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
318
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
BASELINE-PSG
—
Sleep study PSG
Gross
$6,374
COLONOSCOPY WO BIOPSY
—
Removal of polyps or growths of large bowel using an endoscope
Gross
$2,940
CT ABDOMEN AND PELVIS W/CONTRAST
—
CT scan of abdomen and pelvis with contrast
Gross
$2,673
CT ABDOMEN AND PELVIS W/WO CONTRAST
—
CT ABDOMEN AND PELVIS W/WO CONTRAST
Gross
$2,673
CT CERVICAL SPINE W/CON
—
CT CERVICAL SPINE W/CON
Gross
$2,673
CT UPPER EXTREMITY W/CONTRAST
—
CT UPPER EXTREMITY W/CONTRAST
Gross
$2,673
VENTILATOR IP/OP INITIAL
—
VENTILATOR IP/OP INITIAL
Gross
$1,858
VENTILATOR IP/OP SUBSEQUENT
—
VENTILATOR IP/OP SUBSEQUENT
Gross
$1,858
CT ABDOMEN AND PELVIS W/O CONTRAST
—
CT ABDOMEN AND PELVIS W/O CONTRAST
Gross
$1,631
US VENOUS DOPPLER W/AUG U/S BILATERAL
—
US VENOUS DOPPLER W/AUG U/S BILATERAL
Gross
$1,574
CT PELVIS W/CONTRAST
—
CT scan, pelvis, with contrast
Gross
$1,276
CT ABDOMEN W/CONTRAST
—
CT ABDOMEN W/CONTRAST
Gross
$1,276
CT CTA - CHEST W/CONTRAST
—
CT CTA - CHEST W/CONTRAST
Gross
$1,276
CT ABDOMEN W/WO CONTRAST
—
CT ABDOMEN W/WO CONTRAST
Gross
$1,276
CT BRAIN/HEAD W/WO CONT
—
CT BRAIN/HEAD W/WO CONT
Gross
$1,276
CT CHEST PE STUDY W/CONTRAST
—
CT CHEST PE STUDY W/CONTRAST
Gross
$1,276
CT BRAIN/HEAD W/CONTRAS
—
CT BRAIN/HEAD W/CONTRAS
Gross
$1,276
CT CHEST/LUNG W/WO CONT
—
CT CHEST/LUNG W/WO CONT
Gross
$1,276
CT ORBITS W/CONTRAST
—
CT ORBITS W/CONTRAST
Gross
$1,276
CT MAX/FAC W/CONTRAST
—
CT MAX/FAC W/CONTRAST
Gross
$1,276
CT NECK SOFT TISSUE W CONTRAST
—
CT NECK SOFT TISSUE W CONTRAST
Gross
$1,276
CT LOWER EXTREMITY W/CONTRAST
—
CT LOWER EXTREMITY W/CONTRAST
Gross
$1,276
CT LOWER EXTREMITY W/WO CONTRAST
—
CT LOWER EXTREMITY W/WO CONTRAST
Gross
$1,276
US VENOUS DOPPLER W/AUG U/S UNILATERAL
—
US VENOUS DOPPLER W/AUG U/S UNILATERAL
Gross
$1,152
GI PROFILE, STOOL, PCR (9183480)
—
GI PROFILE, STOOL, PCR (9183480)
Gross
$1,125
US CAROTID DOPPLER
—
US CAROTID DOPPLER
Gross
$1,117
IV INFUSION - INITIAL HOUR
—
IV INFUSION - INITIAL HOUR
Gross
$919
IV PUSH SINGLE OR INITIAL
—
IV PUSH SINGLE OR INITIAL
Gross
$919
IV INFUSION - HYDRATE INITIAL
—
IV INFUSION - HYDRATE INITIAL
Gross
$919
CT BRAIN/HEAD W/O CONTR
—
CT scan, head or brain, without contrast
Gross
$785
US ABDOMEN COMPLETE
—
Ultrasound of abdomen
Gross
$785
US PREGNANT UTERUS
—
Abdominal ultrasound of pregnant uterus, greater or equal to 14 weeks 0 days, single or first fetus
Gross
$785
US PELVIC ECHOGRAPHY TV
—
Ultrasound pelvis through vagina
Gross
$785
US PEVLIC COMPLETE U/S
—
US PELVIC NON OB COMP
Gross
$785
US THYROID U/S
—
US THYROID U/S
Gross
$785
CT CHEST/LUNG W/O CONTR
—
CT CHEST/LUNG W/O CONTR
Gross
$785
US SOFT TISSUE LIMITED NONVASCULAR
—
US SOFT TISSUE LIMITED NONVASCULAR
