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
1,197
Insurances with rates
12
CPT / HCPCS codes
877
Source MRF
Most expensive procedures (gross)
J2997
$32,310
ALTEPLASE INJ 100MG
Gross
$53,850
J3101
$21,126
TNKASE 50MG INJ
Gross
$35,210
A2025
$18,334
MIRO3D 100 CM3/CM3
Gross
$30,557
90377
$13,679
KEDRAB 1500UNIT/10ML
Gross
$22,799
RYANODEX 250MG/5ML INJ
$10,354
RYANODEX 250MG/5ML INJ
Gross
$17,257
LITHOTRIPSY UNILAT 1ST 10 MIN
$8,692
LITHOTRIPSY UNILAT 1ST 10 MIN
Gross
$14,486
OB SURGERY LEVEL 3 1ST 30 MINS
$6,885
OB SURGERY LEVEL 3 1ST 30 MINS
Gross
$11,475
Q4197
$6,783
PURAPLY XT 4.91X4.91(25)/SQCM
Gross
$11,305
884
$6,331
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
Gross
$10,552
74178
$5,270
CT ABD+PELVIS W+WO CONTRAST
Gross
$8,784
Q4101
$5,087
APLIGRAF DISK KIT 44 SQ CM
Gross
$8,479
74174
$4,843
CT ANG ABD+PLVS W OR WO CNTRS
Gross
$8,071
Q4133
$4,828
GRAFIX PL PRIME 12 SQ CM/SQCM
Gross
$8,047
70553
$4,603
MR HEAD W/WO CONTRAST
Gross
$7,671
Q4159
$4,589
AFFINITY 2.25 SQ CM/SQCM
Gross
$7,648
74177
$4,247
CT ABD+PELVIS W/CONTRAST
Gross
$7,079
73706
$4,196
CT ANG L EXT W OR WO CONTR BIL
Gross
$6,993
J2357
$3,617
XOLAIR 150MG SYRINGE
Gross
$6,029
23605
$3,410
CLS TX PROX HUM FX W/MAN RT
Gross
$5,683
897
$3,377
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
Gross
$5,628
74176
$3,293
CT ABD+PELVIS WO CONTRAST
Gross
$5,488
70551
$3,205
MR HEAD W/O CONTRAST
Gross
$5,342
72146
$3,205
MR THORACIC W/O CONTRAST
Gross
$5,342
73221
$3,205
MR UP EXT JNT WO CON LT
Gross
$5,342
73223
$3,205
MR UP EXT JNT W+WO CON LT
Gross
$5,342
73721
$3,205
MR LOW EXT JNT WO CON LT
Gross
$5,342
72148
$3,053
MR LUMBAR SPINE W/O CONTRAST
Gross
$5,089
70540
$3,052
MR ORBIT/FACE/NECK WO CNTRST
Gross
$5,087
72141
$3,052
MR C-SPINE W/O CONTRAST
Gross
$5,087
72194
$3,016
CT PELVIS W/WO CONTRAST
Gross
$5,026
99285
$2,976
CRITICAL CARE 1ST 30-74M
Gross
$4,960
73700
$2,927
CT LOW EXTREMITY WO CON BIL
Gross
$4,878
71270
$2,900
CT CHEST W/WO CONTRAST
Gross
$4,833
71275
$2,693
CT ANG CHST W OR WO CONTR
Gross
$4,489
72127
$2,693
CT C-SPINE W/WO CONTRAST
Gross
$4,489
23655
$2,545
CLS TX DSLC SHLD W/MAN W/M LT
Gross
$4,242
24605
$2,545
CLS RED DISLC ELBOW W/ANES RT
Gross
$4,242
26775
$2,545
CLS TX FNGR DSL W/MAN W/AN F4
Gross
$4,242
72125
$2,537
CT C-SPINE WO CONTRAST
Gross
$4,229
72126
$2,462
CT C-SPINE W/CONTRAST
Gross
$4,103
71260
$2,423
CT CHEST W/CONTRAST
Gross
$4,038
93306
$2,377
ECHO COMP W DOPPLER & COLOR
Gross
$3,961
72193
$2,357
CT PELVIS W/CONTRAST
Gross
$3,929
70482
$2,347
CT ORBITS W/WO CONTRAST
Gross
$3,911
70488
$2,347
CT FACIAL W/WO CONTRAST
Gross
$3,911
70492
$2,347
CT SFT TISSUE NECK W/WO CNTRST
Gross
$3,911
73218
$2,306
MR UP EXT NON JNT WO CON RT
Gross
$3,844
74170
$2,257
CT ABD W/WO CONTRAST
Gross
$3,761
72128
$2,247
CT THORACIC SPINE WO CONTRAST
Gross
$3,745
70470
$2,240
CT HEAD W/WO CONTRAST
Gross
$3,734
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ALTEPLASE INJ 100MG | $53,850 | $32,310 | — | — | 20 |
| J3101 | TNKASE 50MG INJ | $35,210 | $21,126 | — | — | 20 |
| A2025 | MIRO3D 100 CM3/CM3 | $30,557 | $18,334 | — | — | 20 |
| 90377 | KEDRAB 1500UNIT/10ML | $22,799 | $13,679 | — | — | 20 |
| RYANODEX 250MG/5ML INJ | RYANODEX 250MG/5ML INJ | $17,257 | $10,354 | — | — | 20 |
