45 CFR § 180 compliance
C · 70
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
154
Insurances with rates
13
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
278
—
NM Yttrium-90 APC2616/U
Gross
$37,910
275
—
CRT-D MOMENTUM DF1
Gross
$29,410
481
—
PERC D-E COR REVAS T CABG SING
Gross
$29,126
342
—
IR INTRSTL RAD SRC APP CMPLX
Gross
$23,567
359
—
IR CT MWRF ABLATE BONE LEFT
Gross
$22,083
350
—
IR CT MWRF ABLATE BONE RIGHT
Gross
$22,083
352
—
IR CT PULM CRYO ABL RIGHT
Gross
$13,639
519
—
EXC FOOT/TOE TUM DEP 1.5CM/>
Gross
$10,400
343
—
NM CU-64 DETECTNET 4MCI
Gross
$8,251
724
—
ANTEPARTUM MANIPULATION
Gross
$8,175
323
—
IR Thrc Aortography Wo Srlgry
Gross
$7,327
750
—
UNLISTED PROC INTESTINE
Gross
$7,267
720
—
D & C PROCEDURE
Gross
$5,674
404
—
NM PET BRAIN METABOLIC
Gross
$5,241
683
—
ER TRAUMA ACTIVATION LEVEL I
Gross
$4,219
360
—
CLARIFIX CRYOTHERAPY DEVICE
Gross
$4,169
333
—
HDR ELECT BRACHYTHERAPY
Gross
$4,055
616
—
MRA Lower Ext WWO Cont Left
Gross
$3,474
302
—
ARC xHEA RBC Panel
Gross
$3,409
618
—
MRA CHEST W & W/O CONTRAST
Gross
$3,335
611
—
MRI BRACHIAL PLEXUS, W & W/O
Gross
$3,283
615
—
MRA HEAD WO CONTRAST
Gross
$3,283
300
—
Respiratory Comp Panel 2
Gross
$3,253
330
—
IR Y90 SIMULATION COMPLEX
Gross
$3,161
610
—
MRI TMJ, W/O
Gross
$3,045
614
—
MRI BRACHIAL PLEXUS, W/O
Gross
$3,045
612
—
MRI CERVICAL SPINE, W/O
Gross
$3,045
339
—
IR SPECIAL TX PROC
Gross
$2,838
320
—
US FNA BX W/US GDN 1ST LES
Gross
$2,590
483
—
US/USV Echo Stress W Definity
Gross
$2,573
200
—
2 NORTH INTENSIVE CARE
Gross
$2,390
369
—
IR PLACEMENT CHOLEDOCHAL STENT
Gross
$2,201
801
—
IP HD SERVICES (1:1)
Gross
$2,135
391
—
TRANSFUSION BLOOD OR COMPONENT
Gross
$2,019
489
—
CARDIOVERSION, INTERNAL
Gross
$2,011
804
—
IP NO PART A CCPD SERVICES
Gross
$2,008
830
—
OP (NOT ESRD) PD SERVICES
Gross
$2,008
351
—
CT BRAIN, VENOGRAM
Gross
$2,004
120
—
Obs Med/Surg Tele
Gross
$1,971
206
—
EDOF Med/Surg Tele
Gross
$1,971
840
—
OP (NOT ESRD) CAPD SERVICES
Gross
$1,912
850
—
OP (NOT ESRD) CCPD SERVICES
Gross
$1,912
802
—
IP PD SERVICES
Gross
$1,891
480
—
2D TTE W or WO Fol W Con Fu
Gross
$1,659
276
—
Lens Acrysof Iq Toric SN6AT
Gross
$1,634
482
—
PHARMACOLOGY STRESS TEST EKG
Gross
$1,592
762
—
4 EAST/ISO DIRECT ADMIT
Gross
$1,583
402
—
PERQ DEV SOFT TISS ADD IMAGE
Gross
$1,480
340
—
NM Rad Tracer ID Sentinl Node
Gross
$1,463
319
—
Kit Gene Targeted Seq Analysis
Gross
$1,463
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 278 | NM Yttrium-90 APC2616/U | $37,910 | — | — | — | 18 |
| 275 | CRT-D MOMENTUM DF1 | $29,410 | — | — | — | 11 |
| 481 | PERC D-E COR REVAS T CABG SING | $29,126 | — | — | — | 18 |
| 342 | IR INTRSTL RAD SRC APP CMPLX | $23,567 | — | — | — | 18 |
| 359 | IR CT MWRF ABLATE BONE LEFT | $22,083 | — | — | — | 18 |
| 350 | IR CT MWRF ABLATE BONE RIGHT | $22,083 | — | — | — | 18 |