Gross
$785
US RENAL AORTA NODES LIMITED
—
US RENAL AORTA NODES LIMITED
Gross
$785
CT LUMBAR SPINE W/O
—
CT LUMBAR SPINE W/O
Gross
$785
US OB LIMITED UTERUS W/IMGE DO
—
US OB LIMITED UTERUS W/IMGE DO
Gross
$785
CT NECK SOFT TISSUE W/O
—
CT NECK SOFT TISSUE W/O
Gross
$785
CT CERVICAL SPINE W/O C
—
CT CERVICAL SPINE W/O C
Gross
$785
CT PELVIS W/O CONTRAST
—
CT PELVIS W/O CONTRAST
Gross
$785
CT LOWER EXTREMITY W/O CONTRA
—
CT LOWER EXTREMITY W/O CONTRA
Gross
$785
US LIVER U/S
—
US LIVER U/S
Gross
$785
US RENAL AORTA NODES COMP
—
US RENAL AORTA NODES COMP
Gross
$785
CT ABDOMEN W/O CONTRAST
—
CT ABDOMEN W/O CONTRAST
Gross
$785
CT ORBITS W/O CONTRAST
—
CT ORBITS W/O CONTRAST
Gross
$785
CT MAX/FAC W/O CONTRAST
—
CT MAX/FAC W/O CONTRAST
Gross
$785
CT THORACIC SPINE W/O C
—
CT THORACIC SPINE W/O C
Gross
$785
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| BASELINE-PSG | Sleep study PSG | $6,374 | — | $1,275 | $4,462 | 0 |
| COLONOSCOPY WO BIOPSY | Removal of polyps or growths of large bowel using an endoscope | $2,940 | — | $588 | $2,058 | 0 |
| CT ABDOMEN AND PELVIS W/CONTRAST | CT scan of abdomen and pelvis with contrast | $2,673 | — | $535 | $1,871 | 0 |
| CT ABDOMEN AND PELVIS W/WO CONTRAST | CT ABDOMEN AND PELVIS W/WO CONTRAST | $2,673 | — | $535 | $1,871 | 0 |
| CT CERVICAL SPINE W/CON | CT CERVICAL SPINE W/CON | $2,673 | — | $535 | $1,871 | 0 |
| CT UPPER EXTREMITY W/CONTRAST | CT UPPER EXTREMITY W/CONTRAST | $2,673 | — | $535 | $1,871 | 0 |
| VENTILATOR IP/OP INITIAL | VENTILATOR IP/OP INITIAL | $1,858 | — | $372 | $1,301 | 0 |
| VENTILATOR IP/OP SUBSEQUENT | VENTILATOR IP/OP SUBSEQUENT | $1,858 | — | $372 | $1,301 | 0 |
| CT ABDOMEN AND PELVIS W/O CONTRAST | CT ABDOMEN AND PELVIS W/O CONTRAST | $1,631 | — | $326 | $1,142 | 0 |
| US VENOUS DOPPLER W/AUG U/S BILATERAL | US VENOUS DOPPLER W/AUG U/S BILATERAL | $1,574 | — | $315 | $1,102 | 0 |
| CT PELVIS W/CONTRAST | CT scan, pelvis, with contrast | $1,276 | — | $255 | $893 | 0 |
| CT ABDOMEN W/CONTRAST | CT ABDOMEN W/CONTRAST | $1,276 | — | $255 | $893 | 0 |
| CT CTA - CHEST W/CONTRAST | CT CTA - CHEST W/CONTRAST | $1,276 | — | $255 | $893 | 0 |
| CT ABDOMEN W/WO CONTRAST | CT ABDOMEN W/WO CONTRAST | $1,276 | — | $255 | $893 | 0 |
| CT BRAIN/HEAD W/WO CONT | CT BRAIN/HEAD W/WO CONT | $1,276 | — | $255 | $893 | 0 |
| CT CHEST PE STUDY W/CONTRAST | CT CHEST PE STUDY W/CONTRAST | $1,276 | — | $255 | $893 | 0 |
| CT BRAIN/HEAD W/CONTRAS | CT BRAIN/HEAD W/CONTRAS | $1,276 | — | $255 | $893 | 0 |
| CT CHEST/LUNG W/WO CONT | CT CHEST/LUNG W/WO CONT | $1,276 | — | $255 | $893 | 0 |
| CT ORBITS W/CONTRAST | CT ORBITS W/CONTRAST | $1,276 | — | $255 | $893 | 0 |
| CT MAX/FAC W/CONTRAST | CT MAX/FAC W/CONTRAST | $1,276 | — | $255 | $893 | 0 |
