45 CFR § 180 compliance
C · 70
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
16,039
Insurances with rates
26
CPT / HCPCS codes
14,110
Source MRF
Most expensive procedures (gross)
690188
$42,960
TENECTEPLASE 50 MG INJ
Gross
$42,960
679705
$31,418
DIG IMMUNE FAB 40 MG INJ
Gross
$31,418
101206
$29,884
Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontr
Gross
$29,884
689386
$24,887
RYANODEX 250 MG INJ
Gross
$24,887
325961
$22,435
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll
Gross
$22,435
503935
$20,732
FOMEPIZOLE 1500 MG INJ
Gross
$20,732
325952
$19,972
Computed tomography, abdomen and pelvis; with contrast material(s)
Gross
$19,972
315515
$19,752
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$19,752
314968
$19,592
MRI BRAIN W&WO CONT
Gross
$19,592
315508
$19,117
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$19,117
325943
$18,859
Computed tomography, abdomen and pelvis; without contrast material
Gross
$18,859
314914
$18,798
Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s)
Gross
$18,798
101152
$18,786
RIG KEDRAB 1500 U IMSQ
Gross
$18,786
315527
$18,638
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$18,638
315633
$18,321
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast
Gross
$18,321
315845
$18,321
MRI ABDOMEN W&WO CONT
Gross
$18,321
320425
$18,159
MRI LW JNT W&WO CONT LT
Gross
$18,159
100978
$16,814
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol
Gross
$16,814
316137
$16,300
Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff,
Gross
$16,300
314873
$15,021
Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if
Gross
$15,021
314864
$14,864
Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if
Gross
$14,864
315809
$14,821
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)
Gross
$14,821
326613
$14,063
CTA ABD&PEL W CONT
Gross
$14,063
315186
$13,897
CTA CHEST
Gross
$13,897
315803
$13,897
Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images,
Gross
$13,897
100977
$13,277
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)
Gross
$13,277
319819
$13,224
MRI UPPER EX W/O CONT RT
Gross
$13,224
315178
$12,467
Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s)
Gross
$12,467
314768
$12,310
Computed tomography, head or brain; without contrast material, followed by contrast material(s) and
Gross
$12,310
315439
$12,280
Computed tomography, lumbar spine; with contrast material
Gross
$12,280
315425
$11,987
Computed tomography, lumbar spine; without contrast material
Gross
$11,987
100998
$11,835
CTA UPPER EXTREMITY LT
Gross
$11,835
322257
$11,631
MRI LOW EXT W/O CONT LT
Gross
$11,631
322259
$11,631
MRI LOW EXT W/O CONT RT
Gross
$11,631
315469
$11,472
Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast mater
Gross
$11,472
315457
$11,472
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast mater
Gross
$11,472
314902
$11,472
Magnetic resonance angiography, head; without contrast material(s)
Gross
$11,472
315493
$11,472
MRI L-SPINE W/O CONT
Gross
$11,472
315449
$11,363
Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and f
Gross
$11,363
315794
$11,363
Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe
Gross
$11,363
320397
$11,152
MRI LW JNT W/O CONT LT
Gross
$11,152
319851
$10,997
MRI UP JNT W/O CONT LT
Gross
$10,997
319852
$10,997
MRI UP JNT W/O CONT RT
Gross
$10,997
315381
$10,965
Computed tomography, thoracic spine; with contrast material
Gross
$10,965
315359
$10,965
Computed tomography, thoracic spine; without contrast material
Gross
$10,965
315335
$10,965
Computed tomography, cervical spine; without contrast material
Gross
$10,965
683300
$10,633
NITROPRUSSIDE 50 MG INJ
Gross
$10,633
314956
$10,544
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material
Gross
$10,544
767693
$10,445
KCENTRA 1 U INJ
Gross
$10,445
315343
$10,152
Computed tomography, cervical spine; with contrast material
Gross
$10,152
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 690188 | TENECTEPLASE 50 MG INJ | $42,960 | $42,960 | $2,000 | $39,524 | 15 |
| 679705 | DIG IMMUNE FAB 40 MG INJ | $31,418 | $31,418 | $2,000 | $28,905 | 15 |
| 101206 | Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontr | $29,884 | $29,884 | $481 | $481 | 3 |
| 689386 | RYANODEX 250 MG INJ | $24,887 | $24,887 | $2,000 | $22,896 | 22 |
| 325961 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $22,435 | $22,435 | $235 | $1,355 | 9 |
| 503935 | FOMEPIZOLE 1500 MG INJ | $20,732 | $20,732 | $2,000 | $19,073 | 15 |
