45 CFR § 180 compliance
D · 65
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
3,147
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
MS-DRG 001, 002; ICD 9/10 02HA0QZ, 02HA0RZ, 02HA3QZ, 02HA4QZ, 02PA0RZ, 02PA3RZ, 02PA4RZ, 02RK0JZ, 02RL0JZ, 02WA0QZ, 02WA0RZ, 02WA3QZ, 02WA3RZ, 02WA4QZ, 02WA4RZ,
—
$467,740.20
Gross
$467,740
MS-DRG 215, 222-227, 242-251, 258-262, 265, 280-293, 313
—
$9,045.60
Gross
$394,938
MS-DRG 216-221, 228, 229, 231-236, 266-274, 319, 320
—
$24,515.60
Gross
$192,405
MS-DRG 020-033, 037-042, 453-460, 471-473, 518-522
—
$4,688.40
Gross
$101,600
MS-DRG 034-036, 252-254, 263
—
$22,014.00
Gross
$92,912
MS-DRG 659-661, 693, 694, 707, 708; ICD 9/10 0TF3XZZ, 0TF4XZZ, 0TF6XZZ, 0TF7XZZ, 0TFBXZZ, 0TFCXZZ, 0WFRXZZ
—
$12,836.40
Gross
$76,306
MS-DRG 739-743, 748
—
$11,672.67
Gross
$74,187
CPT/HCPC 33200-33249, 33262-33264, 33270-33273, G0297-G0300, 0319T-0325T
—
$3,850.00
Gross
$63,378
CPT/HCPC 69433-69436, 69450, 69604, 69610, 69620, 69631-69646, 69660, 69930
—
$7,962.00
Gross
$60,167
MS-DRG 461-470, 480-482, 485-489, 492-497, 503-505, 507, 508, 510-512, 515-517; CPT/HCPC 22510, 22511, 22513-22515, 22548, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22841-22849, 22857, 23470, 23472, 23473, 27130, 27132, 27134, 27137, 27138, 27437, 27438, 27440, 27446, 27447, 27486, 27487
—
$9,283.40
Gross
$47,732
MS-DRG 054, 055, 146, 147, 180-182, 334, 339, 374-376, 435-437, 582, 583, 597, 598, 656-658, 687, 722, 723, 754, 755, 820, 822-830
—
$4,023.54
Gross
$46,125
CPT/HCPC 93000-93229, 93303, 93304, 93306-93308, 93312-93318, 93320, 93321, 93325, 93350-93352
—
$2,375.00
Gross
$45,790
CPT/HCPC 61796-61800, 63620, 63621, 77371-77373
—
$9,500.00
Gross
$37,031
MS-DRG 001-008, 010-014, 016, 017, 020-042, 113-117, 129-139, 163-168, 215-229, 231-236, 239-274, 319, 320, 326-358, 405-425, 453-489, 492-520, 570-585, 614-630, 652-675, 707-718, 734-750, 768-770, 783-788, 796-804, 817-830, 853-858, 876, 901-909, 927-929, 939-941, 955-970, 981-983, 987-989; ICD 9/10 0D16079, 0D1607A, 0D1607B, 0D1607L, 0D160J9, 0D160JA, 0D160JB, 0D160JL, 0D160K9, 0D160KA, 0D160KB, 0D160KL, 0D160Z9, 0D160ZA, 0D160ZB, 0D160ZL, 0D16479, 0D1647A, 0D1647B, 0D1647L, 0D164J9, 0D164JA, 0D164JB, 0D164JL, 0D164K9, 0D164KA, 0D164KB, 0D164KL, 0D164Z9, 0D164ZA, 0D164ZB, 0D164ZL, 0D16879, 0D1687A, 0D1687B, 0D1687L, 0D168J9, 