45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
2,607
Insurances with rates
21
CPT / HCPCS codes
804
Most expensive procedures (gross)
43653
$26,838
LAPAROSCOPY GASTROSTOMY
Gross
$26,838
75860
$13,970
Venography Jugular Cath RS&I
Gross
$13,970
27301
$13,165
DRAIN THIGH/KNEE LESION
Gross
$13,165
70553
$12,334
MRI Brain Stem W/O & W/Dye
Gross
$12,334
72197
$12,334
MRI Pelvis W/O & W/Dye
Gross
$12,334
73220
$12,334
MRI Joint Upr Extrem W/Dye
Gross
$12,334
72158
$12,334
MRI Lumbar Spine W/O & W/Dye
Gross
$12,334
73220
$12,334
MRI Upper Ext W/&w/O Dye
Gross
$12,334
72156
$12,334
MRI Neck Spine W/O & W/Dye
Gross
$12,334
72157
$12,334
MRI Thoracic Spine W/O & W/Dye
Gross
$12,334
J2406
$11,976
Oritavancin (Kimyrsa) 10 mg
Gross
$11,976
74178
$11,592
CT Abd & Pelv 1/> Regns w/wo c
Gross
$11,592
20240
$10,902
Bone Biopsy Open Superficial
Gross
$10,902
74177
$10,407
CT Abdomen & Pelvis w/Contrast
Gross
$10,407
31645
$9,232
Bronchoscopy, Initial Procedur
Gross
$9,232
J1162
$8,574
Digifab 40 mg
Gross
$8,574
15002
$8,414
Wound PrepTRK/ARM/LEG
Gross
$8,414
14040
$7,993
TIS TRNFR F/C/C/M/N/A/G/H/F
Gross
$7,993
72147
$7,940
MRI Thoracic Spn W/Dye
Gross
$7,940
72141
$7,940
MRI Neck Spine W/O Dye
Gross
$7,940
73723
$7,940
MRI Joint Lwr Extr W/O&w/Dye L
Gross
$7,940
74181
$7,940
MRI Abdomen W/O Dye
Gross
$7,940
73723
$7,940
MRI Joint Lwr Extr W/O&w/Dye R
Gross
$7,940
70551
$7,940
MRI Brain Stem W/O Dye
Gross
$7,940
72149
$7,940
MRI Lumbar Spine W/Dye
Gross
$7,940
72148
$7,940
MRI Lumbar Spine W/O Dye
Gross
$7,940
72196
$7,940
MRI Pelvis W/Dye
Gross
$7,940
72146
$7,940
MRI Thoracic Spine W/O Dye
Gross
$7,940
73222
$7,940
MRI Upper Ext Jnt W/ Dye
Gross
$7,940
72142
$7,940
MRI Neck Spine W/Dye
Gross
$7,940
32550
$7,908
Insert Pleural Cath
Gross
$7,908
72133
$7,824
CT Lumbar Spine W/W/
Gross
$7,824
75635
$7,824
CT Angio Abdominal Arteries
Gross
$7,824
71275
$7,824
CT Angiography Chest w/Contras
Gross
$7,824
72127
$7,824
CT C-Spine W/O&W/Dye
Gross
$7,824
73202
$7,824
CT Upper Extrem W/W/
Gross
$7,824
70488
$7,824
CT Maxillofacial W/W
Gross
$7,824
J1568
$7,751
Immun Globg(Igg)/Malt/Iga Ov50
Gross
$7,751
72194
$7,728
CT Pelvis W/O & W/Dye
Gross
$7,728
74170
$7,728
CT Abdomen W/O & W/Contrast
Gross
$7,728
70470
$7,728
CT Head/Brain W/O & W/Dye
Gross
$7,728
71270
$7,728
CT Chest W/O & W/Dye
Gross
$7,728
73702
$7,728
CT Lwr Extr W/O&w/Dye
Gross
$7,728
70492
$7,728
CT Sft Tsue Nck W/O & W/Dye
Gross
$7,728
36558
$7,369
Ins Tunneled CV CATH
Gross
$7,369
36901
$7,146
Intro Cath Dialysis Circuit
Gross
$7,146
36581
$7,013
Replace TunnelED Cv Cath
Gross
$7,013
72132
$6,938
CT Lumbar Spine W/Dye
Gross
$6,938
73701
$6,938
CT Low Ext W/Cont Rt
Gross
$6,938
70460
$6,938
CT Head/Brain W/Contrast
Gross
$6,938
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 23 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 24 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 21 |
| 70553 | MRI Brain Stem W/O & W/Dye | $12,334 | $12,334 | — | — | 23 |
| 72197 | MRI Pelvis W/O & W/Dye | $12,334 | $12,334 | — | — | 24 |
