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
3,495
Insurances with rates
17
CPT / HCPCS codes
1,055
Source MRF
Most expensive procedures (gross)
74177
$12,853
CT ABDOMEN AND PELVIS W/ CONTR
Gross
$16,066
25270
$11,917
Rpr Tendon/muscle, Exts FA/Wrist; primary single ea Tendon/muscle
Gross
$14,896
j0840
$11,898
Crotalidae Polyvalent Immune Fab (Ovine) inj
Gross
$14,872
51102
$11,079
Aspiration of Bladder; w/insertion Suprapubic Catheter
Gross
$13,849
70496
$10,726
CTA Head w & w/o contrast
Gross
$13,408
42330
$10,341
Sialolithotomy; submand, subling or parotid, uncompl, intraoral
Gross
$12,927
74176
$10,228
CT ABDOMEN AND PELVIS W/O CONT
Gross
$12,786
36569
$10,146
Insertion of PICC line > 5 yrs
Gross
$12,682
20525
$9,496
Removal of FB in muscle or tendon sheath; deep/complicated
Gross
$11,870
53000
$9,281
Urethrotomy or urethrostomy, Ext (sep proc); pendulous urethra
Gross
$11,602
72191
$9,201
CTA Pelvis W & W/O Contrast
Gross
$11,501
74174
$9,127
CTA Abd/Pelvis w & w/o contrast
Gross
$11,409
J3490
$8,721
Ryanodex Dantrolene Sodium 250 mg injection single-use vial 5mL
Gross
$10,901
25690
$8,430
Closed TX of lunate dislocation, with manipulation
Gross
$10,537
31530
$7,826
Laryngoscopy, direct, operative, with Foreign Body Removal
Gross
$9,783
54001
$7,782
Slitting of prepuce, dorsal or lateral (sep proc); except newborn
Gross
$9,727
81479
$7,632
Unlisted molecular pathology procedure
Gross
$9,540
72125
$7,256
CT SPINE-CERVICAL W/O CONTRAST
Gross
$9,070
64999
$6,873
Unlisted Procedure, Nervous System
Gross
$8,591
94003
$6,863
Sub Continuous Adult Ventilator
Gross
$8,578
70450
$6,800
CT HEAD/BRAIN W/O CONTRAST
Gross
$8,501
70487
$6,674
CT MAXILLOFACIAL W CONTRAST
Gross
$8,343
36573
$6,550
Insertion of PICC line >/= 5yrs w/ imaging guid
Gross
$8,188
74178
$6,530
CT ABD AND PELVIS W AND W/O CO
Gross
$8,163
70498
$6,402
CTA Neck w & w/o contrast
Gross
$8,003
71275
$6,382
CTA Chest w & w/o contrast
Gross
$7,978
51101
$6,245
Aspiration of bladder; by trocar or intracathete
Gross
$7,806
72127
$6,102
CT SPINE-CERVICAL W AND W/O CO
Gross
$7,628
69205
$5,839
Foreign Body Rem Ear w/ GA
Gross
$7,299
75635
$5,701
CTA Runoff
Gross
$7,127
70460
$5,701
CT HEAD/BRAIN W CONTRAST
Gross
$7,127
46608
$5,304
Anoscopy, w/removal of foreign body
Gross
$6,630
87483
$5,215
Meningitis/Encephalitis Molecular Panel
Gross
$6,518
10081
$5,130
I&D Pilonidal Cyst Complicated
Gross
$6,412
93306
$4,963
Echocardiogram transthoracic, 2D w/color w/doppler Complete
Gross
$6,204
27842
$4,918
Clsd TX Ankle Disloc; Req Anest w or w/o Fixation
Gross
$6,147
72130
$4,809
CT SPINE-THORACIC W/WO CONTRAS
Gross
$6,011
32555
$4,750
Thoracentesis, Needle/Cath, Aspirat Pleura Space; w/image guid
Gross
$5,938
70470
$4,734
CT HEAD/BRAIN W AND W/O CONTRA
Gross
$5,918
72126
$4,683
CT SPINE-CERVICAL W CONTRAST
Gross
$5,854
74170
$4,663
CT ABDOMEN W AND W/O CONTRAST
Gross
$5,829
70488
$4,584
CT MAXILLOFACIAL W/WO CONTRAST
Gross
$5,730
70491
$4,563
CT NECK SOFT TISSUE W CONTRAST
Gross
$5,703
72193
$4,488
CT PELVIS W CONTRAST
Gross
$5,610
72129
$4,433
CT SPINE-THORACIC W CONTRAST
Gross
$5,541
87633
$4,391
Resp virus multi rev trans; multi amp probe, 12-25 targets
Gross
$5,488
74160
$4,291
CT ABDOMEN W/ CONTRAST
Gross
$5,364
411000001
$4,176
Inpatient Pvt R&B, per day - L1
Gross
$5,220
72192
$4,158
CT PELVIS W/O CONTRAST
Gross
$5,198
70481
$4,146
CT ORBIT W CONTRAST
Gross
$5,183
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 74177 | CT ABDOMEN AND PELVIS W/ CONTR | $16,066 | $12,853 | — | — | 86 |
| 25270 | Rpr Tendon/muscle, Exts FA/Wrist; primary single ea Tendon/muscle | $14,896 | $11,917 | — | — | 91 |
| j0840 | Crotalidae Polyvalent Immune Fab (Ovine) inj | $14,872 | $11,898 | — | — | 0 |
| 51102 | Aspiration of Bladder; w/insertion Suprapubic Catheter | $13,849 | $11,079 | — | — | 91 |
