45 CFR § 180 compliance
F · 55
This hospital published little 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
15,416
Insurances with rates
11
CPT / HCPCS codes
14,832
Source MRF
Most expensive procedures (gross)
C1776
$12,181
UKA FEMORALCEMENTED SZ 5
Gross
$20,301
C1889
$11,021
TISSUE FLEXIGRAFT 10X16MM
Gross
$18,368
73723
$7,793
MRI HIP W/WO CON BIL
Gross
$12,989
26350
$6,693
RPR TDN W/O GRAFT
Gross
$11,155
74178
$6,446
CT ABD/PELVIS W/WO CONT
Gross
$10,743
70552
$5,904
MRI SELLA W CONT
Gross
$9,841
20670
$5,673
REM IMP SUPERFICIAL
Gross
$9,455
C1788
$5,357
BARD POWERPORT W 8FR
Gross
$8,928
74177
$5,287
CT ABD/PELVIS W CONT
Gross
$8,812
73221
$5,264
MRI SHOULDER WO CONT BIL
Gross
$8,774
73223
$5,264
MRI ELBOW LT W/WO CON
Gross
$8,774
72156
$5,135
MRI C-SPINE W & W/O
Gross
$8,559
78452
$5,108
NM MYOCRD PERF SPECT MULT
Gross
$8,513
74174
$5,081
CT ANGIO ABD/PELV W/WO
Gross
$8,468
95811
$5,063
SLEEP STUDY SPLT NIT CPAP
Gross
$8,438
71275
$5,061
CT CHESTFOR PE W/CONTRAST
Gross
$8,434
72191
$5,061
CTA PELVIS W/WO POST PROC
Gross
$8,434
70546
$4,998
MRA HEAD W & W/O
Gross
$8,330
71552
$4,964
MRI CHEST W & W/O
Gross
$8,273
72157
$4,949
MRI T-SPINE W & W/O
Gross
$8,249
74183
$4,944
MRI ABDOMEN W & W/O
Gross
$8,240
72158
$4,796
MRI L-SPINE W & W/O
Gross
$7,993
10121
$4,796
INC&REM FB SQ TISS COMPL
Gross
$7,993
70543
$4,771
MRI ORBIT W/WO CONT
Gross
$7,952
74176
$4,666
CT ABD/PELVIS WO CONT
Gross
$7,777
73701
$4,654
CT LOWER EXTRM W CONT BIL
Gross
$7,757
75635
$4,631
CTA AORTA/RUNOFFS W/IMAGE
Gross
$7,719
73220
$4,587
MRI HUMERUS WWO CON BIL
Gross
$7,644
73202
$4,569
CT UPPR EXT W/WO CONT BIL
Gross
$7,614
65235
$4,510
REM FB INTRAOCULAR
Gross
$7,516
70553
$4,485
MRI IAC W/WO CONT
Gross
$7,474
72197
$4,475
MRI PELVIS W & W/O
Gross
$7,458
95810
$4,472
ALL NIGHT SLEEP STUDY
Gross
$7,453
73702
$4,393
CT LOW EXTR W/WO CONT BIL
Gross
$7,322
C1713
$4,318
TIGHTROPE II BTB RECON IB
Gross
$7,196
32556
$4,302
PERQ DRN PLURA WO IMG BIL
Gross
$7,170
73720
$4,246
MRI FEMUR LT W/WO CONT
Gross
$7,077
72147
$4,163
MRI THORACIC SPINE W CONT
Gross
$6,938
72149
$4,154
MRI L-SPINE W
Gross
$6,924
74182
$4,086
MRI ABDOMEN W CONT
Gross
$6,810
11424
$4,086
EXC B9 LES SNHFG 3.1-4CM
Gross
$6,810
70482
$4,030
CT ORBITS W/WO CONT
Gross
$6,717
31525
$4,021
LARYNGOSCOPY DIRECT DIAG
Gross
$6,702
72142
$3,987
MRI C-SPINE W
Gross
$6,645
72146
$3,934
MRI T SPINE W/O
Gross
$6,557
70551
$3,923
MRI SELLA WO CONT
Gross
$6,538
74175
$3,916
CT ANGIO ABDOMEN W/WO CON
Gross
$6,527
72148
$3,836
MRI L-SPINE W/O
Gross
$6,394
72129
$3,821
CT THOR SPINE W/CONTRAST
Gross
$6,369
74181
$3,726
MRI ABDOMEN W/O
Gross
$6,211
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1776 | UKA FEMORALCEMENTED SZ 5 | $20,301 | $12,181 | — | — | 18 |
| C1889 | TISSUE FLEXIGRAFT 10X16MM | $18,368 | $11,021 | — | — | 18 |
| 73723 | MRI HIP W/WO CON BIL | $12,989 | $7,793 | — | — | 18 |
| 26350 | RPR TDN W/O GRAFT | $11,155 | $6,693 | — | — | 26 |
| 74178 | CT ABD/PELVIS W/WO CONT | $10,743 | $6,446 | — | — | 17 |
