45 CFR § 180 compliance
D · 65
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
686
Insurances with rates
0
CPT / HCPCS codes
676
Source MRF
Most expensive procedures (gross)
63685
$60,947
Insertion or replacement of spinal neurostimulator pulse generator
Gross
$60,947
76498
$25,000
DTI MRI
Gross
$25,000
27096
$22,518
injection for SI joint arthrography
Gross
$22,518
27095
$20,634
injection for Hip arthrography w anesthesia RT
Gross
$20,634
27093
$17,508
injection procedure for Hip arthrography w/o anesthesia
Gross
$17,508
27369
$16,812
injection procedure for knee arthrography
Gross
$16,812
24220
$15,558
injection procedure for elbow arthrography Left
Gross
$15,558
23350
$11,529
injection procedure for shoulder arthrography LT
Gross
$11,529
73720
$10,800
MRI LE Non Joint w/ + w/o Contrast Bilat
Gross
$10,800
62321
$10,450
Cervical epidural steroid injection
Gross
$10,450
62323
$10,450
Lumbar epidural steroid injection
Gross
$10,450
64400
$10,450
Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, max
Gross
$10,450
64405
$10,450
Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve
Gross
$10,450
64418
$10,450
Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve
Gross
$10,450
64450
$10,450
Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch
Gross
$10,450
64454
$10,450
Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidan
Gross
$10,450
73719
$10,200
MRI LE Non Joint w/ Contrast Bilateral
Gross
$10,200
73722
$10,200
MRI LE Joint w/ Contrast Bilateral
Gross
$10,200
64420
$10,000
Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level
Gross
$10,000
64425
$10,000
Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves
Gross
$10,000
64490
$10,000
Injection; MBB/Facet, C/T, 1st level
Gross
$10,000
64493
$10,000
Injection; MBB/Facet, L/S, 1st level
Gross
$10,000
111
$9,500
Private Room & Board (one bed)
Gross
$9,500
140
$9,500
Private [Med/Surg]
Gross
$9,500
20611
$9,500
Inj/aspiration; major joint with ultrasound
Gross
$9,500
G0260
$9,500
Injection; sacroiliac joint
Gross
$9,500
73718
$9,000
MRI LE Non Joint w/o Contrast Bilat
Gross
$9,000
73721
$9,000
MRI LE Joint w/o Contrast Bilateral
Gross
$9,000
20610
$7,500
Inj/aspiration; major joint w/o ultrasound
Gross
$7,500
45378
$7,500
Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when
Gross
$7,500
45382
$7,500
Colonoscopy, flexible; with biopsy, single or multiple
Gross
$7,500
64520
$7,500
Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic)
Gross
$7,500
74178
$7,500
CT Abdomen + Pelvis w/ + w/o Contrast
Gross
$7,500
86891
$7,500
Blood salvage, intraoperative
Gross
$7,500
G0105
$7,500
Colonoscopy screening; high risk
Gross
$7,500
G0121
$7,500
Colonoscopy screening; not high risk
Gross
$7,500
73702
$7,300
CT Lower Extremity w/+w/o Contrast Bilat
Gross
$7,300
62302
$6,000
XR Myelography Cervical Spine
Gross
$6,000
62303
$6,000
XR Myelography Thoracic Spine
Gross
$6,000
62304
$6,000
XR Myelography Lumbosacral
Gross
$6,000
75716
$6,000
XR Angiography LE Bilat
Gross
$6,000
93350
$6,000
US Echo 2D Rest +Stress
Gross
$6,000
93351
$6,000
US Echo 2D Rest +Stress w/ ECG Monitor
Gross
$6,000
96413
$6,000
Chemotherapy administration, intravenous infusion technique; up to
Gross
$6,000
70498
$5,900
CT Angiography Neck w/ + w/o Contrast
Gross
$5,900
73701
$5,720
CT Lower Extremity w/ Contrast Bilat
Gross
$5,720
74174
$5,600
CT Angiography Abdomen + Pelvis
Gross
$5,600
74175
$5,600
CT Angiography Abdomen
Gross
$5,600
45380
$5,500
Colonoscopy, flexible; with biopsy, single or multiple
Gross
$5,500
70496
$5,500
CT Angiography Head w/ + w/o Contrast
Gross
$5,500
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 63685 | Insertion or replacement of spinal neurostimulator pulse generator | $60,947 | $60,947 | — | — | 0 |
| 76498 | DTI MRI | $25,000 | $25,000 | — | — | 0 |
| 27096 | injection for SI joint arthrography | $22,518 | $22,518 | — | — | 0 |
| 27095 | injection for Hip arthrography w anesthesia RT | $20,634 | $20,634 | — | — | 0 |