| 325952 | Computed tomography, abdomen and pelvis; with contrast material(s) | $19,972 | $19,972 | $178 | $1,210 | 9 |
| 315515 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $19,752 | $19,752 | $649 | $1,875 | 9 |
| 314968 | MRI BRAIN W&WO CONT | $19,592 | $19,592 | $2,000 | $18,025 | 17 |
| 315508 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $19,117 | $19,117 | $649 | $1,875 | 9 |
| 325943 | Computed tomography, abdomen and pelvis; without contrast material | $18,859 | $18,859 | $93.02 | $719 | 9 |
| 314914 | Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) | $18,798 | $18,798 | $581 | $1,679 | 9 |
| 101152 | RIG KEDRAB 1500 U IMSQ | $18,786 | $18,786 | $2,000 | $17,283 | 16 |
| 315527 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $18,638 | $18,638 | $649 | $1,875 | 9 |
| 315633 | Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast | $18,321 | $18,321 | $648 | $1,875 | 9 |
| 315845 | MRI ABDOMEN W&WO CONT | $18,321 | $18,321 | $2,000 | $16,855 | 17 |
| 320425 | MRI LW JNT W&WO CONT LT | $18,159 | $18,159 | $2,000 | $16,706 | 17 |
| 100978 | Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol | $16,814 | $16,814 | $647 | $1,872 | 9 |
| 316137 | Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, | $16,300 | $16,300 | $222 | $1,602 | 9 |
| 314873 | Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if | $15,021 | $15,021 | $188 | $1,077 | 9 |
| 314864 | Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if | $14,864 | $14,864 | $188 | $1,078 | 9 |
| 315809 | Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $14,821 | $14,821 | $292 | $844 | 9 |
| 326613 | CTA ABD&PEL W CONT | $14,063 | $14,063 | $2,000 | $12,938 | 17 |
| 315186 | CTA CHEST | $13,897 | $13,897 | $2,000 | $12,785 | 17 |
| 315803 | Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, | $13,897 | $13,897 | $222 | $1,204 | 9 |
| 100977 | Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) | $13,277 | $13,277 | $634 | $646 | 6 |
| 319819 | MRI UPPER EX W/O CONT RT | $13,224 | $13,224 | $2,000 | $12,166 | 17 |
| 315178 | Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) | $12,467 | $12,467 | $230 | $773 | 9 |
| 314768 | Computed tomography, head or brain; without contrast material, followed by contrast material(s) and | $12,310 | $12,310 | $445 | $459 | 6 |
| 315439 | Computed tomography, lumbar spine; with contrast material | $12,280 | $12,280 | $184 | $662 | 9 |
| 315425 | Computed tomography, lumbar spine; without contrast material | $11,987 | $11,987 | $154 | $507 | 9 |
| 100998 | CTA UPPER EXTREMITY LT | $11,835 | $11,835 | $2,000 | $10,888 | 17 |
| 322257 | MRI LOW EXT W/O CONT LT | $11,631 | $11,631 | $2,000 | $10,701 | 17 |
| 322259 | MRI LOW EXT W/O CONT RT | $11,631 | $11,631 | $2,000 | $10,701 | 17 |
| 315469 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast mater | $11,472 | $11,472 | $324 | $937 | 9 |
| 315457 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast mater | $11,472 | $11,472 | $292 | $844 | 9 |
| 314902 | Magnetic resonance angiography, head; without contrast material(s) | $11,472 | $11,472 | $294 | $851 | 9 |
| 315493 | MRI L-SPINE W/O CONT | $11,472 | $11,472 | $2,000 | $10,554 | 17 |
| 315449 | Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and f | $11,363 | $11,363 | $230 | $775 | 9 |
| 315794 | Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe | $11,363 | $11,363 | $221 | $1,041 | 9 |
| 320397 | MRI LW JNT W/O CONT LT | $11,152 | $11,152 | $2,000 | $10,260 | 17 |
| 319851 | MRI UP JNT W/O CONT LT | $10,997 | $10,997 | $2,000 | $10,117 | 17 |
| 319852 | MRI UP JNT W/O CONT RT | $10,997 | $10,997 | $2,000 | $10,117 | 17 |
| 315381 | Computed tomography, thoracic spine; with contrast material | $10,965 | $10,965 | $184 | $667 | 9 |
| 315359 | Computed tomography, thoracic spine; without contrast material | $10,965 | $10,965 | $154 | $508 | 9 |
| 315335 | Computed tomography, cervical spine; without contrast material | $10,965 | $10,965 | $154 | $509 | 9 |
| 683300 | NITROPRUSSIDE 50 MG INJ | $10,633 | $10,633 | $1,595 | $9,783 | 21 |
| 314956 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $10,544 | $10,544 | $276 | $541 | 6 |
| 767693 | KCENTRA 1 U INJ | $10,445 | $10,445 | $1,923 | $9,610 | 15 |
| 315343 | Computed tomography, cervical spine; with contrast material | $10,152 | $10,152 | $435 | $459 | 6 |
Showing top 50 of 16,039 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.