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
2,786
Insurances with rates
16
CPT / HCPCS codes
861
Most expensive procedures (gross)
43653
$26,838
LAPAROSCOPY GASTROSTOMY
Gross
$26,838
75860
$13,970
Venography Jugular Cath RS&I
Gross
$13,970
36581
$13,449
Replace TunnelED Cv Cath
Gross
$13,449
27301
$13,165
DRAIN THIGH/KNEE LESION
Gross
$13,165
J2406
$11,976
Oritavancin (Kimyrsa) 10 mg
Gross
$11,976
20680
$11,883
Removal of support implant
Gross
$11,883
74178
$10,674
CT Abd & Pelv 1/> Regns w/wo c
Gross
$10,674
78803
$9,594
NM Rp Loclzj Tum Spect 1 Area
Gross
$9,594
73701
$9,099
CT Low Ext W/Cont Lt
Gross
$9,099
J1162
$8,574
Digifab 40 mg
Gross
$8,574
15002
$8,414
Wound PrepTRK/ARM/LEG
Gross
$8,414
73200
$8,200
CT Upper Extrm W/O Dye Lt
Gross
$8,200
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
72156
$7,805
MRI Neck Spine W/O & W/Dye
Gross
$7,805
74177
$7,796
CT Abdomen & Pelvis w/Contrast
Gross
$7,796
J1568
$7,751
Immun Globg(Igg)/Malt/Iga Ov50
Gross
$7,751
72158
$7,560
MRI Lumbar Spine W/O & W/Dye
Gross
$7,560
72127
$7,481
CT C-Spine W/O&W/Dye
Gross
$7,481
36558
$7,369
Ins Tunneled CV CATH
Gross
$7,369
0200
$7,300
Semi-Private ICU
Gross
$7,300
72157
$7,027
MRI Thoracic Spine W/O & W/Dye
Gross
$7,027
73202
$7,010
CT Uppr Extrm W/Wo Dye Lt
Gross
$7,010
49418
$6,600
Insert Tun Ip Cath Perc
Gross
$6,600
20245
$6,184
Bone Biopsy Open Deep
Gross
$6,184
15941
$6,150
Exc Isc Pres Ulc W/ Ostect
Gross
$6,150
0206
$6,113
Semi-Private Intermediate
Gross
$6,113
74175
$6,041
CT Angio Abdom W/O & W/Contras
Gross
$6,041
78227
$5,930
NM Hepatobiliary Duct ScanHIDA
Gross
$5,930
72149
$5,744
MRI Lumbar Spine W/Dye
Gross
$5,744
74170
$5,742
CT Abdomen W/O & W/Contrast
Gross
$5,742
74176
$5,740
CT Abd & Pelvis W/O Contrast
Gross
$5,740
72146
$5,709
MRI Thoracic Spine W/O Dye
Gross
$5,709
71275
$5,648
CT Angiography Chest w/Contras
Gross
$5,648
73702
$5,640
CT LO EXTR W/WO contrast BILAT
Gross
$5,640
49082
$5,584
Abd Paracentesis
Gross
$5,584
71270
$5,546
CT Chest W/O & W/Dye
Gross
$5,546
0180
$5,500
LOA - 3 Day Rule Billable
Gross
$5,500
0110
$5,500
Private General Med-Surg
Gross
$5,500
0120
$5,500
Semi-Private General Med-Surg
Gross
$5,500
0191
$5,500
Skilled Nursing RC 191
Gross
$5,500
31600
$5,445
Tracheostomy Trach Placement
Gross
$5,445
72148
$5,433
MRI Lumbar Spine W/O Dye
Gross
$5,433
J3262
$5,174
Tocilizumab 400 mg
Gross
$5,174
72130
$5,165
CT Thoracic Spine w/o&w/contra
Gross
$5,165
74181
$5,004
MRI Abdomen W/O Dye
Gross
$5,004
70470
$4,958
CT Head/Brain W/O & W/Dye
Gross
$4,958
J1306
$4,923
Inclisiran Sodium
Gross
$4,923
91110
$4,912
Gi Tract Capsule Endoscopy
Gross
$4,912
74174
$4,909
CT Angio Abd&pelv W/O&w/Contra
Gross
$4,909
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 9 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 9 |
| 36581 | Replace TunnelED Cv Cath | $13,449 | $13,449 | — | — | 9 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 9 |
| J2406 | Oritavancin (Kimyrsa) 10 mg | $11,976 | $11,976 | — | — | 11 |
| 20680 | Removal of support implant | $11,883 | $11,883 | — | — | 9 |
