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
2,669
Insurances with rates
7
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4230410
$6,668
SUTURE/REPAIR TESTI INJR
Gross
$7,845
4350409
$6,653
EXCISION PILONIDAL CYST SIMPLE
Gross
$7,827
4350424
$6,383
SUTURE/REPAIR TESTI INJY
Gross
$7,509
4130104
$6,376
CTA ABD/PEL W&W/O CONTRAST
Gross
$7,501
4130100
$6,036
CT ABD/PELVIS W/WO CONTRAST
Gross
$7,101
4120009
$5,870
MRI BRAIN W/WO CONTRAST
Gross
$6,906
4120018
$5,848
MRI L-SPINE W/WO CONTRAST
Gross
$6,880
4230720
$5,374
I&D ISCHIORECT/PERIRECT ABS
Gross
$6,322
4237602
$5,034
EX LES MUC/SUB VEST MTH WO RPR
Gross
$5,922
4230004
$5,012
TRAUMA RESP TM W/CRITCARE
Gross
$5,896
4357604
$5,010
EXC LES MUC/SUB VST MTH WO RPR
Gross
$5,894
4230707
$4,994
TX INCOMPLETE AB ANY TRI SURG
Gross
$5,875
4350422
$4,971
TX INCOMPLETE AB ANY TRI
Gross
$5,848
4240770
$4,824
PF VAGINAL DELIVERY ONLY
Gross
$5,675
4350126
$4,616
PF VAGINAL DELIVERY ONLY
Gross
$5,431
4130099
$4,599
CT ABD/PELVIS WITH CONTRAST
Gross
$5,410
4120033
$4,578
MRI ABD W/WO CONTRAST
Gross
$5,386
4120017
$4,552
MRI T-SPINE W/WO CONTRAST
Gross
$5,355
4230709
$4,495
REPR TENDN/MUSL FLX F/ARM/WRST
Gross
$5,288
4120016
$4,391
MRI C-SPINE W/WO CONTRAST
Gross
$5,166
4120005
$4,373
MRA HEAD W/WO CONTRAST
Gross
$5,145
4120028
$4,324
MRI LO EXT W/WO JNT W/WO
Gross
$5,087
4120020
$4,306
MRI PELVIS W/WO CONTRAST
Gross
$5,066
4120011
$4,282
MRI CHEST W/WO CONTRAST
Gross
$5,038
4350163
$4,274
EXC MAL LES+MARG1.1-2cm
Gross
$5,028
4120007
$4,230
MRA NECK W/WO CONTRAST
Gross
$4,977
4350750
$4,208
DEBRID BN MSCL/FASCIA<20 SQ CM
Gross
$4,951
4120082
$4,173
MRI C SPINE WC
Gross
$4,909
4350140
$4,108
EGD W/ FB REMOVAL
Gross
$4,833
4230706
$4,069
EPISIOTOMY/VAG REPR NON ATTEND
Gross
$4,787
4350227
$4,066
I&D HEMA/SEROMA FLUID COLL
Gross
$4,784
4350164
$4,040
EXC MAL LES+MARG.6-1cm
Gross
$4,753
4130092
$3,973
CTA CHEST
Gross
$4,674
4237613
$3,972
PF CRITICAL CARE INITL 30-74 M
Gross
$4,673
4130018
$3,913
CT CERVICAL W/WO CONTRAST
Gross
$4,603
4120025
$3,883
MRI UP EXT W/JNT W/WO
Gross
$4,568
4230714
$3,818
NERVOUS SYS SURG OTH/PROC
Gross
$4,492
4359907
$3,800
NERVOUS SYS OTH SURG/PROC
Gross
$4,471
4120003
$3,796
MRI ORB/FACE/NECK W/WO
Gross
$4,466
4237592
$3,794
SKIN SC TISSUE MF/MUSCLE/BONE
Gross
$4,464
4120081
$3,763
MRI-BRAIN WITH CONTRAST
Gross
$4,427
4120030
$3,708
MRI LO EXT W/JNT W/WO
Gross
$4,362
4350080
$3,706
PF ARTHROTOMY ELBW W/EXP
Gross
$4,360
4130097
$3,661
CTA ABDOMEN
Gross
$4,307
4120023
$3,644
MRI UP EXT W/O JNT W/WO
Gross
$4,287
4237584
$3,643
CLOSED TX MTPJ DISLC W/ANES
Gross
$4,286
4237603
$3,637
VAG DELIV W/WO EPISIOTOMY/FORE
Gross
$4,279
4350209
$3,619
EXC TUMOR HAND/FING<1.5cm
Gross
$4,258
4120015
$3,611
MRI L-SPINE W/O CONTRAST
Gross
$4,248
4350153
$3,596
EXC MAL LES+MARG1.1-2cm
Gross
$4,231
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4230410 | SUTURE/REPAIR TESTI INJR | $7,845 | $6,668 | — | — | 15 |
| 4350409 | EXCISION PILONIDAL CYST SIMPLE | $7,827 | $6,653 | — | — | 9 |
| 4350424 | SUTURE/REPAIR TESTI INJY | $7,509 | $6,383 | — | — | 9 |
| 4130104 | CTA ABD/PEL W&W/O CONTRAST | $7,501 | $6,376 | — | — | 15 |
| 4130100 | CT ABD/PELVIS W/WO CONTRAST | $7,101 | $6,036 | — | — | 15 |