| 73220 | MRI Joint Upr Extrem W/Dye | $12,334 | $12,334 | — | — | 23 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $12,334 | $12,334 | — | — | 23 |
| 73220 | MRI Upper Ext W/&w/O Dye | $12,334 | $12,334 | — | — | 22 |
| 72156 | MRI Neck Spine W/O & W/Dye | $12,334 | $12,334 | — | — | 23 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $12,334 | $12,334 | — | — | 21 |
| J2406 | Oritavancin (Kimyrsa) 10 mg | $11,976 | $11,976 | — | — | 27 |
| 74178 | CT Abd & Pelv 1/> Regns w/wo c | $11,592 | $11,592 | — | — | 24 |
| 20240 | Bone Biopsy Open Superficial | $10,902 | $10,902 | — | — | 23 |
| 74177 | CT Abdomen & Pelvis w/Contrast | $10,407 | $10,407 | — | — | 22 |
| 31645 | Bronchoscopy, Initial Procedur | $9,232 | $9,232 | — | — | 23 |
| J1162 | Digifab 40 mg | $8,574 | $8,574 | — | — | 24 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 24 |
| 14040 | TIS TRNFR F/C/C/M/N/A/G/H/F | $7,993 | $7,993 | — | — | 21 |
| 72147 | MRI Thoracic Spn W/Dye | $7,940 | $7,940 | — | — | 21 |
| 72141 | MRI Neck Spine W/O Dye | $7,940 | $7,940 | — | — | 22 |
| 73723 | MRI Joint Lwr Extr W/O&w/Dye L | $7,940 | $7,940 | — | — | 23 |
| 74181 | MRI Abdomen W/O Dye | $7,940 | $7,940 | — | — | 23 |
| 73723 | MRI Joint Lwr Extr W/O&w/Dye R | $7,940 | $7,940 | — | — | 24 |
| 70551 | MRI Brain Stem W/O Dye | $7,940 | $7,940 | — | — | 23 |
| 72149 | MRI Lumbar Spine W/Dye | $7,940 | $7,940 | — | — | 24 |
| 72148 | MRI Lumbar Spine W/O Dye | $7,940 | $7,940 | — | — | 20 |
| 72196 | MRI Pelvis W/Dye | $7,940 | $7,940 | — | — | 23 |
| 72146 | MRI Thoracic Spine W/O Dye | $7,940 | $7,940 | — | — | 19 |
| 73222 | MRI Upper Ext Jnt W/ Dye | $7,940 | $7,940 | — | — | 17 |
| 72142 | MRI Neck Spine W/Dye | $7,940 | $7,940 | — | — | 22 |
| 32550 | Insert Pleural Cath | $7,908 | $7,908 | — | — | 21 |
| 72133 | CT Lumbar Spine W/W/ | $7,824 | $7,824 | — | — | 25 |
| 75635 | CT Angio Abdominal Arteries | $7,824 | $7,824 | — | — | 21 |
| 71275 | CT Angiography Chest w/Contras | $7,824 | $7,824 | — | — | 23 |
| 72127 | CT C-Spine W/O&W/Dye | $7,824 | $7,824 | — | — | 20 |
| 73202 | CT Upper Extrem W/W/ | $7,824 | $7,824 | — | — | 23 |
| 70488 | CT Maxillofacial W/W | $7,824 | $7,824 | — | — | 19 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $7,751 | $7,751 | — | — | 26 |
| 72194 | CT Pelvis W/O & W/Dye | $7,728 | $7,728 | — | — | 22 |
| 74170 | CT Abdomen W/O & W/Contrast | $7,728 | $7,728 | — | — | 22 |
| 70470 | CT Head/Brain W/O & W/Dye | $7,728 | $7,728 | — | — | 23 |
| 71270 | CT Chest W/O & W/Dye | $7,728 | $7,728 | — | — | 24 |
| 73702 | CT Lwr Extr W/O&w/Dye | $7,728 | $7,728 | — | — | 23 |
| 70492 | CT Sft Tsue Nck W/O & W/Dye | $7,728 | $7,728 | — | — | 21 |
| 36558 | Ins Tunneled CV CATH | $7,369 | $7,369 | — | — | 22 |
| 36901 | Intro Cath Dialysis Circuit | $7,146 | $7,146 | — | — | 20 |
| 36581 | Replace TunnelED Cv Cath | $7,013 | $7,013 | — | — | 19 |
| 72132 | CT Lumbar Spine W/Dye | $6,938 | $6,938 | — | — | 22 |
| 73701 | CT Low Ext W/Cont Rt | $6,938 | $6,938 | — | — | 23 |
| 70460 | CT Head/Brain W/Contrast | $6,938 | $6,938 | — | — | 23 |
Showing top 50 of 2,607 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.