45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
○Discounted cash price: below assessment threshold
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,176
Insurances with rates
0
CPT / HCPCS codes
1,039
Most expensive procedures (gross)
28192
—
RMVL FB FOOT DEEP
Gross
$18,343
10121
—
I & RMVL FB SUB-CUTCOMP
Gross
$17,579
72158
—
MRI SPI CANAL&CNTS C-/C+ LMBR
Gross
$17,352
10140
—
I & D HEMATOMA/SEROMA
Gross
$16,650
59409
—
VAG DLVR ONLY
Gross
$16,119
46040
—
I&D ISCHIOR/PRIRC ABSC SP
Gross
$15,425
42960
—
SIMPLE CONTROL OF BLEEDING OF THROAT
Gross
$14,105
11771
—
EXCISION PILONIDAL CYST SINUS EXTENSIVE
Gross
$13,906
26011
—
I & D FINGER ABSCESS, COMPLICATED
Gross
$13,663
36558
—
INSERT TUNNELED CV CATH - INSJ TUN CTR CVC W/O SUBQ POR
Gross
$13,610
J1950
—
Injection, leuprolide acetate (for depot suspension), per 3.75 mg
Gross
$12,527
21315
—
CLOSED TX NASAL FRACT W/O
Gross
$11,877
27372
—
REMOVAL FOREIGN BODY DEEP THIGH/KNEE
Gross
$10,922
93306
—
ECHO TEST
Gross
$10,793
72149
—
MRI LOWER SPINAL CANAL W/CONTRAST
Gross
$10,377
74182
—
MRI ABD C+
Gross
$10,293
58301
—
REMOVAL OF INTRA-UTERINE DEVICE
Gross
$10,282
74174
—
CT ABD/PELV BLOOD VESSELS W/CONTRAST
Gross
$10,238
46050
—
INC/DRAIN PERIANAL ABS SUPERFICIAL
Gross
$10,021
73706
—
CT VESSELS LXTR C+
Gross
$9,957
74178
—
CT ABD & PELVIS 1 PLUS SECTION/REGNS
Gross
$9,930
55100
—
Drainage of scrotal wall abscess
Gross
$9,342
23605
—
CLTX PROX HUMRL FX W/MANI
Gross
$9,190
38300
—
DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL
Gross
$9,123
46320
—
ENULEATION EXCC OF EXT HE
Gross
$8,980
72196
—
MRI PELVIS C+ MATRL
Gross
$8,806
74177
—
COMP TOMO AB/PELV W/OCONT
Gross
$8,546
70545
—
MRI BLOOD VESSELS HEAD W/CONTRAST
Gross
$8,518
72156
—
MRI SPI CANAL&CNTS C-/C+ CRV
Gross
$8,334
72133
—
CT L SPINE C-/C+
Gross
$8,300
11402
—
EXC BGN LSN TRUNK 1.1-2.0
Gross
$8,234
70482
—
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contra
Gross
$8,052
69205
—
RMVL FB XTRNL AUD CANAL A
Gross
$7,976
99291
—
CRITICAL CARE 30-74 MIN
Gross
$7,839
74176
—
COMP TOMOG AB/PEL W/O CON
Gross
$7,780
73220
—
MRI UXTR OTH/THN JT C-/C+
Gross
$7,723
12020
—
TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE
Gross
$7,570
11760
—
REPAIR NAIL BED
Gross
$7,448
70553
—
MRI BRN BRN STEM C-/C+
Gross
$7,391
70546
—
MRA HEAD BLOOD VESSELS W/WO CONTRAST
Gross
$7,357
74175
—
CT ANGIO ABDOMEN W/CONTRA
Gross
$7,279
24655
—
Closed treatment of radial head or neck fracture; with manipulation
Gross
$7,278
72127
—
CT CRV SPI C-/C+
Gross
$7,113
27752
—
CLTX TIBL SFT FX W/MANP
Gross
$6,933
72129
—
CT THRC SPI C+ MATRL
Gross
$6,811
36556
—
INS NON TUN CTR CVC 5YR GREATER THAN
Gross
$6,808
74170
—
TOMOGRAPHY ABD W/OCONTRAS
Gross
$6,762
72194
—
CT PELVIS W OR WO CONTRST
Gross
$6,760
78075
—
ADRNL IMG CORTEX&/MEDULLA
Gross
$6,691
73702
—
CT LXTR C-/C+
Gross
$6,680
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 28192 | RMVL FB FOOT DEEP | $18,343 | — | — | — | 0 |
| 10121 | I & RMVL FB SUB-CUTCOMP | $17,579 | — | — | — | 0 |
| 72158 | MRI SPI CANAL&CNTS C-/C+ LMBR | $17,352 | — | — | — | 0 |
| 10140 | I & D HEMATOMA/SEROMA | $16,650 | — | — | — | 0 |
| 59409 | VAG DLVR ONLY | $16,119 | — | — | — | 0 |
