45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
2,306
Insurances with rates
15
CPT / HCPCS codes
1,258
Most expensive procedures (gross)
78804
$29,462
NM Tumor Imaging Wb; 2+days
Gross
$29,462
78815
$28,516
NM Tumor Image Pet/CT Skul-T
Gross
$28,516
43653
$26,838
LAPAROSCOPY GASTROSTOMY
Gross
$26,838
J2406
$22,095
Oritavancin (Kimyrsa) 10 mg
Gross
$22,095
J1162
$15,819
Digifab 40 mg
Gross
$15,819
J1568
$14,300
Immun Globg(Igg)/Malt/Iga Ov50
Gross
$14,300
75860
$13,970
Venography Jugular Cath RS&I
Gross
$13,970
27301
$13,165
DRAIN THIGH/KNEE LESION
Gross
$13,165
75710
$11,345
Angio Ext Unilat S&i
Gross
$11,345
75625
$11,345
Contrast Exam Abdominl Aorta
Gross
$11,345
20240
$10,902
Bone Biopsy Open Superficial
Gross
$10,902
72295
$9,834
RAD of Lower Spine Disk
Gross
$9,834
72157
$9,794
MRI Thoracic Spine W/O & W/Dye
Gross
$9,794
72156
$9,794
MRI Neck Spine W/O & W/Dye
Gross
$9,794
72197
$9,794
MRI Pelvis W/O & W/Dye
Gross
$9,794
70553
$9,794
MRI Brain Stem W/O & W/Dye
Gross
$9,794
71552
$9,794
MRI Chest W/&w/O Con
Gross
$9,794
72158
$9,794
MRI Lumbar Spine W/O & W/Dye
Gross
$9,794
73115
$9,687
RAD Wrist Arthrgrp S&i Lt
Gross
$9,687
J3262
$9,546
Tocilizumab 400 mg
Gross
$9,546
74178
$9,205
CT Abd & Pelv 1/> Regns w/wo c
Gross
$9,205
J0349
$8,651
INJ, Rezafungin, 1 mg
Gross
$8,651
15002
$8,414
Wound PrepTRK/ARM/LEG
Gross
$8,414
74177
$8,264
CT Abdomen & Pelvis w/Contrast
Gross
$8,264
73200
$8,200
CT Upper Extrm W/O Dye Lt
Gross
$8,200
14040
$7,993
TIS TRNFR F/C/C/M/N/A/G/H/F
Gross
$7,993
32550
$7,908
Insert Pleural Cath
Gross
$7,908
36558
$7,369
Ins Tunneled CV CATH
Gross
$7,369
78582
$7,048
NM Nuclear Scan of Lung
Gross
$7,048
75810
$6,816
RAD Vein Spleen/Liver
Gross
$6,816
J0875
$6,741
Dalbavancin HCL
Gross
$6,741
73223
$6,354
MRI Jnt Upr Extr Jnt W/O&w/Dye
Gross
$6,354
72147
$6,305
MRI Thoracic Spn W/Dye
Gross
$6,305
73221
$6,305
MRI Upper Ext Jnt
Gross
$6,305
73222
$6,305
MRI Upper Ext Jnt W/ Dye
Gross
$6,305
74181
$6,305
MRI Abdomen W/O Dye
Gross
$6,305
72149
$6,305
MRI Lumbar Spine W/Dye
Gross
$6,305
73723
$6,305
MRI Joint Lwr Extr W/O&w/Dye R
Gross
$6,305
72146
$6,305
MRI Thoracic Spine W/O Dye
Gross
$6,305
72148
$6,305
MRI Lumbar Spine W/O Dye
Gross
$6,305
74183
$6,305
MRI Angio Abdom W Orw/O Dye
Gross
$6,305
73220
$6,305
MRI Joint Upr Extrem W/Dye
Gross
$6,305
72141
$6,305
MRI Neck Spine W/O Dye
Gross
$6,305
72142
$6,305
MRI Neck Spine W/Dye
Gross
$6,305
71550
$6,305
MRI Chest W/O Dye
Gross
$6,305
70551
$6,305
MRI Brain Stem W/O Dye
Gross
$6,305
74182
$6,305
MRI Abdomen W Dye
Gross
$6,305
70540
$6,305
MRI Orbit/Face/Neck W/O Dye
Gross
$6,305
72196
$6,305
MRI Pelvis W/Dye
Gross
$6,305
73721
$6,305
MRI Jnt of Lwr Extre W/O Dye
Gross
$6,305
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 78804 | NM Tumor Imaging Wb; 2+days | $29,462 | $29,462 | — | — | 16 |
| 78815 | NM Tumor Image Pet/CT Skul-T | $28,516 | $28,516 | — | — | 16 |
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 17 |
| J2406 | Oritavancin (Kimyrsa) 10 mg | $22,095 | $22,095 | — | — | 24 |