0D168JA, 0D168JB, 0D168JL, 0D168K9, 0D168KA, 0D168KB, 0D168KL, 0D168Z9, 0D168ZA, 0D168ZB, 0D168ZL, 0D760DZ, 0D760ZZ, 0D763DZ, 0D763ZZ, 0D764DZ, 0D764ZZ, 0D767DZ, 0D767ZZ, 0D768DZ, 0D768ZZ, 0DB60Z3, 0DB60ZZ, 0DB63Z3, 0DB63ZZ, 0DB64Z3, 0DB67Z3, 0DB67ZZ, 0DB68Z3, 0DH60DZ, 0DH63DZ, 0DH64DZ, 0DH67DZ, 0DH68DZ, 0DL60CZ, 0DL60DZ, 0DL60ZZ, 0DL63CZ, 0DL63DZ, 0DL63ZZ, 0DL64CZ, 0DL64DZ, 0DL64ZZ, 0DL67DZ, 0DL67ZZ, 0DL68DZ, 0DL68ZZ, 0DL70CZ, 0DL70DZ, 0DL70ZZ, 0DL73CZ, 0DL73DZ, 0DL73ZZ, 0DL74CZ, 0DL74DZ, 0DL74ZZ, 0DL77DZ, 0DL77ZZ, 0DL78DZ, 0DL78ZZ, 0DP643Z, 0DP64CZ, 0DQ60ZZ, 0DQ63ZZ, 0DQ64ZZ, 0DQ67ZZ, 0DQ68ZZ, 0DV60CZ, 0DV60DZ, 0DV60ZZ, 0DV63CZ, 0DV63DZ, 0DV63ZZ, 0DV64CZ, 0DV64DZ, 0DV64ZZ, 0DV67ZZ, 0DV68ZZ, 0DW643Z, 0DW64CZ, 3E0G3GC, `
—
$6,439.80
Gross
$35,143
CPT/HCPC 92920, 92921, 92924, 92925, 92928, 92929, 92933, 92934, 92937, 92938, 92941, 92943, 92944, 92986, 92987, 92990, 92992, 92993, 92997, 93580, 93581, 93650, 93653-93657, C9600, C9602, C9604, C9606, C9607
—
$9,690.00
Gross
$33,223
CPT/HCPC 20690, 20692, 20693, 20900, 20902, 22513, 22514, 22548, 22551, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22612, 22841-22849, 22856, 22857, 22867, 22869, 23470-23474, 24360-24363, 24370, 24371, 27090, 27091, 27125, 27130, 27132, 27134, 27137, 27138, 27236, 27279, 27415, 27437, 27446, 27447, 27487, 27488, 27702, 27703, 29800-29847, 29850-29892, 29894-29999, 62351, 62380, 63001, 63003, 63005, 63011, 63012, 63015-63017, 63020, 63030, 63040, 63042, 63046, 63047, 63055, 63056, 63064, 63075, 63081, 63650, 64555, 64561, G0289, S2112, S2117, S2300, 0200T, 0201T, 0275T
—
$3,600.00
Gross
$31,630
07322050
$30,020
MRI UP EX W&WO CONT BI
Gross
$30,020
07322350
$30,020
MRI UP JNT W&WO CONT BI
Gross
$30,020
07372050
$30,020
MRI LOW EXT W&WO CONT BI
Gross
$30,020
07372350
$30,020
MRI LW JNT W&WO CONT BI
Gross
$30,020
$29,309.20
—
$29,309.20
Gross
$29,309
CPT/HCPC 35450-35476, 36860-36870, 37201-37203, 37206, 37208, 37209, 37215-37217, 37220-37235, 37237, 37239, 37241-37244, 92920-92944, 92973-92998, 93580-93583, 93600-93662, C9600-C9608
—
$7,950.00
Gross
$28,512
CPT/HCPC 93600-93642, 93660-93662
—
$6,150.00
Gross
$27,178
CPT/HCPC 23470, 23472-23474, 27125, 27130, 27132, 27134, 27137, 27138, 27445-27447, 27486, 27487
—
$10,600.00
Gross
$24,140
CPT/HCPC 77371-77373, G0173, G0251, G0339, G0340
—
$9,500.00
Gross
$23,772