| 70552 | MRI SELLA W CONT | $9,841 | $5,904 | — | — | 18 |
| 20670 | REM IMP SUPERFICIAL | $9,455 | $5,673 | — | — | 25 |
| C1788 | BARD POWERPORT W 8FR | $8,928 | $5,357 | — | — | 17 |
| 74177 | CT ABD/PELVIS W CONT | $8,812 | $5,287 | — | — | 18 |
| 73221 | MRI SHOULDER WO CONT BIL | $8,774 | $5,264 | — | — | 18 |
| 73223 | MRI ELBOW LT W/WO CON | $8,774 | $5,264 | — | — | 18 |
| 72156 | MRI C-SPINE W & W/O | $8,559 | $5,135 | — | — | 17 |
| 78452 | NM MYOCRD PERF SPECT MULT | $8,513 | $5,108 | — | — | 18 |
| 74174 | CT ANGIO ABD/PELV W/WO | $8,468 | $5,081 | — | — | 18 |
| 95811 | SLEEP STUDY SPLT NIT CPAP | $8,438 | $5,063 | — | — | 18 |
| 71275 | CT CHESTFOR PE W/CONTRAST | $8,434 | $5,061 | — | — | 18 |
| 72191 | CTA PELVIS W/WO POST PROC | $8,434 | $5,061 | — | — | 18 |
| 70546 | MRA HEAD W & W/O | $8,330 | $4,998 | — | — | 18 |
| 71552 | MRI CHEST W & W/O | $8,273 | $4,964 | — | — | 17 |
| 72157 | MRI T-SPINE W & W/O | $8,249 | $4,949 | — | — | 18 |
| 74183 | MRI ABDOMEN W & W/O | $8,240 | $4,944 | — | — | 18 |
| 72158 | MRI L-SPINE W & W/O | $7,993 | $4,796 | — | — | 18 |
| 10121 | INC&REM FB SQ TISS COMPL | $7,993 | $4,796 | — | — | 26 |
| 70543 | MRI ORBIT W/WO CONT | $7,952 | $4,771 | — | — | 18 |
| 74176 | CT ABD/PELVIS WO CONT | $7,777 | $4,666 | — | — | 17 |
| 73701 | CT LOWER EXTRM W CONT BIL | $7,757 | $4,654 | — | — | 18 |
| 75635 | CTA AORTA/RUNOFFS W/IMAGE | $7,719 | $4,631 | — | — | 18 |
| 73220 | MRI HUMERUS WWO CON BIL | $7,644 | $4,587 | — | — | 18 |
| 73202 | CT UPPR EXT W/WO CONT BIL | $7,614 | $4,569 | — | — | 18 |
| 65235 | REM FB INTRAOCULAR | $7,516 | $4,510 | — | — | 26 |
| 70553 | MRI IAC W/WO CONT | $7,474 | $4,485 | — | — | 18 |
| 72197 | MRI PELVIS W & W/O | $7,458 | $4,475 | — | — | 17 |
| 95810 | ALL NIGHT SLEEP STUDY | $7,453 | $4,472 | — | — | 18 |
| 73702 | CT LOW EXTR W/WO CONT BIL | $7,322 | $4,393 | — | — | 18 |
| C1713 | TIGHTROPE II BTB RECON IB | $7,196 | $4,318 | — | — | 36 |
| 32556 | PERQ DRN PLURA WO IMG BIL | $7,170 | $4,302 | — | — | 26 |
| 73720 | MRI FEMUR LT W/WO CONT | $7,077 | $4,246 | — | — | 18 |
| 72147 | MRI THORACIC SPINE W CONT | $6,938 | $4,163 | — | — | 18 |
| 72149 | MRI L-SPINE W | $6,924 | $4,154 | — | — | 18 |
| 74182 | MRI ABDOMEN W CONT | $6,810 | $4,086 | — | — | 18 |
| 11424 | EXC B9 LES SNHFG 3.1-4CM | $6,810 | $4,086 | — | — | 26 |
| 70482 | CT ORBITS W/WO CONT | $6,717 | $4,030 | — | — | 18 |
| 31525 | LARYNGOSCOPY DIRECT DIAG | $6,702 | $4,021 | — | — | 26 |
| 72142 | MRI C-SPINE W | $6,645 | $3,987 | — | — | 18 |
| 72146 | MRI T SPINE W/O | $6,557 | $3,934 | — | — | 17 |
| 70551 | MRI SELLA WO CONT | $6,538 | $3,923 | — | — | 18 |
| 74175 | CT ANGIO ABDOMEN W/WO CON | $6,527 | $3,916 | — | — | 18 |
| 72148 | MRI L-SPINE W/O | $6,394 | $3,836 | — | — | 18 |
| 72129 | CT THOR SPINE W/CONTRAST | $6,369 | $3,821 | — | — | 18 |
| 74181 | MRI ABDOMEN W/O | $6,211 | $3,726 | — | — | 18 |
Showing top 50 of 15,416 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.