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
714
Insurances with rates
10
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
Pneumonia without complications
$5,076
Pneumonia without complications
Gross
$6,345
Syncope & collapse
$2,184
Syncope & collapse
Gross
$2,730
12443400
$2,173
00781-3154-01 - ferumoxytol 510 mg/17 mL Sol [BVHO]
Gross
$2,716
10975145
$2,127
CT Abdomen and Pelvis w/ Contrast
Gross
$2,659
2424647
$2,127
CT Abdomen and Pelvis w/ Contrast
Gross
$2,659
10966630
$1,885
CT Abdomen and Pelvis w/o Contrast
Gross
$2,356
2424650
$1,885
CT Abdomen and Pelvis w/o Contrast
Gross
$2,356
Chest pain
$1,574
Chest pain
Gross
$1,967
General symptoms of illness such as fever, pain,
$1,545
General symptoms of illness such as fever, pain, shortness of breath
Gross
$1,932
8100151
$1,386
CT Sinus w/ + w/o Contrast
Gross
$1,733
Nutritional or Metabolic Disorders without major
$1,365
Nutritional or Metabolic Disorders without major complications
Gross
$1,706
10981180
$1,304
Als1-Emergency
Gross
$1,630
1167871
$1,282
CT Angio Brain/Head
Gross
$1,603
8099792
$1,282
CT Angio Head/Neck
Gross
$1,603
10846428
$1,282
CT Angio Neck
Gross
$1,603
1167879
$1,282
CT Angio Neck
Gross
$1,603
1167863
$1,282
CT Angio Chest
Gross
$1,603
1167847
$1,282
CT Abdomen w/ Contrast
Gross
$1,603
8775068
$1,217
ROOM/BED: Acute
Gross
$1,521
8218185
$1,200
99285 EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ ProFee
Gross
$1,500
1168094
$1,053
CT Brain/Head w/o Contrast
Gross
$1,316
10722025
$876
25622 - Carpal Scaphoid w/o manipulation
Gross
$1,095
8218184
$840
99284 EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY ProFee
Gross
$1,050
8078891
$821
ROOM/BED: Swingbed
Gross
$1,026
10701345
$653
Factor V Leiden Genotype IHC
Gross
$816
13150420
$653
Factor V Leiden Genotype IMEL
Gross
$816
2389455
$550
99291 Facility Level Critical Care Ill/Injured Patient Init 30-74 Min
Gross
$687
8218183
$542
99283 EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY ProFee
Gross
$677
2644301
$473
99285 ED VISIT E M PATIENT, LEV 5, REQ MED APPROP HSTRY/EXAM/HIGH MDM, CC
Gross
$591
13150421
$465
Fecal Calprotectin IMEL
Gross
$581
Brain contusion/laceration & complicated skull F
$452
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma [Major Severity]
Gross
$565
Tendonitis, myositis & bursitis without major co
$446
Tendonitis, myositis & bursitis without major complications
Gross
$558
8080004
$438
12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal to 2.5 cm
Gross
$547
8079994
$429
12002-Scalp/Neck/Trunk/Genital/Extremity 2.6-7.5 cm
Gross
$536
8079992
$407
12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm
Gross
$509
13215035
$404
87529 HSV 1 And 2 Subtype By PCR IMEL
Gross
$505
13150476
$404
HSV 1 And 2 Subtype By PCR IMEL
Gross
$505
Stomach Disorder without complications
$391
Stomach Disorder without complications
Gross
$489
8023595
$370
12034 REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM ProFee
Gross
$463
8080043
$370
10060-I&D Abscess/Cyst/Hematoma Simple
Gross
$463
2644300
$369
99284 ED VISIT E&M PATIENT, LEV 4, REQ MED APPROP HSTRY/EXAM/MODERATE MDM, CC
Gross
$461
8079996
$365
12004-Scalp/Neck/Trunk/Genital/Extremity 7.6-12.5 cm
Gross
$456
10700826
$348
Thyroid Stimulating Immunoglobulin IHC
Gross
$435
13148587
$348
Thyroid Stimulating Immunoglobulin IMEL
Gross
$435
8218182
$336
99282 EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY ProFee
Gross
$420
Otitis media & URI without major complications
$320
Otitis media & URI without major complications
Gross
$400
8426466
$319
XR Spine Lumbar Flexion and Extension
Gross
$399
1170476
$319
XR Spine Lumbosacral 4plus Views
Gross
$399
13226044
$315
84146 Macroprolactin IMEL
Gross
$393
13148559
$315
Macroprolactin IMEL
Gross
$393
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Pneumonia without complications | Pneumonia without complications | $6,345 | $5,076 | — | — | 1 |
| Syncope & collapse | Syncope & collapse | $2,730 | $2,184 | — | — | 1 |
| 12443400 | 00781-3154-01 - ferumoxytol 510 mg/17 mL Sol [BVHO] | $2,716 | $2,173 | — | — | 1 |
| 10975145 | CT Abdomen and Pelvis w/ Contrast | $2,659 | $2,127 | — | — | 1 |
