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
835
Insurances with rates
0
CPT / HCPCS codes
806
Source MRF
Most expensive procedures (gross)
J3101
$12,211
TNKASE INJ 50MG
Gross
$12,211
J2506
$10,000
NEULASTA ONPRO KIT[6MG/0.6ML]
Gross
$10,000
74178
$6,825
CT ABD/PEL WWO
Gross
$6,825
74174
$6,388
CTA C/ABD/PEL
Gross
$6,388
74177
$6,274
CT ABD/PEL W
Gross
$6,274
72156
$5,455
MRI C SPINE WWO
Gross
$5,455
J0897
$5,440
XGEVAN 120MG SOLUTION
Gross
$5,440
J0840
$5,373
CROFAB Injectable Solution 1 Vial(s)
Gross
$5,373
72158
$5,329
MRI LS SPINE WWO
Gross
$5,329
74176
$5,277
CT ABD/PEL WO
Gross
$5,277
70553
$5,140
MRI BRAIN WWO
Gross
$5,140
74183
$4,825
MRI ABDOMEN WWO
Gross
$4,825
73720
$4,778
MR LOW EXTR W/O JNT W/WO CO
Gross
$4,778
72148
$4,715
MRI LS SPINE WO
Gross
$4,715
71275
$4,633
CTA CHEST PE
Gross
$4,633
74170
$4,384
CT ABDOMEN WWO
Gross
$4,384
72197
$4,358
MRI PELVIS WWO
Gross
$4,358
72146
$4,283
MRI T SPINE WO
Gross
$4,283
70547
$4,243
MRA NECK WO
Gross
$4,243
73223
$4,231
MRI ELBOW WWO LT,LT
Gross
$4,231
72142
$4,195
MRI C SPINE W
Gross
$4,195
74181
$4,195
MRI ABDOMEN WO
Gross
$4,195
74175
$3,912
CTA ABDOMEN
Gross
$3,912
360
$3,895
OR-B MAJ 76-90 MIN
Gross
$3,895
72141
$3,820
MRI C SPINE WO
Gross
$3,820
70544
$3,791
MRA BRAIN WO
Gross
$3,791
70546
$3,769
MRA BRAIN WWO
Gross
$3,769
74185
$3,769
MRA ABDOMEN WWO
Gross
$3,769
70545
$3,767
MRA BRAIN W
Gross
$3,767
75635
$3,728
CTA CAP W RUNOFFS
Gross
$3,728
70498
$3,728
CTA NECK
Gross
$3,728
C8929
$3,649
US ECHO COMPLETE W
Gross
$3,649
72125
$3,623
CT C SPINE WO
Gross
$3,623
73718
$3,597
MR LOW EXTR W/O JNT W/O CON
Gross
$3,597
73719
$3,597
MR LOW EXTR W/O JNT W/CONTR
Gross
$3,597
70551
$3,591
MRI BRAIN WO
Gross
$3,591
70543
$3,587
MRI ORBIT/FACE/NECK WWO
Gross
$3,587
70552
$3,587
MRI BRAIN W
Gross
$3,587
72157
$3,587
MRI T SPINE WWO
Gross
$3,587
72159
$3,587
MRA SPINAL CANAL WWO
Gross
$3,587
73222
$3,564
MRI ELBOW W LT,LT
Gross
$3,564
72192
$3,518
CT PELVIS WO
Gross
$3,518
71260
$3,492
CT CHEST W
Gross
$3,492
73221
$3,481
MR UP EXTR W/JOINT W/O CONT
Gross
$3,481
70492
$3,439
CT NECK WWO
Gross
$3,439
73721
$3,439
MR LOWER EXTREMITY W/JNT W/O CONTR
Gross
$3,439
43251
$3,413
EGD 1 OR MORE LESIONS BY SNARE
Gross
$3,413
70542
$3,404
MRI ORBIT/FACE/NECK W
Gross
$3,404
70549
$3,404
MRA NECK WWO
Gross
$3,404
71552
$3,404
MRI CHEST WWO
Gross
$3,404
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J3101 | TNKASE INJ 50MG | $12,211 | $12,211 | — | — | 0 |
| J2506 | NEULASTA ONPRO KIT[6MG/0.6ML] | $10,000 | $10,000 | — | — | 0 |
| 74178 | CT ABD/PEL WWO | $6,825 | $6,825 | — | — | 0 |
| 74174 | CTA C/ABD/PEL | $6,388 | $6,388 | — | — | 0 |
| 74177 | CT ABD/PEL W | $6,274 | $6,274 | — | — | 0 |
| 72156 | MRI C SPINE WWO | $5,455 | $5,455 | — | — | 0 |
