45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published
○Gross / standard charges
○Discounted cash price
●Payer-specific negotiated rates
●Min / max negotiated charges
●Free, public, no login required
Procedures listed
23,529
Insurances with rates
20
CPT / HCPCS codes
13,505
Source MRF
Most expensive procedures (gross)
721360
$80,385
OR LEVEL 5 FIRST 60 MIN
Gross
$80,385
722928
$80,166
Y90 IBRITUM TIU TX 40MCI
Gross
$80,166
721738
$80,166
Y90 IBRITUM TIU TX 40MCI
Gross
$80,166
679085
$73,553
OR LEVEL 4 FIRST 60 MIN
Gross
$73,553
679083
$59,061
OR LEVEL 3 FIRST 60 MIN
Gross
$59,061
535687
$43,319
CATH THRMB 80CM 105CM
Gross
$43,319
675692
$37,859
ERCP W/REM STONE
Gross
$37,859
675741
$36,082
ERCP W/LITHOTRIPSY
Gross
$36,082
707615
$36,049
ERCP W/PLACE STENT EA
Gross
$36,049
707618
$36,049
ERCP W/EXCH STENT EA
Gross
$36,049
679081
$35,935
OR LEVEL 2 FIRST 60 MIN
Gross
$35,935
525482
$35,643
CATH THRMB 7FR 130CM
Gross
$35,643
675740
$35,389
ERCP W/SPHINC/PAPIL
Gross
$35,389
675739
$35,165
ERCP W/BIOPSY
Gross
$35,165
707621
$35,056
ERCP TRANS E BLLOON DIL
Gross
$35,056
537120
$34,296
KIT CATH ASP TB 6F 132CM
Gross
$34,296
722064
$32,958
OR LEVEL 5 ADD 30 MIN
Gross
$32,958
723214
$31,847
ALTEPLASE RECOMB 100 MG
Gross
$31,847
675691
$31,097
ERCP DX
Gross
$31,097
722065
$30,138
OR LEVEL 4 ADD 30 MIN
Gross
$30,138
721367
$28,546
CTA LOW EXTREMITY BI
Gross
$28,546
972321
$28,433
GRAFT STENT 14-25X103MM
Gross
$28,433
680082
$27,947
CT CHEST W&W/O CONT
Gross
$27,947
722066
$25,821
OR LEVEL 3 ADD 30 MIN
Gross
$25,821
679079
$25,222
OR LEVEL 1 FIRST 60 MIN
Gross
$25,222
704850
$24,835
CT ABD&PELVIS W&WO CONT
Gross
$24,835
723406
$24,681
TENECTEPLASE 50 MG INJ
Gross
$24,681
680073
$24,131
CT MAXIFAC W&W/O CONT
Gross
$24,131
677631
$23,987
BRONCH W TRNSBRNCH BX
Gross
$23,987
689746
$23,763
IN111 PENTETREOT DX 6MCI
Gross
$23,763
677851
$22,716
CTA ABD AORTA IF LWEX RO
Gross
$22,716
680070
$22,231
CT MAXIFAC W/CONTRAST
Gross
$22,231
705421
$22,193
CTA ABD&PEL W CONT
Gross
$22,193
680091
$21,899
CT L-SPINE W&W/O CONT
Gross
$21,899
704849
$21,849
CT ABD&PELVIS W/CONT
Gross
$21,849
675548
$21,789
COL W/CNTRL BLD
Gross
$21,789
680044
$21,245
CT HD/BR W&W/O CONT
Gross
$21,245
721369
$20,932
CTA LOW EXTREMITY RT
Gross
$20,932
721368
$20,932
CTA LOW EXTREMITY LT
Gross
$20,932
901872
$20,123
CMPNT KN FEM LT 8.5CM
Gross
$20,123
682951
$20,094
CTA NECK
Gross
$20,094
682950
$20,094
CTA HEAD
Gross
$20,094
675727
$19,817
UPPER GI ENDO W/BAND LIG
Gross
$19,817
540963
$19,796
CATH VASC GD 17FR 13CM
Gross
$19,796
679172
$19,796
COLON SUBMUCOSAL INJECT
Gross
$19,796
722700
$19,544
EGD W/ BLN DIL ESOPH=>30
Gross
$19,544
723029
$19,544
BRONCH W/ IMG GD NAVIGTN
Gross
$19,544
723031
$19,544
DIL ESOPH UNGD SND/BOUGI
Gross
$19,544
675728
$19,544
UPPER GI ENDO W/CNTR BLD
Gross
$19,544
675688
$19,544
UPPER GI ENDO W/PLACE GT
Gross
$19,544
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 721360 | OR LEVEL 5 FIRST 60 MIN | $80,385 | $80,385 | $5,547 | $73,954 | 15 |
| 722928 | Y90 IBRITUM TIU TX 40MCI | $80,166 | $80,166 | $6,253 | $73,752 | 28 |
| 721738 | Y90 IBRITUM TIU TX 40MCI | $80,166 | $80,166 | $6,253 | $73,752 | 28 |
| 679085 | OR LEVEL 4 FIRST 60 MIN | $73,553 | $73,553 | $5,075 | $67,669 | 15 |
| 679083 | OR LEVEL 3 FIRST 60 MIN | $59,061 | $59,061 | $4,075 | $54,336 | 15 |
| 535687 | CATH THRMB 80CM 105CM | $43,319 | $43,319 | $2,989 | $39,853 | 29 |
| 675692 | ERCP W/REM STONE | $37,859 | $37,859 | $2,612 | $34,830 | 22 |
