45 CFR § 180 compliance
B · 85
This hospital published most 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
693
Insurances with rates
8
CPT / HCPCS codes
675
Source MRF
Most expensive procedures (gross)
47562
$5,443
LAPS SURG CHOLECSTC
Gross
$5,443
J2997
$4,026
Injection, alteplase recombinant, 1 mg
Gross
$4,026
19301
$3,558
MASTECTOMY PARTIAL
Gross
$3,558
Q5103
$3,381
Gross
$3,381
70553
$2,737
MRI BRN BRN STEM C-/C+
Gross
$2,737
28285
$2,598
CORRECTION HAMMERTOE
Gross
$2,598
37609
$2,510
LIG/BX TEMPORAL ART
Gross
$2,510
73720
$2,465
MRI LXTR OTH/THN JT C-/C+
Gross
$2,465
74177
$2,413
CT ABDOMEN&PELVIS W/CONTRAST
Gross
$2,413
74178
$2,398
CT ABD&PELV 1+ SECTION/REGNS
Gross
$2,398
74183
$2,360
MRI ABD C-/C+
Gross
$2,360
43249
$2,349
UPR GI NDSC BALO DILAT ESOPH < 30 MM DIAM
Gross
$2,349
46270
$2,349
SURG TX ANAL FSTL SUBQ
Gross
$2,349
66982
$2,214
XCAPSL CTRC RMVL INSJ LENS PROSTH 1 STG
Gross
$2,214
19081
$2,134
Gross
$2,134
73723
$2,121
MRI ANY JT LXTR C-/C+
Gross
$2,121
74176
$2,040
CT ABD & PELVIS W/O CONTRAST
Gross
$2,040
95811
$1,978
POLYSM SLEEP STAGING 4/> ADDL PARAM W/CPAP TX
Gross
$1,978
78452
$1,972
MYOCARDIAL SPECT MULTIPLE STUDIES
Gross
$1,972
75635
$1,940
CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING
Gross
$1,940
19083
$1,881
Gross
$1,881
45385
$1,851
COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ
Gross
$1,851
66984
$1,851
CATARACT REMOVAL INSERTION OF LENS
Gross
$1,851
45380
$1,850
SCOPE OF COLON WITH BIOPSY
Gross
$1,850
43239
$1,840
UPPER STOMACH-INTESTINE SCOPE FOR BIOPSY
Gross
$1,840
74174
$1,834
Gross
$1,834
45384
$1,830
COLSC FLX PROX SPLENIC FLXR RMVL LES CAUT
Gross
$1,830
45378
$1,800
SCOPE OF COLON FOR DIAGNOSIS
Gross
$1,800
70551
$1,777
MRI BRN BRN STEM C-MATRL
Gross
$1,777
93306
$1,747
ECHO TTHRC R-T 2D -+M-MODE COMPL SPEC&COLOR DOP
Gross
$1,747
95810
$1,740
POLYSM SLEEP STAGING 4/> ADDL PARAM
Gross
$1,740
11626
$1,632
EXCISION MALIGNANT LESION S/N/H/F/G > 4.0 CM
Gross
$1,632
72148
$1,565
MRI SPI CANAL&CNTS LMBR C-MATRL
Gross
$1,565
73721
$1,528
MRI ANY JT LXTR C-MATRL
Gross
$1,528
72146
$1,527
MRI SPI CANAL&CNTS THRC C-MATRL
Gross
$1,527
70498
$1,488
CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST
Gross
$1,488
73221
$1,471
MRI ANY JT UXTR C-MATRL
Gross
$1,471
64493
$1,460
NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL
Gross
$1,460
11644
$1,456
EXCISION MALIGNANT LES F/E/E/N/L/M 3.1-4.0 CM
Gross
$1,456
G0378
$1,377
Hospital observation service, per hour
Gross
$1,377
70496
$1,358
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST
Gross
$1,358
72141
$1,346
MRI SPI CANAL&CNTS CRV C-MATRL
Gross
$1,346
71275
$1,298
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST
Gross
$1,298
74170
$1,248
CT ABD C-/C+
Gross
$1,248
70491
$1,217
CT SOFT TISS NCK C+ MATRL
Gross
$1,217
72125
$1,168
CT CRV SPI C-MATRL
Gross
$1,168
99291
$1,164
CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN
Gross
$1,164
G0260
$1,161
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic
Gross
$1,161
73700
$1,120
CT LXTR C-MATRL
Gross
$1,120
72131
$1,110
CT LMBR SPI C-MATRL
Gross
$1,110
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 47562 | LAPS SURG CHOLECSTC | $5,443 | $5,443 | $1,140 | $5,546 | 5 |
| J2997 | Injection, alteplase recombinant, 1 mg | $4,026 | $4,026 | $201 | $3,660 | 3 |
| 19301 | MASTECTOMY PARTIAL | $3,558 | $3,558 | $3,235 | $3,235 | 1 |
| Q5103 | $3,381 | $3,381 | $3,074 | $6,294 | 1 | |
| 70553 | MRI BRN BRN STEM C-/C+ | $2,737 | $2,737 | $720 | $4,671 | 4 |
| 28285 | CORRECTION HAMMERTOE | $2,598 | $2,598 | $2,362 | $2,362 | 1 |
| 37609 | LIG/BX TEMPORAL ART | $2,510 | $2,510 | $2,282 | $2,282 | 1 |