| 352 | IR CT PULM CRYO ABL RIGHT | $13,639 | — | — | — | 18 |
| 519 | EXC FOOT/TOE TUM DEP 1.5CM/> | $10,400 | — | — | — | 18 |
| 343 | NM CU-64 DETECTNET 4MCI | $8,251 | — | — | — | 18 |
| 724 | ANTEPARTUM MANIPULATION | $8,175 | — | — | — | 18 |
| 323 | IR Thrc Aortography Wo Srlgry | $7,327 | — | — | — | 18 |
| 750 | UNLISTED PROC INTESTINE | $7,267 | — | — | — | 18 |
| 720 | D & C PROCEDURE | $5,674 | — | — | — | 18 |
| 404 | NM PET BRAIN METABOLIC | $5,241 | — | — | — | 18 |
| 683 | ER TRAUMA ACTIVATION LEVEL I | $4,219 | — | — | — | 18 |
| 360 | CLARIFIX CRYOTHERAPY DEVICE | $4,169 | — | — | — | 18 |
| 333 | HDR ELECT BRACHYTHERAPY | $4,055 | — | — | — | 18 |
| 616 | MRA Lower Ext WWO Cont Left | $3,474 | — | — | — | 18 |
| 302 | ARC xHEA RBC Panel | $3,409 | — | — | — | 18 |
| 618 | MRA CHEST W & W/O CONTRAST | $3,335 | — | — | — | 18 |
| 611 | MRI BRACHIAL PLEXUS, W & W/O | $3,283 | — | — | — | 18 |
| 615 | MRA HEAD WO CONTRAST | $3,283 | — | — | — | 18 |
| 300 | Respiratory Comp Panel 2 | $3,253 | — | — | — | 18 |
| 330 | IR Y90 SIMULATION COMPLEX | $3,161 | — | — | — | 18 |
| 610 | MRI TMJ, W/O | $3,045 | — | — | — | 18 |
| 614 | MRI BRACHIAL PLEXUS, W/O | $3,045 | — | — | — | 18 |
| 612 | MRI CERVICAL SPINE, W/O | $3,045 | — | — | — | 18 |
| 339 | IR SPECIAL TX PROC | $2,838 | — | — | — | 18 |
| 320 | US FNA BX W/US GDN 1ST LES | $2,590 | — | — | — | 18 |
| 483 | US/USV Echo Stress W Definity | $2,573 | — | — | — | 18 |
| 200 | 2 NORTH INTENSIVE CARE | $2,390 | — | — | — | 11 |
| 369 | IR PLACEMENT CHOLEDOCHAL STENT | $2,201 | — | — | — | 11 |
| 801 | IP HD SERVICES (1:1) | $2,135 | — | — | — | 11 |
| 391 | TRANSFUSION BLOOD OR COMPONENT | $2,019 | — | — | — | 18 |
| 489 | CARDIOVERSION, INTERNAL | $2,011 | — | — | — | 18 |
| 804 | IP NO PART A CCPD SERVICES | $2,008 | — | — | — | 18 |
| 830 | OP (NOT ESRD) PD SERVICES | $2,008 | — | — | — | 18 |
| 351 | CT BRAIN, VENOGRAM | $2,004 | — | — | — | 18 |
| 120 | Obs Med/Surg Tele | $1,971 | — | — | — | 11 |
| 206 | EDOF Med/Surg Tele | $1,971 | — | — | — | 11 |
| 840 | OP (NOT ESRD) CAPD SERVICES | $1,912 | — | — | — | 18 |
| 850 | OP (NOT ESRD) CCPD SERVICES | $1,912 | — | — | — | 18 |
| 802 | IP PD SERVICES | $1,891 | — | — | — | 11 |
| 480 | 2D TTE W or WO Fol W Con Fu | $1,659 | — | — | — | 18 |
| 276 | Lens Acrysof Iq Toric SN6AT | $1,634 | — | — | — | 11 |
| 482 | PHARMACOLOGY STRESS TEST EKG | $1,592 | — | — | — | 18 |
| 762 | 4 EAST/ISO DIRECT ADMIT | $1,583 | — | — | — | 18 |
| 402 | PERQ DEV SOFT TISS ADD IMAGE | $1,480 | — | — | — | 18 |
| 340 | NM Rad Tracer ID Sentinl Node | $1,463 | — | — | — | 18 |
| 319 | Kit Gene Targeted Seq Analysis | $1,463 | — | — | — | 18 |
Showing top 50 of 154 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.