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
1,314
Insurances with rates
16
CPT / HCPCS codes
995
Source MRF
Most expensive procedures (gross)
J3101
$21,126
TNKASE 50MG INJ
Gross
$35,210
A2025
$18,334
MIRO3D 100 CM3/CM3
Gross
$30,557
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
73721
$6,412
MR LOW EXT JNT WO CON BIL
Gross
$10,686
FEM COMPONENT 62-3421R
$6,314
FEM COMPONENT 62-3421R
Gross
$10,523
74178
$5,270
CT ABD+PELVIS W+WO CONTRAST
Gross
$8,784
70543
$5,117
MR ORBIT/FACE/NECK W/WO CNTRST
Gross
$8,528
Q4101
$5,087
APLIGRAF DISK KIT 44 SQ CM
Gross
$8,479
72156
$4,865
MR C-SPINE W/WO CONTRAST
Gross
$8,108
72157
$4,865
MR THORACIC W/WO CONTRAST
Gross
$8,108
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
26756
$4,346
PERC SKEL FIX DIS FINGER FX F5
Gross
$7,244
27756
$4,346
PERC SKEL FIX TIBL SHFT FX RT
Gross
$7,244
74177
$4,247
CT ABD+PELVIS W/CONTRAST
Gross
$7,079
73706
$4,195
CT ANG L EXT W OR WO CONTR BIL
Gross
$6,992
74174
$4,195
CT ANG ABD+PLVS W OR WO CNTRS
Gross
$6,992
36558
$4,173
INSRT TUNNEL CV CATH>5Y
Gross
$6,955
46040
$3,991
I&D ISCHIORECTAL ABSCESS
Gross
$6,652
72158
$3,755
MR LUMBAR SPINE W/WO CONTRAST
Gross
$6,258
J1439
$3,310
INJECTAFER 750MG/15ML VIAL
Gross
$5,517
74176
$3,231
CT ABD+PELVIS WO CONTRAST
Gross
$5,385
70551
$3,205
MR HEAD W/O CONTRAST
Gross
$5,342
72146
$3,205
MR THORACIC W/O CONTRAST
Gross
$5,342
72197
$3,205
MR PELVIS W/WO 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 RT
Gross
$5,342
73720
$3,205
MR LOW EXT NON JNT W+WO CON LT
Gross
$5,342
73700
$3,175
CT LOW EXTREMITY WO CON BIL
Gross
$5,292
72148
$3,053
MR LUMBAR SPINE W/O CONTRAST
Gross
$5,089
72141
$3,052
MR C-SPINE W/O CONTRAST
Gross
$5,087
72195
$3,052
MR PELVIS W/O CONTRAST
Gross
$5,087
73718
$3,052
MR LOW EXT NON JNT WO CON LT
Gross
$5,087
ICU
$3,033
ICU
Gross
$5,055
90377
$2,997
KEDRAB 300UNIT/2ML VIAL
Gross
$4,995
99285
$2,976
CRITICAL CARE 1ST 30-74M
Gross
$4,960
10121
$2,959
INCISION & REMOVAL FB SC COMP
Gross
$4,931
72130
$2,918
CT THORACIC SPINE W/WO CONTRST
Gross
$4,864
71270
$2,900
CT CHEST W/WO CONTRAST
Gross
$4,833
21315
$2,836
CLS TX NASAL BONE FX WO STAB
Gross
$4,726
70546
$2,779
MR ANGIO HEAD W/WO CONTRAST
Gross
$4,632
70547
$2,779
MR ANGIO NECK W/O CONTRAST
Gross
$4,632
71275
$2,693
CT ANG CHST W OR WO CONTR
Gross
$4,489
74183
$2,667
MRI ABDOMEN W/O & W/CONTRAST M
Gross
$4,445
70544
$2,647
MR ANGIO HEAD W/O CONTRAST
Gross
$4,411
23655
$2,545
CLS TX DSLC SHLD W/MAN W/M LT
Gross
$4,242
26775
$2,545
CLS TX FNGR DSL W/MAN W/AN F1
Gross
$4,242
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | TNKASE 50MG INJ | $35,210 | $21,126 | — | — | 20 |
| A2025 | MIRO3D 100 CM3/CM3 | $30,557 | $18,334 | — | — | 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 |
| 73721 | MR LOW EXT JNT WO CON BIL | $10,686 | $6,412 | — | — | 20 |
| FEM COMPONENT 62-3421R | FEM COMPONENT 62-3421R | $10,523 | $6,314 | — | — | 20 |