| J0897 | XGEVAN 120MG SOLUTION | $5,440 | $5,440 | — | — | 0 |
| J0840 | CROFAB Injectable Solution 1 Vial(s) | $5,373 | $5,373 | — | — | 0 |
| 72158 | MRI LS SPINE WWO | $5,329 | $5,329 | — | — | 0 |
| 74176 | CT ABD/PEL WO | $5,277 | $5,277 | — | — | 0 |
| 70553 | MRI BRAIN WWO | $5,140 | $5,140 | — | — | 0 |
| 74183 | MRI ABDOMEN WWO | $4,825 | $4,825 | — | — | 0 |
| 73720 | MR LOW EXTR W/O JNT W/WO CO | $4,778 | $4,778 | — | — | 0 |
| 72148 | MRI LS SPINE WO | $4,715 | $4,715 | — | — | 0 |
| 71275 | CTA CHEST PE | $4,633 | $4,633 | — | — | 0 |
| 74170 | CT ABDOMEN WWO | $4,384 | $4,384 | — | — | 0 |
| 72197 | MRI PELVIS WWO | $4,358 | $4,358 | — | — | 0 |
| 72146 | MRI T SPINE WO | $4,283 | $4,283 | — | — | 0 |
| 70547 | MRA NECK WO | $4,243 | $4,243 | — | — | 0 |
| 73223 | MRI ELBOW WWO LT,LT | $4,231 | $4,231 | — | — | 0 |
| 72142 | MRI C SPINE W | $4,195 | $4,195 | — | — | 0 |
| 74181 | MRI ABDOMEN WO | $4,195 | $4,195 | — | — | 0 |
| 74175 | CTA ABDOMEN | $3,912 | $3,912 | — | — | 0 |
| 360 | OR-B MAJ 76-90 MIN | $3,895 | $3,895 | — | — | 0 |
| 72141 | MRI C SPINE WO | $3,820 | $3,820 | — | — | 0 |
| 70544 | MRA BRAIN WO | $3,791 | $3,791 | — | — | 0 |
| 70546 | MRA BRAIN WWO | $3,769 | $3,769 | — | — | 0 |
| 74185 | MRA ABDOMEN WWO | $3,769 | $3,769 | — | — | 0 |
| 70545 | MRA BRAIN W | $3,767 | $3,767 | — | — | 0 |
| 75635 | CTA CAP W RUNOFFS | $3,728 | $3,728 | — | — | 0 |
| 70498 | CTA NECK | $3,728 | $3,728 | — | — | 0 |
| C8929 | US ECHO COMPLETE W | $3,649 | $3,649 | — | — | 0 |
| 72125 | CT C SPINE WO | $3,623 | $3,623 | — | — | 0 |
| 73718 | MR LOW EXTR W/O JNT W/O CON | $3,597 | $3,597 | — | — | 0 |
| 73719 | MR LOW EXTR W/O JNT W/CONTR | $3,597 | $3,597 | — | — | 0 |
| 70551 | MRI BRAIN WO | $3,591 | $3,591 | — | — | 0 |
| 70543 | MRI ORBIT/FACE/NECK WWO | $3,587 | $3,587 | — | — | 0 |
| 70552 | MRI BRAIN W | $3,587 | $3,587 | — | — | 0 |
| 72157 | MRI T SPINE WWO | $3,587 | $3,587 | — | — | 0 |
| 72159 | MRA SPINAL CANAL WWO | $3,587 | $3,587 | — | — | 0 |
| 73222 | MRI ELBOW W LT,LT | $3,564 | $3,564 | — | — | 0 |
| 72192 | CT PELVIS WO | $3,518 | $3,518 | — | — | 0 |
| 71260 | CT CHEST W | $3,492 | $3,492 | — | — | 0 |
| 73221 | MR UP EXTR W/JOINT W/O CONT | $3,481 | $3,481 | — | — | 0 |
| 70492 | CT NECK WWO | $3,439 | $3,439 | — | — | 0 |
| 73721 | MR LOWER EXTREMITY W/JNT W/O CONTR | $3,439 | $3,439 | — | — | 0 |
| 43251 | EGD 1 OR MORE LESIONS BY SNARE | $3,413 | $3,413 | — | — | 0 |
| 70542 | MRI ORBIT/FACE/NECK W | $3,404 | $3,404 | — | — | 0 |
| 70549 | MRA NECK WWO | $3,404 | $3,404 | — | — | 0 |
| 71552 | MRI CHEST WWO | $3,404 | $3,404 | — | — | 0 |
Showing top 50 of 835 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.