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
10,032
Insurances with rates
5
CPT / HCPCS codes
9,254
Source MRF
Most expensive procedures (gross)
0111
$8,132
ROUTINE ROOM & BOARD LVL 3
Gross
$9,036
0110
$7,651
ROUTINE ROOM & BOARD LVL II
Gross
$8,501
J3101
$7,498
TENECTEPLASE (TNKASE) IV BOLUS (CVA)
Gross
$8,331
0120
$7,169
SKILLED SWING ROOM & BRD SEMI
Gross
$7,966
70553
$5,648
MRI BRAIN WO THEN W CONT
Gross
$6,276
74177
$5,581
CT ABD PELVIS W CONTRAST
Gross
$6,201
A0434
$5,297
SCT GRND TRANSPORT
Gross
$5,885
59612
$5,261
ED 59612 VAG DELIVERY ONLY AFTER PREVIOUS CESAREAN
Gross
$5,846
59409
$5,244
ED 59409 ED DELIVERY VAGINAL ONLY
Gross
$5,827
72158
$5,109
MRI L SPINE WO THEN W CONT
Gross
$5,677
74178
$5,037
CT ABD PELVIS WO THEN W CONT
Gross
$5,597
72156
$5,024
MRI C SPINE WO THEN W CONT
Gross
$5,582
72157
$5,024
MRI T SPINE WO THEN W CONT
Gross
$5,582
72149
$4,676
MRI L SPINE W CONTRAST
Gross
$5,195
74174
$4,460
CTA ABD PELVIS W CONTRAST+WO IF PERFORM
Gross
$4,955
70549
$4,459
MRA NECK WO THEN W CONT
Gross
$4,954
70548
$4,379
MRA NECK W CONTRAST
Gross
$4,865
73702
$4,335
CT EXT LOWER WO THEN W CONT
Gross
$4,817
72197
$4,253
MRI PELVIS WO THEN W CONT
Gross
$4,726
72196
$4,211
MRI PELVIS W CONTRAST
Gross
$4,679
74182
$4,199
MRI ABDOMEN W CONTRAST
Gross
$4,665
73720
$4,171
MRI LOWER EXT WO THEN W CONT
Gross
$4,634
74183
$4,152
MRI ABDOMEN WO THEN W CONT
Gross
$4,613
C8924
$3,985
ECHO WWO FOL WCONTRAST 2D LMTD
Gross
$4,428
93306
$3,985
ECHO (2D) COMPLETE W DOPPLER & COLOR
Gross
$4,428
C8929
$3,985
ECHO WWO FOL WCONT 2D COMPLETE
Gross
$4,428
G0390
$3,938
TRAUMA ACTIVATION FULL W CCARE
Gross
$4,375
74181
$3,838
MRI ABDOMEN WO CONTRAST
Gross
$4,264
72148
$3,825
MRI L SPINE WO CONTRAST
Gross
$4,250
A0433
$3,756
AMBULANCE ALS LEVEL 2
Gross
$4,173
73706
$3,756
CTA EXT LOWER W CONT +WO IF PERF
Gross
$4,173
74176
$3,643
CT ABD PELVIS WO CONTRAST
Gross
$4,048
74175
$3,631
CTA ABD WCONT +WO IF PERF
Gross
$4,034
70492
$3,565
CT SFT TISUE NECK WWO THEN W
Gross
$3,961
72146
$3,515
MRI T SPINE WO CONTRAST
Gross
$3,906
73723
$3,487
MRI LOWER EXT JT WO THEN W CONT
Gross
$3,874
73221
$3,487
MRI UPPER EXT JT WO CONTRAST
Gross
$3,874
72141
$3,463
MRI C SPINE WO CONTRAST
Gross
$3,848
70542
$3,407
MRI FACE NECK ORB W CONTRAST
Gross
$3,785
70543
$3,407
MRI FACE NECK ORB WO THEN W CONT
Gross
$3,785
73722
$3,401
MRI LOWER EXT JT W CONTRAST
Gross
$3,779
73223
$3,400
MRI UPPER EXT JT WO THEN W CONT
Gross
$3,778
73218
$3,400
MRI UP EXT WO CONT
Gross
$3,778
70551
$3,326
MRI BRAIN WO CONTRAST
Gross
$3,695
73721
$3,318
MRI LOWER EXT JT WO CONTRAST
Gross
$3,687
70496
$3,294
CTA HEAD W CONT WO IF PERF
Gross
$3,660
70544
$3,281
MRA HEAD WO CONTRAST
Gross
$3,645
70552
$3,281
MRI BRAIN W CONTRAST
Gross
$3,645
J0401
$3,263
ARIPIPRAZOLE ER 300 MG IM PRSY
Gross
$3,625
70498
$3,236
CT ANGIO NECK W CON+WO IF PERF
Gross
$3,596
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0111 | ROUTINE ROOM & BOARD LVL 3 | $9,036 | $8,132 | — | — | 0 |
| 0110 | ROUTINE ROOM & BOARD LVL II | $8,501 | $7,651 | — | — | 0 |
| J3101 | TENECTEPLASE (TNKASE) IV BOLUS (CVA) | $8,331 | $7,498 | — | — | 24 |
| 0120 | SKILLED SWING ROOM & BRD SEMI | $7,966 | $7,169 | — | — | 0 |
| 70553 | MRI BRAIN WO THEN W CONT | $6,276 | $5,648 | — | — | 12 |
