45 CFR § 180 compliance
F · 50
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
2,339
Insurances with rates
0
CPT / HCPCS codes
644
Source MRF
Most expensive procedures (gross)
J2997
—
ALTEPLASE (ACTIVASE) VIAL 100MG
Gross
$25,609
LEVEL 7 1ST 15 MIN
—
LEVEL 7 1ST 15 MIN
Gross
$15,450
LEVEL 6 1ST 15 MIN
—
LEVEL 6 1ST 15 MIN
Gross
$10,300
LEVEL 5 2.6 HRS - 3.5 HRS (1ST 15 MIN)
—
LEVEL 5 2.6 HRS - 3.5 HRS (1ST 15 MIN)
Gross
$10,000
LEVEL 4 1.6 HRS - 2.5 HRS(1ST 15 MIN)
—
LEVEL 4 1.6 HRS - 2.5 HRS(1ST 15 MIN)
Gross
$8,000
Q0249
—
ACTEMRA 400MG/20ML
Gross
$6,720
LEVEL 3 46 MIN - 1.5 HRS (1ST 15 MIN)
—
LEVEL 3 46 MIN - 1.5 HRS (1ST 15 MIN)
Gross
$6,000
43246
—
PEG TUBE PLACEMENT
Gross
$4,005
LEVEL 2 UP TO 45 MIN (1ST 15 MIN)
—
LEVEL 2 UP TO 45 MIN (1ST 15 MIN)
Gross
$4,000
75635
—
CTA ABD AORTA/BILAT ILEOFEMORAL RUNOFF
Gross
$3,480
74178
—
CT ABDOMEN/PELVIS W/WO CONTRAST
Gross
$3,152
74170
—
CT ABDOMEN W/WO CONTRAST
Gross
$3,090
74177
—
CT ABDOMEN/PELVIS W/CONTRAST
Gross
$3,044
71275
—
CTA CHEST W/WO CONTRAST
Gross
$2,776
74176
—
CT ABDOMEN/PELVIS W/O CONTRAST
Gross
$2,642
70496
—
CTA HEAD W/WO CONTRAST
Gross
$2,535
71270
—
CT CHEST W/WO CONTRAST
Gross
$2,350
72127
—
CT C-SPINE W/WO CONTRAST
Gross
$2,350
74160
—
CT ABDOMEN W/CONTRAST
Gross
$2,324
72130
—
CT T-SPINE W/WO CONTRAST
Gross
$2,314
73706LT
—
CTA LOWER EXT LEFT W/WO CONTRAST
Gross
$2,302
73706RT
—
CTA LOWER EXT RIGHT W/WO CONTRAST
Gross
$2,302
72133
—
CT L-SPINE W/WO CONTRAST
Gross
$2,242
72194
—
CT PELVIS W/WO CONTRAST
Gross
$2,159
93306
—
US ECHO SCAN COMPLETE
Gross
$2,100
99291
—
CRITICAL CARE 30-74 MIN
Gross
$2,062
74150
—
CT ABDOMEN W/O CONTRAST
Gross
$2,059
72193
—
CT PELVIS W/CONTRAST
Gross
$2,059
32554
—
THORACENTESIS W/O IMAGING - ER
Gross
$2,053
70482
—
CT ORB/SELLA/EAR W/WO CONTRAST
Gross
$1,978
72192
—
CT PELVIS W/O CONTRAST
Gross
$1,959
71260
—
CT CHEST W/CONTRAST
Gross
$1,953
72126
—
CT C-SPINE W/CONTRAST
Gross
$1,953
70488
—
CT SINUS/FACIAL W/WO CONTRAST
Gross
$1,947
70491
—
CT SOFT TISSUE NECK W/CONTRAST
Gross
$1,935
70470
—
CT HEAD/BRAIN W/WO CONTRAST
Gross
$1,898
73702LT
—
CT LOWER EXT LEFT W/WO CONTRAST
Gross
$1,818
73702RT
—
CT LOWER EXT RIGHT W/WO CONTRAST
Gross
$1,818
70492
—
CT SOFT TISSUE NECK W/WO CONTRAST
Gross
$1,741
73202LT
—
CT UPPER EXT LEFT W/WO CONTRAST
Gross
$1,730
73202RT
—
CT UPPER EXT RIGHT W/WO CONTRAST
Gross
$1,730
72125
—
CT C-SPINE W/O CONTRAST
Gross
$1,656
72128
—
CT T-SPINE W/O CONTRAST
Gross
$1,653
70481
—
CT ORB/SELLA/EAR W/CONTRAST
Gross
$1,652
71250
—
CT CHEST W/O CONTRAST
Gross
$1,648
ENDOSCOPY
—
ENDOSCOPY
Gross
$1,648
72131
—
CT L-SPINE W/O CONTRAST
Gross
$1,645
70487
—
CT SINUS/FACIAL W/CONTRAST
Gross
$1,613
72132
—
CT L-SPINE W/CONTRAST
Gross
$1,566
72129
—
CT T-SPINE W/CONTRAST
Gross
$1,566
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2997 | ALTEPLASE (ACTIVASE) VIAL 100MG | $25,609 | — | — | — | 0 |
| LEVEL 7 1ST 15 MIN | LEVEL 7 1ST 15 MIN | $15,450 | — | — | — | 0 |
| LEVEL 6 1ST 15 MIN | LEVEL 6 1ST 15 MIN | $10,300 | — | — | — | 0 |
| LEVEL 5 2.6 HRS - 3.5 HRS (1ST 15 MIN) | LEVEL 5 2.6 HRS - 3.5 HRS (1ST 15 MIN) | $10,000 | — | — | — | 0 |
