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
5,976
Insurances with rates
19
CPT / HCPCS codes
5,950
Most expensive procedures (gross)
43653
$26,838
LAPAROSCOPY GASTROSTOMY
Gross
$26,838
75605
$23,643
CONTRST EXmTHORACIC AORTA S&I
Gross
$23,643
36581
$13,985
Replace TunnelED Cv Cath
Gross
$13,985
36821
$13,985
AV FUSION DIRECT ANY SITE
Gross
$13,985
75860
$13,970
Venography Jugular Cath RS&I
Gross
$13,970
27301
$13,165
DRAIN THIGH/KNEE LESION
Gross
$13,165
J2406
$11,976
Oritavancin (Kimyrsa) 10 mg
Gross
$11,976
20245
$11,883
Bone Biopsy Open Deep
Gross
$11,883
75710
$11,345
Angio Ext Unilat S&i
Gross
$11,345
20680
$11,139
Removal of support implant
Gross
$11,139
20240
$10,902
Bone Biopsy Open Superficial
Gross
$10,902
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
72157
$9,794
MRI Thoracic Spine W/O & W/Dye
Gross
$9,794
72158
$9,794
MRI Lumbar 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
73220
$9,794
MRI Upper Ext W/&w/O Dye
Gross
$9,794
74178
$9,205
CT Abd & Pelv 1/> Regns w/wo c
Gross
$9,205
J1162
$8,574
Digifab 40 mg
Gross
$8,574
15002
$8,414
Wound PrepTRK/ARM/LEG
Gross
$8,414
74177
$8,264
CT Abdomen & Pelvis w/Contrast
Gross
$8,264
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
J1568
$7,751
Immun Globg(Igg)/Malt/Iga Ov50
Gross
$7,751
36558
$7,369
Ins Tunneled CV CATH
Gross
$7,369
50200
$7,113
Renal Biopsy Perq
Gross
$7,113
78582
$7,048
NM Nuclear Scan of Lung
Gross
$7,048
36901
$6,606
Intro Cath Dialysis Circuit
Gross
$6,606
27613
$6,451
Biopsy Lower Leg Soft Tissue
Gross
$6,451
72196
$6,305
MRI Pelvis W/Dye
Gross
$6,305
74181
$6,305
MRI Abdomen W/O Dye
Gross
$6,305
70551
$6,305
MRI Brain Stem W/O Dye
Gross
$6,305
73723
$6,305
MRI Joint Lwr Extr W/O&w/Dye R
Gross
$6,305
72148
$6,305
MRI Lumbar Spine W/O Dye
Gross
$6,305
73221
$6,305
MRI Uppr Ext Jnt W/O Dye
Gross
$6,305
70540
$6,305
MRI Orbit/Face/Neck W/O Dye
Gross
$6,305
72146
$6,305
MRI Thoracic Spine W/O Dye
Gross
$6,305
73721
$6,305
MRI Jnt of Lwr Extre W/O Dye
Gross
$6,305
71550
$6,305
MRI Chest W/O Dye
Gross
$6,305
72147
$6,305
MRI Thoracic Spn W/Dye
Gross
$6,305
73222
$6,305
MRI Upper Ext Jnt W/ Dye
Gross
$6,305
72149
$6,305
MRI Lumbar Spine 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
72133
$6,213
CT Lumbar Spine W/W/
Gross
$6,213
75635
$6,213
CT Angio Abdominal Arteries
Gross
$6,213
71275
$6,213
CT Angiography Chest w/Contras
Gross
$6,213
73202
$6,213
CT Upper Extrem W/W/
Gross
$6,213
70488
$6,213
CT Maxillofacial W/W
Gross
$6,213
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 43653 | LAPAROSCOPY GASTROSTOMY | $26,838 | $26,838 | — | — | 24 |
| 75605 | CONTRST EXmTHORACIC AORTA S&I | $23,643 | $23,643 | — | — | 22 |
| 36581 | Replace TunnelED Cv Cath | $13,985 | $13,985 | — | — | 24 |
| 36821 | AV FUSION DIRECT ANY SITE | $13,985 | $13,985 | — | — | 21 |
| 75860 | Venography Jugular Cath RS&I | $13,970 | $13,970 | — | — | 23 |
| 27301 | DRAIN THIGH/KNEE LESION | $13,165 | $13,165 | — | — | 23 |
| J2406 | Oritavancin (Kimyrsa) 10 mg | $11,976 | $11,976 | — | — | 22 |
