45 CFR § 180 compliance
A · 100
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
21,928
Insurances with rates
5
CPT / HCPCS codes
3,272
Source MRF
Most expensive procedures (gross)
J2704
$147
propofol (Anes) 10 mg/mL 100 mL vial
Gross
$26,962,152
99202
$56.25
PHY-NEW PATIENT E/M LEVEL 2
Gross
$21,982,107
99203
$56.25
PHY-NEW PATIENT E/M LEVEL 3
Gross
$21,982,107
99204
$56.25
PHY-NEW PATIENT E/M LEVEL 4
Gross
$21,982,107
99205
$56.25
PHY-NEW PATIENT E/M LEVEL 5
Gross
$21,982,107
99387
$56.25
PHY-PREVENTIVE CARE EST PT 18-39 YRS / PREVENTIVE CARE EST PT 18-39 YRS
Gross
$21,982,107
99395
$56.25
PHY-PREVENTIVE CARE EST PT 18-39 YRS / PREVENTIVE CARE EST PT 18-39 YRS
Gross
$21,982,107
99396
$56.25
PHY-PREVENTIVE CARE EST PT 40-64 YRS / PREVENTIVE CARE EST PT 40-64 YRS
Gross
$21,982,107
99386
$56.25
PHY-PREVENTIVE CARE NEW PT 40-64 YRS / PREVENTIVE CARE NEW PT 40-64 YRS
Gross
$21,982,107
G0438
$56.25
ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PL / PHY-ANNUAL WELLNESS VST INIT
Gross
$21,982,107
36415
$12
DELETED- Research Venipuncture
Gross
$19,776,356
99001
$10.5
SPECIMEN HANDLING
Gross
$19,776,356
NURSING RECOVERY
$93.89
NURSING RECOVERY
Gross
$11,126,518
OBSERVATION HOURS
$93.89
OBSERVATION HOURS
Gross
$11,126,518
INTERMEDIATE
$3,943
INTERMEDIATE
Gross
$11,126,518
75571
$44.9
CT CorCal Research Study
Gross
$10,668,563
80061
$13.95
LIPID PANEL
Gross
$10,668,563
75574
$48.75
CT ANGIO HRT W/3D IMAGE
Gross
$10,668,563
95250
$248
GLUC MONTR UPTO 72HR CONT / Gluc Mntr Cont Rec From Interstitial Tiss Fluid 95250
Gross
$4,490,627
98960
$100
DIAB TRAIN GROUP 30/MN / Diabetes Training,Individual,30Min G0108
Gross
$4,490,627
G0108
$100
DIAB TRAIN GROUP 30/MN / Diabetes Training,Individual,30Min G0108
Gross
$4,490,627
S9465
$100
DIAB TRAIN GROUP 30/MN / Diabetes Training,Individual,30Min G0108
Gross
$4,490,627
99078
$53.21
Diabetic self management training, group, 30 min G0109
Gross
$4,490,627
G0109
$53.21
Diabetic self management training, group, 30 min G0109
Gross
$4,490,627
S9455
$53.21
Diabetic self management training, group, 30 min G0109
Gross
$4,490,627
97802
$38.09
Medical Nutrition Assmt Indiv Each 15 Min 97802 / Medical Nutrition Assmt+Ivntj Indiv Each 15 Min 97
Gross
$4,490,627
97803
$32.39
Medical Nutrition Re-Assmt Indiv Ea 15 Min 97803 / Medical Nutrition Re-Assmt+Ivntj Indiv Ea 15 Min
Gross
$4,490,627
74415
$130
CONTRST X-RAY URINARY TRACT
Gross
$4,461,607
76100
$63.48
X-RAY EXAM OF BODY SECTION
Gross
$4,461,607
74181
$563
MRI ABDOMEN W/O CONT
Gross
$4,461,607
73225
$444
MRA UPPER EXT W/O CONT
Gross
$4,461,607
C8935
$444
MRA UPPER EXT W/O CONT
Gross
$4,461,607
C8934
$444
MRA UPPER EXT W/CONT
Gross
$4,461,607
C8936
$444
MRA UPPER EXT W/O&W/CONT
Gross
$4,461,607
71555
$343
MRA CHEST W/CONT
Gross
$4,461,607
C8909
$343
MRA CHEST W/CONT
Gross
$4,461,607
C8910
$308
MRA CHEST W/O CONT
Gross
$4,461,607
23350
$366
SHOULDER ARTHROGRAM INJECTION
Gross
$4,461,607
