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
20,229
Insurances with rates
15
CPT / HCPCS codes
19,405
Source MRF
Most expensive procedures (gross)
87903
$5,553
PHENOTYPE 1ST THRU 10 DRUGS
Gross
$11,105
88362
$4,954
NERVE TEASING PREPARATIONS
Gross
$9,908
94002
$3,707
OSCILLATORY VENT MGMT INITIAL
Gross
$7,414
87483
$3,255
CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25
Gross
$6,510
74178
$3,249
CT ABD PELVIS W&WO CONTRAST
Gross
$6,497
78452
$3,165
MYOCARDL PERFUS SPECT MULTI
Gross
$6,330
36514
$3,159
ARC APHERESIS THERAPEUTIC PLASMA PHERESIS
Gross
$6,318
59412
$3,098
US EXTERNAL CEPHALIC VERSION
Gross
$6,196
75716
$3,094
S&I ANGIO EXTREMITY BILAT
Gross
$6,187
78266
$3,017
GASTRIC EMPTYING IMAG STUDY MULTIPLE DAYS
Gross
$6,033
87912
$2,926
HBV GENOTYPE
Gross
$5,852
78431
$2,926
MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT
Gross
$5,851
74177
$2,820
CT ABD PELVIS W CONTRAST
Gross
$5,640
93897
$2,820
EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL
Gross
$5,639
75710
$2,811
S&I ANGIO EXTREMITY UNIL
Gross
$5,622
75736
$2,811
S&I ANGIO PELVIC SEL SUPRASEL
Gross
$5,622
78072
$2,774
PARATHYRD PLANAR W/SPECT&CT
Gross
$5,547
86152
$2,755
CIRCULATING TUMOR CELLS
Gross
$5,509
74174
$2,665
CTA ABD/PEL W/WO CONTRAST POST
Gross
$5,330
87507
$2,655
GI PANEL STOOL PCR 12-25 TARGETS
Gross
$5,310
75580
$2,608
N-INVAS EST C FFR SW ALY CTA
Gross
$5,216
72255
$2,599
S&I MYELOGRAM THORACIC
Gross
$5,197
86833
$2,546
HLA CLASS II ANTIBODY HD
Gross
$5,091
36513
$2,531
ARC APHERESIS THERAPEUTIC PLATELETS
Gross
$5,061
36512
$2,531
ARC APHERESIS THERAPEUTIC RBC
Gross
$5,061
36455
$2,531
ARC BLOOD EXCHANGE/TRANSFUSE NON-NB
Gross
$5,061
87633
$2,520
RESP VIRUS PCR
Gross
$5,040
72295
$2,519
S&I DISKOGRAM LUMBAR
Gross
$5,038
70553
$2,518
MRI HEAD W&WO CONTRAST
Gross
$5,036
38220
$2,506
BONE MARROW ASPIRATION ONLY
Gross
$5,012
38221
$2,506
BONE MARROW BIOPSY
Gross
$5,012
87506
$2,425
GASTRO PATHOGEN 6-7 TARGETS
Gross
$4,850
BALMC - 3001 - 110000200
$2,409
IP INTENSIVE
Gross
$4,818
70546
$2,387
MRA HEAD W&WO CONTRAST
Gross
$4,774
99291
$2,322
ED VISIT LEVEL 6 CC
Gross
$4,643
70549
$2,306
MRA NECK W&WO CONTRAST
Gross
$4,612
74176
$2,293
CT ABD PELVIS WO CONTRAST
Gross
$4,585
71552
$2,270
MRI CHEST W&WO CONTRAST
Gross
$4,540
70543
$2,255
MRI ORBIT FACE NECK W&WO CONT
Gross
$4,509
93896
$2,241
VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE
Gross
$4,482
88344
$2,182
IHC PER SPECIMEN E MULTI STAIN
Gross
$4,364
70545
$2,144
MRA HEAD W CONTRAST
Gross
$4,287
72133
$2,138
CT LUMBAR SPINE W&WO CONTRAST
Gross
$4,276
72142
$2,137
MRI CERVICAL SPINE W CONTRAST
Gross
$4,273
88358
$2,129
MORPHOMET ANALYSIS TUMOR
Gross
$4,257
BALMC - 3001 - 110001169
$2,103
IP HIGH RISK L&D
Gross
$4,205
BALMC - 3001 - 110000169
$2,103
IP L&D
Gross
$4,205
70548
$2,069
MRA NECK W CONTRAST
Gross
$4,137
75898
$2,046
S&I ANGIO F/U EMBO OR INFUS
Gross
$4,091
75630
$2,045
S&I AORTOGRAPHY ABD W/RUNOFF
Gross
$4,090
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 87903 | PHENOTYPE 1ST THRU 10 DRUGS | $11,105 | $5,553 | $489 | $10,772 | 54 |
| 88362 | NERVE TEASING PREPARATIONS | $9,908 | $4,954 | $783 | $9,611 | 54 |
| 94002 | OSCILLATORY VENT MGMT INITIAL | $7,414 | $3,707 | $600 | $7,192 | 54 |
| 87483 | CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25 | $6,510 | $3,255 | $417 | $6,315 | 54 |
| 74178 | CT ABD PELVIS W&WO CONTRAST | $6,497 | $3,249 | $339 | $6,302 | 54 |
| 78452 | MYOCARDL PERFUS SPECT MULTI | $6,330 | $3,165 | $329 | $6,140 | 53 |
| 36514 | ARC APHERESIS THERAPEUTIC PLASMA PHERESIS | $6,318 | $3,159 | $1,288 | $6,128 | 54 |
