45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,474
Insurances with rates
11
CPT / HCPCS codes
1,066
Most expensive procedures (gross)
81408
$6,750
MOPATH PROCEDURE LEVEL 9
Gross
$9,000
70553
$6,205
MRI BRAIN W/ + W/O CONTRAST
Gross
$8,273
72149
$6,205
MRI SPINE LUMBAR W/ CONTRAST
Gross
$8,273
72156
$6,205
MRI SPINE CERVICAL W/ + W/O CO
Gross
$8,273
72158
$6,205
MRI SPINE LUMBAR W/ + W/O CONT
Gross
$8,273
L5701
$5,584
REPLACE SOCKET ABOVE KNEE
Gross
$7,445
74177
$5,315
CT ABDOMEN/PELVIS W/ CONTRAST
Gross
$7,086
72157
$5,067
MRI SPINE THORACIC W/ + W/O CO
Gross
$6,756
L5649
$4,738
ISCH CONTAINMT/NARROW M-I SO
Gross
$6,317
70551
$4,556
MRI BRAIN W/O CONTRAST
Gross
$6,074
72141
$4,556
MRI SPINE CERVICAL W/O CONTRAS
Gross
$6,074
72146
$4,556
MRI SPINE THORACIC W/O CONTRAS
Gross
$6,074
72148
$4,556
MRI SPINE LUMBAR W/O CONTRAST
Gross
$6,074
L2036
$4,414
KAFO PLAS DOUB FREE KNEE MOL
Gross
$5,885
L0486
$4,385
TLSO RIGID LINED CUST FAB TWO
Gross
$5,846
L0484
$4,121
TLSO RIGID PLASTIC CUST FAB
Gross
$5,495
74176
$3,839
CT ABDOMEN/PELVIS W/O CONTRAST
Gross
$5,119
70470
$3,789
CT HEAD OR BRAIN W/ + W/O CONT
Gross
$5,052
71270
$3,789
CT THORAX W/ + W/O CONTRAST
Gross
$5,052
72194
$3,789
CT PELVIS W/ + W/O CONTRAST
Gross
$5,052
74170
$3,789
CT ABDOMEN W/ + W/O CONTRAST
Gross
$5,052
70544
$3,720
MRA HEAD W/O CONTRAST
Gross
$4,960
49440
$3,505
G TUBE INSERTION W/GUIDANCE
Gross
$4,673
L4631
$3,502
AFO, WALKING BOOT, CUSTOM
Gross
$4,669
L0464
$3,304
TLSO 4MOD SACRO-SCAP PRE
Gross
$4,405
384
$3,290
PLATELETS 1 UNIT
Gross
$4,387
70460
$3,254
CT HEAD OR BRAIN W/ CONTRAST
Gross
$4,339
71260
$3,254
CT THORAX W/ CONTRAST
Gross
$4,339
71275
$3,254
CT ANGIOGRAPHY CHEST W/ CONTRA
Gross
$4,339
72193
$3,254
CT PELVIS W/ CONTRAST
Gross
$4,339
74160
$3,254
CT ABDOMEN W/ CONTRAST
Gross
$4,339
L5651
$3,002
AK FLEX INNER SICKET EXT FRA
Gross
$4,003
81407
$2,857
MOPATH PROCEDURE LEVEL 8
Gross
$3,809
77301
$2,840
RADIATION IMR PLAN
Gross
$3,787
920
$2,839
PERIPHERALLY INSERTED CENTRAL
Gross
$3,785
L2020
$2,777
KAFO DBL SOLID STIRRUP BAND/
Gross
$3,702
99283
$2,740
EMERGENCY ROOM-MODERATE
Gross
$3,653
L0637
$2,641
LSO SAG-CORONAL PANEL PREFAB
Gross
$3,521
L0650
$2,641
LSO SC R ANT/POS PNL PRE OTS
Gross
$3,521
70450
$2,353
CT HEAD OR BRAIN W/O CONTRAST
Gross
$3,137
71250
$2,353
CT THORAX W/O CONTRAST
Gross
$3,137
72125
$2,353
CT SPINE CERVICAL W/O CONTRAST
Gross
$3,137
72128
$2,353
CT SPINE THORACIC W/O CONTRAST
Gross
$3,137
72131
$2,353
CT SPINE LUMBAR W/O CONTRAST
Gross
$3,137
72192
$2,353
CT PELVIS W/O CONTRAST
Gross
$3,137
73700
$2,353
CT LOWER EXTREM W/O CONTRAST
Gross
$3,137
74150
$2,353
CT ABDOMEN W/O CONTRAST
Gross
$3,137
49083
$2,331
US GUIDED PARACENTESIS
Gross
$3,108
L0640
$2,326
LSO S/C SHELL/PANEL CUSTOM
Gross
$3,101
L0631
$2,282
LSO SAG-CORO RIGID FRAME PREFB
Gross
$3,043
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 81408 | MOPATH PROCEDURE LEVEL 9 | $9,000 | $6,750 | — | — | 1 |
| 70553 | MRI BRAIN W/ + W/O CONTRAST | $8,273 | $6,205 | — | — | 1 |
| 72149 | MRI SPINE LUMBAR W/ CONTRAST | $8,273 | $6,205 | — | — | 1 |
| 72156 | MRI SPINE CERVICAL W/ + W/O CO | $8,273 | $6,205 | — | — | 1 |
| 72158 | MRI SPINE LUMBAR W/ + W/O CONT | $8,273 | $6,205 | — | — | 1 |
