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
1,507
Insurances with rates
12
CPT / HCPCS codes
1,097
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
70542
$4,427
MRI FACE NECK ORBIT W CONTRAST
Gross
$5,902
70543
$4,427
MRI FACE NECK ORBIT W + W/O CO
Gross
$5,902
70545
$4,427
MRA HEAD W CONTRAST
Gross
$5,902
70546
$4,427
MRA HEAD W + W/O CONTRAST
Gross
$5,902
70548
$4,427
MRA NECK W CONTRAST
Gross
$5,902
70549
$4,427
MRA NECK W + W/O CONTRAST
Gross
$5,902
70552
$4,427
MRI BRAIN W CONTRAST
Gross
$5,902
70553
$4,427
MRI BRAIN W/ + W/O CONTRAST
Gross
$5,902
72149
$4,427
MRI SPINE LUMBAR W/ CONTRAST
Gross
$5,902
72156
$4,427
MRI SPINE CERVICAL W/ + W/O CO
Gross
$5,902
72158
$4,427
MRI SPINE LUMBAR W/ + W/O CONT
Gross
$5,902
72196
$4,427
MRI PELVIS W CONTRAST
Gross
$5,902
72197
$4,427
MRI PELVIS W + W/O CONTRAST
Gross
$5,902
73201
$4,427
CT UPPER EXTREM W CONTRAST
Gross
$5,902
73223
$4,427
MRI UPPER EXTREM W/+W/O CONTRA
Gross
$5,902
73719
$4,427
MRI LOWER EXTREM NON JNT W CON
Gross
$5,902
73720
$4,427
MRI LOWER EXTREM NON JNT W/+W/
Gross
$5,902
73722
$4,427
MRI LOWER EXTREM JNT W CONTRAS
Gross
$5,902
73723
$4,427
MRI LOWER EXTREM JNT W/+W/O CO
Gross
$5,902
74177
$4,427
CT ABDOMEN/PELVIS W/ CONTRAST
Gross
$5,902
74182
$4,427
MRI ABDOMEN W CONTRAST
Gross
$5,902
74183
$4,427
MRI ABDOMEN W + W/O CONTRAST
Gross
$5,902
L2036
$4,414
KAFO PLAS DOUB FREE KNEE MOL
Gross
$5,885
L0486
$4,385
TLSO RIGID LINED CUST FAB TWO
Gross
$5,846
78306
$4,281
NM BONE JOINT IMAGE WHOLE BODY
Gross
$5,708
L0484
$4,121
TLSO RIGID PLASTIC CUST FAB
Gross
$5,495
L1690
$4,077
COMBINATION BILATERAL HO
Gross
$5,436
49440
$3,505
G TUBE INSERTION W/GUIDANCE
Gross
$4,673
L4631
$3,502
AFO, WALKING BOOT, CUSTOM
Gross
$4,669
L0482
$3,340
TLSO RIGID LINED CUSTOM FAB
Gross
$4,454
L0464
$3,304
TLSO 4MOD SACRO-SCAP PRE
Gross
$4,405
L5651
$3,002
AK FLEX INNER SICKET EXT FRA
Gross
$4,003
L0112
$2,951
CRANIAL CERVICAL ORTHOSIS
Gross
$3,934
L0480
$2,876
TLSO RIGID PLASTIC CUSTOM FA
Gross
$3,835
L0636
$2,862
LSO SAGITTAL RIGID PANEL CUS
Gross
$3,816
70540
$2,846
MRI FACE NECK ORBIT W/O CONTRA
Gross
$3,795
70544
$2,846
MRA HEAD W/O CONTRAST
Gross
$3,795
70547
$2,846
MRA NECK W/O CONTRAST
Gross
$3,795
70551
$2,846
MRI BRAIN W/O CONTRAST
Gross
$3,795
72141
$2,846
MRI SPINE CERVICAL W/O CONTRAS
Gross
$3,795
72146
$2,846
MRI SPINE THORACIC W/O CONTRAS
Gross
$3,795
72148
$2,846
MRI SPINE LUMBAR W/O CONTRAST
Gross
$3,795
72195
$2,846
MRI PELVIS W/O CONTRAST
Gross
$3,795
73221
$2,846
MRI UPPER EXTREM W/O CONTRAST
Gross
$3,795
73718
$2,846
MRI LOWER EXTREM NON JNT W/O C
Gross
$3,795
73721
$2,846
MRI LOWER EXTREM JNT W/O CONTR
Gross
$3,795
74176
$2,846
CT ABDOMEN/PELVIS W/O CONTRAST
Gross
$3,795
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| L5701 | REPLACE SOCKET ABOVE KNEE | $7,445 | $5,584 | — | — | 2 |
| L5649 | ISCH CONTAINMT/NARROW M-I SO | $6,317 | $4,738 | — | — | 2 |
| 81408 | MOPATH PROCEDURE LEVEL 9 | $6,180 | $4,635 | — | — | 2 |
| 70542 | MRI FACE NECK ORBIT W CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 70543 | MRI FACE NECK ORBIT W + W/O CO | $5,902 | $4,427 | — | — | 2 |
