45 CFR § 180 compliance
B · 80
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
105
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
790
$14,623
LITHOTRIPSY UNILATERAL
Gross
$14,623
350
$4,654
CT Abd & Pelvis w/ Contrast
Gross
$4,654
206
$3,150
ROOM & BOARD HIGH OBSERVATION
Gross
$3,150
200
$3,150
ROOM & BOARD INTENSIVE CARE
Gross
$3,150
610
$2,797
CAROTID ARTERY
Gross
$2,797
202
$2,625
R&B ICU MEDICAL
Gross
$2,625
611
$2,568
MRI Brain w/ Contrast
Gross
$2,568
801
$2,475
Hemodialysis
Gross
$2,475
820
$2,475
INP HEMODIALYSIS 1 EVAL
Gross
$2,475
481
$2,341
CARDIAC CATH LAB ROOM SETUP
Gross
$2,341
164
$2,100
ROOM & BOARD ISOLATION
Gross
$2,100
340
$2,082
ABCESS IMAGING WHOLE BODY
Gross
$2,082
352
$2,078
CT Thoracic Spine w/ Contrast
Gross
$2,078
351
$2,006
CT MASTOIDS W/CONTRAST
Gross
$2,006
612
$1,920
CT Cervical Spine w/ Contrast
Gross
$1,920
110
$1,890
ROOM & BOARD PRIVATE
Gross
$1,890
219
$1,800
CCU/OTHER
Gross
$1,800
618
$1,760
MRA ABD WO/W CONTRAST
Gross
$1,760
615
$1,604
MRA HEAD W/O CONTRAST
Gross
$1,604
100
$1,600
ALL INCL R&B/ANC
Gross
$1,600
201
$1,600
ICU/SURGICAL
Gross
$1,600
802
$1,600
INP PERITONEAL DIALYSIS
Gross
$1,600
614
$1,579
CARDIAC FOR MORPHOLOGY W/O CON
Gross
$1,579
128
$1,575
ROOM & BOARD REHAB
Gross
$1,575
120
$1,575
ROOM & BOARD SEMI PRIVATE
Gross
$1,575
360
$1,461
AORTA CATH PLACEMENT
Gross
$1,461
341
$1,436
CYSTERNOGRAM
Gross
$1,436
616
$1,414
MRA Lower Ext w/wo Contrast
Gross
$1,414
901
$1,305
ELECTROCONVULSIVE THERAPY
Gross
$1,305
101
$1,300
ALL INCL R&B
Gross
$1,300
381
$1,017
Packed RBC
Gross
$1,017
402
$987
Abdominal Ultrasound, Complete
Gross
$987
419
$975
VENTILATOR MGMT EACH ADDL DAY
Gross
$975
480
$945
CARDIOPULMONARY RESUSCITATION
Gross
$945
471
$900
AUDITORY EVOKE POTENT
Gross
$900
750
$864
ANORECTAL MANOMETRY
Gross
$864
636
$777
Covid Vaccinne 2023-24(12up)
Gross
$777
278
$743
CATH ANGIOPLASTY TRANSLUMINAL
Gross
$743
710
$720
PACU 1ST HR
Gross
$720
370
$667
ANES GENERAL 1ST HR
Gross
$667
921
$615
DOPPLER, ABDOMEN, LIMITED STY
Gross
$615
420
$539
Abdominal Aorta Ultrasound
Gross
$539
740
$513
CEREBRAL DEATH EEG
Gross
$513
483
$510
CARDIAC DOPPLER
Gross
$510
320
$490
ARTHROGRAM HIP, RIGHT
Gross
$490
920
$481
ANKLE/BRACHIAL INDICES
Gross
$481
542
$476
AMBULANCE ALS 1
Gross
$476
230
$450
TELEMETRY PER DAY
Gross
$450
322
$432
ARTHROGRAM TMJ
Gross
$432
361
$392
APPLY TOT CONTACT LEG CAST
Gross
$392
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 790 | LITHOTRIPSY UNILATERAL | $14,623 | $14,623 | $10,967 | $10,967 | 0 |
| 350 | CT Abd & Pelvis w/ Contrast | $4,654 | $4,654 | $3,491 | $3,491 | 0 |
| 206 | ROOM & BOARD HIGH OBSERVATION | $3,150 | $3,150 | $2,363 | $3,150 | 0 |
| 200 | ROOM & BOARD INTENSIVE CARE | $3,150 | $3,150 | $1,575 | $2,100 | 0 |
| 610 | CAROTID ARTERY | $2,797 | $2,797 | $2,098 | $2,098 | 0 |
| 202 | R&B ICU MEDICAL | $2,625 | $2,625 | $72.45 | $72.45 | 0 |
| 611 | MRI Brain w/ Contrast | $2,568 | $2,568 | $1,926 | $1,926 | 0 |