| 4120009 | MRI BRAIN W/WO CONTRAST | $6,906 | $5,870 | — | — | 15 |
| 4120018 | MRI L-SPINE W/WO CONTRAST | $6,880 | $5,848 | — | — | 15 |
| 4230720 | I&D ISCHIORECT/PERIRECT ABS | $6,322 | $5,374 | — | — | 15 |
| 4237602 | EX LES MUC/SUB VEST MTH WO RPR | $5,922 | $5,034 | — | — | 15 |
| 4230004 | TRAUMA RESP TM W/CRITCARE | $5,896 | $5,012 | — | — | 15 |
| 4357604 | EXC LES MUC/SUB VST MTH WO RPR | $5,894 | $5,010 | — | — | 9 |
| 4230707 | TX INCOMPLETE AB ANY TRI SURG | $5,875 | $4,994 | — | — | 15 |
| 4350422 | TX INCOMPLETE AB ANY TRI | $5,848 | $4,971 | — | — | 9 |
| 4240770 | PF VAGINAL DELIVERY ONLY | $5,675 | $4,824 | — | — | 15 |
| 4350126 | PF VAGINAL DELIVERY ONLY | $5,431 | $4,616 | — | — | 15 |
| 4130099 | CT ABD/PELVIS WITH CONTRAST | $5,410 | $4,599 | — | — | 15 |
| 4120033 | MRI ABD W/WO CONTRAST | $5,386 | $4,578 | — | — | 15 |
| 4120017 | MRI T-SPINE W/WO CONTRAST | $5,355 | $4,552 | — | — | 15 |
| 4230709 | REPR TENDN/MUSL FLX F/ARM/WRST | $5,288 | $4,495 | — | — | 15 |
| 4120016 | MRI C-SPINE W/WO CONTRAST | $5,166 | $4,391 | — | — | 15 |
| 4120005 | MRA HEAD W/WO CONTRAST | $5,145 | $4,373 | — | — | 15 |
| 4120028 | MRI LO EXT W/WO JNT W/WO | $5,087 | $4,324 | — | — | 15 |
| 4120020 | MRI PELVIS W/WO CONTRAST | $5,066 | $4,306 | — | — | 15 |
| 4120011 | MRI CHEST W/WO CONTRAST | $5,038 | $4,282 | — | — | 15 |
| 4350163 | EXC MAL LES+MARG1.1-2cm | $5,028 | $4,274 | — | — | 9 |
| 4120007 | MRA NECK W/WO CONTRAST | $4,977 | $4,230 | — | — | 15 |
| 4350750 | DEBRID BN MSCL/FASCIA<20 SQ CM | $4,951 | $4,208 | — | — | 9 |
| 4120082 | MRI C SPINE WC | $4,909 | $4,173 | — | — | 15 |
| 4350140 | EGD W/ FB REMOVAL | $4,833 | $4,108 | — | — | 15 |
| 4230706 | EPISIOTOMY/VAG REPR NON ATTEND | $4,787 | $4,069 | — | — | 15 |
| 4350227 | I&D HEMA/SEROMA FLUID COLL | $4,784 | $4,066 | — | — | 9 |
| 4350164 | EXC MAL LES+MARG.6-1cm | $4,753 | $4,040 | — | — | 9 |
| 4130092 | CTA CHEST | $4,674 | $3,973 | — | — | 15 |
| 4237613 | PF CRITICAL CARE INITL 30-74 M | $4,673 | $3,972 | — | — | 15 |
| 4130018 | CT CERVICAL W/WO CONTRAST | $4,603 | $3,913 | — | — | 15 |
| 4120025 | MRI UP EXT W/JNT W/WO | $4,568 | $3,883 | — | — | 15 |
| 4230714 | NERVOUS SYS SURG OTH/PROC | $4,492 | $3,818 | — | — | 15 |
| 4359907 | NERVOUS SYS OTH SURG/PROC | $4,471 | $3,800 | — | — | 9 |
| 4120003 | MRI ORB/FACE/NECK W/WO | $4,466 | $3,796 | — | — | 15 |
| 4237592 | SKIN SC TISSUE MF/MUSCLE/BONE | $4,464 | $3,794 | — | — | 15 |
| 4120081 | MRI-BRAIN WITH CONTRAST | $4,427 | $3,763 | — | — | 15 |
| 4120030 | MRI LO EXT W/JNT W/WO | $4,362 | $3,708 | — | — | 15 |
| 4350080 | PF ARTHROTOMY ELBW W/EXP | $4,360 | $3,706 | — | — | 15 |
| 4130097 | CTA ABDOMEN | $4,307 | $3,661 | — | — | 15 |
| 4120023 | MRI UP EXT W/O JNT W/WO | $4,287 | $3,644 | — | — | 15 |
| 4237584 | CLOSED TX MTPJ DISLC W/ANES | $4,286 | $3,643 | — | — | 15 |
| 4237603 | VAG DELIV W/WO EPISIOTOMY/FORE | $4,279 | $3,637 | — | — | 15 |
| 4350209 | EXC TUMOR HAND/FING<1.5cm | $4,258 | $3,619 | — | — | 9 |
| 4120015 | MRI L-SPINE W/O CONTRAST | $4,248 | $3,611 | — | — | 15 |
| 4350153 | EXC MAL LES+MARG1.1-2cm | $4,231 | $3,596 | — | — | 9 |
Showing top 50 of 2,669 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.