45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
1,881
Insurances with rates
2
CPT / HCPCS codes
459
Most expensive procedures (gross)
3008718604
—
MIC ORGANISM #5
Gross
$112,992
3600000005
—
OR LEVEL 5 FIRST 30 MIN
Gross
$26,123
2700005200
—
PICC W/ECG
Gross
$5,253
C9757
$13,042
OR LEVEL 4 FIRST 30 MIN
Gross
$5,071
2700005201
—
PICC W/O ECG
Gross
$4,504
3600000003
—
OR LEVEL 3 FIRST 30 MIN
Gross
$3,970
2700005202
—
MIDLINE CENTRAL DRSG TRAY
Gross
$3,674
3600000002
—
OR LEVEL 2 FIRST 30 MIN
Gross
$3,244
3600000001
—
OR LEVEL 1 FIRST 30 MIN
Gross
$2,646
3207229500
—
XRAY DISCOGRAM ARTHROGRAM
Gross
$2,470
3008818900
—
LAB LEUKEMIA/LYMPHOMA PANEL
Gross
$2,163
3207402200
—
XRAY ACUTE ABDOMEN SERIES
Gross
$2,117
3207361500
—
XRAY ANKLE ARTHROGRAM LT
Gross
$2,117
3207361501
—
XRAY ANKLE ARTHROGRAM RT
Gross
$2,117
3207358000
—
XRAY KNEE ARTHROGRAM LT
Gross
$2,117
3207358001
—
XRAY KNEE ARTHROGRAM RT
Gross
$2,117
3207219000
—
XRAY PELVIS COMPLETE
Gross
$2,117
3207033200
—
XRAY TEMPOROMANDIBULAR AR
Gross
$2,117
3207033201
—
XRAY TEMPOROMANDIBULAR AR RT
Gross
$2,117
3007012640
—
LAB DIFFERENTIATION PANEL
Gross
$1,689
1200000001
—
INPATIENT ROOM CHARGE PER DAY
Gross
$1,640
1200000002
—
OVERFLOW ROOM
Gross
$1,612
3002052750
—
LAB ALLERGEN FOOD COMPREHENSIV
Gross
$1,587
2700000353
—
MEDTRONIC RESTORE RECHARGER
Gross
$1,586
7100000002
—
PAIN SERVICES
Gross
$1,499
1690000001
—
ADMIN ROOM & BOARD PER DAY
Gross
$1,483
3610000001
—
PAIN PROCEDURE
Gross
$1,453
3008689100
—
LAB BLOOD COLLECTION SALVAGE
Gross
$1,217
3008010100
—
LAB HORMONE PANEL (FEMALE)
Gross
$1,140
3008385000
—
LAB ALLERGEN FOOD PANEL
Gross
$1,098
3008631700
—
LAB STREPTOCOCCUS PNEUMONIAE
Gross
$1,068
3009022150
—
LAB STREPTOCOCCUS IGG
Gross
$1,062
7100000012
—
PAIN SERVICES RECOVERY
Gross
$1,057
3008600300
—
LAB ALLERGEN FOOD PANEL
Gross
$1,024
3207352500
—
XRAY HIP ARTHROGRAM LT
Gross
$938
3207352501
—
XRAY HIP ARTHROGRAM RT
Gross
$938
2700001816
—
AZ BLOOD COLLECTION RESERVOIR
Gross
$902
3009058420
—
LAB BRC-ABLI
Gross
$902
3008023180
—
LAB COMPLETE THYROID PANEL
Gross
$850
3207600000
—
XRAY C-ARM
Gross
$810
3008262700
—
LAB DHEA SULFATE
Gross
$806
7100000001
—
PACU LEVEL 1 FIRST 30 MIN
Gross
$798
2700001499
—
AZ BLD CELL SALVAGE BASIC FEE
Gross
$793
3008013770
—
LAB PRE PELLET PANEL FEMALE
Gross
$791
3207700300
—
XRAY C-ARM PAIN PROCEDURE
Gross
$777
3008033020
—
LAB POST PETTET PANEL FEMALE
Gross
$745
3008280500
—
LAB PANEL A
Gross
$743
3008414400
—
LAB PROGESTERONE
Gross
$735
3008138200
—
LAB HLA DQBI HIGH RESOLUTION
Gross
$730
3008438200
—
LAB HLA-DQBI HIGH RESOLUTION
Gross
$726
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 3008718604 | MIC ORGANISM #5 | $112,992 | — | — | — | 0 |
| 3600000005 | OR LEVEL 5 FIRST 30 MIN | $26,123 | — | — | — | 0 |
| 2700005200 | PICC W/ECG | $5,253 | — | — | — | 0 |
| C9757 | OR LEVEL 4 FIRST 30 MIN | $5,071 | $13,042 | $4,848 | $7,157 | 5 |
| 2700005201 | PICC W/O ECG | $4,504 | — | — | — | 0 |
| 3600000003 | OR LEVEL 3 FIRST 30 MIN | $3,970 | — | — | — | 0 |