| J1162 | Digifab 40 mg | $15,819 | $15,819 | — | — | 24 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $14,300 | $14,300 | — | — | 29 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 18 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 17 |
| 75710 | Angio Ext Unilat S&i | $11,345 | $11,345 | — | — | 16 |
| 75625 | Contrast Exam Abdominl Aorta | $11,345 | $11,345 | — | — | 16 |
| 20240 | Bone Biopsy Open Superficial | $10,902 | $10,902 | — | — | 18 |
| 72295 | RAD of Lower Spine Disk | $9,834 | $9,834 | — | — | 17 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $9,794 | $9,794 | — | — | 17 |
| 72156 | MRI Neck Spine W/O & W/Dye | $9,794 | $9,794 | — | — | 17 |
| 72197 | MRI Pelvis W/O & W/Dye | $9,794 | $9,794 | — | — | 18 |
| 70553 | MRI Brain Stem W/O & W/Dye | $9,794 | $9,794 | — | — | 17 |
| 71552 | MRI Chest W/&w/O Con | $9,794 | $9,794 | — | — | 15 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $9,794 | $9,794 | — | — | 17 |
| 73115 | RAD Wrist Arthrgrp S&i Lt | $9,687 | $9,687 | — | — | 17 |
| J3262 | Tocilizumab 400 mg | $9,546 | $9,546 | — | — | 27 |
| 74178 | CT Abd & Pelv 1/> Regns w/wo c | $9,205 | $9,205 | — | — | 17 |
| J0349 | INJ, Rezafungin, 1 mg | $8,651 | $8,651 | — | — | 28 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 17 |
| 74177 | CT Abdomen & Pelvis w/Contrast | $8,264 | $8,264 | — | — | 17 |
| 73200 | CT Upper Extrm W/O Dye Lt | $8,200 | $8,200 | — | — | 18 |
| 14040 | TIS TRNFR F/C/C/M/N/A/G/H/F | $7,993 | $7,993 | — | — | 15 |
| 32550 | Insert Pleural Cath | $7,908 | $7,908 | — | — | 16 |
| 36558 | Ins Tunneled CV CATH | $7,369 | $7,369 | — | — | 16 |
| 78582 | NM Nuclear Scan of Lung | $7,048 | $7,048 | — | — | 15 |
| 75810 | RAD Vein Spleen/Liver | $6,816 | $6,816 | — | — | 16 |
| J0875 | Dalbavancin HCL | $6,741 | $6,741 | — | — | 26 |
| 73223 | MRI Jnt Upr Extr Jnt W/O&w/Dye | $6,354 | $6,354 | — | — | 17 |
| 72147 | MRI Thoracic Spn W/Dye | $6,305 | $6,305 | — | — | 14 |
| 73221 | MRI Upper Ext Jnt | $6,305 | $6,305 | — | — | 17 |
| 73222 | MRI Upper Ext Jnt W/ Dye | $6,305 | $6,305 | — | — | 17 |
| 74181 | MRI Abdomen W/O Dye | $6,305 | $6,305 | — | — | 14 |
| 72149 | MRI Lumbar Spine W/Dye | $6,305 | $6,305 | — | — | 16 |
| 73723 | MRI Joint Lwr Extr W/O&w/Dye R | $6,305 | $6,305 | — | — | 18 |
| 72146 | MRI Thoracic Spine W/O Dye | $6,305 | $6,305 | — | — | 16 |
| 72148 | MRI Lumbar Spine W/O Dye | $6,305 | $6,305 | — | — | 17 |
| 74183 | MRI Angio Abdom W Orw/O Dye | $6,305 | $6,305 | — | — | 16 |
| 73220 | MRI Joint Upr Extrem W/Dye | $6,305 | $6,305 | — | — | 17 |
| 72141 | MRI Neck Spine W/O Dye | $6,305 | $6,305 | — | — | 18 |
| 72142 | MRI Neck Spine W/Dye | $6,305 | $6,305 | — | — | 16 |
| 71550 | MRI Chest W/O Dye | $6,305 | $6,305 | — | — | 15 |
| 70551 | MRI Brain Stem W/O Dye | $6,305 | $6,305 | — | — | 15 |
| 74182 | MRI Abdomen W Dye | $6,305 | $6,305 | — | — | 17 |
| 70540 | MRI Orbit/Face/Neck W/O Dye | $6,305 | $6,305 | — | — | 17 |
| 72196 | MRI Pelvis W/Dye | $6,305 | $6,305 | — | — | 17 |
| 73721 | MRI Jnt of Lwr Extre W/O Dye | $6,305 | $6,305 | — | — | 17 |
Showing top 50 of 2,306 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.