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
3,740
Insurances with rates
17
CPT / HCPCS codes
1,207
Source MRF
Most expensive procedures (gross)
74178
$24,233
CT ABD AND PELVIS W AND W/O CO
Gross
$30,291
74174
$23,966
CTA Abd/Pelvis w & w/o contrast
Gross
$29,958
74177
$22,460
CT ABDOMEN AND PELVIS W/ CONTR
Gross
$28,075
72156
$21,853
MRI CERVICAL SPINE W & W/O CONTRAST
Gross
$27,316
74176
$20,409
CT ABDOMEN AND PELVIS W/O CONT
Gross
$25,511
70543
$18,159
MRI ORBIT FACE & NECK W & W/O CONTRAST
Gross
$22,699
26990
$17,914
I&D Pelvis/Hip Joint, Deep Absc/Hemat
Gross
$22,392
72142
$16,755
MRI CERVICAL SPINE W/CONTRAST
Gross
$20,944
72141
$16,000
MRI CERVICAL SPINE W/O CONTRAST
Gross
$20,000
72157
$15,992
MRI THORACIC SPINE W & W/O CONTRAST
Gross
$19,990
70542
$15,485
MRI ORBIT FACE & NECK W/CONTRAST
Gross
$19,356
70553
$15,438
MRI BRAIN W & W/O CONTRAST
Gross
$19,298
75635
$15,332
CTA Runoff
Gross
$19,164
72158
$15,240
MRI LUMBAR SPINE W & W/O CONTRAST
Gross
$19,050
23930
$14,891
Deep I&D - Upper Arm/Elbow
Gross
$18,613
23030
$14,891
I&D Shoulder; Deep Abscess
Gross
$18,613
70540
$14,082
MRI ORBIT/FACE/NECK W/O CONTRAST
Gross
$17,602
73720
$13,135
MRI LOWER EXTREMITY OTHER W & W/O CONTRAST
Gross
$16,419
74175
$12,917
CTA Abd w& w/o contrast
Gross
$16,146
73721
$12,724
MRI ANY JOINT OF LOWER EXTREMITY W/O CONTRAST
Gross
$15,905
25270
$12,672
Rpr Tendon/muscle, Exts FA/Wrist; primary single ea Tendon/muscle
Gross
$15,840
70546
$12,661
MRA HEAD W & W/O CONTRAST
Gross
$15,826
73719
$12,561
MRI LOWER EXTREMITY OTHER W/CONTRAST
Gross
$15,701
73222
$12,535
MRI JOINT UPPER EXTREMITY W/CONTRAST
Gross
$15,669
J3490
$12,420
Ryanodex Dantrolene Sodium 250 mg injection single-use vial 5mL
Gross
$15,525
73223
$12,350
MRI JOINT UPPER EXTREMITY W & W/O CONTRAST
Gross
$15,438
73220
$12,350
MRI UPPER EXTREMITY W & W/O CONTRAST
Gross
$15,438
71275
$12,339
CTA Chest w & w/o contrast
Gross
$15,423
10121
$12,315
Foreign Body Removal Tissue Cplx
Gross
$15,394
72197
$12,025
MRI PELVIS W & W/O CONTRAST
Gross
$15,031
73723
$11,927
MRI ANY JOINT OF LOWER EXTREMITY W & W/O CONTRAST
Gross
$14,909
21501
$11,732
I&D Deep Abscess Neck/Thorax
Gross
$14,665
73722
$11,398
MRI ANY JOINT OF LOWER EXTREMITY W/CONTRAST
Gross
$14,247
73221
$11,294
MRI JOINT UPPER EXTREMITY W/O CONTRAST
Gross
$14,117
72149
$11,289
MRI LUMBAR SPINE W/CONTRAST
Gross
$14,111
72147
$11,148
MRI THORACIC SPINE W/CONTRAST
Gross
$13,935
70545
$11,045
MRA HEAD W CONTRAST
Gross
$13,806
70548
$11,045
MRI NECK W/CONTRAST
Gross
$13,806
42330
$10,997
Sialolithotomy; submand, subling or parotid, uncompl, intraoral
Gross
$13,746
70496
$10,993
CTA Head w & w/o contrast
Gross
$13,741
70498
$10,993
CTA Neck w & w/o contrast
Gross
$13,741
74183
$10,991
MRI ABDOMEN W & W/O CONTRAST
Gross
$13,739
74170
$10,905
CT ABDOMEN W AND W/O CONTRAST
Gross
$13,631
72195
$10,811
MRI PELVIS W/O CONTRAST
Gross
$13,514
72148
$10,778
MRI LUMBAR SPINE W/O CONTRAST
Gross
$13,473
74160
$10,700
CT ABDOMEN W/ CONTRAST
Gross
$13,375
73219
$10,570
MRI UPPER EXTREMITY W/CONTRAST
Gross
$13,212
72196
$10,511
MRI PELVIS W/CONTRAST
Gross
$13,139
72194
$10,471
CT PELVIS W/WO CONTRAST
Gross
$13,088
26350
$10,446
Finger/Hand Flexor Tendon Rpair
Gross
$13,057
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 74178 | CT ABD AND PELVIS W AND W/O CO | $30,291 | $24,233 | — | — | 86 |
| 74174 | CTA Abd/Pelvis w & w/o contrast | $29,958 | $23,966 | — | — | 86 |
| 74177 | CT ABDOMEN AND PELVIS W/ CONTR | $28,075 | $22,460 | — | — | 86 |
| 72156 | MRI CERVICAL SPINE W & W/O CONTRAST | $27,316 | $21,853 | — | — | 94 |
| 74176 | CT ABDOMEN AND PELVIS W/O CONT | $25,511 | $20,409 | — | — | 86 |
