45 CFR § 180 compliance
F · 55
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
2,743
Insurances with rates
12
CPT / HCPCS codes
674
Source MRF
Most expensive procedures (gross)
275
$17,257
ICD COBALT DR MRI IS1 DF4
Gross
$17,257
720
$9,037
HC - VAGINAL DELIVERY ONLY
Gross
$9,037
610
$5,817
HC - MRA NECK W/O &W/CONTRAST MATERIAL
Gross
$5,817
615
$4,214
HC - MRA HEAD W/O CONTRST MATERIAL
Gross
$4,214
69706
$3,993
PR SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI
Gross
$3,993
69705
$3,882
PR SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI
Gross
$3,882
722
$3,745
HC - DELIVERY
Gross
$3,745
720
$3,732
HC - EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS
Gross
$3,732
612
$3,321
HC - MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL
Gross
$3,321
750
$2,879
HC - ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC
Gross
$2,879
G2083
$2,804
PR VISIT ESKETAMINE, > 56MOUTPATIENTONLY
Gross
$2,804
723
$2,448
HC - CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK
Gross
$2,448
352
$2,381
HC - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST
Gross
$2,381
483
$2,335
HC - ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D
Gross
$2,335
619
$2,146
HC - MRI ORBIT FACE &/NECK W/O CONTRAST
Gross
$2,146
G2082
$1,974
PR VISIT ESKETAMINE 56M OR LESSOUTPATIENTONLY
Gross
$1,974
120
$1,874
HC - ROOM RATE - SEMI-PRIVATE
Gross
$1,874
351
$1,873
HC - CT HEAD/BRAIN W/O CONTRAST MATERIAL
Gross
$1,873
64584
$1,719
PR REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG&RESPIR SNR
Gross
$1,719
37195
$1,618
PR THROMBOLYSIS CEREBRAL IV INFUSION
Gross
$1,618
49594
$1,603
PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED
Gross
$1,603
350
$1,546
HC - CT LIMITED/LOCALIZED FOLLOW UP STUDY
Gross
$1,546
341
$1,526
HC - THYROID IMAGING WITH VASCULAR FLOW
Gross
$1,526
343
$1,272
TECHNETIUM TC 99M CERETEC(HMPAO) WHITE BLOOD CELLS
Gross
$1,272
49593
$1,233
PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE
Gross
$1,233
171
$1,121
HC - ROOM RATE - NURSERY LVL 1
Gross
$1,121
480
$1,069
HC - CARDIOPULMONARY RESUSCITATION
Gross
$1,069
510
$1,041
PR CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ
Gross
$1,041
921
$998
HC - DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY
Gross
$998
49613
$911
PR RPR AA HERNIA RECR < 3 CM REDUCIBLE
Gross
$911
L3000
$855
PR FT INSERT UCB BERKELEY SHELLOUTPATIENTONLY
Gross
$855
33016
$837
PR PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED
Gross
$837
482
$829
HC - CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY
Gross
$829
636
$702
PR RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQOUTPATIENTONLY
Gross
$702
276
$655
LENS +20.0 EYHANCE TORIC II IOL WITH TECNIS
Gross
$655
391
$608
HC - TRANSFUSION BLOOD/BLOOD COMPONENTS
Gross
$608
335
$599
HC - CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG
Gross
$599
272
$594
ROD LARGE EXTERNAL FIXATOR
Gross
$594
390
$573
HC - CRYOPRECIPITATE, EACH UNIT
Gross
$573
74174
$542
CHG CTA ABD&PLVS W/CNTRST & IMG POSTPROCESSING
Gross
$542
370
$533
HC - MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS
Gross
$533
78832
$503
CHG RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG
Gross
$503
964
$495
PR ANESTHESIA SALIVARY GLANDS WITH BIOPSY
Gross
$495
78831
$442
CHG RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG
Gross
$442
329
$440
HC - DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL
Gross
$440
402
$437
HC - OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN
Gross
$437
43763
$427
PR PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC
Gross
$427
960
$420
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
Gross
$420
320
$414
HC - RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY
Gross
$414
424
$393
HC - PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS
Gross
$393
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 275 | ICD COBALT DR MRI IS1 DF4 | $17,257 | $17,257 | — | — | 16 |
| 720 | HC - VAGINAL DELIVERY ONLY | $9,037 | $9,037 | — | — | 7 |
| 610 | HC - MRA NECK W/O &W/CONTRAST MATERIAL | $5,817 | $5,817 | — | — | 17 |
| 615 | HC - MRA HEAD W/O CONTRST MATERIAL | $4,214 | $4,214 | — | — | 17 |
