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
1,890
Insurances with rates
0
CPT / HCPCS codes
183
Most expensive procedures (gross)
PH002642
$9,607
Dalbavancin HCL
Gross
$9,607
IMS-3951
$7,196
Knee Brace NEENCA SZ LG
Gross
$7,196
74178
$6,104
CT Abdomen Pelvis w/ + w/o Co
Gross
$6,104
71275
$5,349
CT Angio Chest with +w/o Contr
Gross
$5,349
70496
$5,222
CT Head w/ + w/o Contrast
Gross
$5,222
74177
$5,214
CT Abdomen and Pelvis w/ Contr
Gross
$5,214
73202LWR
$4,633
CT Wrist w/+ w/o Contrast Left
Gross
$4,633
73202RWR
$4,633
CT Wrist w/+w/o Contrast Right
Gross
$4,633
72133
$4,495
CT Spine Lumbar w/ + w/o Contr
Gross
$4,495
PH002602
$4,294
Baclofen
Gross
$4,294
74160
$3,859
CT Abdomen w/ Contrast
Gross
$3,859
72129
$3,828
CT Spine Thoracic w/ Contrast
Gross
$3,828
72126
$3,810
CT Spine Cervical w/ Contrast
Gross
$3,810
72132
$3,810
CT Spine Lumbar w/ Contrast
Gross
$3,810
72193
$3,773
CT Pelvis w/ Contrast
Gross
$3,773
73701RKN
$3,773
CT Knee w/ Contrast Right
Gross
$3,773
73201LFO
$3,721
Forearm w/ Contrast Left
Gross
$3,721
73201LWR
$3,721
CT Wrist w/ Contrast Left
Gross
$3,721
74176
$3,380
CT Abdomen and Pelvis w/o Cont
Gross
$3,380
PH002379
$3,116
Methoxy Peg-Epoetin Beta
Gross
$3,116
72125
$2,853
CT Spine Cervical w/o Contrast
Gross
$2,853
70490
$2,825
XR Soft Tissue Neck w/o Contra
Gross
$2,825
PH001477
$2,809
Tolvaptan
Gross
$2,809
72128
$2,798
CT Spine Thoracic w/o Contrast
Gross
$2,798
72131
$2,798
CT Spine Lumbar w/o Contrast
Gross
$2,798
73700LFT
$2,798
CT Foot w/o Contrast Left
Gross
$2,798
73700LHP
$2,798
CT Hip w/o Contrast Left
Gross
$2,798
73700LKN
$2,798
CT Knee w/o Contrast Left
Gross
$2,798
73700LTF
$2,798
CT Tibia Fibula w/o Contr Lft
Gross
$2,798
73700RFT
$2,798
CT Foot w/o Contrast Right
Gross
$2,798
73700RHI
$2,798
CT Hip w/o Contrast Right
Gross
$2,798
73700RKN
$2,798
CT Knee w/o Contrast Right
Gross
$2,798
73700RTF
$2,798
CT Tibia Fibula w/o Contr Righ
Gross
$2,798
PH001795
$2,624
Glatiramer Acetate
Gross
$2,624
74150
$2,519
CT Abdomen w/o Contrast
Gross
$2,519
PH002550
$2,337
Methoxy Peg-Epoetin Beta
Gross
$2,337
93930
$2,100
US Upper Limb Ven Duplex Bilat
Gross
$2,100
93931
$2,100
US Upper Limb Ven Duplex Unila
Gross
$2,100
93970
$2,100
US Lower Limb Ven Duplex Bilat
Gross
$2,100
70450
$2,075
XR Brain/Head w/o Contrast
Gross
$2,075
76700
$2,027
Ultrasound Abdomen Complete
Gross
$2,027
93971
$1,950
US Lower Limb Ven Duplex Unila
Gross
$1,950
PH002099
$1,859
Netarsudil Mesylate
Gross
$1,859
PH000124
$1,800
Collagenase Clostridium Hist.
Gross
$1,800
76770
$1,800
US Retroperitone Renal/aorta
Gross
$1,800
76775
$1,800
US Retroperitonea Renal/aorta
Gross
$1,800
76856
$1,800
US Pelvis Transabdominal comp
Gross
$1,800
IMS-5409
$1,800
PREVENA? PLUS STANDALONE EXTEN
Gross
$1,800
PH001233
$1,714
Collagenase Clostridium Hist.
