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
2,614
Insurances with rates
21
CPT / HCPCS codes
821
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
J2406
$11,976
Oritavancin (Kimyrsa) 10 mg
Gross
$11,976
72158
$10,963
MRI Lumbar Spine W/O & W/Dye
Gross
$10,963
70553
$10,963
MRI Brain Stem W/O & W/Dye
Gross
$10,963
72157
$10,963
MRI Thoracic Spine W/O & W/Dye
Gross
$10,963
72156
$10,963
MRI Neck Spine W/O & W/Dye
Gross
$10,963
20240
$10,902
Bone Biopsy Open Superficial
Gross
$10,902
74178
$10,304
CT Abd & Pelv 1/> Regns w/wo c
Gross
$10,304
74177
$9,250
CT Abdomen & Pelvis w/Contrast
Gross
$9,250
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
32550
$7,908
Insert Pleural Cath
Gross
$7,908
J1568
$7,751
Immun Globg(Igg)/Malt/Iga Ov50
Gross
$7,751
36558
$7,369
Ins Tunneled CV CATH
Gross
$7,369
74183
$7,130
MRI Abdomen W/O & W/Dye
Gross
$7,130
72142
$7,058
MRI Neck Spine W/Dye
Gross
$7,058
70551
$7,058
MRI Brain Stem W/O Dye
Gross
$7,058
73222
$7,058
MRI Upper Ext Jnt W/ Dye
Gross
$7,058
72146
$7,058
MRI Thoracic Spine W/O Dye
Gross
$7,058
72147
$7,058
MRI Thoracic Spn W/Dye
Gross
$7,058
72141
$7,058
MRI Neck Spine W/O Dye
Gross
$7,058
73723
$7,058
MRI Joint Lwr Extr W/O&w/Dye R
Gross
$7,058
74181
$7,058
MRI Abdomen W/O Dye
Gross
$7,058
72148
$7,058
MRI Lumbar Spine W/O Dye
Gross
$7,058
70540
$7,058
MRI Orbit/Face/Neck W/O Dye
Gross
$7,058
72149
$7,058
MRI Lumbar Spine W/Dye
Gross
$7,058
71275
$6,955
CT Angiography Chest w/Contras
Gross
$6,955
72133
$6,955
CT Lumbar Spine W/W/
Gross
$6,955
72127
$6,955
CT C-Spine W/O&W/Dye
Gross
$6,955
71270
$6,869
CT Chest W/O & W/Dye
Gross
$6,869
74170
$6,869
CT Abdomen W/O & W/Contrast
Gross
$6,869
72194
$6,869
CT Pelvis W/O & W/Dye
Gross
$6,869
27613
$6,451
Biopsy Lower Leg Soft Tissue
Gross
$6,451
73701
$6,167
CT Lower Extrem W/Dye
Gross
$6,167
70487
$6,167
CT Maxillofacial W/C
Gross
$6,167
73201
$6,167
CT Upper Extrem W/Co
Gross
$6,167
74160
$6,167
CT Abdomen W/Contrast
Gross
$6,167
72126
$6,167
CT C-Spine w/Contrast
Gross
$6,167
71260
$6,167
CT Chest W/ Dye
Gross
$6,167
70491
$6,167
CT Neck Soft Tiss W/
Gross
$6,167
72129
$6,167
CT Thoracic Spine w/ Contrast
Gross
$6,167
70460
$6,167
CT Head/Brain W/Contrast
Gross
$6,167
74175
$6,041
CT Angio Abdom W/O & W/Contras
Gross
$6,041
74176
$5,987
CT Abd & Pelvis W/O Contrast
Gross
$5,987
78227
$5,930
NM Hepatobiliary Duct ScanHIDA
Gross
$5,930
73702
$5,640
CT LO EXTR W/WO contrast BILAT
Gross
$5,640
49082
$5,584
Abd Paracentesis
Gross
$5,584
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 26 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 23 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 25 |
| J2406 | Oritavancin (Kimyrsa) 10 mg | $11,976 | $11,976 | — | — | 27 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $10,963 | $10,963 | — | — | 25 |
| 70553 | MRI Brain Stem W/O & W/Dye | $10,963 | $10,963 | — | — | 27 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $10,963 | $10,963 | — | — | 21 |