44500
$102
INTROD LONG GI TUBE
Gross
$4,461,607
62328
$255
SPINAL PUNCTURE LUMBAR DIAGNOSTIC W/GUIDANCE
Gross
$4,461,607
19001
$76.51
ASPIRATION/DRAINAGE BREAST LESION ADD-ON / PHY-DRAIN BREAST LESION ADD-ON / PHY-PHY-BREAST DRAINAGE
Gross
$4,461,607
61055
$143
C1-C2 PUNCT W MED INJ / PHY-PHY-PUNCTURE CERVICAL C1-C2 W/ MED INJECTION
Gross
$4,461,607
70030
$20.78
X-RAY EYE FOR FOREIGN BODY
Gross
$4,461,607
70100
$25.96
X-RAY EXAM OF JAW LESS< 4 VWS
Gross
$4,461,607
70110
$35.03
X-RAY EXAM OF JAW COMPLETE 4+ VWS
Gross
$4,461,607
70130
$37.59
X-RAY EXAM OF MASTOIDS COMPLETE
Gross
$4,461,607
70140
$31.57
X-RAY EXAM OF FACIAL BONES LESS< 3 VWS
Gross
$4,461,607
70150
$43.66
X-RAY EXAM OF FACIAL BONES COMP 3+ VWS
Gross
$4,461,607
70160
$25.52
X-RAY EXAM OF NASAL BONES
Gross
$4,461,607
70200
$44.52
X-RAY EXAM OF ORBITS COMPLETE 4+ VWS
Gross
$4,461,607
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2704 | propofol (Anes) 10 mg/mL 100 mL vial | $26,962,152 | $147 | $72.71 | $177 | 32 |
| 99202 | PHY-NEW PATIENT E/M LEVEL 2 | $21,982,107 | $56.25 | $27.75 | $67.5 | 32 |
| 99203 | PHY-NEW PATIENT E/M LEVEL 3 | $21,982,107 | $56.25 | $27.75 | $67.5 | 32 |
| 99204 | PHY-NEW PATIENT E/M LEVEL 4 | $21,982,107 | $56.25 | $27.75 | $67.5 | 32 |
| 99205 | PHY-NEW PATIENT E/M LEVEL 5 | $21,982,107 | $56.25 | $27.75 | $67.5 | 32 |
| 99387 | PHY-PREVENTIVE CARE EST PT 18-39 YRS / PREVENTIVE CARE EST PT 18-39 YRS | $21,982,107 | $56.25 | $27.75 | $67.5 | 32 |
| 99395 | PHY-PREVENTIVE CARE EST PT 18-39 YRS / PREVENTIVE CARE EST PT 18-39 YRS | $21,982,107 | $56.25 | $27.75 | $67.5 | 32 |
| 99396 | PHY-PREVENTIVE CARE EST PT 40-64 YRS / PREVENTIVE CARE EST PT 40-64 YRS | $21,982,107 | $56.25 | $27.75 | $67.5 | 32 |
| 99386 | PHY-PREVENTIVE CARE NEW PT 40-64 YRS / PREVENTIVE CARE NEW PT 40-64 YRS | $21,982,107 | $56.25 | $27.75 | $67.5 | 32 |
| G0438 | ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PL / PHY-ANNUAL WELLNESS VST INIT | $21,982,107 | $56.25 | $27.75 | $67.5 | 32 |
| 36415 | DELETED- Research Venipuncture | $19,776,356 | $12 | $5.92 | $14.4 | 32 |
| 99001 | SPECIMEN HANDLING | $19,776,356 | $10.5 | $5.18 | $12.6 | 32 |
| NURSING RECOVERY | NURSING RECOVERY | $11,126,518 | $93.89 | $46.32 | $113 | 32 |
| OBSERVATION HOURS | OBSERVATION HOURS | $11,126,518 | $93.89 | $46.32 | $113 | 32 |
| INTERMEDIATE | INTERMEDIATE | $11,126,518 | $3,943 | $1,945 | $4,732 | 32 |
| 75571 | CT CorCal Research Study | $10,668,563 | $44.9 | $22.15 | $53.87 | 32 |
| 80061 | LIPID PANEL | $10,668,563 | $13.95 | $6.88 | $16.74 | 32 |
| 75574 | CT ANGIO HRT W/3D IMAGE | $10,668,563 | $48.75 | $24.05 | $58.5 | 32 |
| 95250 | GLUC MONTR UPTO 72HR CONT / Gluc Mntr Cont Rec From Interstitial Tiss Fluid 95250 | $4,490,627 | $248 | $122 | $297 | 32 |
| 98960 | DIAB TRAIN GROUP 30/MN / Diabetes Training,Individual,30Min G0108 | $4,490,627 | $100 | $49.57 | $121 | 32 |
