45 CFR § 180 compliance
F · 55
This hospital published little 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
11,899
Insurances with rates
10
CPT / HCPCS codes
10,319
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C9765 | REVASC INTRAVASC LITHO/STNT | $24,840 | $12,420 | — | — | 21 |
| 0275T | LUMBAR DECOMPRESSION | $13,740 | $6,870 | — | — | 21 |
| C1874 | 1233022 - STENT GORE VIABIL 10MM 6CM 200CM NO HOLE ENDOPROSTHESIS ENDO | $13,560 | $6,780 | — | — | 21 |
| 58580 | RFA UTERINE FIBROID W/US | $12,680 | $6,340 | — | — | 21 |
| 22513 | KYPHOPLASTY THORACIC WITH IMAGING | $11,950 | $5,975 | — | — | 21 |
| 22514 | KYPHOPLASTY LUMBAR WITH IMAGING | $11,950 | $5,975 | — | — | 21 |
| 74178 | CT ABDOMEN & PELVIS W/WO DYE | $9,220 | $4,610 | — | — | 20 |
| A9572 | RRX IN111 OCTREOTIDE PER DOSE | $8,330 | $4,165 | — | — | 20 |
| A9569 | RRX TC-99M EXAMETAZINE AUTOLOGOUS WBC'S PER DOSE | $8,300 | $4,150 | — | — | 20 |
| 78815 | NM PET CT SKULL/THIGH | $8,120 | $4,060 | — | — | 21 |
| 78492 | MYOCRD IMG PET MLT RST&STRS | $8,120 | $4,060 | — | — | 20 |
| 78816 | NM PET CT WHOLE BODY | $8,120 | $4,060 | — | — | 21 |
| 27307 | TENOTOMY HAMSTRING > 1 TENDON | $7,570 | $3,785 | — | — | 20 |
| 24357 | TENOTOMY ELBOW | $7,540 | $3,770 | — | — | 20 |
| 23405 | TENOTOMY SHOULDER | $7,540 | $3,770 | — | — | 21 |
| 78452 | NM MYO PERF SPECT MULTIPLE | $7,530 | $3,765 | — | — | 21 |
| 95700 | EEG CONT REC W/VID EEG MIN 8 CHNLS | $7,280 | $3,640 | — | — | 21 |
| 0750 | ENDOSCOPY W/STENT | $7,200 | $3,600 | — | — | 21 |
| 93355 | TEE GUIDANCE GREAT VESSEL REPAIR | $7,160 | $3,580 | — | — | 20 |
| 60660 | THYROID RF ABLAT SNGL LOBE | $7,100 | $3,550 | — | — | 20 |
| 81456 | SARCOMA TARGETED GENE PANEL | $7,010 | $3,505 | — | — | 21 |
| 62287 | DISKECTOMY/PERCUTANEOUS LUMBAR | $7,000 | $3,500 | — | — | 20 |
| 0638T | CT BREAST W/3D BI WWO DYE | $6,910 | $3,455 | — | — | 21 |
| 37609 | TEMPORAL ARTERY LIGATION OR BIOPSY | $6,770 | $3,385 | — | — | 21 |
| 95811 | POLYSOMNOGRAPHY W CPAP/BIPAP | $6,770 | $3,385 | — | — | 20 |
| 95810 | POLYSOMNOGRAPHY 4/> PAREMETERS | $6,770 | $3,385 | — | — | 21 |
| 22511 | VERTEBROPLASTY L/S WITH IMAGING | $6,760 | $3,380 | — | — | 21 |
| 72198 | MRA PELVIS WWO CONTRAST | $6,530 | $3,265 | — | — | 20 |
| 72157 | MR T SPINE W/WO DYE | $6,530 | $3,265 | — | — | 21 |
| 70543 | MR ORBIT/FACE/NECK W/WO DYE | $6,530 | $3,265 | — | — | 20 |
| 72197 | MR PELVIS W/WO DYE | $6,530 | $3,265 | — | — | 20 |
| 73223 | MR UPPER EXTREM JOINT W/WO DYE | $6,530 | $3,265 | — | — | 21 |
| 73220 | MR UPPER EXTREM W/WO DYE | $6,530 | $3,265 | — | — | 20 |
| 71552 | MR CHEST W/WO DYE | $6,530 | $3,265 | — | — | 20 |
| 72158 | MR L SPINE W/WO DYE | $6,530 | $3,265 | — | — | 20 |
| 70549 | MRA NECK W/WO DYE | $6,530 | $3,265 | — | — | 20 |
| 73225 | MRA UPPER EXTREM W/WO DYE | $6,530 | $3,265 | — | — | 21 |
| 73723 | MR LOWER EXTREM JOINT W/WO DYE | $6,530 | $3,265 | — | — | 21 |
| 73720 | MR LOWER EXTREM W/WO DYE | $6,530 | $3,265 | — | — | 20 |
| 74183 | MR ABDOMEN W/WO DYE | $6,530 | $3,265 | — | — | 21 |
| 72156 | MR C SPINE W/WO DYE | $6,530 | $3,265 | — | — | 20 |
| 70546 | MRA HEAD W/WO DYE | $6,530 | $3,265 | — | — | 21 |
| 70553 | MR BRAIN W/WO DYE | $6,530 | $3,265 | — | — | 20 |
| 77049 | MR BREAST W/WO W/CAD CONTRAST BILAT | $6,490 | $3,245 | — | — | 21 |
| 57410 | PELVIC EXAM UNDER ANESTHESIA | $6,470 | $3,235 | — | — | 21 |
| C1776 | 1028646 - SHELL ACTB HIP 54MM G7 F HMSPHR 4 HOLE CLR CD | $6,448 | $3,224 | — | — | 21 |
| A9570 | RRX IN-111 WBC PER STUDY | $6,420 | $3,210 | — | — | 21 |
| C1052 | 1183475 - CATHETER ENDO L220 CM HMST OD7 FR HEMOSPRAY 2.8 MM MINIMUM | $6,416 | $3,208 | — | — | 20 |
| G0390 | TRAUMA W/CRITICAL CARE | $6,370 | $3,185 | — | — | 20 |
| 0683 | TRAUMA W/O CRITICAL CARE | $6,370 | $3,185 | — | — | 20 |
Showing top 50 of 11,899 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.