| 72156 | MRI Neck Spine W/O & W/Dye | $10,963 | $10,963 | — | — | 24 |
| 20240 | Bone Biopsy Open Superficial | $10,902 | $10,902 | — | — | 27 |
| 74178 | CT Abd & Pelv 1/> Regns w/wo c | $10,304 | $10,304 | — | — | 27 |
| 74177 | CT Abdomen & Pelvis w/Contrast | $9,250 | $9,250 | — | — | 27 |
| J1162 | Digifab 40 mg | $8,574 | $8,574 | — | — | 28 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 25 |
| 14040 | TIS TRNFR F/C/C/M/N/A/G/H/F | $7,993 | $7,993 | — | — | 22 |
| 32550 | Insert Pleural Cath | $7,908 | $7,908 | — | — | 23 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $7,751 | $7,751 | — | — | 28 |
| 36558 | Ins Tunneled CV CATH | $7,369 | $7,369 | — | — | 24 |
| 74183 | MRI Abdomen W/O & W/Dye | $7,130 | $7,130 | — | — | 24 |
| 72142 | MRI Neck Spine W/Dye | $7,058 | $7,058 | — | — | 25 |
| 70551 | MRI Brain Stem W/O Dye | $7,058 | $7,058 | — | — | 25 |
| 73222 | MRI Upper Ext Jnt W/ Dye | $7,058 | $7,058 | — | — | 25 |
| 72146 | MRI Thoracic Spine W/O Dye | $7,058 | $7,058 | — | — | 25 |
| 72147 | MRI Thoracic Spn W/Dye | $7,058 | $7,058 | — | — | 24 |
| 72141 | MRI Neck Spine W/O Dye | $7,058 | $7,058 | — | — | 26 |
| 73723 | MRI Joint Lwr Extr W/O&w/Dye R | $7,058 | $7,058 | — | — | 27 |
| 74181 | MRI Abdomen W/O Dye | $7,058 | $7,058 | — | — | 22 |
| 72148 | MRI Lumbar Spine W/O Dye | $7,058 | $7,058 | — | — | 24 |
| 70540 | MRI Orbit/Face/Neck W/O Dye | $7,058 | $7,058 | — | — | 23 |
| 72149 | MRI Lumbar Spine W/Dye | $7,058 | $7,058 | — | — | 27 |
| 71275 | CT Angiography Chest w/Contras | $6,955 | $6,955 | — | — | 27 |
| 72133 | CT Lumbar Spine W/W/ | $6,955 | $6,955 | — | — | 22 |
| 72127 | CT C-Spine W/O&W/Dye | $6,955 | $6,955 | — | — | 25 |
| 71270 | CT Chest W/O & W/Dye | $6,869 | $6,869 | — | — | 25 |
| 74170 | CT Abdomen W/O & W/Contrast | $6,869 | $6,869 | — | — | 26 |
| 72194 | CT Pelvis W/O & W/Dye | $6,869 | $6,869 | — | — | 28 |
| 27613 | Biopsy Lower Leg Soft Tissue | $6,451 | $6,451 | — | — | 25 |
| 73701 | CT Lower Extrem W/Dye | $6,167 | $6,167 | — | — | 26 |
| 70487 | CT Maxillofacial W/C | $6,167 | $6,167 | — | — | 25 |
| 73201 | CT Upper Extrem W/Co | $6,167 | $6,167 | — | — | 26 |
| 74160 | CT Abdomen W/Contrast | $6,167 | $6,167 | — | — | 25 |
| 72126 | CT C-Spine w/Contrast | $6,167 | $6,167 | — | — | 23 |
| 71260 | CT Chest W/ Dye | $6,167 | $6,167 | — | — | 27 |
| 70491 | CT Neck Soft Tiss W/ | $6,167 | $6,167 | — | — | 23 |
| 72129 | CT Thoracic Spine w/ Contrast | $6,167 | $6,167 | — | — | 26 |
| 70460 | CT Head/Brain W/Contrast | $6,167 | $6,167 | — | — | 26 |
| 74175 | CT Angio Abdom W/O & W/Contras | $6,041 | $6,041 | — | — | 21 |
| 74176 | CT Abd & Pelvis W/O Contrast | $5,987 | $5,987 | — | — | 24 |
| 78227 | NM Hepatobiliary Duct ScanHIDA | $5,930 | $5,930 | — | — | 26 |
| 73702 | CT LO EXTR W/WO contrast BILAT | $5,640 | $5,640 | — | — | 23 |
| 49082 | Abd Paracentesis | $5,584 | $5,584 | — | — | 24 |
Showing top 50 of 2,614 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.