | — | — | 17 |
| 72147 | MRI Thoracic Spn W/Dye | $5,054 | $5,054 | — | — | 20 |
| 78452 | NM Hrt Muscle Image Spect | $5,052 | $5,052 | — | — | 18 |
| 74182 | MRI Abdomen W Dye | $5,047 | $5,047 | — | — | 18 |
| 72149 | MRI Lumbar Spine W/Dye | $5,032 | $5,032 | — | — | 21 |
Showing top 50 of 13,255 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.