0J1162
$23,529
DIG IMMUNE FAB PER VIAL
Gross
$23,529
0J0840
$23,240
ANTIVENIN CROFAB 1 G INJ
Gross
$23,240
CPT/HCPC 36260, 61215, 62360-62362
—
$21,476.40
Gross
$22,763
07321950
$22,657
MRI UPPER EXT W/CONT BI
Gross
$22,657
07322250
$22,391
MRI UP JNT W/CONT BI
Gross
$22,391
07371950
$22,391
MRI LOW EXT W/CONT BI
Gross
$22,391
07372250
$22,391
MRI LW JNT W/CONTRAST BI
Gross
$22,391
CPT/HCPC 54400, 54401, 54405, 54410, 54411, 54416, 54417, 55873
—
$16,918.20
Gross
$21,924
07321850
$21,865
MRI UPPER EX W/O CONT BI
Gross
$21,865
UNLSTD LUNG/PLEURA PROC
$21,367
UNLSTD LUNG/PLEURA PROC
Gross
$21,367
MS-DRG 658; CPT/HCPC 32701, 61796-61800, 63620, 63621, 77371-77373, G0339, G0340
—
$12,725.50
Gross
$21,291
BRONCH W COMP NAVIGATION
$19,859
BRONCH W COMP NAVIGATION
Gross
$19,859
INTERRUPT IVC
$19,424
INTERRUPT IVC
Gross
$19,424
07371850
$19,225
MRI LOW EXT W/O CONT BI
Gross
$19,225
MS-DRG 052-103, 121-125, 146-159, 175-208, 280-316, 368-395, 432-446, 533-566, 592-607, 637-645, 682-684, 686-690, 693-700, 722-730, 754-761, 776, 779, 789-795, 805-816, 831-849, 862-872, 880-887, 894-897, 913-923, 933-935, 945-951, 963-965, 974-977
—
$1,923.00
Gross
$18,963
DANTROLENE 250 MG INJ
$18,832
DANTROLENE 250 MG INJ
Gross
$18,832
CPT/HCPC 1926-69999, 92920-92944, 92950, 92953, 92960, 92961, 92970, 92971, 92973-92975, 92977-92979, 92986, 92987, 92990, 92992, 92993, 92997, 92998, 93580-93583, 93590-93592, G0269, G0278, G0342, S2079, C0960, C9600-C9608
—
$1,924.00
Gross
$18,462
07372150
$18,438
MRI LW JNT W/O CONT BI
Gross
$18,438
07322150
$18,183
MRI UP JNT W/O CONT BI
Gross
$18,183
074178
$17,589
CT ABD&PELVIS W&WO CONT
Gross
$17,589
ERCP W/SPHINC/PAPIL
$17,316
ERCP W/SPHINC/PAPIL
Gross
$17,316
ESOPH FLEXIBLE STENT PLC
$17,290
ESOPH FLEXIBLE STENT PLC
Gross
$17,290
ERCP W/REM STONE
$17,213
ERCP W/REM STONE
Gross
$17,213
ERCP ANY METHOD
$17,213
ERCP ANY METHOD
Gross
$17,213
07320250
$16,536
CT UP EXTRM W&W/O CON BI
Gross
$16,536
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| MS-DRG 001, 002; ICD 9/10 02HA0QZ, 02HA0RZ, 02HA3QZ, 02HA4QZ, 02PA0RZ, 02PA3RZ, 02PA4RZ, 02RK0JZ, 02RL0JZ, 02WA0QZ, 02WA0RZ, 02WA3QZ, 02WA3RZ, 02WA4QZ, 02WA4RZ, | $467,740.20 | $467,740 | — | — | — | 0 |
| MS-DRG 215, 222-227, 242-251, 258-262, 265, 280-293, 313 | $9,045.60 | $394,938 | — | — | — | 0 |
