45 CFR § 180 compliance
B · 85
This hospital published most 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
2,617
Insurances with rates
13
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
24191019_1
$21,326
00338-0004-03 - sterile water - Sol
Gross
$42,652
27850042_1
$19,813
INJECTION, TENECTEPLASE, 1 MG
Gross
$39,626
4947166_1
$9,203
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$18,405
23894360_1
$3,855
Insertion of central venous tube with port (5 years or older)
Gross
$7,710
28055615_1
$3,690
INJECTION, FERRIC CARBOXYMALTOSE, 1 MG
Gross
$7,381
28376098_1
$3,335
ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANT AND SUPPLIES
Gross
$6,670
25074520_1
$3,289
INJECTION, DENOSUMAB, 1 MG
Gross
$6,579
1673580_1
$3,112
CT scan of blood vessels of arm with contrast
Gross
$6,224
4947179_1
$2,898
INJECTION, CROTALIDAE POLYVALENT IMMUNE FAB (OVINE), UP TO 1 GRAM
Gross
$5,797
28499583_1
$2,886
INJECTION, INFLIXIMAB-DYYB, BIOSIMILAR, (INFLECTRA), 10 MG
Gross
$5,771
27594986_1
$2,786
INJECTION, ROMOSOZUMAB-AQQG, 1 MG
Gross
$5,573
1005177_1
$2,724
CT scan of leg before and after contrast
Gross
$5,447
12908434_1
$2,621
Sleep study in sleep lab with continuous airway pressure (6 years or older)
Gross
$5,242
1163537_1
$2,533
CT scan of abdominal aorta and both leg arteries with contrast
Gross
$5,065
26610044_1
$2,533
CT scan of abdominal aorta and both leg arteries with contrast
Gross
$5,065
821404_1
$2,530
MRI scan of chest before and after contrast
Gross
$5,060
12908433_1
$2,498
Sleep study in sleep lab (6 years or older)
Gross
$4,996
1005505_1
$2,428
MRI scan of middle spinal canal before and after contrast
Gross
$4,856
1005106_1
$2,303
CT scan of abdomen and pelvis before and after contrast
Gross
$4,606
667647_1
$2,231
Insertion of IUD for pregnancy prevention
Gross
$4,462
667647_4
$2,231
Insertion of IUD for pregnancy prevention
Gross
$4,462
1005501_1
$2,176
MRI scan of upper spinal canal before and after contrast
Gross
$4,351
1005175_1
$2,169
CT scan of leg with contrast material
Gross
$4,337
1005227_1
$2,162
CT scan of arm before and after contrast
Gross
$4,323
1005503_1
$2,111
MRI scan of lower spinal canal before and after contrast
Gross
$4,222
1163547_1
$2,075
CT scan of blood vessels of arm with contrast
Gross
$4,149
1163549_1
$2,075
CT scan of blood vessels of arm with contrast
Gross
$4,149
1005402_1
$2,065
MRI scan of both breasts
Gross
$4,129
1005497_1
$2,001
MRI scan of pelvis before and after contrast
Gross
$4,001
1005213_1
$1,996
CT scan of upper spine before and after contrast
Gross
$3,992
1005221_1
$1,975
CT scan of middle spine before and after contrast
Gross
$3,950
821398_1
$1,953
MRI scan of brain before and after contrast
Gross
$3,905
1005391_1
$1,935
MRI scan of abdomen before and after contrast
Gross
$3,869
1005509_1
$1,934
MRI scan of arm joint before and after contrast
Gross
$3,868
1005511_1
$1,934
MRI scan of arm joint before and after contrast
Gross
$3,868
1005464_1
$1,925
MRI scan of leg before and after contrast
Gross
$3,850
1005466_1
$1,925
MRI scan of leg before and after contrast
Gross
$3,850
1005225_1
$1,883
CT scan of arm with contrast
Gross
$3,766
1005109_1
$1,871
CT scan of abdomen and pelvis with contrast
Gross
$3,741
821400_1
$1,843
MRI scan of brain with contrast
Gross
$3,685
1299537_1
$1,832
Closed treatment of broken midpart of forearm bone on thumb side with manipulation
Gross
$3,664
27152969_1
$1,832
Closed treatment of broken midpart of forearm bone on thumb side with manipulation
Gross
$3,664
28080067_1
$1,832
Closed treatment of broken midpart of forearm bone on thumb side with manipulation
Gross
$3,664
821414_1
$1,820
MRI scan of leg joint before and after contrast
Gross
$3,640
821416_1
$1,820
MRI scan of leg joint before and after contrast
Gross
$3,640
1163599_1
$1,816
CT scan of leg before and after contrast
Gross
$3,631
1163602_1
$1,816
CT scan of leg before and after contrast
Gross
$3,631
821439_1
$1,775
MRI scan of upper spinal canal with contrast
Gross
$3,550
1007524_1
$1,765
MRI scan of arm before and after contrast
Gross
$3,529
1007526_1
$1,765
MRI scan of arm before and after contrast
Gross
$3,529
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 24191019_1 | 00338-0004-03 - sterile water - Sol | $42,652 | $21,326 | — | — | 30 |
| 27850042_1 | INJECTION, TENECTEPLASE, 1 MG | $39,626 | $19,813 | — | — | 30 |
| 4947166_1 | INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $18,405 | $9,203 | — | — | 30 |
| 23894360_1 | Insertion of central venous tube with port (5 years or older) | $7,710 | $3,855 | — | — | 31 |