| 20245 | Bone Biopsy Open Deep | $11,883 | $11,883 | — | — | 25 |
| 75710 | Angio Ext Unilat S&i | $11,345 | $11,345 | — | — | 24 |
| 20680 | Removal of support implant | $11,139 | $11,139 | — | — | 25 |
| 20240 | Bone Biopsy Open Superficial | $10,902 | $10,902 | — | — | 22 |
| 70553 | MRI Brain Stem W/O & W/Dye | $9,794 | $9,794 | — | — | 23 |
| 71552 | MRI Chest W/&w/O Con | $9,794 | $9,794 | — | — | 24 |
| 72157 | MRI Thoracic Spine W/O & W/Dye | $9,794 | $9,794 | — | — | 24 |
| 72158 | MRI Lumbar Spine W/O & W/Dye | $9,794 | $9,794 | — | — | 24 |
| 72156 | MRI Neck Spine W/O & W/Dye | $9,794 | $9,794 | — | — | 22 |
| 72197 | MRI Pelvis W/O & W/Dye | $9,794 | $9,794 | — | — | 23 |
| 73220 | MRI Upper Ext W/&w/O Dye | $9,794 | $9,794 | — | — | 23 |
| 74178 | CT Abd & Pelv 1/> Regns w/wo c | $9,205 | $9,205 | — | — | 23 |
| J1162 | Digifab 40 mg | $8,574 | $8,574 | — | — | 25 |
| 15002 | Wound PrepTRK/ARM/LEG | $8,414 | $8,414 | — | — | 25 |
| 74177 | CT Abdomen & Pelvis w/Contrast | $8,264 | $8,264 | — | — | 22 |
| 14040 | TIS TRNFR F/C/C/M/N/A/G/H/F | $7,993 | $7,993 | — | — | 21 |
| 32550 | Insert Pleural Cath | $7,908 | $7,908 | — | — | 22 |
| J1568 | Immun Globg(Igg)/Malt/Iga Ov50 | $7,751 | $7,751 | — | — | 24 |
| 36558 | Ins Tunneled CV CATH | $7,369 | $7,369 | — | — | 24 |
| 50200 | Renal Biopsy Perq | $7,113 | $7,113 | — | — | 24 |
| 78582 | NM Nuclear Scan of Lung | $7,048 | $7,048 | — | — | 21 |
| 36901 | Intro Cath Dialysis Circuit | $6,606 | $6,606 | — | — | 24 |
| 27613 | Biopsy Lower Leg Soft Tissue | $6,451 | $6,451 | — | — | 21 |
| 72196 | MRI Pelvis W/Dye | $6,305 | $6,305 | — | — | 22 |
| 74181 | MRI Abdomen W/O Dye | $6,305 | $6,305 | — | — | 25 |
| 70551 | MRI Brain Stem W/O Dye | $6,305 | $6,305 | — | — | 25 |
| 73723 | MRI Joint Lwr Extr W/O&w/Dye R | $6,305 | $6,305 | — | — | 24 |
| 72148 | MRI Lumbar Spine W/O Dye | $6,305 | $6,305 | — | — | 21 |
| 73221 | MRI Uppr Ext Jnt W/O Dye | $6,305 | $6,305 | — | — | 21 |
| 70540 | MRI Orbit/Face/Neck W/O Dye | $6,305 | $6,305 | — | — | 21 |
| 72146 | MRI Thoracic Spine W/O Dye | $6,305 | $6,305 | — | — | 25 |
| 73721 | MRI Jnt of Lwr Extre W/O Dye | $6,305 | $6,305 | — | — | 24 |
| 71550 | MRI Chest W/O Dye | $6,305 | $6,305 | — | — | 24 |
| 72147 | MRI Thoracic Spn W/Dye | $6,305 | $6,305 | — | — | 24 |
| 73222 | MRI Upper Ext Jnt W/ Dye | $6,305 | $6,305 | — | — | 24 |
| 72149 | MRI Lumbar Spine W/Dye | $6,305 | $6,305 | — | — | 22 |
| 72141 | MRI Neck Spine W/O Dye | $6,305 | $6,305 | — | — | 22 |
| 72142 | MRI Neck Spine W/Dye | $6,305 | $6,305 | — | — | 26 |
| 72133 | CT Lumbar Spine W/W/ | $6,213 | $6,213 | — | — | 25 |
| 75635 | CT Angio Abdominal Arteries | $6,213 | $6,213 | — | — | 22 |
| 71275 | CT Angiography Chest w/Contras | $6,213 | $6,213 | — | — | 22 |
| 73202 | CT Upper Extrem W/W/ | $6,213 | $6,213 | — | — | 25 |
| 70488 | CT Maxillofacial W/W | $6,213 | $6,213 | — | — | 24 |
Showing top 50 of 5,976 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.