| 69706 | PR SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI | $3,993 | $3,993 | — | — | 20 |
| 69705 | PR SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI | $3,882 | $3,882 | — | — | 20 |
| 722 | HC - DELIVERY | $3,745 | $3,745 | — | — | 7 |
| 720 | HC - EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS | $3,732 | $3,732 | — | — | 19 |
| 612 | HC - MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | $3,321 | $3,321 | — | — | 17 |
| 750 | HC - ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC | $2,879 | $2,879 | — | — | 17 |
| G2083 | PR VISIT ESKETAMINE, > 56MOUTPATIENTONLY | $2,804 | $2,804 | — | — | 20 |
| 723 | HC - CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $2,448 | $2,448 | — | — | 17 |
| 352 | HC - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST | $2,381 | $2,381 | — | — | 17 |
| 483 | HC - ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | $2,335 | $2,335 | — | — | 17 |
| 619 | HC - MRI ORBIT FACE &/NECK W/O CONTRAST | $2,146 | $2,146 | — | — | 17 |
| G2082 | PR VISIT ESKETAMINE 56M OR LESSOUTPATIENTONLY | $1,974 | $1,974 | — | — | 20 |
| 120 | HC - ROOM RATE - SEMI-PRIVATE | $1,874 | $1,874 | — | — | 14 |
| 351 | HC - CT HEAD/BRAIN W/O CONTRAST MATERIAL | $1,873 | $1,873 | — | — | 17 |
| 64584 | PR REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG&RESPIR SNR | $1,719 | $1,719 | — | — | 19 |
| 37195 | PR THROMBOLYSIS CEREBRAL IV INFUSION | $1,618 | $1,618 | — | — | 11 |
| 49594 | PR RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED | $1,603 | $1,603 | — | — | 19 |
| 350 | HC - CT LIMITED/LOCALIZED FOLLOW UP STUDY | $1,546 | $1,546 | — | — | 17 |
| 341 | HC - THYROID IMAGING WITH VASCULAR FLOW | $1,526 | $1,526 | — | — | 17 |
| 343 | TECHNETIUM TC 99M CERETEC(HMPAO) WHITE BLOOD CELLS | $1,272 | $1,272 | — | — | 17 |
| 49593 | PR RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $1,233 | $1,233 | — | — | 19 |
| 171 | HC - ROOM RATE - NURSERY LVL 1 | $1,121 | $1,121 | — | — | 14 |
| 480 | HC - CARDIOPULMONARY RESUSCITATION | $1,069 | $1,069 | — | — | 17 |
| 510 | PR CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ | $1,041 | $1,041 | — | — | 62 |
| 921 | HC - DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY | $998 | $998 | — | — | 17 |
| 49613 | PR RPR AA HERNIA RECR < 3 CM REDUCIBLE | $911 | $911 | — | — | 19 |
| L3000 | PR FT INSERT UCB BERKELEY SHELLOUTPATIENTONLY | $855 | $855 | — | — | 20 |
| 33016 | PR PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED | $837 | $837 | — | — | 19 |
| 482 | HC - CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $829 | $829 | — | — | 17 |
| 636 | PR RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQOUTPATIENTONLY | $702 | $702 | — | — | 20 |
| 276 | LENS +20.0 EYHANCE TORIC II IOL WITH TECNIS | $655 | $655 | — | — | 80 |
| 391 | HC - TRANSFUSION BLOOD/BLOOD COMPONENTS | $608 | $608 | — | — | 17 |
| 335 | HC - CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG | $599 | $599 | — | — | 17 |
| 272 | ROD LARGE EXTERNAL FIXATOR | $594 | $594 | — | — | 32 |
| 390 | HC - CRYOPRECIPITATE, EACH UNIT | $573 | $573 | — | — | 17 |
| 74174 | CHG CTA ABD&PLVS W/CNTRST & IMG POSTPROCESSING | $542 | $542 | — | — | 20 |
| 370 | HC - MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS | $533 | $533 | — | — | 16 |
| 78832 | CHG RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG | $503 | $503 | — | — | 20 |
| 964 | PR ANESTHESIA SALIVARY GLANDS WITH BIOPSY | $495 | $495 | — | — | 13 |
| 78831 | CHG RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG | $442 | $442 | — | — | 20 |
| 329 | HC - DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL | $440 | $440 | — | — | 17 |
| 402 | HC - OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN | $437 | $437 | — | — | 17 |
| 43763 | PR PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC | $427 | $427 | — | — | 19 |
| 960 | PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION | $420 | $420 | — | — | 62 |
| 320 | HC - RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY | $414 | $414 | — | — | 17 |
| 424 | HC - PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $393 | $393 | — | — | 18 |
Showing top 50 of 2,743 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.