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
1,772
Insurances with rates
2
CPT / HCPCS codes
1,740
Source MRF
Most expensive procedures (gross)
23670
$11,578
OPEN TRT SHLDR DIS W FX
Gross
$20,675
J3101
$10,212
TNKase Intravenous Kit 50MG
Gross
$18,236
J2993
$16,146
RETEPLASE (KIT)
Gross
$17,940
37785
$8,500
LIG/DIV/EXC OF V.VEIN
Gross
$9,444
21337
$5,057
CLO TRT SEPTAL FX
Gross
$9,031
59409
$4,848
DELIVERY
Gross
$8,657
122
$4,435
ACUTE DAILY ROOM RATE INPATIENT PRIVATE
Gross
$7,920
J0840
$4,224
CROFAB ANTIVENIN VIAL
Gross
$7,542
74177
$6,163
CT ABDOMEN PELVIS COMBO W CONTRAST,Technical component
Gross
$6,848
74176
$5,387
CT ABDOMEN/PELVIS STONE PROTOCOL
Gross
$5,985
74170
$5,338
CT ABDOMEN PANCREATIC MASS PROTOCOL
Gross
$5,931
72194
$5,338
CT PELVIS W/WO CONTRAST
Gross
$5,931
70492
$5,338
CT SOFT TISSUE NECK W & W/O CONTRAST,Technical component
Gross
$5,931
72130
$5,338
CT SPINE THORACIC W & W/O CONTRAST,Technical component
Gross
$5,931
73702
$5,338
CT LOWER EXTREMITY W & W/O CONTRAST
Gross
$5,931
74178
$5,338
CT ABDOMEN LIVER MASS PROTOCOL
Gross
$5,931
70488
$5,336
CT MAXILLOFACIAL W & W/O CONTRAST,Technical component
Gross
$5,929
36555
$5,245
INSERT CENTRAL LINE < 5YR
Gross
$5,828
71270
$5,218
CT CHEST THORAX W/WO CONT
Gross
$5,798
72127
$5,218
CT SPINE CERVVICAL W & W/O CONTRAST,Technical component
Gross
$5,798
72133
$5,218
CT SPINE LUMBAR W & W/O CONTRAST
Gross
$5,798
13160
$3,171
SEC CLOS SURG WND EXT COM
Gross
$5,662
72149
$4,962
MRI LUMBAR SPINE W/CONTRA
Gross
$5,513
31730
$2,766
TRANS TRACH INTRO TUBE-O2
Gross
$4,939
70470
$4,393
CT HEAD/BRAIN W/WO CONTRAST
Gross
$4,881
72193
$4,393
CT PELVIS W/CONTRAST
Gross
$4,881
74160
$4,393
CT ABDOMEN WITH CONTRAST
Gross
$4,881
71260
$4,393
CT THORAX WITH CONTRAST
Gross
$4,881
70482
$4,393
CT ORBITS W & W/O CONTRAST,Technical component
Gross
$4,881
72129
$4,393
CT SPINE THORACIC W CONTRAST,Technical component
Gross
$4,881
73202
$4,393
CT UPPER EXTREMITY W & W/O CONTRAST,Technical component
Gross
$4,881
73701
$4,393
CT LOWER EXTREMITY W CONTRAST,Technical component
Gross
$4,881
70496
$4,393
CTA HEAD/BRAIN
Gross
$4,881
70498
$4,393
CTA NECK
Gross
$4,881
71275
$4,393
CT CHEST PE PROTOCOL
Gross
$4,881
75572
$4,393
CTA CORONARY ARTERIES,Technical component
Gross
$4,881
75574
$4,393
CTA CORONARY ARTERIES W/ GRAFTS,Technical component
Gross
$4,881
74175
$4,393
CTA ABDOMEN,Technical component
Gross
$4,881
74174
$4,393
CTA ABDOMEN PELVIS COMBO
Gross
$4,881
73206
$4,393
CTA UPPER EXTREMITY,Technical component
Gross
$4,881
73706
$4,393
CTA LOWER EXTREMITY,Technical component
Gross
$4,881
75635
$4,393
CTA RUNOFF STUDY,Technical component
Gross
$4,881
70487
$4,391
CT MAXILLOFACIAL W/ CONTRAST,Technical component
Gross
$4,879
70491
$4,391
CT SOFT TISSUE NECK W CONTRAST,Technical component
Gross
$4,879
72146
$4,379
MRI T SPINE W/O CONTRAST
Gross
$4,865
72126
$4,273
CT SPINE CERVICAL W CONTRAST,Technical component
Gross
$4,748
72132
$4,273
CT SPINE LUMBAR W CONTRAST,Technical component
Gross
$4,748
73201
$4,273
CT UPPER EXTREMITY W CONTRAST,Technical component
Gross
$4,748
36569
$4,266
INSERT PICC CATH - CENTRAL VENOUS DEVICE
Gross
$4,740
10140
$2,600
I&D HEMATOMA/SEROMA/FLUID
Gross
$4,643
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 23670 | OPEN TRT SHLDR DIS W FX | $20,675 | $11,578 | — | — | 2 |
| J3101 | TNKase Intravenous Kit 50MG | $18,236 | $10,212 | — | — | 1 |
| J2993 | RETEPLASE (KIT) | $17,940 | $16,146 | — | — | 1 |
| 37785 | LIG/DIV/EXC OF V.VEIN | $9,444 | $8,500 | — | — | 0 |
| 21337 | CLO TRT SEPTAL FX | $9,031 | $5,057 | — | — | 2 |