| 2700005202 | MIDLINE CENTRAL DRSG TRAY | $3,674 | — | — | — | 0 |
| 3600000002 | OR LEVEL 2 FIRST 30 MIN | $3,244 | — | — | — | 0 |
| 3600000001 | OR LEVEL 1 FIRST 30 MIN | $2,646 | — | — | — | 0 |
| 3207229500 | XRAY DISCOGRAM ARTHROGRAM | $2,470 | — | — | — | 0 |
| 3008818900 | LAB LEUKEMIA/LYMPHOMA PANEL | $2,163 | — | — | — | 0 |
| 3207402200 | XRAY ACUTE ABDOMEN SERIES | $2,117 | — | — | — | 0 |
| 3207361500 | XRAY ANKLE ARTHROGRAM LT | $2,117 | — | — | — | 0 |
| 3207361501 | XRAY ANKLE ARTHROGRAM RT | $2,117 | — | — | — | 0 |
| 3207358000 | XRAY KNEE ARTHROGRAM LT | $2,117 | — | — | — | 0 |
| 3207358001 | XRAY KNEE ARTHROGRAM RT | $2,117 | — | — | — | 0 |
| 3207219000 | XRAY PELVIS COMPLETE | $2,117 | — | — | — | 0 |
| 3207033200 | XRAY TEMPOROMANDIBULAR AR | $2,117 | — | — | — | 0 |
| 3207033201 | XRAY TEMPOROMANDIBULAR AR RT | $2,117 | — | — | — | 0 |
| 3007012640 | LAB DIFFERENTIATION PANEL | $1,689 | — | — | — | 0 |
| 1200000001 | INPATIENT ROOM CHARGE PER DAY | $1,640 | — | — | — | 0 |
| 1200000002 | OVERFLOW ROOM | $1,612 | — | — | — | 0 |
| 3002052750 | LAB ALLERGEN FOOD COMPREHENSIV | $1,587 | — | — | — | 0 |
| 2700000353 | MEDTRONIC RESTORE RECHARGER | $1,586 | — | — | — | 0 |
| 7100000002 | PAIN SERVICES | $1,499 | — | — | — | 0 |
| 1690000001 | ADMIN ROOM & BOARD PER DAY | $1,483 | — | — | — | 0 |
| 3610000001 | PAIN PROCEDURE | $1,453 | — | — | — | 0 |
| 3008689100 | LAB BLOOD COLLECTION SALVAGE | $1,217 | — | — | — | 0 |
| 3008010100 | LAB HORMONE PANEL (FEMALE) | $1,140 | — | — | — | 0 |
| 3008385000 | LAB ALLERGEN FOOD PANEL | $1,098 | — | — | — | 0 |
| 3008631700 | LAB STREPTOCOCCUS PNEUMONIAE | $1,068 | — | — | — | 0 |
| 3009022150 | LAB STREPTOCOCCUS IGG | $1,062 | — | — | — | 0 |
| 7100000012 | PAIN SERVICES RECOVERY | $1,057 | — | — | — | 0 |
| 3008600300 | LAB ALLERGEN FOOD PANEL | $1,024 | — | — | — | 0 |
| 3207352500 | XRAY HIP ARTHROGRAM LT | $938 | — | — | — | 0 |
| 3207352501 | XRAY HIP ARTHROGRAM RT | $938 | — | — | — | 0 |
| 2700001816 | AZ BLOOD COLLECTION RESERVOIR | $902 | — | — | — | 0 |
| 3009058420 | LAB BRC-ABLI | $902 | — | — | — | 0 |
| 3008023180 | LAB COMPLETE THYROID PANEL | $850 | — | — | — | 0 |
| 3207600000 | XRAY C-ARM | $810 | — | — | — | 0 |
| 3008262700 | LAB DHEA SULFATE | $806 | — | — | — | 0 |
| 7100000001 | PACU LEVEL 1 FIRST 30 MIN | $798 | — | — | — | 0 |
| 2700001499 | AZ BLD CELL SALVAGE BASIC FEE | $793 | — | — | — | 0 |
| 3008013770 | LAB PRE PELLET PANEL FEMALE | $791 | — | — | — | 0 |
| 3207700300 | XRAY C-ARM PAIN PROCEDURE | $777 | — | — | — | 0 |
| 3008033020 | LAB POST PETTET PANEL FEMALE | $745 | — | — | — | 0 |
| 3008280500 | LAB PANEL A | $743 | — | — | — | 0 |
| 3008414400 | LAB PROGESTERONE | $735 | — | — | — | 0 |
| 3008138200 | LAB HLA DQBI HIGH RESOLUTION | $730 | — | — | — | 0 |
| 3008438200 | LAB HLA-DQBI HIGH RESOLUTION | $726 | — | — | — | 0 |
Showing top 50 of 1,881 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.