| 28055615_1 | INJECTION, FERRIC CARBOXYMALTOSE, 1 MG | $7,381 | $3,690 | — | — | 30 |
| 28376098_1 | ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANT AND SUPPLIES | $6,670 | $3,335 | — | — | 30 |
| 25074520_1 | INJECTION, DENOSUMAB, 1 MG | $6,579 | $3,289 | — | — | 30 |
| 1673580_1 | CT scan of blood vessels of arm with contrast | $6,224 | $3,112 | — | — | 31 |
| 4947179_1 | INJECTION, CROTALIDAE POLYVALENT IMMUNE FAB (OVINE), UP TO 1 GRAM | $5,797 | $2,898 | — | — | 30 |
| 28499583_1 | INJECTION, INFLIXIMAB-DYYB, BIOSIMILAR, (INFLECTRA), 10 MG | $5,771 | $2,886 | — | — | 30 |
| 27594986_1 | INJECTION, ROMOSOZUMAB-AQQG, 1 MG | $5,573 | $2,786 | — | — | 30 |
| 1005177_1 | CT scan of leg before and after contrast | $5,447 | $2,724 | — | — | 31 |
| 12908434_1 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | $5,242 | $2,621 | — | — | 31 |
| 1163537_1 | CT scan of abdominal aorta and both leg arteries with contrast | $5,065 | $2,533 | — | — | 31 |
| 26610044_1 | CT scan of abdominal aorta and both leg arteries with contrast | $5,065 | $2,533 | — | — | 31 |
| 821404_1 | MRI scan of chest before and after contrast | $5,060 | $2,530 | — | — | 31 |
| 12908433_1 | Sleep study in sleep lab (6 years or older) | $4,996 | $2,498 | — | — | 31 |
| 1005505_1 | MRI scan of middle spinal canal before and after contrast | $4,856 | $2,428 | — | — | 31 |
| 1005106_1 | CT scan of abdomen and pelvis before and after contrast | $4,606 | $2,303 | — | — | 31 |
| 667647_1 | Insertion of IUD for pregnancy prevention | $4,462 | $2,231 | — | — | 29 |
| 667647_4 | Insertion of IUD for pregnancy prevention | $4,462 | $2,231 | — | — | 29 |
| 1005501_1 | MRI scan of upper spinal canal before and after contrast | $4,351 | $2,176 | — | — | 31 |
| 1005175_1 | CT scan of leg with contrast material | $4,337 | $2,169 | — | — | 31 |
| 1005227_1 | CT scan of arm before and after contrast | $4,323 | $2,162 | — | — | 31 |
| 1005503_1 | MRI scan of lower spinal canal before and after contrast | $4,222 | $2,111 | — | — | 31 |
| 1163547_1 | CT scan of blood vessels of arm with contrast | $4,149 | $2,075 | — | — | 31 |
| 1163549_1 | CT scan of blood vessels of arm with contrast | $4,149 | $2,075 | — | — | 31 |
| 1005402_1 | MRI scan of both breasts | $4,129 | $2,065 | — | — | 31 |
| 1005497_1 | MRI scan of pelvis before and after contrast | $4,001 | $2,001 | — | — | 31 |
| 1005213_1 | CT scan of upper spine before and after contrast | $3,992 | $1,996 | — | — | 31 |
| 1005221_1 | CT scan of middle spine before and after contrast | $3,950 | $1,975 | — | — | 31 |
| 821398_1 | MRI scan of brain before and after contrast | $3,905 | $1,953 | — | — | 31 |
| 1005391_1 | MRI scan of abdomen before and after contrast | $3,869 | $1,935 | — | — | 31 |
| 1005509_1 | MRI scan of arm joint before and after contrast | $3,868 | $1,934 | — | — | 31 |
| 1005511_1 | MRI scan of arm joint before and after contrast | $3,868 | $1,934 | — | — | 31 |
| 1005464_1 | MRI scan of leg before and after contrast | $3,850 | $1,925 | — | — | 31 |
| 1005466_1 | MRI scan of leg before and after contrast | $3,850 | $1,925 | — | — | 31 |
| 1005225_1 | CT scan of arm with contrast | $3,766 | $1,883 | — | — | 31 |
| 1005109_1 | CT scan of abdomen and pelvis with contrast | $3,741 | $1,871 | — | — | 31 |
| 821400_1 | MRI scan of brain with contrast | $3,685 | $1,843 | — | — | 31 |
| 1299537_1 | Closed treatment of broken midpart of forearm bone on thumb side with manipulation | $3,664 | $1,832 | — | — | 31 |
| 27152969_1 | Closed treatment of broken midpart of forearm bone on thumb side with manipulation | $3,664 | $1,832 | — | — | 31 |
| 28080067_1 | Closed treatment of broken midpart of forearm bone on thumb side with manipulation | $3,664 | $1,832 | — | — | 31 |
| 821414_1 | MRI scan of leg joint before and after contrast | $3,640 | $1,820 | — | — | 31 |
| 821416_1 | MRI scan of leg joint before and after contrast | $3,640 | $1,820 | — | — | 31 |
| 1163599_1 | CT scan of leg before and after contrast | $3,631 | $1,816 | — | — | 31 |
| 1163602_1 | CT scan of leg before and after contrast | $3,631 | $1,816 | — | — | 31 |
| 821439_1 | MRI scan of upper spinal canal with contrast | $3,550 | $1,775 | — | — | 31 |
| 1007524_1 | MRI scan of arm before and after contrast | $3,529 | $1,765 | — | — | 31 |
| 1007526_1 | MRI scan of arm before and after contrast | $3,529 | $1,765 | — | — | 31 |
Showing top 50 of 2,617 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.