| 70545 | MRA HEAD W CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 70546 | MRA HEAD W + W/O CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 70548 | MRA NECK W CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 70549 | MRA NECK W + W/O CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 70552 | MRI BRAIN W CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 70553 | MRI BRAIN W/ + W/O CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 72149 | MRI SPINE LUMBAR W/ CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 72156 | MRI SPINE CERVICAL W/ + W/O CO | $5,902 | $4,427 | — | — | 2 |
| 72158 | MRI SPINE LUMBAR W/ + W/O CONT | $5,902 | $4,427 | — | — | 2 |
| 72196 | MRI PELVIS W CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 72197 | MRI PELVIS W + W/O CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 73201 | CT UPPER EXTREM W CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 73223 | MRI UPPER EXTREM W/+W/O CONTRA | $5,902 | $4,427 | — | — | 2 |
| 73719 | MRI LOWER EXTREM NON JNT W CON | $5,902 | $4,427 | — | — | 2 |
| 73720 | MRI LOWER EXTREM NON JNT W/+W/ | $5,902 | $4,427 | — | — | 2 |
| 73722 | MRI LOWER EXTREM JNT W CONTRAS | $5,902 | $4,427 | — | — | 2 |
| 73723 | MRI LOWER EXTREM JNT W/+W/O CO | $5,902 | $4,427 | — | — | 2 |
| 74177 | CT ABDOMEN/PELVIS W/ CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 74182 | MRI ABDOMEN W CONTRAST | $5,902 | $4,427 | — | — | 2 |
| 74183 | MRI ABDOMEN W + W/O CONTRAST | $5,902 | $4,427 | — | — | 2 |
| L2036 | KAFO PLAS DOUB FREE KNEE MOL | $5,885 | $4,414 | — | — | 2 |
| L0486 | TLSO RIGID LINED CUST FAB TWO | $5,846 | $4,385 | — | — | 2 |
| 78306 | NM BONE JOINT IMAGE WHOLE BODY | $5,708 | $4,281 | — | — | 2 |
| L0484 | TLSO RIGID PLASTIC CUST FAB | $5,495 | $4,121 | — | — | 2 |
| L1690 | COMBINATION BILATERAL HO | $5,436 | $4,077 | — | — | 2 |
| 49440 | G TUBE INSERTION W/GUIDANCE | $4,673 | $3,505 | — | — | 2 |
| L4631 | AFO, WALKING BOOT, CUSTOM | $4,669 | $3,502 | — | — | 2 |
| L0482 | TLSO RIGID LINED CUSTOM FAB | $4,454 | $3,340 | — | — | 2 |
| L0464 | TLSO 4MOD SACRO-SCAP PRE | $4,405 | $3,304 | — | — | 2 |
| L5651 | AK FLEX INNER SICKET EXT FRA | $4,003 | $3,002 | — | — | 2 |
| L0112 | CRANIAL CERVICAL ORTHOSIS | $3,934 | $2,951 | — | — | 2 |
| L0480 | TLSO RIGID PLASTIC CUSTOM FA | $3,835 | $2,876 | — | — | 2 |
| L0636 | LSO SAGITTAL RIGID PANEL CUS | $3,816 | $2,862 | — | — | 2 |
| 70540 | MRI FACE NECK ORBIT W/O CONTRA | $3,795 | $2,846 | — | — | 2 |
| 70544 | MRA HEAD W/O CONTRAST | $3,795 | $2,846 | — | — | 2 |
| 70547 | MRA NECK W/O CONTRAST | $3,795 | $2,846 | — | — | 2 |
| 70551 | MRI BRAIN W/O CONTRAST | $3,795 | $2,846 | — | — | 2 |
| 72141 | MRI SPINE CERVICAL W/O CONTRAS | $3,795 | $2,846 | — | — | 2 |
| 72146 | MRI SPINE THORACIC W/O CONTRAS | $3,795 | $2,846 | — | — | 2 |
| 72148 | MRI SPINE LUMBAR W/O CONTRAST | $3,795 | $2,846 | — | — | 2 |
| 72195 | MRI PELVIS W/O CONTRAST | $3,795 | $2,846 | — | — | 2 |
| 73221 | MRI UPPER EXTREM W/O CONTRAST | $3,795 | $2,846 | — | — | 2 |
| 73718 | MRI LOWER EXTREM NON JNT W/O C | $3,795 | $2,846 | — | — | 2 |
| 73721 | MRI LOWER EXTREM JNT W/O CONTR | $3,795 | $2,846 | — | — | 2 |
| 74176 | CT ABDOMEN/PELVIS W/O CONTRAST | $3,795 | $2,846 | — | — | 2 |
Showing top 50 of 1,507 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.