| 675741 | ERCP W/LITHOTRIPSY | $36,082 | $36,082 | $2,490 | $33,195 | 22 |
| 707615 | ERCP W/PLACE STENT EA | $36,049 | $36,049 | $2,487 | $33,165 | 22 |
| 707618 | ERCP W/EXCH STENT EA | $36,049 | $36,049 | $2,487 | $33,165 | 22 |
| 679081 | OR LEVEL 2 FIRST 60 MIN | $35,935 | $35,935 | $2,480 | $33,060 | 15 |
| 525482 | CATH THRMB 7FR 130CM | $35,643 | $35,643 | $2,459 | $32,791 | 29 |
| 675740 | ERCP W/SPHINC/PAPIL | $35,389 | $35,389 | $2,442 | $32,558 | 22 |
| 675739 | ERCP W/BIOPSY | $35,165 | $35,165 | $2,426 | $32,352 | 22 |
| 707621 | ERCP TRANS E BLLOON DIL | $35,056 | $35,056 | $2,419 | $32,252 | 22 |
| 537120 | KIT CATH ASP TB 6F 132CM | $34,296 | $34,296 | $2,366 | $31,552 | 29 |
| 722064 | OR LEVEL 5 ADD 30 MIN | $32,958 | $32,958 | $2,274 | $30,321 | 15 |
| 723214 | ALTEPLASE RECOMB 100 MG | $31,847 | $31,847 | $2,803 | $29,299 | 15 |
| 675691 | ERCP DX | $31,097 | $31,097 | $2,146 | $28,610 | 22 |
| 722065 | OR LEVEL 4 ADD 30 MIN | $30,138 | $30,138 | $2,080 | $27,727 | 15 |
| 721367 | CTA LOW EXTREMITY BI | $28,546 | $28,546 | $2,227 | $26,263 | 13 |
| 972321 | GRAFT STENT 14-25X103MM | $28,433 | $28,433 | $1,962 | $26,158 | 8 |
| 680082 | CT CHEST W&W/O CONT | $27,947 | $27,947 | $2,180 | $25,711 | 13 |
| 722066 | OR LEVEL 3 ADD 30 MIN | $25,821 | $25,821 | $1,782 | $23,756 | 15 |
| 679079 | OR LEVEL 1 FIRST 60 MIN | $25,222 | $25,222 | $1,740 | $23,204 | 15 |
| 704850 | CT ABD&PELVIS W&WO CONT | $24,835 | $24,835 | $1,937 | $22,848 | 13 |
| 723406 | TENECTEPLASE 50 MG INJ | $24,681 | $24,681 | $2,172 | $22,706 | 15 |
| 680073 | CT MAXIFAC W&W/O CONT | $24,131 | $24,131 | $1,882 | $22,200 | 13 |
| 677631 | BRONCH W TRNSBRNCH BX | $23,987 | $23,987 | $1,655 | $22,068 | 15 |
| 689746 | IN111 PENTETREOT DX 6MCI | $23,763 | $23,763 | $1,853 | $21,862 | 17 |
| 677851 | CTA ABD AORTA IF LWEX RO | $22,716 | $22,716 | $1,772 | $20,899 | 13 |
| 680070 | CT MAXIFAC W/CONTRAST | $22,231 | $22,231 | $1,734 | $20,452 | 13 |
| 705421 | CTA ABD&PEL W CONT | $22,193 | $22,193 | $1,731 | $20,418 | 13 |
| 680091 | CT L-SPINE W&W/O CONT | $21,899 | $21,899 | $1,708 | $20,147 | 13 |
| 704849 | CT ABD&PELVIS W/CONT | $21,849 | $21,849 | $1,704 | $20,101 | 13 |
| 675548 | COL W/CNTRL BLD | $21,789 | $21,789 | $1,503 | $20,046 | 22 |
| 680044 | CT HD/BR W&W/O CONT | $21,245 | $21,245 | $1,657 | $19,546 | 13 |
| 721369 | CTA LOW EXTREMITY RT | $20,932 | $20,932 | $1,633 | $19,257 | 13 |
| 721368 | CTA LOW EXTREMITY LT | $20,932 | $20,932 | $1,633 | $19,257 | 13 |
| 901872 | CMPNT KN FEM LT 8.5CM | $20,123 | $20,123 | $1,388 | $18,513 | 8 |
| 682951 | CTA NECK | $20,094 | $20,094 | $1,567 | $18,487 | 13 |
| 682950 | CTA HEAD | $20,094 | $20,094 | $1,567 | $18,487 | 13 |
| 675727 | UPPER GI ENDO W/BAND LIG | $19,817 | $19,817 | $1,367 | $18,232 | 22 |
| 540963 | CATH VASC GD 17FR 13CM | $19,796 | $19,796 | $1,366 | $18,213 | 29 |
| 679172 | COLON SUBMUCOSAL INJECT | $19,796 | $19,796 | $1,366 | $18,212 | 22 |
| 722700 | EGD W/ BLN DIL ESOPH=>30 | $19,544 | $19,544 | $1,349 | $17,980 | 22 |
| 723029 | BRONCH W/ IMG GD NAVIGTN | $19,544 | $19,544 | $1,349 | $17,980 | 15 |
| 723031 | DIL ESOPH UNGD SND/BOUGI | $19,544 | $19,544 | $1,349 | $17,980 | 22 |
| 675728 | UPPER GI ENDO W/CNTR BLD | $19,544 | $19,544 | $1,349 | $17,980 | 22 |
| 675688 | UPPER GI ENDO W/PLACE GT | $19,544 | $19,544 | $1,349 | $17,980 | 22 |
Showing top 50 of 23,529 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.