| 74177 | CT ABD PELVIS W CONTRAST | $6,201 | $5,581 | — | — | 12 |
| A0434 | SCT GRND TRANSPORT | $5,885 | $5,297 | — | — | 9 |
| 59612 | ED 59612 VAG DELIVERY ONLY AFTER PREVIOUS CESAREAN | $5,846 | $5,261 | — | — | 11 |
| 59409 | ED 59409 ED DELIVERY VAGINAL ONLY | $5,827 | $5,244 | — | — | 11 |
| 72158 | MRI L SPINE WO THEN W CONT | $5,677 | $5,109 | — | — | 12 |
| 74178 | CT ABD PELVIS WO THEN W CONT | $5,597 | $5,037 | — | — | 12 |
| 72156 | MRI C SPINE WO THEN W CONT | $5,582 | $5,024 | — | — | 12 |
| 72157 | MRI T SPINE WO THEN W CONT | $5,582 | $5,024 | — | — | 12 |
| 72149 | MRI L SPINE W CONTRAST | $5,195 | $4,676 | — | — | 12 |
| 74174 | CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $4,955 | $4,460 | — | — | 12 |
| 70549 | MRA NECK WO THEN W CONT | $4,954 | $4,459 | — | — | 12 |
| 70548 | MRA NECK W CONTRAST | $4,865 | $4,379 | — | — | 12 |
| 73702 | CT EXT LOWER WO THEN W CONT | $4,817 | $4,335 | — | — | 12 |
| 72197 | MRI PELVIS WO THEN W CONT | $4,726 | $4,253 | — | — | 12 |
| 72196 | MRI PELVIS W CONTRAST | $4,679 | $4,211 | — | — | 12 |
| 74182 | MRI ABDOMEN W CONTRAST | $4,665 | $4,199 | — | — | 12 |
| 73720 | MRI LOWER EXT WO THEN W CONT | $4,634 | $4,171 | — | — | 12 |
| 74183 | MRI ABDOMEN WO THEN W CONT | $4,613 | $4,152 | — | — | 12 |
| C8924 | ECHO WWO FOL WCONTRAST 2D LMTD | $4,428 | $3,985 | — | — | 12 |
| 93306 | ECHO (2D) COMPLETE W DOPPLER & COLOR | $4,428 | $3,985 | — | — | 12 |
| C8929 | ECHO WWO FOL WCONT 2D COMPLETE | $4,428 | $3,985 | — | — | 12 |
| G0390 | TRAUMA ACTIVATION FULL W CCARE | $4,375 | $3,938 | — | — | 12 |
| 74181 | MRI ABDOMEN WO CONTRAST | $4,264 | $3,838 | — | — | 12 |
| 72148 | MRI L SPINE WO CONTRAST | $4,250 | $3,825 | — | — | 12 |
| A0433 | AMBULANCE ALS LEVEL 2 | $4,173 | $3,756 | — | — | 9 |
| 73706 | CTA EXT LOWER W CONT +WO IF PERF | $4,173 | $3,756 | — | — | 12 |
| 74176 | CT ABD PELVIS WO CONTRAST | $4,048 | $3,643 | — | — | 12 |
| 74175 | CTA ABD WCONT +WO IF PERF | $4,034 | $3,631 | — | — | 12 |
| 70492 | CT SFT TISUE NECK WWO THEN W | $3,961 | $3,565 | — | — | 12 |
| 72146 | MRI T SPINE WO CONTRAST | $3,906 | $3,515 | — | — | 12 |
| 73723 | MRI LOWER EXT JT WO THEN W CONT | $3,874 | $3,487 | — | — | 12 |
| 73221 | MRI UPPER EXT JT WO CONTRAST | $3,874 | $3,487 | — | — | 12 |
| 72141 | MRI C SPINE WO CONTRAST | $3,848 | $3,463 | — | — | 12 |
| 70542 | MRI FACE NECK ORB W CONTRAST | $3,785 | $3,407 | — | — | 12 |
| 70543 | MRI FACE NECK ORB WO THEN W CONT | $3,785 | $3,407 | — | — | 12 |
| 73722 | MRI LOWER EXT JT W CONTRAST | $3,779 | $3,401 | — | — | 12 |
| 73223 | MRI UPPER EXT JT WO THEN W CONT | $3,778 | $3,400 | — | — | 12 |
| 73218 | MRI UP EXT WO CONT | $3,778 | $3,400 | — | — | 12 |
| 70551 | MRI BRAIN WO CONTRAST | $3,695 | $3,326 | — | — | 12 |
| 73721 | MRI LOWER EXT JT WO CONTRAST | $3,687 | $3,318 | — | — | 12 |
| 70496 | CTA HEAD W CONT WO IF PERF | $3,660 | $3,294 | — | — | 12 |
| 70544 | MRA HEAD WO CONTRAST | $3,645 | $3,281 | — | — | 12 |
| 70552 | MRI BRAIN W CONTRAST | $3,645 | $3,281 | — | — | 12 |
| J0401 | ARIPIPRAZOLE ER 300 MG IM PRSY | $3,625 | $3,263 | — | — | 12 |
| 70498 | CT ANGIO NECK W CON+WO IF PERF | $3,596 | $3,236 | — | — | 12 |
Showing top 50 of 10,032 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.