| G0108 | DIAB TRAIN GROUP 30/MN / Diabetes Training,Individual,30Min G0108 | $4,490,627 | $100 | $49.57 | $121 | 32 |
| S9465 | DIAB TRAIN GROUP 30/MN / Diabetes Training,Individual,30Min G0108 | $4,490,627 | $100 | $49.57 | $121 | 32 |
| 99078 | Diabetic self management training, group, 30 min G0109 | $4,490,627 | $53.21 | $26.25 | $63.86 | 32 |
| G0109 | Diabetic self management training, group, 30 min G0109 | $4,490,627 | $53.21 | $26.25 | $63.86 | 32 |
| S9455 | Diabetic self management training, group, 30 min G0109 | $4,490,627 | $53.21 | $26.25 | $63.86 | 32 |
| 97802 | Medical Nutrition Assmt Indiv Each 15 Min 97802 / Medical Nutrition Assmt+Ivntj Indiv Each 15 Min 97 | $4,490,627 | $38.09 | $18.79 | $45.71 | 32 |
| 97803 | Medical Nutrition Re-Assmt Indiv Ea 15 Min 97803 / Medical Nutrition Re-Assmt+Ivntj Indiv Ea 15 Min | $4,490,627 | $32.39 | $15.98 | $38.86 | 32 |
| 74415 | CONTRST X-RAY URINARY TRACT | $4,461,607 | $130 | $64.2 | $156 | 32 |
| 76100 | X-RAY EXAM OF BODY SECTION | $4,461,607 | $63.48 | $31.32 | $76.18 | 32 |
| 74181 | MRI ABDOMEN W/O CONT | $4,461,607 | $563 | $278 | $675 | 32 |
| 73225 | MRA UPPER EXT W/O CONT | $4,461,607 | $444 | $219 | $532 | 32 |
| C8935 | MRA UPPER EXT W/O CONT | $4,461,607 | $444 | $219 | $532 | 32 |
| C8934 | MRA UPPER EXT W/CONT | $4,461,607 | $444 | $219 | $532 | 32 |
| C8936 | MRA UPPER EXT W/O&W/CONT | $4,461,607 | $444 | $219 | $532 | 32 |
| 71555 | MRA CHEST W/CONT | $4,461,607 | $343 | $169 | $411 | 32 |
| C8909 | MRA CHEST W/CONT | $4,461,607 | $343 | $169 | $411 | 32 |
| C8910 | MRA CHEST W/O CONT | $4,461,607 | $308 | $152 | $369 | 32 |
| 23350 | SHOULDER ARTHROGRAM INJECTION | $4,461,607 | $366 | $181 | $439 | 32 |
| 44500 | INTROD LONG GI TUBE | $4,461,607 | $102 | $50.18 | $122 | 32 |
| 62328 | SPINAL PUNCTURE LUMBAR DIAGNOSTIC W/GUIDANCE | $4,461,607 | $255 | $126 | $306 | 32 |
| 19001 | ASPIRATION/DRAINAGE BREAST LESION ADD-ON / PHY-DRAIN BREAST LESION ADD-ON / PHY-PHY-BREAST DRAINAGE | $4,461,607 | $76.51 | $37.74 | $91.81 | 32 |
| 61055 | C1-C2 PUNCT W MED INJ / PHY-PHY-PUNCTURE CERVICAL C1-C2 W/ MED INJECTION | $4,461,607 | $143 | $70.68 | $172 | 32 |
| 70030 | X-RAY EYE FOR FOREIGN BODY | $4,461,607 | $20.78 | $10.25 | $24.93 | 32 |
| 70100 | X-RAY EXAM OF JAW LESS< 4 VWS | $4,461,607 | $25.96 | $12.81 | $31.15 | 32 |
| 70110 | X-RAY EXAM OF JAW COMPLETE 4+ VWS | $4,461,607 | $35.03 | $17.28 | $42.03 | 32 |
| 70130 | X-RAY EXAM OF MASTOIDS COMPLETE | $4,461,607 | $37.59 | $18.54 | $45.11 | 32 |
| 70140 | X-RAY EXAM OF FACIAL BONES LESS< 3 VWS | $4,461,607 | $31.57 | $15.57 | $37.88 | 32 |
| 70150 | X-RAY EXAM OF FACIAL BONES COMP 3+ VWS | $4,461,607 | $43.66 | $21.54 | $52.39 | 32 |
| 70160 | X-RAY EXAM OF NASAL BONES | $4,461,607 | $25.52 | $12.59 | $30.63 | 32 |
| 70200 | X-RAY EXAM OF ORBITS COMPLETE 4+ VWS | $4,461,607 | $44.52 | $21.96 | $53.42 | 32 |
Showing top 50 of 21,928 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.