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
15,422
Insurances with rates
32
CPT / HCPCS codes
13,953
Source MRF
Most expensive procedures (gross)
610004
$23,583
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$23,583
610058
$23,075
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$23,075
610114
$21,334
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade
Gross
$21,334
320489
$19,499
Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thor
Gross
$19,499
610742
$18,134
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll
Gross
$18,134
610057
$17,693
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$17,693
764952
$16,344
Injection, von willebrand factor complex (humate-p), per iu vwf:rco
Gross
$16,344
104485
$15,430
Injection, dalbavancin, 5 mg
Gross
$15,430
610741
$15,413
Computed tomography, abdomen and pelvis; with contrast material(s)
Gross
$15,413
610042
$15,027
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material
Gross
$15,027
610045
$15,006
Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material
Gross
$15,006
610740
$14,971
Computed tomography, abdomen and pelvis; without contrast material
Gross
$14,971
610044
$14,665
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s
Gross
$14,665
610112
$14,492
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con
Gross
$14,492
610022
$13,744
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade
Gross
$13,744
610013
$13,744
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)
Gross
$13,744
610059
$13,724
Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast mater
Gross
$13,724
610028
$13,719
Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)
Gross
$13,719
610015
$13,438
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast materia
Gross
$13,438
610014
$12,624
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material
Gross
$12,624
320062
$11,955
Myelography, lumbosacral, radiological supervision and interpretation
Gross
$11,955
350204
$11,074
Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and
Gross
$11,074
350028
$11,074
Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and
Gross
$11,074
279011
$11,054
Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and clo
Gross
$11,054
350050
$10,816
Computed tomography, cervical spine; with contrast material
Gross
$10,816
353084
$10,678
Injection, zoledronic acid, 1 mg
Gross
$10,678
350144
$10,351
Computed tomography, thoracic spine; with contrast material
Gross
$10,351
353081
$9,804
Injection, onabotulinumtoxina, 1 unit
Gross
$9,804
350140
$9,470
Computed tomography, lumbar spine; with contrast material
Gross
$9,470
320060
$9,283
Myelography, cervical, radiological supervision and interpretation
Gross
$9,283
320061
$9,283
Myelography, thoracic, radiological supervision and interpretation
Gross
$9,283
353147
$9,118
Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial
Gross
$9,118
350135
$9,104
Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe
Gross
$9,104
350163
$9,104
Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s)
Gross
$9,104
350131
$9,027
Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further
Gross
$9,027
350205
$8,692
Computed tomography, soft tissue neck; without contrast material
Gross
$8,692
350027
$8,692
Computed tomography, cervical spine; without contrast material
Gross
$8,692
350142
$7,935
Computed tomography, soft tissue neck; with contrast material(s)
Gross
$7,935
350136
$7,753
Computed tomography, abdomen; with contrast material(s)
Gross
$7,753
350052
$7,729
Computed tomography, maxillofacial area; with contrast material(s)
Gross
$7,729
350153
$7,659
Computed tomography, pelvis; with contrast material(s)
Gross
$7,659
350079
$7,488
Computed tomography, pelvis; without contrast material
Gross
$7,488
350031
$7,031
Computed tomography, thorax, diagnostic; without contrast material
Gross
$7,031
350138
$6,996
Computed tomography, head or brain; without contrast material
Gross
$6,996
350030
$6,683
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contra
Gross
$6,683
350044
$6,498
Computed tomography, maxillofacial area; without contrast material
Gross
$6,498
350125
$6,405
Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization d
Gross
$6,405
320032
$5,531
Discography, lumbar, radiological supervision and interpretation
Gross
$5,531
320031
$5,531
Discography, cervical or thoracic, radiological supervision and interpretation
Gross
$5,531
353075
$5,319
Injection, daptomycin, 1 mg
Gross
$5,319
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 610004 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $23,583 | $23,583 | $324 | $2,260 | 25 |
| 610058 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $23,075 | $23,075 | $323 | $2,260 | 25 |
| 610114 | Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade | $21,334 | $21,334 | $359 | $2,260 | 25 |
| 320489 | Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thor | $19,499 | $19,499 | $150 | $2,485 | 20 |
| 610742 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $18,134 | $18,134 | $343 | $1,829 | 25 |