| 801 | Hemodialysis | $2,475 | $2,475 | $395 | $2,475 | 0 |
| 820 | INP HEMODIALYSIS 1 EVAL | $2,475 | $2,475 | $1,856 | $1,856 | 0 |
| 481 | CARDIAC CATH LAB ROOM SETUP | $2,341 | $2,341 | $1,756 | $1,756 | 0 |
| 164 | ROOM & BOARD ISOLATION | $2,100 | $2,100 | $1,418 | $1,890 | 0 |
| 340 | ABCESS IMAGING WHOLE BODY | $2,082 | $2,082 | $1,562 | $1,562 | 0 |
| 352 | CT Thoracic Spine w/ Contrast | $2,078 | $2,078 | $1,559 | $1,559 | 0 |
| 351 | CT MASTOIDS W/CONTRAST | $2,006 | $2,006 | $1,505 | $1,505 | 0 |
| 612 | CT Cervical Spine w/ Contrast | $1,920 | $1,920 | $1,440 | $1,440 | 0 |
| 110 | ROOM & BOARD PRIVATE | $1,890 | $1,890 | $1,181 | $1,575 | 0 |
| 219 | CCU/OTHER | $1,800 | $1,800 | $1,350 | $1,350 | 0 |
| 618 | MRA ABD WO/W CONTRAST | $1,760 | $1,760 | $1,320 | $1,320 | 0 |
| 615 | MRA HEAD W/O CONTRAST | $1,604 | $1,604 | $1,203 | $1,203 | 0 |
| 100 | ALL INCL R&B/ANC | $1,600 | $1,600 | $1,200 | $1,200 | 0 |
| 201 | ICU/SURGICAL | $1,600 | $1,600 | $1,200 | $1,200 | 0 |
| 802 | INP PERITONEAL DIALYSIS | $1,600 | $1,600 | $1,200 | $1,600 | 0 |
| 614 | CARDIAC FOR MORPHOLOGY W/O CON | $1,579 | $1,579 | $1,184 | $1,184 | 0 |
| 128 | ROOM & BOARD REHAB | $1,575 | $1,575 | $1,418 | $1,890 | 0 |
| 120 | ROOM & BOARD SEMI PRIVATE | $1,575 | $1,575 | $4.5 | $6 | 0 |
| 360 | AORTA CATH PLACEMENT | $1,461 | $1,461 | $1,096 | $1,096 | 0 |
| 341 | CYSTERNOGRAM | $1,436 | $1,436 | $1,077 | $1,077 | 0 |
| 616 | MRA Lower Ext w/wo Contrast | $1,414 | $1,414 | $1,061 | $1,061 | 0 |
| 901 | ELECTROCONVULSIVE THERAPY | $1,305 | $1,305 | $979 | $979 | 0 |
| 101 | ALL INCL R&B | $1,300 | $1,300 | $975 | $975 | 0 |
| 381 | Packed RBC | $1,017 | $1,017 | $763 | $763 | 0 |
| 402 | Abdominal Ultrasound, Complete | $987 | $987 | $740 | $740 | 0 |
| 419 | VENTILATOR MGMT EACH ADDL DAY | $975 | $975 | $5.25 | $7 | 0 |
| 480 | CARDIOPULMONARY RESUSCITATION | $945 | $945 | $709 | $945 | 0 |
| 471 | AUDITORY EVOKE POTENT | $900 | $900 | $675 | $675 | 0 |
| 750 | ANORECTAL MANOMETRY | $864 | $864 | $648 | $648 | 0 |
| 636 | Covid Vaccinne 2023-24(12up) | $777 | $777 | $583 | $583 | 0 |
| 278 | CATH ANGIOPLASTY TRANSLUMINAL | $743 | $743 | $557 | $557 | 0 |
| 710 | PACU 1ST HR | $720 | $720 | $540 | $540 | 0 |
| 370 | ANES GENERAL 1ST HR | $667 | $667 | $500 | $500 | 0 |
| 921 | DOPPLER, ABDOMEN, LIMITED STY | $615 | $615 | $461 | $461 | 0 |
| 420 | Abdominal Aorta Ultrasound | $539 | $539 | $404 | $404 | 0 |
| 740 | CEREBRAL DEATH EEG | $513 | $513 | $385 | $385 | 0 |
| 483 | CARDIAC DOPPLER | $510 | $510 | $383 | $383 | 0 |
| 320 | ARTHROGRAM HIP, RIGHT | $490 | $490 | $368 | $368 | 0 |
| 920 | ANKLE/BRACHIAL INDICES | $481 | $481 | $361 | $361 | 0 |
| 542 | AMBULANCE ALS 1 | $476 | $476 | $357 | $357 | 0 |
| 230 | TELEMETRY PER DAY | $450 | $450 | $17.36 | $17.36 | 0 |
| 322 | ARTHROGRAM TMJ | $432 | $432 | $324 | $324 | 0 |
| 361 | APPLY TOT CONTACT LEG CAST | $392 | $392 | $294 | $294 | 0 |
Showing top 50 of 105 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.