| 74178 | CT ABD+PELVIS W+WO CONTRAST | $8,784 | $5,270 | — | — | 20 |
| 70543 | MR ORBIT/FACE/NECK W/WO CNTRST | $8,528 | $5,117 | — | — | 20 |
| Q4101 | APLIGRAF DISK KIT 44 SQ CM | $8,479 | $5,087 | — | — | 20 |
| 72156 | MR C-SPINE W/WO CONTRAST | $8,108 | $4,865 | — | — | 20 |
| 72157 | MR THORACIC W/WO CONTRAST | $8,108 | $4,865 | — | — | 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 |
| 26756 | PERC SKEL FIX DIS FINGER FX F5 | $7,244 | $4,346 | — | — | 20 |
| 27756 | PERC SKEL FIX TIBL SHFT FX RT | $7,244 | $4,346 | — | — | 20 |
| 74177 | CT ABD+PELVIS W/CONTRAST | $7,079 | $4,247 | — | — | 20 |
| 73706 | CT ANG L EXT W OR WO CONTR BIL | $6,992 | $4,195 | — | — | 20 |
| 74174 | CT ANG ABD+PLVS W OR WO CNTRS | $6,992 | $4,195 | — | — | 20 |
| 36558 | INSRT TUNNEL CV CATH>5Y | $6,955 | $4,173 | — | — | 20 |
| 46040 | I&D ISCHIORECTAL ABSCESS | $6,652 | $3,991 | — | — | 20 |
| 72158 | MR LUMBAR SPINE W/WO CONTRAST | $6,258 | $3,755 | — | — | 20 |
| J1439 | INJECTAFER 750MG/15ML VIAL | $5,517 | $3,310 | — | — | 20 |
| 74176 | CT ABD+PELVIS WO CONTRAST | $5,385 | $3,231 | — | — | 20 |
| 70551 | MR HEAD W/O CONTRAST | $5,342 | $3,205 | — | — | 20 |
| 72146 | MR THORACIC W/O CONTRAST | $5,342 | $3,205 | — | — | 20 |
| 72197 | MR PELVIS W/WO 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 RT | $5,342 | $3,205 | — | — | 20 |
| 73720 | MR LOW EXT NON JNT W+WO CON LT | $5,342 | $3,205 | — | — | 20 |
| 73700 | CT LOW EXTREMITY WO CON BIL | $5,292 | $3,175 | — | — | 20 |
| 72148 | MR LUMBAR SPINE W/O CONTRAST | $5,089 | $3,053 | — | — | 20 |
| 72141 | MR C-SPINE W/O CONTRAST | $5,087 | $3,052 | — | — | 20 |
| 72195 | MR PELVIS W/O CONTRAST | $5,087 | $3,052 | — | — | 20 |
| 73718 | MR LOW EXT NON JNT WO CON LT | $5,087 | $3,052 | — | — | 20 |
| ICU | ICU | $5,055 | $3,033 | — | — | 15 |
| 90377 | KEDRAB 300UNIT/2ML VIAL | $4,995 | $2,997 | — | — | 20 |
| 99285 | CRITICAL CARE 1ST 30-74M | $4,960 | $2,976 | — | — | 20 |
| 10121 | INCISION & REMOVAL FB SC COMP | $4,931 | $2,959 | — | — | 20 |
| 72130 | CT THORACIC SPINE W/WO CONTRST | $4,864 | $2,918 | — | — | 20 |
| 71270 | CT CHEST W/WO CONTRAST | $4,833 | $2,900 | — | — | 20 |
| 21315 | CLS TX NASAL BONE FX WO STAB | $4,726 | $2,836 | — | — | 20 |
| 70546 | MR ANGIO HEAD W/WO CONTRAST | $4,632 | $2,779 | — | — | 20 |
| 70547 | MR ANGIO NECK W/O CONTRAST | $4,632 | $2,779 | — | — | 20 |
| 71275 | CT ANG CHST W OR WO CONTR | $4,489 | $2,693 | — | — | 20 |
| 74183 | MRI ABDOMEN W/O & W/CONTRAST M | $4,445 | $2,667 | — | — | 20 |
| 70544 | MR ANGIO HEAD W/O CONTRAST | $4,411 | $2,647 | — | — | 20 |
| 23655 | CLS TX DSLC SHLD W/MAN W/M LT | $4,242 | $2,545 | — | — | 20 |
| 26775 | CLS TX FNGR DSL W/MAN W/AN F1 | $4,242 | $2,545 | — | — | 20 |
Showing top 50 of 1,314 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.