| MS-DRG 216-221, 228, 229, 231-236, 266-274, 319, 320 | $24,515.60 | $192,405 | — | — | — | 0 |
| MS-DRG 020-033, 037-042, 453-460, 471-473, 518-522 | $4,688.40 | $101,600 | — | — | — | 0 |
| MS-DRG 034-036, 252-254, 263 | $22,014.00 | $92,912 | — | — | — | 0 |
| MS-DRG 659-661, 693, 694, 707, 708; ICD 9/10 0TF3XZZ, 0TF4XZZ, 0TF6XZZ, 0TF7XZZ, 0TFBXZZ, 0TFCXZZ, 0WFRXZZ | $12,836.40 | $76,306 | — | — | — | 0 |
| MS-DRG 739-743, 748 | $11,672.67 | $74,187 | — | — | — | 0 |
| CPT/HCPC 33200-33249, 33262-33264, 33270-33273, G0297-G0300, 0319T-0325T | $3,850.00 | $63,378 | — | — | — | 0 |
| CPT/HCPC 69433-69436, 69450, 69604, 69610, 69620, 69631-69646, 69660, 69930 | $7,962.00 | $60,167 | — | — | — | 0 |
| MS-DRG 461-470, 480-482, 485-489, 492-497, 503-505, 507, 508, 510-512, 515-517; CPT/HCPC 22510, 22511, 22513-22515, 22548, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22841-22849, 22857, 23470, 23472, 23473, 27130, 27132, 27134, 27137, 27138, 27437, 27438, 27440, 27446, 27447, 27486, 27487 | $9,283.40 | $47,732 | — | — | — | 0 |
| MS-DRG 054, 055, 146, 147, 180-182, 334, 339, 374-376, 435-437, 582, 583, 597, 598, 656-658, 687, 722, 723, 754, 755, 820, 822-830 | $4,023.54 | $46,125 | — | — | — | 0 |
| CPT/HCPC 93000-93229, 93303, 93304, 93306-93308, 93312-93318, 93320, 93321, 93325, 93350-93352 | $2,375.00 | $45,790 | — | — | — | 0 |
| CPT/HCPC 61796-61800, 63620, 63621, 77371-77373 | $9,500.00 | $37,031 | — | — | — | 0 |
| MS-DRG 001-008, 010-014, 016, 017, 020-042, 113-117, 129-139, 163-168, 215-229, 231-236, 239-274, 319, 320, 326-358, 405-425, 453-489, 492-520, 570-585, 614-630, 652-675, 707-718, 734-750, 768-770, 783-788, 796-804, 817-830, 853-858, 876, 901-909, 927-929, 939-941, 955-970, 981-983, 987-989; ICD 9/10 0D16079, 0D1607A, 0D1607B, 0D1607L, 0D160J9, 0D160JA, 0D160JB, 0D160JL, 0D160K9, 0D160KA, 0D160KB, 0D160KL, 0D160Z9, 0D160ZA, 0D160ZB, 0D160ZL, 0D16479, 0D1647A, 0D1647B, 0D1647L, 0D164J9, 0D164JA, 0D164JB, 0D164JL, 0D164K9, 0D164KA, 0D164KB, 0D164KL, 0D164Z9, 0D164ZA, 0D164ZB, 0D164ZL, 0D16879, 0D1687A, 0D1687B, 0D1687L, 0D168J9, 0D168JA, 0D168JB, 0D168JL, 0D168K9, 0D168KA, 0D168KB, 0D168KL, 0D168Z9, 0D168ZA, 0D168ZB, 0D168ZL, 0D760DZ, 0D760ZZ, 0D763DZ, 0D763ZZ, 0D764DZ, 0D764ZZ, 0D767DZ, 0D767ZZ, 0D768DZ, 0D768ZZ, 0DB60Z3, 0DB60ZZ, 0DB63Z3, 0DB63ZZ, 0DB64Z3, 0DB67Z3, 0DB67ZZ, 0DB68Z3, 0DH60DZ, 0DH63DZ, 