| 59412 | US EXTERNAL CEPHALIC VERSION | $6,196 | $3,098 | $1,263 | $6,291 | 53 |
| 75716 | S&I ANGIO EXTREMITY BILAT | $6,187 | $3,094 | $243 | $6,137 | 54 |
| 78266 | GASTRIC EMPTYING IMAG STUDY MULTIPLE DAYS | $6,033 | $3,017 | $528 | $5,852 | 54 |
| 87912 | HBV GENOTYPE | $5,852 | $2,926 | $257 | $5,676 | 54 |
| 78431 | MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT | $5,851 | $2,926 | $1,193 | $5,675 | 53 |
| 74177 | CT ABD PELVIS W CONTRAST | $5,640 | $2,820 | $290 | $5,471 | 54 |
| 93897 | EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL | $5,639 | $2,820 | $1,150 | $5,470 | 47 |
| 75710 | S&I ANGIO EXTREMITY UNIL | $5,622 | $2,811 | $211 | $6,137 | 54 |
| 75736 | S&I ANGIO PELVIC SEL SUPRASEL | $5,622 | $2,811 | $210 | $10,815 | 54 |
| 78072 | PARATHYRD PLANAR W/SPECT&CT | $5,547 | $2,774 | $528 | $5,381 | 38 |
| 86152 | CIRCULATING TUMOR CELLS | $5,509 | $2,755 | $251 | $5,344 | 54 |
| 74174 | CTA ABD/PEL W/WO CONTRAST POST | $5,330 | $2,665 | $339 | $5,170 | 54 |
| 87507 | GI PANEL STOOL PCR 12-25 TARGETS | $5,310 | $2,655 | $417 | $5,151 | 54 |
| 75580 | N-INVAS EST C FFR SW ALY CTA | $5,216 | $2,608 | $834 | $5,060 | 54 |
| 72255 | S&I MYELOGRAM THORACIC | $5,197 | $2,599 | $117 | $5,041 | 54 |
| 86833 | HLA CLASS II ANTIBODY HD | $5,091 | $2,546 | $326 | $4,938 | 54 |
| 36513 | ARC APHERESIS THERAPEUTIC PLATELETS | $5,061 | $2,531 | $429 | $4,909 | 54 |
| 36512 | ARC APHERESIS THERAPEUTIC RBC | $5,061 | $2,531 | $1,032 | $4,909 | 54 |
| 36455 | ARC BLOOD EXCHANGE/TRANSFUSE NON-NB | $5,061 | $2,531 | $429 | $4,909 | 53 |
| 87633 | RESP VIRUS PCR | $5,040 | $2,520 | $417 | $4,889 | 54 |
| 72295 | S&I DISKOGRAM LUMBAR | $5,038 | $2,519 | $116 | $4,887 | 54 |
| 70553 | MRI HEAD W&WO CONTRAST | $5,036 | $2,518 | $339 | $4,885 | 54 |
| 38220 | BONE MARROW ASPIRATION ONLY | $5,012 | $2,506 | $1,022 | $4,862 | 54 |
| 38221 | BONE MARROW BIOPSY | $5,012 | $2,506 | $1,022 | $4,862 | 54 |
| 87506 | GASTRO PATHOGEN 6-7 TARGETS | $4,850 | $2,425 | $263 | $4,705 | 54 |
| BALMC - 3001 - 110000200 | IP INTENSIVE | $4,818 | $2,409 | — | — | 0 |
| 70546 | MRA HEAD W&WO CONTRAST | $4,774 | $2,387 | $339 | $4,631 | 54 |
| 99291 | ED VISIT LEVEL 6 CC | $4,643 | $2,322 | $803 | $4,504 | 54 |
| 70549 | MRA NECK W&WO CONTRAST | $4,612 | $2,306 | $339 | $4,474 | 54 |
| 74176 | CT ABD PELVIS WO CONTRAST | $4,585 | $2,293 | $185 | $4,447 | 54 |
| 71552 | MRI CHEST W&WO CONTRAST | $4,540 | $2,270 | $339 | $4,404 | 54 |
| 70543 | MRI ORBIT FACE NECK W&WO CONT | $4,509 | $2,255 | $339 | $4,374 | 54 |
| 93896 | VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE | $4,482 | $2,241 | $914 | $4,348 | 47 |
| 88344 | IHC PER SPECIMEN E MULTI STAIN | $4,364 | $2,182 | $348 | $4,233 | 54 |
| 70545 | MRA HEAD W CONTRAST | $4,287 | $2,144 | $339 | $4,158 | 54 |
| 72133 | CT LUMBAR SPINE W&WO CONTRAST | $4,276 | $2,138 | $170 | $4,148 | 54 |
| 72142 | MRI CERVICAL SPINE W CONTRAST | $4,273 | $2,137 | $339 | $4,145 | 54 |
| 88358 | MORPHOMET ANALYSIS TUMOR | $4,257 | $2,129 | $166 | $4,129 | 54 |
| BALMC - 3001 - 110001169 | IP HIGH RISK L&D | $4,205 | $2,103 | — | — | 0 |
| BALMC - 3001 - 110000169 | IP L&D | $4,205 | $2,103 | — | — | 0 |
| 70548 | MRA NECK W CONTRAST | $4,137 | $2,069 | $339 | $4,013 | 54 |
| 75898 | S&I ANGIO F/U EMBO OR INFUS | $4,091 | $2,046 | $110 | $6,137 | 54 |
| 75630 | S&I AORTOGRAPHY ABD W/RUNOFF | $4,090 | $2,045 | $232 | $6,137 | 54 |
Showing top 50 of 20,229 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.