| CT NECK SOFT TISSUE W CONTRAST | CT NECK SOFT TISSUE W CONTRAST | $1,276 | — | $255 | $893 | 0 |
| CT LOWER EXTREMITY W/CONTRAST | CT LOWER EXTREMITY W/CONTRAST | $1,276 | — | $255 | $893 | 0 |
| CT LOWER EXTREMITY W/WO CONTRAST | CT LOWER EXTREMITY W/WO CONTRAST | $1,276 | — | $255 | $893 | 0 |
| US VENOUS DOPPLER W/AUG U/S UNILATERAL | US VENOUS DOPPLER W/AUG U/S UNILATERAL | $1,152 | — | $230 | $807 | 0 |
| GI PROFILE, STOOL, PCR (9183480) | GI PROFILE, STOOL, PCR (9183480) | $1,125 | — | $225 | $788 | 0 |
| US CAROTID DOPPLER | US CAROTID DOPPLER | $1,117 | — | $223 | $782 | 0 |
| IV INFUSION - INITIAL HOUR | IV INFUSION - INITIAL HOUR | $919 | — | $184 | $643 | 0 |
| IV PUSH SINGLE OR INITIAL | IV PUSH SINGLE OR INITIAL | $919 | — | $184 | $643 | 0 |
| IV INFUSION - HYDRATE INITIAL | IV INFUSION - HYDRATE INITIAL | $919 | — | $184 | $643 | 0 |
| CT BRAIN/HEAD W/O CONTR | CT scan, head or brain, without contrast | $785 | — | $157 | $550 | 0 |
| US ABDOMEN COMPLETE | Ultrasound of abdomen | $785 | — | $157 | $550 | 0 |
| US PREGNANT UTERUS | Abdominal ultrasound of pregnant uterus, greater or equal to 14 weeks 0 days, single or first fetus | $785 | — | $157 | $550 | 0 |
| US PELVIC ECHOGRAPHY TV | Ultrasound pelvis through vagina | $785 | — | $157 | $550 | 0 |
| US PEVLIC COMPLETE U/S | US PELVIC NON OB COMP | $785 | — | $157 | $550 | 0 |
| US THYROID U/S | US THYROID U/S | $785 | — | $157 | $550 | 0 |
| CT CHEST/LUNG W/O CONTR | CT CHEST/LUNG W/O CONTR | $785 | — | $157 | $550 | 0 |
| US SOFT TISSUE LIMITED NONVASCULAR | US SOFT TISSUE LIMITED NONVASCULAR | $785 | — | $157 | $550 | 0 |
| US RENAL AORTA NODES LIMITED | US RENAL AORTA NODES LIMITED | $785 | — | $157 | $550 | 0 |
| CT LUMBAR SPINE W/O | CT LUMBAR SPINE W/O | $785 | — | $157 | $550 | 0 |
| US OB LIMITED UTERUS W/IMGE DO | US OB LIMITED UTERUS W/IMGE DO | $785 | — | $157 | $550 | 0 |
| CT NECK SOFT TISSUE W/O | CT NECK SOFT TISSUE W/O | $785 | — | $157 | $550 | 0 |
| CT CERVICAL SPINE W/O C | CT CERVICAL SPINE W/O C | $785 | — | $157 | $550 | 0 |
| CT PELVIS W/O CONTRAST | CT PELVIS W/O CONTRAST | $785 | — | $157 | $550 | 0 |
| CT LOWER EXTREMITY W/O CONTRA | CT LOWER EXTREMITY W/O CONTRA | $785 | — | $157 | $550 | 0 |
| US LIVER U/S | US LIVER U/S | $785 | — | $157 | $550 | 0 |
| US RENAL AORTA NODES COMP | US RENAL AORTA NODES COMP | $785 | — | $157 | $550 | 0 |
| CT ABDOMEN W/O CONTRAST | CT ABDOMEN W/O CONTRAST | $785 | — | $157 | $550 | 0 |
| CT ORBITS W/O CONTRAST | CT ORBITS W/O CONTRAST | $785 | — | $157 | $550 | 0 |
| CT MAX/FAC W/O CONTRAST | CT MAX/FAC W/O CONTRAST | $785 | — | $157 | $550 | 0 |
| CT THORACIC SPINE W/O C | CT THORACIC SPINE W/O C | $785 | — | $157 | $550 | 0 |
Showing top 50 of 318 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.