| 610057 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $17,693 | $17,693 | $323 | $2,260 | 25 |
| 764952 | Injection, von willebrand factor complex (humate-p), per iu vwf:rco | $16,344 | $16,344 | $1.45 | $10.91 | 11 |
| 104485 | Injection, dalbavancin, 5 mg | $15,430 | $15,430 | $25.72 | $25.72 | 3 |
| 610741 | Computed tomography, abdomen and pelvis; with contrast material(s) | $15,413 | $15,413 | $306 | $1,829 | 25 |
| 610042 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material | $15,027 | $15,027 | $278 | $2,260 | 25 |
| 610045 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material | $15,006 | $15,006 | $276 | $2,260 | 25 |
| 610740 | Computed tomography, abdomen and pelvis; without contrast material | $14,971 | $14,971 | $184 | $1,322 | 25 |
| 610044 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s | $14,665 | $14,665 | $273 | $2,260 | 25 |
| 610112 | Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con | $14,492 | $14,492 | $342 | $2,260 | 25 |
| 610022 | Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade | $13,744 | $13,744 | $229 | $2,260 | 25 |
| 610013 | Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $13,744 | $13,744 | $198 | $2,260 | 25 |
| 610059 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast mater | $13,724 | $13,724 | $192 | $2,260 | 25 |
| 610028 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) | $13,719 | $13,719 | $273 | $2,260 | 25 |
| 610015 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast materia | $13,438 | $13,438 | $193 | $2,260 | 25 |
| 610014 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $12,624 | $12,624 | $198 | $2,260 | 25 |
| 320062 | Myelography, lumbosacral, radiological supervision and interpretation | $11,955 | $11,955 | $248 | $450 | 5 |
| 350204 | Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and | $11,074 | $11,074 | $172 | $1,322 | 25 |
| 350028 | Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and | $11,074 | $11,074 | $172 | $1,322 | 25 |
| 279011 | Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and clo | $11,054 | $11,054 | $2,160 | $16,950 | 50 |
| 350050 | Computed tomography, cervical spine; with contrast material | $10,816 | $10,816 | $170 | $1,829 | 25 |
| 353084 | Injection, zoledronic acid, 1 mg | $10,678 | $10,678 | $9.52 | $121 | 11 |
| 350144 | Computed tomography, thoracic spine; with contrast material | $10,351 | $10,351 | $180 | $2,106 | 7 |
| 353081 | Injection, onabotulinumtoxina, 1 unit | $9,804 | $9,804 | $6.48 | $59.8 | 11 |
| 350140 | Computed tomography, lumbar spine; with contrast material | $9,470 | $9,470 | $170 | $1,829 | 25 |
| 320060 | Myelography, cervical, radiological supervision and interpretation | $9,283 | $9,283 | $110 | $2,485 | 20 |
| 320061 | Myelography, thoracic, radiological supervision and interpretation | $9,283 | $9,283 | $259 | $469 | 5 |
| 353147 | Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial | $9,118 | $9,118 | $3,507 | $3,507 | 3 |
| 350135 | Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe | $9,104 | $9,104 | $172 | $1,322 | 25 |
| 350163 | Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) | $9,104 | $9,104 | $172 | $1,322 | 25 |
| 350131 | Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further | $9,027 | $9,027 | $172 | $1,322 | 25 |
| 350205 | Computed tomography, soft tissue neck; without contrast material | $8,692 | $8,692 | $103 | $1,322 | 25 |
| 350027 | Computed tomography, cervical spine; without contrast material | $8,692 | $8,692 | $109 | $2,106 | 7 |
| 350142 | Computed tomography, soft tissue neck; with contrast material(s) | $7,935 | $7,935 | $172 | $1,322 | 25 |
| 350136 | Computed tomography, abdomen; with contrast material(s) | $7,753 | $7,753 | $172 | $1,322 | 25 |
| 350052 | Computed tomography, maxillofacial area; with contrast material(s) | $7,729 | $7,729 | $153 | $1,322 | 25 |
| 350153 | Computed tomography, pelvis; with contrast material(s) | $7,659 | $7,659 | $172 | $1,322 | 25 |
| 350079 | Computed tomography, pelvis; without contrast material | $7,488 | $7,488 | $103 | $1,322 | 25 |
| 350031 | Computed tomography, thorax, diagnostic; without contrast material | $7,031 | $7,031 | $103 | $1,322 | 25 |
| 350138 | Computed tomography, head or brain; without contrast material | $6,996 | $6,996 | $103 | $1,322 | 25 |
| 350030 | Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contra | $6,683 | $6,683 | $103 | $1,322 | 25 |
| 350044 | Computed tomography, maxillofacial area; without contrast material | $6,498 | $6,498 | $109 | $2,106 | 7 |
| 350125 | Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization d | $6,405 | $6,405 | $138 | $1,322 | 10 |
| 320032 | Discography, lumbar, radiological supervision and interpretation | $5,531 | $5,531 | $255 | $462 | 5 |
| 320031 | Discography, cervical or thoracic, radiological supervision and interpretation | $5,531 | $5,531 | $129 | $6,276 | 20 |
| 353075 | Injection, daptomycin, 1 mg | $5,319 | $5,319 | $0.05 | $0.05 | 3 |
Showing top 50 of 15,422 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.