0DH64DZ, 0DH67DZ, 0DH68DZ, 0DL60CZ, 0DL60DZ, 0DL60ZZ, 0DL63CZ, 0DL63DZ, 0DL63ZZ, 0DL64CZ, 0DL64DZ, 0DL64ZZ, 0DL67DZ, 0DL67ZZ, 0DL68DZ, 0DL68ZZ, 0DL70CZ, 0DL70DZ, 0DL70ZZ, 0DL73CZ, 0DL73DZ, 0DL73ZZ, 0DL74CZ, 0DL74DZ, 0DL74ZZ, 0DL77DZ, 0DL77ZZ, 0DL78DZ, 0DL78ZZ, 0DP643Z, 0DP64CZ, 0DQ60ZZ, 0DQ63ZZ, 0DQ64ZZ, 0DQ67ZZ, 0DQ68ZZ, 0DV60CZ, 0DV60DZ, 0DV60ZZ, 0DV63CZ, 0DV63DZ, 0DV63ZZ, 0DV64CZ, 0DV64DZ, 0DV64ZZ, 0DV67ZZ, 0DV68ZZ, 0DW643Z, 0DW64CZ, 3E0G3GC, ` | $6,439.80 | $35,143 | — | — | — | 0 |
| CPT/HCPC 92920, 92921, 92924, 92925, 92928, 92929, 92933, 92934, 92937, 92938, 92941, 92943, 92944, 92986, 92987, 92990, 92992, 92993, 92997, 93580, 93581, 93650, 93653-93657, C9600, C9602, C9604, C9606, C9607 | $9,690.00 | $33,223 | — | — | — | 0 |
| CPT/HCPC 20690, 20692, 20693, 20900, 20902, 22513, 22514, 22548, 22551, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22612, 22841-22849, 22856, 22857, 22867, 22869, 23470-23474, 24360-24363, 24370, 24371, 27090, 27091, 27125, 27130, 27132, 27134, 27137, 27138, 27236, 27279, 27415, 27437, 27446, 27447, 27487, 27488, 27702, 27703, 29800-29847, 29850-29892, 29894-29999, 62351, 62380, 63001, 63003, 63005, 63011, 63012, 63015-63017, 63020, 63030, 63040, 63042, 63046, 63047, 63055, 63056, 63064, 63075, 63081, 63650, 64555, 64561, G0289, S2112, S2117, S2300, 0200T, 0201T, 0275T | $3,600.00 | $31,630 | — | — | — | 0 |
| 07322050 | MRI UP EX W&WO CONT BI | $30,020 | $30,020 | — | — | 0 |
| 07322350 | MRI UP JNT W&WO CONT BI | $30,020 | $30,020 | — | — | 0 |
| 07372050 | MRI LOW EXT W&WO CONT BI | $30,020 | $30,020 | — | — | 0 |
| 07372350 | MRI LW JNT W&WO CONT BI | $30,020 | $30,020 | — | — | 0 |
| $29,309.20 | $29,309.20 | $29,309 | — | — | — | 0 |
| CPT/HCPC 35450-35476, 36860-36870, 37201-37203, 37206, 37208, 37209, 37215-37217, 37220-37235, 37237, 37239, 37241-37244, 92920-92944, 92973-92998, 93580-93583, 93600-93662, C9600-C9608 | $7,950.00 | $28,512 | — | — | — | 0 |
| CPT/HCPC 93600-93642, 93660-93662 | $6,150.00 | $27,178 | — | — | — | 0 |
| CPT/HCPC 23470, 23472-23474, 27125, 27130, 27132, 27134, 27137, 27138, 27445-27447, 27486, 27487 | $10,600.00 | $24,140 | — | — | — | 0 |
| CPT/HCPC 77371-77373, G0173, G0251, G0339, G0340 | $9,500.00 | $23,772 | — | — | — | 0 |
| 0J1162 | DIG IMMUNE FAB PER VIAL | $23,529 | $23,529 | — | — | 0 |