| 74178 | CT Abd & Pelv 1/> Regns w/wo c | $10,674 | $10,674 | — | — | 9 |
| 78803 | NM Rp Loclzj Tum Spect 1 Area | $9,594 | $9,594 | — | — | 9 |
| 73701 | CT Low Ext W/Cont Lt | $9,099 | $9,099 | — | — | 18 |
| J1162 | Digifab 40 mg | $8,574 | $8,574 | — | — | 11 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 9 |
| 73200 | CT Upper Extrm W/O Dye Lt | $8,200 | $8,200 | — | — | 9 |
| 14040 | TIS TRNFR F/C/C/M/N/A/G/H/F | $7,993 | $7,993 | — | — | 9 |
| 32550 | Insert Pleural Cath | $7,908 | $7,908 | — | — | 9 |
| 72156 | MRI Neck Spine W/O & W/Dye | $7,805 | $7,805 | — | — | 9 |
| 74177 | CT Abdomen & Pelvis w/Contrast | $7,796 | $7,796 | — | — | 9 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $7,751 | $7,751 | — | — | 11 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $7,560 | $7,560 | — | — | 9 |
| 72127 | CT C-Spine W/O&W/Dye | $7,481 | $7,481 | — | — | 9 |
| 36558 | Ins Tunneled CV CATH | $7,369 | $7,369 | — | — | 9 |
| 0200 | Semi-Private ICU | $7,300 | $7,300 | — | — | 16 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $7,027 | $7,027 | — | — | 9 |
| 73202 | CT Uppr Extrm W/Wo Dye Lt | $7,010 | $7,010 | — | — | 18 |
| 49418 | Insert Tun Ip Cath Perc | $6,600 | $6,600 | — | — | 9 |
| 20245 | Bone Biopsy Open Deep | $6,184 | $6,184 | — | — | 9 |
| 15941 | Exc Isc Pres Ulc W/ Ostect | $6,150 | $6,150 | — | — | 9 |
| 0206 | Semi-Private Intermediate | $6,113 | $6,113 | — | — | 32 |
| 74175 | CT Angio Abdom W/O & W/Contras | $6,041 | $6,041 | — | — | 9 |
| 78227 | NM Hepatobiliary Duct ScanHIDA | $5,930 | $5,930 | — | — | 9 |
| 72149 | MRI Lumbar Spine W/Dye | $5,744 | $5,744 | — | — | 9 |
| 74170 | CT Abdomen W/O & W/Contrast | $5,742 | $5,742 | — | — | 9 |
| 74176 | CT Abd & Pelvis W/O Contrast | $5,740 | $5,740 | — | — | 9 |
| 72146 | MRI Thoracic Spine W/O Dye | $5,709 | $5,709 | — | — | 9 |
| 71275 | CT Angiography Chest w/Contras | $5,648 | $5,648 | — | — | 9 |
| 73702 | CT LO EXTR W/WO contrast BILAT | $5,640 | $5,640 | — | — | 9 |
| 49082 | Abd Paracentesis | $5,584 | $5,584 | — | — | 9 |
| 71270 | CT Chest W/O & W/Dye | $5,546 | $5,546 | — | — | 9 |
| 0180 | LOA - 3 Day Rule Billable | $5,500 | $5,500 | — | — | 9 |
| 0110 | Private General Med-Surg | $5,500 | $5,500 | — | — | 15 |
| 0120 | Semi-Private General Med-Surg | $5,500 | $5,500 | — | — | 16 |
| 0191 | Skilled Nursing RC 191 | $5,500 | $5,500 | — | — | 12 |
| 31600 | Tracheostomy Trach Placement | $5,445 | $5,445 | — | — | 9 |
| 72148 | MRI Lumbar Spine W/O Dye | $5,433 | $5,433 | — | — | 9 |
| J3262 | Tocilizumab 400 mg | $5,174 | $5,174 | — | — | 11 |
| 72130 | CT Thoracic Spine w/o&w/contra | $5,165 | $5,165 | — | — | 9 |
| 74181 | MRI Abdomen W/O Dye | $5,004 | $5,004 | — | — | 9 |
| 70470 | CT Head/Brain W/O & W/Dye | $4,958 | $4,958 | — | — | 9 |
| J1306 | Inclisiran Sodium | $4,923 | $4,923 | — | — | 11 |
| 91110 | Gi Tract Capsule Endoscopy | $4,912 | $4,912 | — | — | 9 |
| 74174 | CT Angio Abd&pelv W/O&w/Contra | $4,909 | $4,909 | — | — | 9 |
Showing top 50 of 2,786 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.