45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,539
Insurances with rates
14
CPT / HCPCS codes
1,129
Most expensive procedures (gross)
L5701
$5,584
REPLACE SOCKET ABOVE KNEE
Gross
$7,445
L5649
$4,738
ISCH CONTAINMT/NARROW M-I SO
Gross
$6,317
81408
$4,635
MOPATH PROCEDURE LEVEL 9
Gross
$6,180
L2036
$4,414
KAFO PLAS DOUB FREE KNEE MOL
Gross
$5,885
L0486
$4,385
TLSO RIGID LINED CUST FAB TWO
Gross
$5,846
L0484
$4,121
TLSO RIGID PLASTIC CUST FAB
Gross
$5,495
73723
$4,101
MRI LOWER EXTREM JNT W/+W/O CO
Gross
$5,468
750
$4,054
PEG TUBE PLACEMENT
Gross
$5,405
73720
$3,898
MRI LOWER EXTREM NON JNT W/+W/
Gross
$5,197
49440
$3,505
G TUBE INSERTION W/GUIDANCE
Gross
$4,673
L4631
$3,502
AFO, WALKING BOOT, CUSTOM
Gross
$4,669
73722
$3,380
MRI LOWER EXTREM JNT W CONTRAS
Gross
$4,506
L0464
$3,304
TLSO 4MOD SACRO-SCAP PRE
Gross
$4,405
73223
$3,296
MRI UPPER EXTREM W/+W/O CONTRA
Gross
$4,394
73719
$3,274
MRI LOWER EXTREM NON JNT W CON
Gross
$4,365
74177
$3,274
CT ABDOMEN/PELVIS W/ CONTRAST
Gross
$4,365
73202
$3,179
CT UPPER EXTREM W/+W/O CONTRAS
Gross
$4,239
70553
$3,079
MRI BRAIN W/ + W/O CONTRAST
Gross
$4,105
73721
$3,033
MRI LOWER EXTREM JNT W/O CONTR
Gross
$4,044
72158
$3,005
MRI SPINE LUMBAR W/ + W/O CONT
Gross
$4,007
L5651
$3,002
AK FLEX INNER SICKET EXT FRA
Gross
$4,003
74176
$2,999
CT ABDOMEN/PELVIS W/O CONTRAST
Gross
$3,998
72156
$2,921
MRI SPINE CERVICAL W/ + W/O CO
Gross
$3,895
L0112
$2,868
CRANIAL CERVICAL ORTHOSIS
Gross
$3,824
L3973
$2,849
SEWHO AIRPLANE W/JNT(S) CF
Gross
$3,799
L3978
$2,849
SEWHFO AIRPLANE W/JNTS CF
Gross
$3,799
77301
$2,840
RADIATION IMR PLAN
Gross
$3,787
72149
$2,802
MRI SPINE LUMBAR W/ CONTRAST
Gross
$3,736
L2020
$2,777
KAFO DBL SOLID STIRRUP BAND/
Gross
$3,702
99283
$2,740
EMERGENCY ROOM-MODERATE
Gross
$3,653
L3971
$2,704
SEWHO CAP DESIGN W/JNT(S) CF
Gross
$3,606
L3977
$2,704
SEWHFO CAP DESIGN W/JNTS CF
Gross
$3,606
73718
$2,704
MRI LOWER EXTREM NON JNT W/O C
Gross
$3,605
L0637
$2,641
LSO SAG-CORONAL PANEL PREFAB
Gross
$3,521
L0650
$2,641
LSO SC R ANT/POS PNL PRE OTS
Gross
$3,521
73701
$2,617
CT LOWER EXTREM W CONTRAST
Gross
$3,489
72141
$2,562
MRI SPINE CERVICAL W/O CONTRAS
Gross
$3,416
72148
$2,496
MRI SPINE LUMBAR W/O CONTRAST
Gross
$3,328
L1685
$2,441
POST-OP HIP ABDUCT CUSTOM FA
Gross
$3,254
L3961
$2,413
SEWHO CAP DESIGN W/O JNTS CF
Gross
$3,217
L3975
$2,413
SEWHFO CAP DESIGN W/O JNT CF
Gross
$3,217
L3976
$2,413
SEWHFO AIRPLANE W/O JNTS CF
Gross
$3,217
73222
$2,405
MRI UPPER EXTREM W CONTRAST
Gross
$3,206
71270
$2,341
CT THORAX W/ + W/O CONTRAST
Gross
$3,121
49083
$2,331
US GUIDED PARACENTESIS
Gross
$3,108
L0640
$2,326
LSO S/C SHELL/PANEL CUSTOM
Gross
$3,101
72146
$2,312
MRI SPINE THORACIC W/O CONTRAS
Gross
$3,082
73200
$2,289
CT UPPER EXTREM W/O CONTRAST
Gross
$3,052
L0631
$2,282
LSO SAG-CORO RIGID FRAME PREFB
Gross
$3,043
L0648
$2,282
LSO SAG R AN/POS PNL PRE OTS
Gross
$3,043
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| L5701 | REPLACE SOCKET ABOVE KNEE | $7,445 | $5,584 | — | — | 4 |
| L5649 | ISCH CONTAINMT/NARROW M-I SO | $6,317 | $4,738 | — | — | 4 |
| 81408 | MOPATH PROCEDURE LEVEL 9 | $6,180 | $4,635 | — | — | 4 |
| L2036 | KAFO PLAS DOUB FREE KNEE MOL | $5,885 | $4,414 | — | — | 4 |
| L0486 | TLSO RIGID LINED CUST FAB TWO | $5,846 | $4,385 | — | — | 4 |