| 0J0840 | ANTIVENIN CROFAB 1 G INJ | $23,240 | $23,240 | — | — | 0 |
| CPT/HCPC 36260, 61215, 62360-62362 | $21,476.40 | $22,763 | — | — | — | 0 |
| 07321950 | MRI UPPER EXT W/CONT BI | $22,657 | $22,657 | — | — | 0 |
| 07322250 | MRI UP JNT W/CONT BI | $22,391 | $22,391 | — | — | 0 |
| 07371950 | MRI LOW EXT W/CONT BI | $22,391 | $22,391 | — | — | 0 |
| 07372250 | MRI LW JNT W/CONTRAST BI | $22,391 | $22,391 | — | — | 0 |
| CPT/HCPC 54400, 54401, 54405, 54410, 54411, 54416, 54417, 55873 | $16,918.20 | $21,924 | — | — | — | 0 |
| 07321850 | MRI UPPER EX W/O CONT BI | $21,865 | $21,865 | — | — | 0 |
| UNLSTD LUNG/PLEURA PROC | UNLSTD LUNG/PLEURA PROC | $21,367 | $21,367 | — | — | 0 |
| MS-DRG 658; CPT/HCPC 32701, 61796-61800, 63620, 63621, 77371-77373, G0339, G0340 | $12,725.50 | $21,291 | — | — | — | 0 |
| BRONCH W COMP NAVIGATION | BRONCH W COMP NAVIGATION | $19,859 | $19,859 | — | — | 0 |
| INTERRUPT IVC | INTERRUPT IVC | $19,424 | $19,424 | — | — | 0 |
| 07371850 | MRI LOW EXT W/O CONT BI | $19,225 | $19,225 | — | — | 0 |
| MS-DRG 052-103, 121-125, 146-159, 175-208, 280-316, 368-395, 432-446, 533-566, 592-607, 637-645, 682-684, 686-690, 693-700, 722-730, 754-761, 776, 779, 789-795, 805-816, 831-849, 862-872, 880-887, 894-897, 913-923, 933-935, 945-951, 963-965, 974-977 | $1,923.00 | $18,963 | — | — | — | 0 |
| DANTROLENE 250 MG INJ | DANTROLENE 250 MG INJ | $18,832 | $18,832 | — | — | 0 |
| CPT/HCPC 1926-69999, 92920-92944, 92950, 92953, 92960, 92961, 92970, 92971, 92973-92975, 92977-92979, 92986, 92987, 92990, 92992, 92993, 92997, 92998, 93580-93583, 93590-93592, G0269, G0278, G0342, S2079, C0960, C9600-C9608 | $1,924.00 | $18,462 | — | — | — | 0 |
| 07372150 | MRI LW JNT W/O CONT BI | $18,438 | $18,438 | — | — | 0 |
| 07322150 | MRI UP JNT W/O CONT BI | $18,183 | $18,183 | — | — | 0 |
| 074178 | CT ABD&PELVIS W&WO CONT | $17,589 | $17,589 | — | — | 0 |
| ERCP W/SPHINC/PAPIL | ERCP W/SPHINC/PAPIL | $17,316 | $17,316 | — | — | 0 |
| ESOPH FLEXIBLE STENT PLC | ESOPH FLEXIBLE STENT PLC | $17,290 | $17,290 | — | — | 0 |
| ERCP W/REM STONE | ERCP W/REM STONE | $17,213 | $17,213 | — | — | 0 |
| ERCP ANY METHOD | ERCP ANY METHOD | $17,213 | $17,213 | — | — | 0 |
| 07320250 | CT UP EXTRM W&W/O CON BI | $16,536 | $16,536 | — | — | 0 |
Showing top 50 of 3,147 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.