| LITHOTRIPSY UNILAT 1ST 10 MIN | LITHOTRIPSY UNILAT 1ST 10 MIN | $14,486 | $8,692 | — | — | 20 |
| OB SURGERY LEVEL 3 1ST 30 MINS | OB SURGERY LEVEL 3 1ST 30 MINS | $11,475 | $6,885 | — | — | 20 |
| Q4197 | PURAPLY XT 4.91X4.91(25)/SQCM | $11,305 | $6,783 | — | — | 20 |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $10,552 | $6,331 | — | — | 2 |
| 74178 | CT ABD+PELVIS W+WO CONTRAST | $8,784 | $5,270 | — | — | 20 |
| Q4101 | APLIGRAF DISK KIT 44 SQ CM | $8,479 | $5,087 | — | — | 20 |
| 74174 | CT ANG ABD+PLVS W OR WO CNTRS | $8,071 | $4,843 | — | — | 20 |
| Q4133 | GRAFIX PL PRIME 12 SQ CM/SQCM | $8,047 | $4,828 | — | — | 20 |
| 70553 | MR HEAD W/WO CONTRAST | $7,671 | $4,603 | — | — | 20 |
| Q4159 | AFFINITY 2.25 SQ CM/SQCM | $7,648 | $4,589 | — | — | 20 |
| 74177 | CT ABD+PELVIS W/CONTRAST | $7,079 | $4,247 | — | — | 20 |
| 73706 | CT ANG L EXT W OR WO CONTR BIL | $6,993 | $4,196 | — | — | 20 |
| J2357 | XOLAIR 150MG SYRINGE | $6,029 | $3,617 | — | — | 20 |
| 23605 | CLS TX PROX HUM FX W/MAN RT | $5,683 | $3,410 | — | — | 20 |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $5,628 | $3,377 | — | — | 2 |
| 74176 | CT ABD+PELVIS WO CONTRAST | $5,488 | $3,293 | — | — | 20 |
| 70551 | MR HEAD W/O CONTRAST | $5,342 | $3,205 | — | — | 20 |
| 72146 | MR THORACIC W/O CONTRAST | $5,342 | $3,205 | — | — | 20 |
| 73221 | MR UP EXT JNT WO CON LT | $5,342 | $3,205 | — | — | 20 |
| 73223 | MR UP EXT JNT W+WO CON LT | $5,342 | $3,205 | — | — | 20 |
| 73721 | MR LOW EXT JNT WO CON LT | $5,342 | $3,205 | — | — | 20 |
| 72148 | MR LUMBAR SPINE W/O CONTRAST | $5,089 | $3,053 | — | — | 20 |
| 70540 | MR ORBIT/FACE/NECK WO CNTRST | $5,087 | $3,052 | — | — | 20 |
| 72141 | MR C-SPINE W/O CONTRAST | $5,087 | $3,052 | — | — | 20 |
| 72194 | CT PELVIS W/WO CONTRAST | $5,026 | $3,016 | — | — | 20 |
| 99285 | CRITICAL CARE 1ST 30-74M | $4,960 | $2,976 | — | — | 20 |
| 73700 | CT LOW EXTREMITY WO CON BIL | $4,878 | $2,927 | — | — | 20 |
| 71270 | CT CHEST W/WO CONTRAST | $4,833 | $2,900 | — | — | 20 |
| 71275 | CT ANG CHST W OR WO CONTR | $4,489 | $2,693 | — | — | 20 |
| 72127 | CT C-SPINE W/WO CONTRAST | $4,489 | $2,693 | — | — | 20 |
| 23655 | CLS TX DSLC SHLD W/MAN W/M LT | $4,242 | $2,545 | — | — | 20 |
| 24605 | CLS RED DISLC ELBOW W/ANES RT | $4,242 | $2,545 | — | — | 20 |
| 26775 | CLS TX FNGR DSL W/MAN W/AN F4 | $4,242 | $2,545 | — | — | 20 |
| 72125 | CT C-SPINE WO CONTRAST | $4,229 | $2,537 | — | — | 20 |
| 72126 | CT C-SPINE W/CONTRAST | $4,103 | $2,462 | — | — | 20 |
| 71260 | CT CHEST W/CONTRAST | $4,038 | $2,423 | — | — | 20 |
| 93306 | ECHO COMP W DOPPLER & COLOR | $3,961 | $2,377 | — | — | 20 |
| 72193 | CT PELVIS W/CONTRAST | $3,929 | $2,357 | — | — | 20 |
| 70482 | CT ORBITS W/WO CONTRAST | $3,911 | $2,347 | — | — | 20 |
| 70488 | CT FACIAL W/WO CONTRAST | $3,911 | $2,347 | — | — | 20 |
| 70492 | CT SFT TISSUE NECK W/WO CNTRST | $3,911 | $2,347 | — | — | 20 |
| 73218 | MR UP EXT NON JNT WO CON RT | $3,844 | $2,306 | — | — | 20 |
| 74170 | CT ABD W/WO CONTRAST | $3,761 | $2,257 | — | — | 20 |
| 72128 | CT THORACIC SPINE WO CONTRAST | $3,745 | $2,247 | — | — | 20 |
| 70470 | CT HEAD W/WO CONTRAST | $3,734 | $2,240 | — | — | 20 |
Showing top 50 of 1,197 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.