| L0484 | TLSO RIGID PLASTIC CUST FAB | $5,495 | $4,121 | — | — | 4 |
| 73723 | MRI LOWER EXTREM JNT W/+W/O CO | $5,468 | $4,101 | — | — | 4 |
| 750 | PEG TUBE PLACEMENT | $5,405 | $4,054 | — | — | 4 |
| 73720 | MRI LOWER EXTREM NON JNT W/+W/ | $5,197 | $3,898 | — | — | 4 |
| 49440 | G TUBE INSERTION W/GUIDANCE | $4,673 | $3,505 | — | — | 4 |
| L4631 | AFO, WALKING BOOT, CUSTOM | $4,669 | $3,502 | — | — | 4 |
| 73722 | MRI LOWER EXTREM JNT W CONTRAS | $4,506 | $3,380 | — | — | 4 |
| L0464 | TLSO 4MOD SACRO-SCAP PRE | $4,405 | $3,304 | — | — | 4 |
| 73223 | MRI UPPER EXTREM W/+W/O CONTRA | $4,394 | $3,296 | — | — | 4 |
| 73719 | MRI LOWER EXTREM NON JNT W CON | $4,365 | $3,274 | — | — | 4 |
| 74177 | CT ABDOMEN/PELVIS W/ CONTRAST | $4,365 | $3,274 | — | — | 4 |
| 73202 | CT UPPER EXTREM W/+W/O CONTRAS | $4,239 | $3,179 | — | — | 4 |
| 70553 | MRI BRAIN W/ + W/O CONTRAST | $4,105 | $3,079 | — | — | 4 |
| 73721 | MRI LOWER EXTREM JNT W/O CONTR | $4,044 | $3,033 | — | — | 4 |
| 72158 | MRI SPINE LUMBAR W/ + W/O CONT | $4,007 | $3,005 | — | — | 4 |
| L5651 | AK FLEX INNER SICKET EXT FRA | $4,003 | $3,002 | — | — | 4 |
| 74176 | CT ABDOMEN/PELVIS W/O CONTRAST | $3,998 | $2,999 | — | — | 4 |
| 72156 | MRI SPINE CERVICAL W/ + W/O CO | $3,895 | $2,921 | — | — | 4 |
| L0112 | CRANIAL CERVICAL ORTHOSIS | $3,824 | $2,868 | — | — | 4 |
| L3973 | SEWHO AIRPLANE W/JNT(S) CF | $3,799 | $2,849 | — | — | 4 |
| L3978 | SEWHFO AIRPLANE W/JNTS CF | $3,799 | $2,849 | — | — | 4 |
| 77301 | RADIATION IMR PLAN | $3,787 | $2,840 | — | — | 4 |
| 72149 | MRI SPINE LUMBAR W/ CONTRAST | $3,736 | $2,802 | — | — | 4 |
| L2020 | KAFO DBL SOLID STIRRUP BAND/ | $3,702 | $2,777 | — | — | 4 |
| 99283 | EMERGENCY ROOM-MODERATE | $3,653 | $2,740 | — | — | 4 |
| L3971 | SEWHO CAP DESIGN W/JNT(S) CF | $3,606 | $2,704 | — | — | 4 |
| L3977 | SEWHFO CAP DESIGN W/JNTS CF | $3,606 | $2,704 | — | — | 4 |
| 73718 | MRI LOWER EXTREM NON JNT W/O C | $3,605 | $2,704 | — | — | 4 |
| L0637 | LSO SAG-CORONAL PANEL PREFAB | $3,521 | $2,641 | — | — | 4 |
| L0650 | LSO SC R ANT/POS PNL PRE OTS | $3,521 | $2,641 | — | — | 4 |
| 73701 | CT LOWER EXTREM W CONTRAST | $3,489 | $2,617 | — | — | 4 |
| 72141 | MRI SPINE CERVICAL W/O CONTRAS | $3,416 | $2,562 | — | — | 4 |
| 72148 | MRI SPINE LUMBAR W/O CONTRAST | $3,328 | $2,496 | — | — | 4 |
| L1685 | POST-OP HIP ABDUCT CUSTOM FA | $3,254 | $2,441 | — | — | 4 |
| L3961 | SEWHO CAP DESIGN W/O JNTS CF | $3,217 | $2,413 | — | — | 4 |
| L3975 | SEWHFO CAP DESIGN W/O JNT CF | $3,217 | $2,413 | — | — | 4 |
| L3976 | SEWHFO AIRPLANE W/O JNTS CF | $3,217 | $2,413 | — | — | 4 |
| 73222 | MRI UPPER EXTREM W CONTRAST | $3,206 | $2,405 | — | — | 4 |
| 71270 | CT THORAX W/ + W/O CONTRAST | $3,121 | $2,341 | — | — | 4 |
| 49083 | US GUIDED PARACENTESIS | $3,108 | $2,331 | — | — | 4 |
| L0640 | LSO S/C SHELL/PANEL CUSTOM | $3,101 | $2,326 | — | — | 4 |
| 72146 | MRI SPINE THORACIC W/O CONTRAS | $3,082 | $2,312 | — | — | 4 |
| 73200 | CT UPPER EXTREM W/O CONTRAST | $3,052 | $2,289 | — | — | 4 |
| L0631 | LSO SAG-CORO RIGID FRAME PREFB | $3,043 | $2,282 | — | — | 4 |
| L0648 | LSO SAG R AN/POS PNL PRE OTS | $3,043 | $2,282 | — | — | 4 |
Showing top 50 of 1,539 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.