| 73720 | MRI LXTR OTH/THN JT C-/C+ | $2,465 | $2,465 | $2,186 | $2,241 | 2 |
| 74177 | CT ABDOMEN&PELVIS W/CONTRAST | $2,413 | $2,413 | $620 | $3,957 | 7 |
| 74178 | CT ABD&PELV 1+ SECTION/REGNS | $2,398 | $2,398 | $620 | $2,180 | 2 |
| 74183 | MRI ABD C-/C+ | $2,360 | $2,360 | $2,145 | $3,870 | 3 |
| 43249 | UPR GI NDSC BALO DILAT ESOPH < 30 MM DIAM | $2,349 | $2,349 | $2,135 | $2,135 | 1 |
| 46270 | SURG TX ANAL FSTL SUBQ | $2,349 | $2,349 | $2,135 | $2,135 | 1 |
| 66982 | XCAPSL CTRC RMVL INSJ LENS PROSTH 1 STG | $2,214 | $2,214 | $1,862 | $2,013 | 2 |
| 19081 | $2,134 | $2,134 | $1,940 | $2,638 | 3 | |
| 73723 | MRI ANY JT LXTR C-/C+ | $2,121 | $2,121 | $1,928 | $1,928 | 1 |
| 74176 | CT ABD & PELVIS W/O CONTRAST | $2,040 | $2,040 | $620 | $1,959 | 7 |
| 95811 | POLYSM SLEEP STAGING 4/> ADDL PARAM W/CPAP TX | $1,978 | $1,978 | $1,281 | $3,271 | 4 |
| 78452 | MYOCARDIAL SPECT MULTIPLE STUDIES | $1,972 | $1,972 | $1,787 | $1,896 | 3 |
| 75635 | CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING | $1,940 | $1,940 | $1,764 | $1,976 | 2 |
| 19083 | $1,881 | $1,881 | $1,710 | $7,789 | 2 | |
| 45385 | COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ | $1,851 | $1,851 | $243 | $1,775 | 7 |
| 66984 | CATARACT REMOVAL INSERTION OF LENS | $1,851 | $1,851 | $1,683 | $1,683 | 2 |
| 45380 | SCOPE OF COLON WITH BIOPSY | $1,850 | $1,850 | $0.92 | $1,690 | 4 |
| 43239 | UPPER STOMACH-INTESTINE SCOPE FOR BIOPSY | $1,840 | $1,840 | $935 | $1,690 | 6 |
| 74174 | $1,834 | $1,834 | $1,667 | $1,667 | 1 | |
| 45384 | COLSC FLX PROX SPLENIC FLXR RMVL LES CAUT | $1,830 | $1,830 | $216 | $1,663 | 5 |
| 45378 | SCOPE OF COLON FOR DIAGNOSIS | $1,800 | $1,800 | $176 | $2,317 | 5 |
| 70551 | MRI BRN BRN STEM C-MATRL | $1,777 | $1,777 | $793 | $1,810 | 4 |
| 93306 | ECHO TTHRC R-T 2D -+M-MODE COMPL SPEC&COLOR DOP | $1,747 | $1,747 | $619 | $3,021 | 4 |
| 95810 | POLYSM SLEEP STAGING 4/> ADDL PARAM | $1,740 | $1,740 | $1,281 | $1,632 | 3 |
| 11626 | EXCISION MALIGNANT LESION S/N/H/F/G > 4.0 CM | $1,632 | $1,632 | $1,483 | $1,483 | 1 |
| 72148 | MRI SPI CANAL&CNTS LMBR C-MATRL | $1,565 | $1,565 | $582 | $1,594 | 4 |
| 73721 | MRI ANY JT LXTR C-MATRL | $1,528 | $1,528 | $639 | $2,397 | 6 |
| 72146 | MRI SPI CANAL&CNTS THRC C-MATRL | $1,527 | $1,527 | $1,082 | $1,388 | 2 |
| 70498 | CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST | $1,488 | $1,488 | $285 | $2,334 | 3 |
| 73221 | MRI ANY JT UXTR C-MATRL | $1,471 | $1,471 | $639 | $1,498 | 3 |
| 64493 | NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $1,460 | $1,460 | $451 | $2,310 | 3 |
| 11644 | EXCISION MALIGNANT LES F/E/E/N/L/M 3.1-4.0 CM | $1,456 | $1,456 | $1,324 | $1,324 | 1 |
| G0378 | Hospital observation service, per hour | $1,377 | $1,377 | $463 | $2,688 | 6 |
| 70496 | CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST | $1,358 | $1,358 | $591 | $1,234 | 2 |
| 72141 | MRI SPI CANAL&CNTS CRV C-MATRL | $1,346 | $1,346 | $582 | $1,875 | 4 |
| 71275 | CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $1,298 | $1,298 | $835 | $1,400 | 3 |
| 74170 | CT ABD C-/C+ | $1,248 | $1,248 | $620 | $1,270 | 3 |
| 70491 | CT SOFT TISS NCK C+ MATRL | $1,217 | $1,217 | $187 | $1,224 | 4 |
| 72125 | CT CRV SPI C-MATRL | $1,168 | $1,168 | $240 | $1,915 | 6 |
| 99291 | CC E/M CRITICALLY ILL/INJURED 1ST 30-74 MIN | $1,164 | $1,164 | $384 | $1,058 | 4 |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic | $1,161 | $1,161 | $989 | $2,285 | 3 |
| 73700 | CT LXTR C-MATRL | $1,120 | $1,120 | $1,018 | $1,303 | 2 |
| 72131 | CT LMBR SPI C-MATRL | $1,110 | $1,110 | $529 | $1,029 | 4 |
Showing top 50 of 693 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.