| 70543 | MRI ORBIT FACE & NECK W & W/O CONTRAST | $22,699 | $18,159 | — | — | 94 |
| 26990 | I&D Pelvis/Hip Joint, Deep Absc/Hemat | $22,392 | $17,914 | — | — | 94 |
| 72142 | MRI CERVICAL SPINE W/CONTRAST | $20,944 | $16,755 | — | — | 94 |
| 72141 | MRI CERVICAL SPINE W/O CONTRAST | $20,000 | $16,000 | — | — | 94 |
| 72157 | MRI THORACIC SPINE W & W/O CONTRAST | $19,990 | $15,992 | — | — | 94 |
| 70542 | MRI ORBIT FACE & NECK W/CONTRAST | $19,356 | $15,485 | — | — | 94 |
| 70553 | MRI BRAIN W & W/O CONTRAST | $19,298 | $15,438 | — | — | 94 |
| 75635 | CTA Runoff | $19,164 | $15,332 | — | — | 86 |
| 72158 | MRI LUMBAR SPINE W & W/O CONTRAST | $19,050 | $15,240 | — | — | 94 |
| 23930 | Deep I&D - Upper Arm/Elbow | $18,613 | $14,891 | — | — | 94 |
| 23030 | I&D Shoulder; Deep Abscess | $18,613 | $14,891 | — | — | 94 |
| 70540 | MRI ORBIT/FACE/NECK W/O CONTRAST | $17,602 | $14,082 | — | — | 94 |
| 73720 | MRI LOWER EXTREMITY OTHER W & W/O CONTRAST | $16,419 | $13,135 | — | — | 94 |
| 74175 | CTA Abd w& w/o contrast | $16,146 | $12,917 | — | — | 86 |
| 73721 | MRI ANY JOINT OF LOWER EXTREMITY W/O CONTRAST | $15,905 | $12,724 | — | — | 94 |
| 25270 | Rpr Tendon/muscle, Exts FA/Wrist; primary single ea Tendon/muscle | $15,840 | $12,672 | — | — | 94 |
| 70546 | MRA HEAD W & W/O CONTRAST | $15,826 | $12,661 | — | — | 94 |
| 73719 | MRI LOWER EXTREMITY OTHER W/CONTRAST | $15,701 | $12,561 | — | — | 94 |
| 73222 | MRI JOINT UPPER EXTREMITY W/CONTRAST | $15,669 | $12,535 | — | — | 94 |
| J3490 | Ryanodex Dantrolene Sodium 250 mg injection single-use vial 5mL | $15,525 | $12,420 | — | — | 48 |
| 73223 | MRI JOINT UPPER EXTREMITY W & W/O CONTRAST | $15,438 | $12,350 | — | — | 94 |
| 73220 | MRI UPPER EXTREMITY W & W/O CONTRAST | $15,438 | $12,350 | — | — | 94 |
| 71275 | CTA Chest w & w/o contrast | $15,423 | $12,339 | — | — | 86 |
| 10121 | Foreign Body Removal Tissue Cplx | $15,394 | $12,315 | — | — | 94 |
| 72197 | MRI PELVIS W & W/O CONTRAST | $15,031 | $12,025 | — | — | 94 |
| 73723 | MRI ANY JOINT OF LOWER EXTREMITY W & W/O CONTRAST | $14,909 | $11,927 | — | — | 94 |
| 21501 | I&D Deep Abscess Neck/Thorax | $14,665 | $11,732 | — | — | 94 |
| 73722 | MRI ANY JOINT OF LOWER EXTREMITY W/CONTRAST | $14,247 | $11,398 | — | — | 94 |
| 73221 | MRI JOINT UPPER EXTREMITY W/O CONTRAST | $14,117 | $11,294 | — | — | 94 |
| 72149 | MRI LUMBAR SPINE W/CONTRAST | $14,111 | $11,289 | — | — | 94 |
| 72147 | MRI THORACIC SPINE W/CONTRAST | $13,935 | $11,148 | — | — | 94 |
| 70545 | MRA HEAD W CONTRAST | $13,806 | $11,045 | — | — | 94 |
| 70548 | MRI NECK W/CONTRAST | $13,806 | $11,045 | — | — | 94 |
| 42330 | Sialolithotomy; submand, subling or parotid, uncompl, intraoral | $13,746 | $10,997 | — | — | 94 |
| 70496 | CTA Head w & w/o contrast | $13,741 | $10,993 | — | — | 86 |
| 70498 | CTA Neck w & w/o contrast | $13,741 | $10,993 | — | — | 86 |
| 74183 | MRI ABDOMEN W & W/O CONTRAST | $13,739 | $10,991 | — | — | 94 |
| 74170 | CT ABDOMEN W AND W/O CONTRAST | $13,631 | $10,905 | — | — | 86 |
| 72195 | MRI PELVIS W/O CONTRAST | $13,514 | $10,811 | — | — | 94 |
| 72148 | MRI LUMBAR SPINE W/O CONTRAST | $13,473 | $10,778 | — | — | 94 |
| 74160 | CT ABDOMEN W/ CONTRAST | $13,375 | $10,700 | — | — | 86 |
| 73219 | MRI UPPER EXTREMITY W/CONTRAST | $13,212 | $10,570 | — | — | 94 |
| 72196 | MRI PELVIS W/CONTRAST | $13,139 | $10,511 | — | — | 94 |
| 72194 | CT PELVIS W/WO CONTRAST | $13,088 | $10,471 | — | — | 86 |
| 26350 | Finger/Hand Flexor Tendon Rpair | $13,057 | $10,446 | — | — | 94 |
Showing top 50 of 3,740 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.