| 59409 | DELIVERY | $8,657 | $4,848 | — | — | 2 |
| 122 | ACUTE DAILY ROOM RATE INPATIENT PRIVATE | $7,920 | $4,435 | — | — | 0 |
| J0840 | CROFAB ANTIVENIN VIAL | $7,542 | $4,224 | — | — | 1 |
| 74177 | CT ABDOMEN PELVIS COMBO W CONTRAST,Technical component | $6,848 | $6,163 | — | — | 1 |
| 74176 | CT ABDOMEN/PELVIS STONE PROTOCOL | $5,985 | $5,387 | — | — | 3 |
| 74170 | CT ABDOMEN PANCREATIC MASS PROTOCOL | $5,931 | $5,338 | — | — | 3 |
| 72194 | CT PELVIS W/WO CONTRAST | $5,931 | $5,338 | — | — | 1 |
| 70492 | CT SOFT TISSUE NECK W & W/O CONTRAST,Technical component | $5,931 | $5,338 | — | — | 1 |
| 72130 | CT SPINE THORACIC W & W/O CONTRAST,Technical component | $5,931 | $5,338 | — | — | 1 |
| 73702 | CT LOWER EXTREMITY W & W/O CONTRAST | $5,931 | $5,338 | — | — | 1 |
| 74178 | CT ABDOMEN LIVER MASS PROTOCOL | $5,931 | $5,338 | — | — | 2 |
| 70488 | CT MAXILLOFACIAL W & W/O CONTRAST,Technical component | $5,929 | $5,336 | — | — | 1 |
| 36555 | INSERT CENTRAL LINE < 5YR | $5,828 | $5,245 | — | — | 2 |
| 71270 | CT CHEST THORAX W/WO CONT | $5,798 | $5,218 | — | — | 1 |
| 72127 | CT SPINE CERVVICAL W & W/O CONTRAST,Technical component | $5,798 | $5,218 | — | — | 1 |
| 72133 | CT SPINE LUMBAR W & W/O CONTRAST | $5,798 | $5,218 | — | — | 1 |
| 13160 | SEC CLOS SURG WND EXT COM | $5,662 | $3,171 | — | — | 2 |
| 72149 | MRI LUMBAR SPINE W/CONTRA | $5,513 | $4,962 | — | — | 1 |
| 31730 | TRANS TRACH INTRO TUBE-O2 | $4,939 | $2,766 | — | — | 2 |
| 70470 | CT HEAD/BRAIN W/WO CONTRAST | $4,881 | $4,393 | — | — | 1 |
| 72193 | CT PELVIS W/CONTRAST | $4,881 | $4,393 | — | — | 1 |
| 74160 | CT ABDOMEN WITH CONTRAST | $4,881 | $4,393 | — | — | 1 |
| 71260 | CT THORAX WITH CONTRAST | $4,881 | $4,393 | — | — | 1 |
| 70482 | CT ORBITS W & W/O CONTRAST,Technical component | $4,881 | $4,393 | — | — | 1 |
| 72129 | CT SPINE THORACIC W CONTRAST,Technical component | $4,881 | $4,393 | — | — | 1 |
| 73202 | CT UPPER EXTREMITY W & W/O CONTRAST,Technical component | $4,881 | $4,393 | — | — | 1 |
| 73701 | CT LOWER EXTREMITY W CONTRAST,Technical component | $4,881 | $4,393 | — | — | 1 |
| 70496 | CTA HEAD/BRAIN | $4,881 | $4,393 | — | — | 2 |
| 70498 | CTA NECK | $4,881 | $4,393 | — | — | 2 |
| 71275 | CT CHEST PE PROTOCOL | $4,881 | $4,393 | — | — | 2 |
| 75572 | CTA CORONARY ARTERIES,Technical component | $4,881 | $4,393 | — | — | 2 |
| 75574 | CTA CORONARY ARTERIES W/ GRAFTS,Technical component | $4,881 | $4,393 | — | — | 1 |
| 74175 | CTA ABDOMEN,Technical component | $4,881 | $4,393 | — | — | 2 |
| 74174 | CTA ABDOMEN PELVIS COMBO | $4,881 | $4,393 | — | — | 1 |
| 73206 | CTA UPPER EXTREMITY,Technical component | $4,881 | $4,393 | — | — | 2 |
| 73706 | CTA LOWER EXTREMITY,Technical component | $4,881 | $4,393 | — | — | 2 |
| 75635 | CTA RUNOFF STUDY,Technical component | $4,881 | $4,393 | — | — | 2 |
| 70487 | CT MAXILLOFACIAL W/ CONTRAST,Technical component | $4,879 | $4,391 | — | — | 1 |
| 70491 | CT SOFT TISSUE NECK W CONTRAST,Technical component | $4,879 | $4,391 | — | — | 1 |
| 72146 | MRI T SPINE W/O CONTRAST | $4,865 | $4,379 | — | — | 1 |
| 72126 | CT SPINE CERVICAL W CONTRAST,Technical component | $4,748 | $4,273 | — | — | 1 |
| 72132 | CT SPINE LUMBAR W CONTRAST,Technical component | $4,748 | $4,273 | — | — | 1 |
| 73201 | CT UPPER EXTREMITY W CONTRAST,Technical component | $4,748 | $4,273 | — | — | 1 |
| 36569 | INSERT PICC CATH - CENTRAL VENOUS DEVICE | $4,740 | $4,266 | — | — | 2 |
| 10140 | I&D HEMATOMA/SEROMA/FLUID | $4,643 | $2,600 | — | — | 2 |
Showing top 50 of 1,772 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.