| 46040 | I&D ISCHIOR/PRIRC ABSC SP | $15,425 | — | — | — | 0 |
| 42960 | SIMPLE CONTROL OF BLEEDING OF THROAT | $14,105 | — | — | — | 0 |
| 11771 | EXCISION PILONIDAL CYST SINUS EXTENSIVE | $13,906 | — | — | — | 0 |
| 26011 | I & D FINGER ABSCESS, COMPLICATED | $13,663 | — | — | — | 0 |
| 36558 | INSERT TUNNELED CV CATH - INSJ TUN CTR CVC W/O SUBQ POR | $13,610 | — | — | — | 0 |
| J1950 | Injection, leuprolide acetate (for depot suspension), per 3.75 mg | $12,527 | — | — | — | 0 |
| 21315 | CLOSED TX NASAL FRACT W/O | $11,877 | — | — | — | 0 |
| 27372 | REMOVAL FOREIGN BODY DEEP THIGH/KNEE | $10,922 | — | — | — | 0 |
| 93306 | ECHO TEST | $10,793 | — | — | — | 0 |
| 72149 | MRI LOWER SPINAL CANAL W/CONTRAST | $10,377 | — | — | — | 0 |
| 74182 | MRI ABD C+ | $10,293 | — | — | — | 0 |
| 58301 | REMOVAL OF INTRA-UTERINE DEVICE | $10,282 | — | — | — | 0 |
| 74174 | CT ABD/PELV BLOOD VESSELS W/CONTRAST | $10,238 | — | — | — | 0 |
| 46050 | INC/DRAIN PERIANAL ABS SUPERFICIAL | $10,021 | — | — | — | 0 |
| 73706 | CT VESSELS LXTR C+ | $9,957 | — | — | — | 0 |
| 74178 | CT ABD & PELVIS 1 PLUS SECTION/REGNS | $9,930 | — | — | — | 0 |
| 55100 | Drainage of scrotal wall abscess | $9,342 | — | — | — | 0 |
| 23605 | CLTX PROX HUMRL FX W/MANI | $9,190 | — | — | — | 0 |
| 38300 | DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL | $9,123 | — | — | — | 0 |
| 46320 | ENULEATION EXCC OF EXT HE | $8,980 | — | — | — | 0 |
| 72196 | MRI PELVIS C+ MATRL | $8,806 | — | — | — | 0 |
| 74177 | COMP TOMO AB/PELV W/OCONT | $8,546 | — | — | — | 0 |
| 70545 | MRI BLOOD VESSELS HEAD W/CONTRAST | $8,518 | — | — | — | 0 |
| 72156 | MRI SPI CANAL&CNTS C-/C+ CRV | $8,334 | — | — | — | 0 |
| 72133 | CT L SPINE C-/C+ | $8,300 | — | — | — | 0 |
| 11402 | EXC BGN LSN TRUNK 1.1-2.0 | $8,234 | — | — | — | 0 |
| 70482 | Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contra | $8,052 | — | — | — | 0 |
| 69205 | RMVL FB XTRNL AUD CANAL A | $7,976 | — | — | — | 0 |
| 99291 | CRITICAL CARE 30-74 MIN | $7,839 | — | — | — | 0 |
| 74176 | COMP TOMOG AB/PEL W/O CON | $7,780 | — | — | — | 0 |
| 73220 | MRI UXTR OTH/THN JT C-/C+ | $7,723 | — | — | — | 0 |
| 12020 | TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE | $7,570 | — | — | — | 0 |
| 11760 | REPAIR NAIL BED | $7,448 | — | — | — | 0 |
| 70553 | MRI BRN BRN STEM C-/C+ | $7,391 | — | — | — | 0 |
| 70546 | MRA HEAD BLOOD VESSELS W/WO CONTRAST | $7,357 | — | — | — | 0 |
| 74175 | CT ANGIO ABDOMEN W/CONTRA | $7,279 | — | — | — | 0 |
| 24655 | Closed treatment of radial head or neck fracture; with manipulation | $7,278 | — | — | — | 0 |
| 72127 | CT CRV SPI C-/C+ | $7,113 | — | — | — | 0 |
| 27752 | CLTX TIBL SFT FX W/MANP | $6,933 | — | — | — | 0 |
| 72129 | CT THRC SPI C+ MATRL | $6,811 | — | — | — | 0 |
| 36556 | INS NON TUN CTR CVC 5YR GREATER THAN | $6,808 | — | — | — | 0 |
| 74170 | TOMOGRAPHY ABD W/OCONTRAS | $6,762 | — | — | — | 0 |
| 72194 | CT PELVIS W OR WO CONTRST | $6,760 | — | — | — | 0 |
| 78075 | ADRNL IMG CORTEX&/MEDULLA | $6,691 | — | — | — | 0 |
| 73702 | CT LXTR C-/C+ | $6,680 | — | — | — | 0 |
Showing top 50 of 1,176 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.