| LEVEL 4 1.6 HRS - 2.5 HRS(1ST 15 MIN) | LEVEL 4 1.6 HRS - 2.5 HRS(1ST 15 MIN) | $8,000 | — | — | — | 0 |
| Q0249 | ACTEMRA 400MG/20ML | $6,720 | — | — | — | 0 |
| LEVEL 3 46 MIN - 1.5 HRS (1ST 15 MIN) | LEVEL 3 46 MIN - 1.5 HRS (1ST 15 MIN) | $6,000 | — | — | — | 0 |
| 43246 | PEG TUBE PLACEMENT | $4,005 | — | — | — | 0 |
| LEVEL 2 UP TO 45 MIN (1ST 15 MIN) | LEVEL 2 UP TO 45 MIN (1ST 15 MIN) | $4,000 | — | — | — | 0 |
| 75635 | CTA ABD AORTA/BILAT ILEOFEMORAL RUNOFF | $3,480 | — | — | — | 0 |
| 74178 | CT ABDOMEN/PELVIS W/WO CONTRAST | $3,152 | — | — | — | 0 |
| 74170 | CT ABDOMEN W/WO CONTRAST | $3,090 | — | — | — | 0 |
| 74177 | CT ABDOMEN/PELVIS W/CONTRAST | $3,044 | — | — | — | 0 |
| 71275 | CTA CHEST W/WO CONTRAST | $2,776 | — | — | — | 0 |
| 74176 | CT ABDOMEN/PELVIS W/O CONTRAST | $2,642 | — | — | — | 0 |
| 70496 | CTA HEAD W/WO CONTRAST | $2,535 | — | — | — | 0 |
| 71270 | CT CHEST W/WO CONTRAST | $2,350 | — | — | — | 0 |
| 72127 | CT C-SPINE W/WO CONTRAST | $2,350 | — | — | — | 0 |
| 74160 | CT ABDOMEN W/CONTRAST | $2,324 | — | — | — | 0 |
| 72130 | CT T-SPINE W/WO CONTRAST | $2,314 | — | — | — | 0 |
| 73706LT | CTA LOWER EXT LEFT W/WO CONTRAST | $2,302 | — | — | — | 0 |
| 73706RT | CTA LOWER EXT RIGHT W/WO CONTRAST | $2,302 | — | — | — | 0 |
| 72133 | CT L-SPINE W/WO CONTRAST | $2,242 | — | — | — | 0 |
| 72194 | CT PELVIS W/WO CONTRAST | $2,159 | — | — | — | 0 |
| 93306 | US ECHO SCAN COMPLETE | $2,100 | — | — | — | 0 |
| 99291 | CRITICAL CARE 30-74 MIN | $2,062 | — | — | — | 0 |
| 74150 | CT ABDOMEN W/O CONTRAST | $2,059 | — | — | — | 0 |
| 72193 | CT PELVIS W/CONTRAST | $2,059 | — | — | — | 0 |
| 32554 | THORACENTESIS W/O IMAGING - ER | $2,053 | — | — | — | 0 |
| 70482 | CT ORB/SELLA/EAR W/WO CONTRAST | $1,978 | — | — | — | 0 |
| 72192 | CT PELVIS W/O CONTRAST | $1,959 | — | — | — | 0 |
| 71260 | CT CHEST W/CONTRAST | $1,953 | — | — | — | 0 |
| 72126 | CT C-SPINE W/CONTRAST | $1,953 | — | — | — | 0 |
| 70488 | CT SINUS/FACIAL W/WO CONTRAST | $1,947 | — | — | — | 0 |
| 70491 | CT SOFT TISSUE NECK W/CONTRAST | $1,935 | — | — | — | 0 |
| 70470 | CT HEAD/BRAIN W/WO CONTRAST | $1,898 | — | — | — | 0 |
| 73702LT | CT LOWER EXT LEFT W/WO CONTRAST | $1,818 | — | — | — | 0 |
| 73702RT | CT LOWER EXT RIGHT W/WO CONTRAST | $1,818 | — | — | — | 0 |
| 70492 | CT SOFT TISSUE NECK W/WO CONTRAST | $1,741 | — | — | — | 0 |
| 73202LT | CT UPPER EXT LEFT W/WO CONTRAST | $1,730 | — | — | — | 0 |
| 73202RT | CT UPPER EXT RIGHT W/WO CONTRAST | $1,730 | — | — | — | 0 |
| 72125 | CT C-SPINE W/O CONTRAST | $1,656 | — | — | — | 0 |
| 72128 | CT T-SPINE W/O CONTRAST | $1,653 | — | — | — | 0 |
| 70481 | CT ORB/SELLA/EAR W/CONTRAST | $1,652 | — | — | — | 0 |
| 71250 | CT CHEST W/O CONTRAST | $1,648 | — | — | — | 0 |
| ENDOSCOPY | ENDOSCOPY | $1,648 | — | — | — | 0 |
| 72131 | CT L-SPINE W/O CONTRAST | $1,645 | — | — | — | 0 |
| 70487 | CT SINUS/FACIAL W/CONTRAST | $1,613 | — | — | — | 0 |
| 72132 | CT L-SPINE W/CONTRAST | $1,566 | — | — | — | 0 |
| 72129 | CT T-SPINE W/CONTRAST | $1,566 | — | — | — | 0 |
Showing top 50 of 2,339 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.