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
1,309
Insurances with rates
0
CPT / HCPCS codes
1,210
Source MRF
Most expensive procedures (gross)
C1781
—
MESH DUAL GORE
Gross
$9,996
81299
—
CHROMOSOMAL MICROARRAY
Gross
$5,200
81211
—
BRCA 1, 2
Gross
$4,854
90371
—
HEPATITIS B IG
Gross
$4,290
86711
—
JCV ANTIBODY INDEX
Gross
$3,545
74174
—
CTA ABDOMEN AND PELVIS
Gross
$3,176
74178
—
CT ABD/PELVIS W AND W/O
Gross
$3,176
J9217
—
LUPRON DEPO 7.5MG
Gross
$2,964
73706
—
CTA LOWER EXTREMITY
Gross
$2,923
74175
—
CT ANGIO ABD/PELVIS
Gross
$2,923
74177
—
CT ABD/PELVIS W
Gross
$2,923
72158
—
MRI LUMBAR SPINE W/ & W/OUT CO
Gross
$2,636
Q2006
—
DIGIBIND
Gross
$2,559
72157
—
MRI THORACIC SPINE W/ & W/O CO
Gross
$2,493
Q0136
—
PROCRIT INJ SOL 40000U/ML
Gross
$2,359
72149
—
MRI LUMBAR SPINE W/CONTRAST
Gross
$2,351
72156
—
MRI CHEST W/ AND W/O CONTR
Gross
$2,351
74176
—
CT ABD/PELVIS W/O
Gross
$2,227
72147
—
MRI THORACIC SPINE W/CONTR
Gross
$2,208
75635
—
CTA AORTO ILIOFEMORAL RUNOFF
Gross
$2,162
75563
—
CARDIAC FUNCT W/ OR W/O MORPH
Gross
$2,137
71551
—
MRI CHEST W/CONTRAST
Gross
$2,066
72142
—
MRI CERVICAL SPINE W/CONTR
Gross
$2,066
86384
—
REFLEX FOR REBIF AB
Gross
$2,008
70543
—
MRI ORBIT FACE & NECK W/O CONT
Gross
$1,994
70549
—
MRA NECK
Gross
$1,994
70553
—
MRI BRAIN W/O & W/ CONTR
Gross
$1,994
71550
—
MRI CHEST W/O CONTRAST
Gross
$1,994
72148
—
MRI LUMBAR SPINE W/O CONTRAST
Gross
$1,994
73723
—
MRI HIP KNEE ANKLE W/& W/O CON
Gross
$1,994
74183
—
MRI ABDOMEN W/& W/OUT CONTRAST
Gross
$1,994
75559
—
CARDIAC MORPHOLOGY W/CONTRAST
Gross
$1,994
70559
—
MRI BREAST BILATERAL
Gross
$1,924
72197
—
MRI PELVIS W/& W/O CONTRAST
Gross
$1,924
73223
—
MRI SHOULD ELBOW WRIST W/& W/O
Gross
$1,924
J2430
—
AREDIA 90MG
Gross
$1,923
72146
—
MRI THORACIC SPINE W/O CONTR
Gross
$1,852
74170
—
CT ABD W AND W/O
Gross
$1,811
70544
—
MRA BRAIN
Gross
$1,781
70552
—
MRI BRAIN WITH CONTRAST
Gross
$1,781
73222
—
MRI SHOULDER ELBOW WRIST W/CON
Gross
$1,781
73722
—
MRI HIP KNEE ANKLE W/CONT
Gross
$1,781
74182
—
MRI ABDOMEN W/CONTRAST
Gross
$1,781
75552
—
CARDIAC MORPHOLOGY W/O CONT
Gross
$1,781
75565
—
CARDIAC FLOW MAP W/OR W/OUT MO
Gross
$1,781
77084
—
BONE MARROW BLOOD SUPPLY
Gross
$1,781
72133
—
CT L SPINE W AND W/O
Gross
$1,747
71270
—
CT CHEST W AND W/O
Gross
$1,725
71275
—
CTA CHEST
Gross
$1,725
72141
—
MRI CERVICAL SPINE W/O CONT
Gross
$1,709
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1781 | MESH DUAL GORE | $9,996 | — | — | — | 0 |
| 81299 | CHROMOSOMAL MICROARRAY | $5,200 | — | — | — | 0 |
| 81211 | BRCA 1, 2 | $4,854 | — | — | — | 0 |
| 90371 | HEPATITIS B IG | $4,290 | — | — | — | 0 |
| 86711 | JCV ANTIBODY INDEX | $3,545 | — | — | — | 0 |
| 74174 | CTA ABDOMEN AND PELVIS | $3,176 | — | — | — | 0 |