| L5701 | REPLACE SOCKET ABOVE KNEE | $7,445 | $5,584 | — | — | 1 |
| 74177 | CT ABDOMEN/PELVIS W/ CONTRAST | $7,086 | $5,315 | — | — | 1 |
| 72157 | MRI SPINE THORACIC W/ + W/O CO | $6,756 | $5,067 | — | — | 1 |
| L5649 | ISCH CONTAINMT/NARROW M-I SO | $6,317 | $4,738 | — | — | 1 |
| 70551 | MRI BRAIN W/O CONTRAST | $6,074 | $4,556 | — | — | 1 |
| 72141 | MRI SPINE CERVICAL W/O CONTRAS | $6,074 | $4,556 | — | — | 1 |
| 72146 | MRI SPINE THORACIC W/O CONTRAS | $6,074 | $4,556 | — | — | 1 |
| 72148 | MRI SPINE LUMBAR W/O CONTRAST | $6,074 | $4,556 | — | — | 1 |
| L2036 | KAFO PLAS DOUB FREE KNEE MOL | $5,885 | $4,414 | — | — | 1 |
| L0486 | TLSO RIGID LINED CUST FAB TWO | $5,846 | $4,385 | — | — | 1 |
| L0484 | TLSO RIGID PLASTIC CUST FAB | $5,495 | $4,121 | — | — | 1 |
| 74176 | CT ABDOMEN/PELVIS W/O CONTRAST | $5,119 | $3,839 | — | — | 1 |
| 70470 | CT HEAD OR BRAIN W/ + W/O CONT | $5,052 | $3,789 | — | — | 1 |
| 71270 | CT THORAX W/ + W/O CONTRAST | $5,052 | $3,789 | — | — | 1 |
| 72194 | CT PELVIS W/ + W/O CONTRAST | $5,052 | $3,789 | — | — | 1 |
| 74170 | CT ABDOMEN W/ + W/O CONTRAST | $5,052 | $3,789 | — | — | 1 |
| 70544 | MRA HEAD W/O CONTRAST | $4,960 | $3,720 | — | — | 1 |
| 49440 | G TUBE INSERTION W/GUIDANCE | $4,673 | $3,505 | — | — | 1 |
| L4631 | AFO, WALKING BOOT, CUSTOM | $4,669 | $3,502 | — | — | 1 |
| L0464 | TLSO 4MOD SACRO-SCAP PRE | $4,405 | $3,304 | — | — | 1 |
| 384 | PLATELETS 1 UNIT | $4,387 | $3,290 | — | — | 1 |
| 70460 | CT HEAD OR BRAIN W/ CONTRAST | $4,339 | $3,254 | — | — | 1 |
| 71260 | CT THORAX W/ CONTRAST | $4,339 | $3,254 | — | — | 1 |
| 71275 | CT ANGIOGRAPHY CHEST W/ CONTRA | $4,339 | $3,254 | — | — | 1 |
| 72193 | CT PELVIS W/ CONTRAST | $4,339 | $3,254 | — | — | 1 |
| 74160 | CT ABDOMEN W/ CONTRAST | $4,339 | $3,254 | — | — | 1 |
| L5651 | AK FLEX INNER SICKET EXT FRA | $4,003 | $3,002 | — | — | 1 |
| 81407 | MOPATH PROCEDURE LEVEL 8 | $3,809 | $2,857 | — | — | 1 |
| 77301 | RADIATION IMR PLAN | $3,787 | $2,840 | — | — | 1 |
| 920 | PERIPHERALLY INSERTED CENTRAL | $3,785 | $2,839 | — | — | 1 |
| L2020 | KAFO DBL SOLID STIRRUP BAND/ | $3,702 | $2,777 | — | — | 1 |
| 99283 | EMERGENCY ROOM-MODERATE | $3,653 | $2,740 | — | — | 1 |
| L0637 | LSO SAG-CORONAL PANEL PREFAB | $3,521 | $2,641 | — | — | 1 |
| L0650 | LSO SC R ANT/POS PNL PRE OTS | $3,521 | $2,641 | — | — | 1 |
| 70450 | CT HEAD OR BRAIN W/O CONTRAST | $3,137 | $2,353 | — | — | 1 |
| 71250 | CT THORAX W/O CONTRAST | $3,137 | $2,353 | — | — | 1 |
| 72125 | CT SPINE CERVICAL W/O CONTRAST | $3,137 | $2,353 | — | — | 1 |
| 72128 | CT SPINE THORACIC W/O CONTRAST | $3,137 | $2,353 | — | — | 1 |
| 72131 | CT SPINE LUMBAR W/O CONTRAST | $3,137 | $2,353 | — | — | 1 |
| 72192 | CT PELVIS W/O CONTRAST | $3,137 | $2,353 | — | — | 1 |
| 73700 | CT LOWER EXTREM W/O CONTRAST | $3,137 | $2,353 | — | — | 1 |
| 74150 | CT ABDOMEN W/O CONTRAST | $3,137 | $2,353 | — | — | 1 |
| 49083 | US GUIDED PARACENTESIS | $3,108 | $2,331 | — | — | 1 |
| L0640 | LSO S/C SHELL/PANEL CUSTOM | $3,101 | $2,326 | — | — | 1 |
| L0631 | LSO SAG-CORO RIGID FRAME PREFB | $3,043 | $2,282 | — | — | 1 |
Showing top 50 of 1,474 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.