45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
327
Insurances with rates
7
CPT / HCPCS codes
319
Most expensive procedures (gross)
28292
$7,284
SURG BUNIONECTOMY
Gross
$9,105
70549
$5,468
MRA CERVICAL SPINE
Gross
$6,835
70553
$5,040
MRI BRAIN W/WO CONTRAST
Gross
$6,300
74178
$4,391
CT RENAL/BLADDER
Gross
$5,489
74177
$4,360
CT ABDOMEN/PELVIS W CONTRAST
Gross
$5,450
74174
$4,310
CTA ABDOMEN/PELVIS W WO
Gross
$5,388
74170
$4,160
CT ABDOMEN COMBINED
Gross
$5,200
95810
$4,080
BASELINE SLEEP STUDY
Gross
$5,100
72158
$3,900
MRI L SPINE W W/O CONTRAST
Gross
$4,875
72197
$3,800
MRI PELVIS W-W/O CONTRAST
Gross
$4,750
72156
$3,780
MRI SPINE CERVICAL W-W/O CONT
Gross
$4,725
72159
$3,780
MRA L SPINE WTH W/O CONTRAST
Gross
$4,725
70543
$3,780
MRI FACE NECK ORBITS W & W/O CONT
Gross
$4,725
73723
$3,744
MRI LOWER JOINT LEFT/RIGHT WITH W/O CONTRAST
Gross
$4,680
73721
$3,720
MRI LOWER JOINT LEFT/RIGHT W/O CONTRAST
Gross
$4,650
74175
$3,710
CTA ABDOMEN W W/O
Gross
$4,638
73720
$3,600
MRI LOWER EXTREMITY NONJOINT LEFT/RIGHT W W/O
Gross
$4,500
72157
$3,600
MRI T SPINE W- W/O CONTRAST
Gross
$4,500
73221
$3,520
MRI UPR JOINT W/O RIGHT
Gross
$4,400
70544
$3,514
MRA BRAIN ANGIOGRAPHY
Gross
$4,393
45398
$3,351
SURG COLONOSCOPY W/BANDING
Gross
$4,189
72148
$3,316
MRI L SPINE W/O CONTRAST
Gross
$4,145
95811
$3,200
SLEEP STUDY WITH PAP TITRATION
Gross
$4,000
72141
$3,196
MRI SPINE CERVICAL W/O CONT
Gross
$3,995
74176
$3,196
CT ABDOMEN/PELVIS WO CONTRAST
Gross
$3,995
44970
$3,159
LAPAROSCOPIC APPENDECTOMY
Gross
$3,949
72146
$3,080
MRI T SPINE W/O
Gross
$3,850
74183
$3,040
MRI ABDOMEN W/WO CONTRAST
Gross
$3,800
73222
$2,960
MRI UPR JOINT W LEFT/RIGHT
Gross
$3,700
73223
$2,960
MRI UPR JOINT W W/O RIGHT
Gross
$3,700
70460
$2,880
CT HEAD W CONTRAST
Gross
$3,600
72147
$2,720
MRI T SPINE W CONTRAST
Gross
$3,400
74182
$2,640
MRI ABDOMEN W/ CONTRAST
Gross
$3,300
72195
$2,640
MRI PELVIS W/O CONTRAST
Gross
$3,300
72149
$2,621
MRI L SPINE WTH CONTRAST
Gross
$3,276
70542
$2,604
MRI FACE,NECK,ORBITS W CONT
Gross
$3,255
70551
$2,560
MRI BRAIN WO CONTRAST
Gross
$3,200
43255
$2,534
EGD TRANSORAL CONTROL BLEEDING
Gross
$3,168
70552
$2,520
MRI BRAIN W CONTRAST
Gross
$3,150
72142
$2,520
MRI SPINE CERVICAL W CONT
Gross
$3,150
70470
$2,440
CT HEAD W/WO CONTRAST
Gross
$3,050
72196
$2,400
MRI PELVIS W CONTRAST
Gross
$3,000
45380
$2,398
COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE
Gross
$2,998
72198
$2,394
MRA PELVIS W OR W/O CONTRAST
Gross
$2,993
70336
$2,380
MRI TMJ UNILATERAL
Gross
$2,975
74181
$2,376
MRI ABDOMEN W/O CONTRAST
Gross
$2,970
74160
$2,360
CT ABDOMEN W CONTRAST
Gross
$2,950
73718
$2,360
MRI LOW EXTREMITY NONJOINT LEFT W/O CONT
Gross
$2,950
70540
$2,352
MRI FACE,NECK,ORBITS W/O CONT
Gross
$2,940
49505
$2,345
RPR 1ST INGUN HRNA AGE 5 YRS/>REDUCIBLE
Gross
$2,931
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 28292 | SURG BUNIONECTOMY | $9,105 | $7,284 | — | — | 0 |
| 70549 | MRA CERVICAL SPINE | $6,835 | $5,468 | — | — | 0 |
| 70553 | MRI BRAIN W/WO CONTRAST | $6,300 | $5,040 | — | — | 0 |
| 74178 | CT RENAL/BLADDER | $5,489 | $4,391 | — | — | 2 |
| 74177 | CT ABDOMEN/PELVIS W CONTRAST | $5,450 | $4,360 | — | — | 4 |