Gross
$1,714
90935
$1,644
Hemodialysis (chrg)
Gross
$1,644
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| PH002642 | Dalbavancin HCL | $9,607 | $9,607 | — | — | 0 |
| IMS-3951 | Knee Brace NEENCA SZ LG | $7,196 | $7,196 | — | — | 0 |
| 74178 | CT Abdomen Pelvis w/ + w/o Co | $6,104 | $6,104 | — | — | 0 |
| 71275 | CT Angio Chest with +w/o Contr | $5,349 | $5,349 | — | — | 0 |
| 70496 | CT Head w/ + w/o Contrast | $5,222 | $5,222 | — | — | 0 |
| 74177 | CT Abdomen and Pelvis w/ Contr | $5,214 | $5,214 | — | — | 0 |
| 73202LWR | CT Wrist w/+ w/o Contrast Left | $4,633 | $4,633 | — | — | 0 |
| 73202RWR | CT Wrist w/+w/o Contrast Right | $4,633 | $4,633 | — | — | 0 |
| 72133 | CT Spine Lumbar w/ + w/o Contr | $4,495 | $4,495 | — | — | 0 |
| PH002602 | Baclofen | $4,294 | $4,294 | — | — | 0 |
| 74160 | CT Abdomen w/ Contrast | $3,859 | $3,859 | — | — | 0 |
| 72129 | CT Spine Thoracic w/ Contrast | $3,828 | $3,828 | — | — | 0 |
| 72126 | CT Spine Cervical w/ Contrast | $3,810 | $3,810 | — | — | 0 |
| 72132 | CT Spine Lumbar w/ Contrast | $3,810 | $3,810 | — | — | 0 |
| 72193 | CT Pelvis w/ Contrast | $3,773 | $3,773 | — | — | 0 |
| 73701RKN | CT Knee w/ Contrast Right | $3,773 | $3,773 | — | — | 0 |
| 73201LFO | Forearm w/ Contrast Left | $3,721 | $3,721 | — | — | 0 |
| 73201LWR | CT Wrist w/ Contrast Left | $3,721 | $3,721 | — | — | 0 |
| 74176 | CT Abdomen and Pelvis w/o Cont | $3,380 | $3,380 | — | — | 0 |
| PH002379 | Methoxy Peg-Epoetin Beta | $3,116 | $3,116 | — | — | 0 |
| 72125 | CT Spine Cervical w/o Contrast | $2,853 | $2,853 | — | — | 0 |
| 70490 | XR Soft Tissue Neck w/o Contra | $2,825 | $2,825 | — | — | 0 |
| PH001477 | Tolvaptan | $2,809 | $2,809 | — | — | 0 |
| 72128 | CT Spine Thoracic w/o Contrast | $2,798 | $2,798 | — | — | 0 |
| 72131 | CT Spine Lumbar w/o Contrast | $2,798 | $2,798 | — | — | 0 |
| 73700LFT | CT Foot w/o Contrast Left | $2,798 | $2,798 | — | — | 0 |
| 73700LHP | CT Hip w/o Contrast Left | $2,798 | $2,798 | — | — | 0 |
| 73700LKN | CT Knee w/o Contrast Left | $2,798 | $2,798 | — | — | 0 |
| 73700LTF | CT Tibia Fibula w/o Contr Lft | $2,798 | $2,798 | — | — | 0 |
| 73700RFT | CT Foot w/o Contrast Right | $2,798 | $2,798 | — | — | 0 |
| 73700RHI | CT Hip w/o Contrast Right | $2,798 | $2,798 | — | — | 0 |
| 73700RKN | CT Knee w/o Contrast Right | $2,798 | $2,798 | — | — | 0 |
| 73700RTF | CT Tibia Fibula w/o Contr Righ | $2,798 | $2,798 | — | — | 0 |
| PH001795 | Glatiramer Acetate | $2,624 | $2,624 | — | — | 0 |
| 74150 | CT Abdomen w/o Contrast | $2,519 | $2,519 | — | — | 0 |
| PH002550 | Methoxy Peg-Epoetin Beta | $2,337 | $2,337 | — | — | 0 |
| 93930 | US Upper Limb Ven Duplex Bilat | $2,100 | $2,100 | — | — | 0 |
| 93931 | US Upper Limb Ven Duplex Unila | $2,100 | $2,100 | — | — | 0 |
| 93970 | US Lower Limb Ven Duplex Bilat | $2,100 | $2,100 | — | — | 0 |
| 70450 | XR Brain/Head w/o Contrast | $2,075 | $2,075 | — | — | 0 |
| 76700 | Ultrasound Abdomen Complete | $2,027 | $2,027 | — | — | 0 |
| 93971 | US Lower Limb Ven Duplex Unila | $1,950 | $1,950 | — | — | 0 |
| PH002099 | Netarsudil Mesylate | $1,859 | $1,859 | — | — | 0 |
| PH000124 | Collagenase Clostridium Hist. | $1,800 | $1,800 | — | — | 0 |
| 76770 | US Retroperitone Renal/aorta | $1,800 | $1,800 | — | — | 0 |
| 76775 | US Retroperitonea Renal/aorta | $1,800 | $1,800 | — | — | 0 |
| 76856 | US Pelvis Transabdominal comp | $1,800 | $1,800 | — | — | 0 |
| IMS-5409 | PREVENA? PLUS STANDALONE EXTEN | $1,800 | $1,800 | — | — | 0 |
| PH001233 | Collagenase Clostridium Hist. | $1,714 | $1,714 | — | — | 0 |
| 90935 | Hemodialysis (chrg) | $1,644 | $1,644 | — | — | 0 |
Showing top 50 of 1,890 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.