| 27093 | injection procedure for Hip arthrography w/o anesthesia | $17,508 | $17,508 | — | — | 0 |
| 27369 | injection procedure for knee arthrography | $16,812 | $16,812 | — | — | 0 |
| 24220 | injection procedure for elbow arthrography Left | $15,558 | $15,558 | — | — | 0 |
| 23350 | injection procedure for shoulder arthrography LT | $11,529 | $11,529 | — | — | 0 |
| 73720 | MRI LE Non Joint w/ + w/o Contrast Bilat | $10,800 | $10,800 | — | — | 0 |
| 62321 | Cervical epidural steroid injection | $10,450 | $10,450 | — | — | 0 |
| 62323 | Lumbar epidural steroid injection | $10,450 | $10,450 | — | — | 0 |
| 64400 | Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, max | $10,450 | $10,450 | — | — | 0 |
| 64405 | Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve | $10,450 | $10,450 | — | — | 0 |
| 64418 | Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve | $10,450 | $10,450 | — | — | 0 |
| 64450 | Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch | $10,450 | $10,450 | — | — | 0 |
| 64454 | Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidan | $10,450 | $10,450 | — | — | 0 |
| 73719 | MRI LE Non Joint w/ Contrast Bilateral | $10,200 | $10,200 | — | — | 0 |
| 73722 | MRI LE Joint w/ Contrast Bilateral | $10,200 | $10,200 | — | — | 0 |
| 64420 | Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level | $10,000 | $10,000 | — | — | 0 |
| 64425 | Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves | $10,000 | $10,000 | — | — | 0 |
| 64490 | Injection; MBB/Facet, C/T, 1st level | $10,000 | $10,000 | — | — | 0 |
| 64493 | Injection; MBB/Facet, L/S, 1st level | $10,000 | $10,000 | — | — | 0 |
| 111 | Private Room & Board (one bed) | $9,500 | $9,500 | — | — | 0 |
| 140 | Private [Med/Surg] | $9,500 | $9,500 | — | — | 0 |
| 20611 | Inj/aspiration; major joint with ultrasound | $9,500 | $9,500 | — | — | 0 |
| G0260 | Injection; sacroiliac joint | $9,500 | $9,500 | — | — | 0 |
| 73718 | MRI LE Non Joint w/o Contrast Bilat | $9,000 | $9,000 | — | — | 0 |
| 73721 | MRI LE Joint w/o Contrast Bilateral | $9,000 | $9,000 | — | — | 0 |
| 20610 | Inj/aspiration; major joint w/o ultrasound | $7,500 | $7,500 | — | — | 0 |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when | $7,500 | $7,500 | — | — | 0 |
| 45382 | Colonoscopy, flexible; with biopsy, single or multiple | $7,500 | $7,500 | — | — | 0 |
| 64520 | Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) | $7,500 | $7,500 | — | — | 0 |
| 74178 | CT Abdomen + Pelvis w/ + w/o Contrast | $7,500 | $7,500 | — | — | 0 |
| 86891 | Blood salvage, intraoperative | $7,500 | $7,500 | — | — | 0 |
| G0105 | Colonoscopy screening; high risk | $7,500 | $7,500 | — | — | 0 |
| G0121 | Colonoscopy screening; not high risk | $7,500 | $7,500 | — | — | 0 |
| 73702 | CT Lower Extremity w/+w/o Contrast Bilat | $7,300 | $7,300 | — | — | 0 |
| 62302 | XR Myelography Cervical Spine | $6,000 | $6,000 | — | — | 0 |
| 62303 | XR Myelography Thoracic Spine | $6,000 | $6,000 | — | — | 0 |
| 62304 | XR Myelography Lumbosacral | $6,000 | $6,000 | — | — | 0 |
| 75716 | XR Angiography LE Bilat | $6,000 | $6,000 | — | — | 0 |
| 93350 | US Echo 2D Rest +Stress | $6,000 | $6,000 | — | — | 0 |
| 93351 | US Echo 2D Rest +Stress w/ ECG Monitor | $6,000 | $6,000 | — | — | 0 |
| 96413 | Chemotherapy administration, intravenous infusion technique; up to | $6,000 | $6,000 | — | — | 0 |
| 70498 | CT Angiography Neck w/ + w/o Contrast | $5,900 | $5,900 | — | — | 0 |
| 73701 | CT Lower Extremity w/ Contrast Bilat | $5,720 | $5,720 | — | — | 0 |
| 74174 | CT Angiography Abdomen + Pelvis | $5,600 | $5,600 | — | — | 0 |
| 74175 | CT Angiography Abdomen | $5,600 | $5,600 | — | — | 0 |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | $5,500 | $5,500 | — | — | 0 |
| 70496 | CT Angiography Head w/ + w/o Contrast | $5,500 | $5,500 | — | — | 0 |
Showing top 50 of 686 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.