| 70496 | CTA Head w & w/o contrast | $13,408 | $10,726 | — | — | 86 |
| 42330 | Sialolithotomy; submand, subling or parotid, uncompl, intraoral | $12,927 | $10,341 | — | — | 91 |
| 74176 | CT ABDOMEN AND PELVIS W/O CONT | $12,786 | $10,228 | — | — | 86 |
| 36569 | Insertion of PICC line > 5 yrs | $12,682 | $10,146 | — | — | 91 |
| 20525 | Removal of FB in muscle or tendon sheath; deep/complicated | $11,870 | $9,496 | — | — | 91 |
| 53000 | Urethrotomy or urethrostomy, Ext (sep proc); pendulous urethra | $11,602 | $9,281 | — | — | 91 |
| 72191 | CTA Pelvis W & W/O Contrast | $11,501 | $9,201 | — | — | 86 |
| 74174 | CTA Abd/Pelvis w & w/o contrast | $11,409 | $9,127 | — | — | 86 |
| J3490 | Ryanodex Dantrolene Sodium 250 mg injection single-use vial 5mL | $10,901 | $8,721 | — | — | 49 |
| 25690 | Closed TX of lunate dislocation, with manipulation | $10,537 | $8,430 | — | — | 91 |
| 31530 | Laryngoscopy, direct, operative, with Foreign Body Removal | $9,783 | $7,826 | — | — | 91 |
| 54001 | Slitting of prepuce, dorsal or lateral (sep proc); except newborn | $9,727 | $7,782 | — | — | 91 |
| 81479 | Unlisted molecular pathology procedure | $9,540 | $7,632 | — | — | 73 |
| 72125 | CT SPINE-CERVICAL W/O CONTRAST | $9,070 | $7,256 | — | — | 86 |
| 64999 | Unlisted Procedure, Nervous System | $8,591 | $6,873 | — | — | 91 |
| 94003 | Sub Continuous Adult Ventilator | $8,578 | $6,863 | — | — | 91 |
| 70450 | CT HEAD/BRAIN W/O CONTRAST | $8,501 | $6,800 | — | — | 86 |
| 70487 | CT MAXILLOFACIAL W CONTRAST | $8,343 | $6,674 | — | — | 86 |
| 36573 | Insertion of PICC line >/= 5yrs w/ imaging guid | $8,188 | $6,550 | — | — | 91 |
| 74178 | CT ABD AND PELVIS W AND W/O CO | $8,163 | $6,530 | — | — | 86 |
| 70498 | CTA Neck w & w/o contrast | $8,003 | $6,402 | — | — | 86 |
| 71275 | CTA Chest w & w/o contrast | $7,978 | $6,382 | — | — | 86 |
| 51101 | Aspiration of bladder; by trocar or intracathete | $7,806 | $6,245 | — | — | 91 |
| 72127 | CT SPINE-CERVICAL W AND W/O CO | $7,628 | $6,102 | — | — | 86 |
| 69205 | Foreign Body Rem Ear w/ GA | $7,299 | $5,839 | — | — | 91 |
| 75635 | CTA Runoff | $7,127 | $5,701 | — | — | 86 |
| 70460 | CT HEAD/BRAIN W CONTRAST | $7,127 | $5,701 | — | — | 86 |
| 46608 | Anoscopy, w/removal of foreign body | $6,630 | $5,304 | — | — | 91 |
| 87483 | Meningitis/Encephalitis Molecular Panel | $6,518 | $5,215 | — | — | 91 |
| 10081 | I&D Pilonidal Cyst Complicated | $6,412 | $5,130 | — | — | 91 |
| 93306 | Echocardiogram transthoracic, 2D w/color w/doppler Complete | $6,204 | $4,963 | — | — | 91 |
| 27842 | Clsd TX Ankle Disloc; Req Anest w or w/o Fixation | $6,147 | $4,918 | — | — | 91 |
| 72130 | CT SPINE-THORACIC W/WO CONTRAS | $6,011 | $4,809 | — | — | 86 |
| 32555 | Thoracentesis, Needle/Cath, Aspirat Pleura Space; w/image guid | $5,938 | $4,750 | — | — | 91 |
| 70470 | CT HEAD/BRAIN W AND W/O CONTRA | $5,918 | $4,734 | — | — | 86 |
| 72126 | CT SPINE-CERVICAL W CONTRAST | $5,854 | $4,683 | — | — | 86 |
| 74170 | CT ABDOMEN W AND W/O CONTRAST | $5,829 | $4,663 | — | — | 86 |
| 70488 | CT MAXILLOFACIAL W/WO CONTRAST | $5,730 | $4,584 | — | — | 86 |
| 70491 | CT NECK SOFT TISSUE W CONTRAST | $5,703 | $4,563 | — | — | 86 |
| 72193 | CT PELVIS W CONTRAST | $5,610 | $4,488 | — | — | 86 |
| 72129 | CT SPINE-THORACIC W CONTRAST | $5,541 | $4,433 | — | — | 86 |
| 87633 | Resp virus multi rev trans; multi amp probe, 12-25 targets | $5,488 | $4,391 | — | — | 91 |
| 74160 | CT ABDOMEN W/ CONTRAST | $5,364 | $4,291 | — | — | 86 |
| 411000001 | Inpatient Pvt R&B, per day - L1 | $5,220 | $4,176 | — | — | 0 |
| 72192 | CT PELVIS W/O CONTRAST | $5,198 | $4,158 | — | — | 86 |
| 70481 | CT ORBIT W CONTRAST | $5,183 | $4,146 | — | — | 86 |
Showing top 50 of 3,495 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.