| 74178 | CT ABD/PELVIS W AND W/O | $3,176 | — | — | — | 0 |
| J9217 | LUPRON DEPO 7.5MG | $2,964 | — | — | — | 0 |
| 73706 | CTA LOWER EXTREMITY | $2,923 | — | — | — | 0 |
| 74175 | CT ANGIO ABD/PELVIS | $2,923 | — | — | — | 0 |
| 74177 | CT ABD/PELVIS W | $2,923 | — | — | — | 0 |
| 72158 | MRI LUMBAR SPINE W/ & W/OUT CO | $2,636 | — | — | — | 0 |
| Q2006 | DIGIBIND | $2,559 | — | — | — | 0 |
| 72157 | MRI THORACIC SPINE W/ & W/O CO | $2,493 | — | — | — | 0 |
| Q0136 | PROCRIT INJ SOL 40000U/ML | $2,359 | — | — | — | 0 |
| 72149 | MRI LUMBAR SPINE W/CONTRAST | $2,351 | — | — | — | 0 |
| 72156 | MRI CHEST W/ AND W/O CONTR | $2,351 | — | — | — | 0 |
| 74176 | CT ABD/PELVIS W/O | $2,227 | — | — | — | 0 |
| 72147 | MRI THORACIC SPINE W/CONTR | $2,208 | — | — | — | 0 |
| 75635 | CTA AORTO ILIOFEMORAL RUNOFF | $2,162 | — | — | — | 0 |
| 75563 | CARDIAC FUNCT W/ OR W/O MORPH | $2,137 | — | — | — | 0 |
| 71551 | MRI CHEST W/CONTRAST | $2,066 | — | — | — | 0 |
| 72142 | MRI CERVICAL SPINE W/CONTR | $2,066 | — | — | — | 0 |
| 86384 | REFLEX FOR REBIF AB | $2,008 | — | — | — | 0 |
| 70543 | MRI ORBIT FACE & NECK W/O CONT | $1,994 | — | — | — | 0 |
| 70549 | MRA NECK | $1,994 | — | — | — | 0 |
| 70553 | MRI BRAIN W/O & W/ CONTR | $1,994 | — | — | — | 0 |
| 71550 | MRI CHEST W/O CONTRAST | $1,994 | — | — | — | 0 |
| 72148 | MRI LUMBAR SPINE W/O CONTRAST | $1,994 | — | — | — | 0 |
| 73723 | MRI HIP KNEE ANKLE W/& W/O CON | $1,994 | — | — | — | 0 |
| 74183 | MRI ABDOMEN W/& W/OUT CONTRAST | $1,994 | — | — | — | 0 |
| 75559 | CARDIAC MORPHOLOGY W/CONTRAST | $1,994 | — | — | — | 0 |
| 70559 | MRI BREAST BILATERAL | $1,924 | — | — | — | 0 |
| 72197 | MRI PELVIS W/& W/O CONTRAST | $1,924 | — | — | — | 0 |
| 73223 | MRI SHOULD ELBOW WRIST W/& W/O | $1,924 | — | — | — | 0 |
| J2430 | AREDIA 90MG | $1,923 | — | — | — | 0 |
| 72146 | MRI THORACIC SPINE W/O CONTR | $1,852 | — | — | — | 0 |
| 74170 | CT ABD W AND W/O | $1,811 | — | — | — | 0 |
| 70544 | MRA BRAIN | $1,781 | — | — | — | 0 |
| 70552 | MRI BRAIN WITH CONTRAST | $1,781 | — | — | — | 0 |
| 73222 | MRI SHOULDER ELBOW WRIST W/CON | $1,781 | — | — | — | 0 |
| 73722 | MRI HIP KNEE ANKLE W/CONT | $1,781 | — | — | — | 0 |
| 74182 | MRI ABDOMEN W/CONTRAST | $1,781 | — | — | — | 0 |
| 75552 | CARDIAC MORPHOLOGY W/O CONT | $1,781 | — | — | — | 0 |
| 75565 | CARDIAC FLOW MAP W/OR W/OUT MO | $1,781 | — | — | — | 0 |
| 77084 | BONE MARROW BLOOD SUPPLY | $1,781 | — | — | — | 0 |
| 72133 | CT L SPINE W AND W/O | $1,747 | — | — | — | 0 |
| 71270 | CT CHEST W AND W/O | $1,725 | — | — | — | 0 |
| 71275 | CTA CHEST | $1,725 | — | — | — | 0 |
| 72141 | MRI CERVICAL SPINE W/O CONT | $1,709 | — | — | — | 0 |
Showing top 50 of 1,309 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.