| 74174 | CTA ABDOMEN/PELVIS W WO | $5,388 | $4,310 | — | — | 0 |
| 74170 | CT ABDOMEN COMBINED | $5,200 | $4,160 | — | — | 0 |
| 95810 | BASELINE SLEEP STUDY | $5,100 | $4,080 | — | — | 0 |
| 72158 | MRI L SPINE W W/O CONTRAST | $4,875 | $3,900 | — | — | 0 |
| 72197 | MRI PELVIS W-W/O CONTRAST | $4,750 | $3,800 | — | — | 0 |
| 72156 | MRI SPINE CERVICAL W-W/O CONT | $4,725 | $3,780 | — | — | 0 |
| 72159 | MRA L SPINE WTH W/O CONTRAST | $4,725 | $3,780 | — | — | 0 |
| 70543 | MRI FACE NECK ORBITS W & W/O CONT | $4,725 | $3,780 | — | — | 0 |
| 73723 | MRI LOWER JOINT LEFT/RIGHT WITH W/O CONTRAST | $4,680 | $3,744 | — | — | 1 |
| 73721 | MRI LOWER JOINT LEFT/RIGHT W/O CONTRAST | $4,650 | $3,720 | — | — | 0 |
| 74175 | CTA ABDOMEN W W/O | $4,638 | $3,710 | — | — | 0 |
| 73720 | MRI LOWER EXTREMITY NONJOINT LEFT/RIGHT W W/O | $4,500 | $3,600 | — | — | 0 |
| 72157 | MRI T SPINE W- W/O CONTRAST | $4,500 | $3,600 | — | — | 0 |
| 73221 | MRI UPR JOINT W/O RIGHT | $4,400 | $3,520 | — | — | 0 |
| 70544 | MRA BRAIN ANGIOGRAPHY | $4,393 | $3,514 | — | — | 0 |
| 45398 | SURG COLONOSCOPY W/BANDING | $4,189 | $3,351 | — | — | 0 |
| 72148 | MRI L SPINE W/O CONTRAST | $4,145 | $3,316 | — | — | 3 |
| 95811 | SLEEP STUDY WITH PAP TITRATION | $4,000 | $3,200 | — | — | 0 |
| 72141 | MRI SPINE CERVICAL W/O CONT | $3,995 | $3,196 | — | — | 1 |
| 74176 | CT ABDOMEN/PELVIS WO CONTRAST | $3,995 | $3,196 | — | — | 2 |
| 44970 | LAPAROSCOPIC APPENDECTOMY | $3,949 | $3,159 | — | — | 0 |
| 72146 | MRI T SPINE W/O | $3,850 | $3,080 | — | — | 0 |
| 74183 | MRI ABDOMEN W/WO CONTRAST | $3,800 | $3,040 | — | — | 0 |
| 73222 | MRI UPR JOINT W LEFT/RIGHT | $3,700 | $2,960 | — | — | 0 |
| 73223 | MRI UPR JOINT W W/O RIGHT | $3,700 | $2,960 | — | — | 0 |
| 70460 | CT HEAD W CONTRAST | $3,600 | $2,880 | — | — | 0 |
| 72147 | MRI T SPINE W CONTRAST | $3,400 | $2,720 | — | — | 0 |
| 74182 | MRI ABDOMEN W/ CONTRAST | $3,300 | $2,640 | — | — | 0 |
| 72195 | MRI PELVIS W/O CONTRAST | $3,300 | $2,640 | — | — | 0 |
| 72149 | MRI L SPINE WTH CONTRAST | $3,276 | $2,621 | — | — | 0 |
| 70542 | MRI FACE,NECK,ORBITS W CONT | $3,255 | $2,604 | — | — | 0 |
| 70551 | MRI BRAIN WO CONTRAST | $3,200 | $2,560 | — | — | 1 |
| 43255 | EGD TRANSORAL CONTROL BLEEDING | $3,168 | $2,534 | — | — | 0 |
| 70552 | MRI BRAIN W CONTRAST | $3,150 | $2,520 | — | — | 0 |
| 72142 | MRI SPINE CERVICAL W CONT | $3,150 | $2,520 | — | — | 0 |
| 70470 | CT HEAD W/WO CONTRAST | $3,050 | $2,440 | — | — | 0 |
| 72196 | MRI PELVIS W CONTRAST | $3,000 | $2,400 | — | — | 0 |
| 45380 | COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $2,998 | $2,398 | — | — | 0 |
| 72198 | MRA PELVIS W OR W/O CONTRAST | $2,993 | $2,394 | — | — | 0 |
| 70336 | MRI TMJ UNILATERAL | $2,975 | $2,380 | — | — | 0 |
| 74181 | MRI ABDOMEN W/O CONTRAST | $2,970 | $2,376 | — | — | 0 |
| 74160 | CT ABDOMEN W CONTRAST | $2,950 | $2,360 | — | — | 0 |
| 73718 | MRI LOW EXTREMITY NONJOINT LEFT W/O CONT | $2,950 | $2,360 | — | — | 0 |
| 70540 | MRI FACE,NECK,ORBITS W/O CONT | $2,940 | $2,352 | — | — | 0 |
| 49505 | RPR 1ST INGUN HRNA AGE 5 YRS/>REDUCIBLE | $2,931 | $2,345 | — | — | 0 |
Showing top 50 of 327 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.