| 2424647 | CT Abdomen and Pelvis w/ Contrast | $2,659 | $2,127 | — | — | 1 |
| 10966630 | CT Abdomen and Pelvis w/o Contrast | $2,356 | $1,885 | — | — | 2 |
| 2424650 | CT Abdomen and Pelvis w/o Contrast | $2,356 | $1,885 | — | — | 2 |
| Chest pain | Chest pain | $1,967 | $1,574 | — | — | 1 |
| General symptoms of illness such as fever, pain, | General symptoms of illness such as fever, pain, shortness of breath | $1,932 | $1,545 | — | — | 1 |
| 8100151 | CT Sinus w/ + w/o Contrast | $1,733 | $1,386 | — | — | 1 |
| Nutritional or Metabolic Disorders without major | Nutritional or Metabolic Disorders without major complications | $1,706 | $1,365 | — | — | 1 |
| 10981180 | Als1-Emergency | $1,630 | $1,304 | — | — | 8 |
| 1167871 | CT Angio Brain/Head | $1,603 | $1,282 | — | — | 1 |
| 8099792 | CT Angio Head/Neck | $1,603 | $1,282 | — | — | 1 |
| 10846428 | CT Angio Neck | $1,603 | $1,282 | — | — | 1 |
| 1167879 | CT Angio Neck | $1,603 | $1,282 | — | — | 1 |
| 1167863 | CT Angio Chest | $1,603 | $1,282 | — | — | 2 |
| 1167847 | CT Abdomen w/ Contrast | $1,603 | $1,282 | — | — | 1 |
| 8775068 | ROOM/BED: Acute | $1,521 | $1,217 | — | — | 3 |
| 8218185 | 99285 EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ ProFee | $1,500 | $1,200 | — | — | 2 |
| 1168094 | CT Brain/Head w/o Contrast | $1,316 | $1,053 | — | — | 1 |
| 10722025 | 25622 - Carpal Scaphoid w/o manipulation | $1,095 | $876 | — | — | 1 |
| 8218184 | 99284 EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY ProFee | $1,050 | $840 | — | — | 3 |
| 8078891 | ROOM/BED: Swingbed | $1,026 | $821 | — | — | 3 |
| 10701345 | Factor V Leiden Genotype IHC | $816 | $653 | — | — | 1 |
| 13150420 | Factor V Leiden Genotype IMEL | $816 | $653 | — | — | 1 |
| 2389455 | 99291 Facility Level Critical Care Ill/Injured Patient Init 30-74 Min | $687 | $550 | — | — | 1 |
| 8218183 | 99283 EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY ProFee | $677 | $542 | — | — | 5 |
| 2644301 | 99285 ED VISIT E M PATIENT, LEV 5, REQ MED APPROP HSTRY/EXAM/HIGH MDM, CC | $591 | $473 | — | — | 5 |
| 13150421 | Fecal Calprotectin IMEL | $581 | $465 | — | — | 1 |
| Brain contusion/laceration & complicated skull F | Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma [Major Severity] | $565 | $452 | — | — | 1 |
| Tendonitis, myositis & bursitis without major co | Tendonitis, myositis & bursitis without major complications | $558 | $446 | — | — | 1 |
| 8080004 | 12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal to 2.5 cm | $547 | $438 | — | — | 2 |
| 8079994 | 12002-Scalp/Neck/Trunk/Genital/Extremity 2.6-7.5 cm | $536 | $429 | — | — | 2 |
| 8079992 | 12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm | $509 | $407 | — | — | 3 |
| 13215035 | 87529 HSV 1 And 2 Subtype By PCR IMEL | $505 | $404 | — | — | 1 |
| 13150476 | HSV 1 And 2 Subtype By PCR IMEL | $505 | $404 | — | — | 1 |
| Stomach Disorder without complications | Stomach Disorder without complications | $489 | $391 | — | — | 1 |
| 8023595 | 12034 REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM ProFee | $463 | $370 | — | — | 1 |
| 8080043 | 10060-I&D Abscess/Cyst/Hematoma Simple | $463 | $370 | — | — | 1 |
| 2644300 | 99284 ED VISIT E&M PATIENT, LEV 4, REQ MED APPROP HSTRY/EXAM/MODERATE MDM, CC | $461 | $369 | — | — | 9 |
| 8079996 | 12004-Scalp/Neck/Trunk/Genital/Extremity 7.6-12.5 cm | $456 | $365 | — | — | 1 |
| 10700826 | Thyroid Stimulating Immunoglobulin IHC | $435 | $348 | — | — | 1 |
| 13148587 | Thyroid Stimulating Immunoglobulin IMEL | $435 | $348 | — | — | 1 |
| 8218182 | 99282 EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY ProFee | $420 | $336 | — | — | 2 |
| Otitis media & URI without major complications | Otitis media & URI without major complications | $400 | $320 | — | — | 1 |
| 8426466 | XR Spine Lumbar Flexion and Extension | $399 | $319 | — | — | 3 |
| 1170476 | XR Spine Lumbosacral 4plus Views | $399 | $319 | — | — | 3 |
| 13226044 | 84146 Macroprolactin IMEL | $393 | $315 | — | — | 1 |
| 13148559 | Macroprolactin IMEL | $393 | $315 | — | — | 1 |
Showing top 50 of 714 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.