033036 prices — Hospital Ledger

45 CFR § 180 compliance

F · 55

This hospital published little of what § 180 requires.

●Machine-readable file published: assessment threshold met

○Gross / standard charges: below assessment threshold

○Discounted cash price: below assessment threshold

●Payer-specific negotiated rates: assessment threshold met

○Min / max negotiated charges: below assessment threshold

●Free, public, no login required: assessment threshold met

Procedures listed

2,219

Insurances with rates

CPT / HCPCS codes

1,401

Source MRF

json ↗

File last updated: 2026-08-10 (per the hospital's file)

Retrieved: 2026-10-28

Most expensive procedures (gross)

0430

—

Occupational Therapy - General Classification

Gross

—

0431

—

Occupational Therapy - Visit Charge

Gross

—

0432

—

Occupational Therapy - Hourly Charge

Gross

—

0433

—

Occupational Therapy - Group Rate

Gross

—

0434

—

Occupational Therapy - Evaluation or Reevaluation

Gross

—

97165

—

Ot eval low complex 30 min

Ot eval mod complex 45 min

Ot eval high complex 60 min

Ot re-eval est plan care

Gross

—

C1501

—

Pulmonary M >=68.50- Tier Tier 2

Gross

—

D1501

—

Pulmonary M >=68.50- Tier Tier 3

Gross

—

A1502

—

Pulmonary M >=56.50 and M <68.50- Tier None

Gross

—

B1502

—

Pulmonary M >=56.50 and M <68.50- Tier Tier 1

Gross

—

C1502

—

Pulmonary M >=56.50 and M <68.50- Tier Tier 2

Gross

—

D1502

—

Pulmonary M >=56.50 and M <68.50- Tier Tier 3

Gross

—

A1503

—

Pulmonary M >=45.50 and M <56.50- Tier None

Gross

—

B1503

—

Pulmonary M >=45.50 and M <56.50- Tier Tier 1

Gross

—

C1503

—

Pulmonary M >=45.50 and M <56.50- Tier Tier 2

Gross

—

D1503

—

Pulmonary M >=45.50 and M <56.50- Tier Tier 3

Gross

—

A1504

—

Pulmonary M <45.50- Tier None

Gross

—

B1504

—

Pulmonary M <45.50- Tier Tier 1

Gross

—

C1504

—

Pulmonary M <45.50- Tier Tier 2

Gross

—

D1504

—

Pulmonary M <45.50- Tier Tier 3

Gross

—

A1601

—

Pain syndrome M >=65.50- Tier None

Gross

—

B1601

—

Pain syndrome M >=65.50- Tier Tier 1

Gross

—

C1601

—

Pain syndrome M >=65.50- Tier Tier 2

Gross

—

D1601

—

Pain syndrome M >=65.50- Tier Tier 3

Gross

—

A1602

—

Pain syndrome M >=58.50 and M <65.50- Tier None

Gross

—

B1602

—

Pain syndrome M >=58.50 and M <65.50- Tier Tier 1

Gross

—

C1602

—

Pain syndrome M >=58.50 and M <65.50- Tier Tier 2

Gross

—

D1602

—

Pain syndrome M >=58.50 and M <65.50- Tier Tier 3

Gross

—

A1603

—

Pain syndrome M >=43.50 and M <58.50- Tier None

Gross

—

B1603

—

Pain syndrome M >=43.50 and M <58.50- Tier Tier 1

Gross

—

C1603

—

Pain syndrome M >=43.50 and M <58.50- Tier Tier 2

Gross

—

D1603

—

Pain syndrome M >=43.50 and M <58.50- Tier Tier 3

Gross

—

A1604

—

Pain syndrome M <43.50- Tier None

Gross

—

B1604

—

Pain syndrome M <43.50- Tier Tier 1

Gross

—

C1604

—

Pain syndrome M <43.50- Tier Tier 2

Gross

—

D1604

—

Pain syndrome M <43.50- Tier Tier 3

Gross

—

A1701

—

Major multiple trauma without brain or spinal cord injury M >=57.50- Tier None

Gross

—

B1701

—

Major multiple trauma without brain or spinal cord injury M >=57.50- Tier Tier 1

Gross

—

C1701

—

Major multiple trauma without brain or spinal cord injury M >=57.50- Tier Tier 2

Gross

—

D1701

—

Major multiple trauma without brain or spinal cord injury M >=57.50- Tier Tier 3

Gross

—

A1702

—

Major multiple trauma without brain or spinal cord injury M >=50.50 and M <57.50- Tier None

Gross

—

B1702

—

Major multiple trauma without brain or spinal cord injury M >=50.50 and M <57.50- Tier Tier 1

Gross

—

C1702

—

Major multiple trauma without brain or spinal cord injury M >=50.50 and M <57.50- Tier Tier 2

Gross

—

D1702

—

Major multiple trauma without brain or spinal cord injury M >=50.50 and M <57.50- Tier Tier 3

Gross

—

A1703

—

Major multiple trauma without brain or spinal cord injury M >=41.50 and M <50.50- Tier None

Gross

—

B1703

—

Major multiple trauma without brain or spinal cord injury M >=41.50 and M <50.50- Tier Tier 1

Gross

—

C1703

—

Major multiple trauma without brain or spinal cord injury M >=41.50 and M <50.50- Tier Tier 2

Gross

—

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
0430	Occupational Therapy - General Classification	—	—	$70	$936	51
0431	Occupational Therapy - Visit Charge	—	—	$70	$113	20
0432	Occupational Therapy - Hourly Charge	—	—	$70	$113	20
0433	Occupational Therapy - Group Rate	—	—	$70	$113	20
0434	Occupational Therapy - Evaluation or Reevaluation	—	—	$70	$936	49
97165	Ot eval low complex 30 min	—	—	$85	$936	46
97166	Ot eval mod complex 45 min	—	—	$58.77	$936	46
97167	Ot eval high complex 60 min	—	—	$85	$936	39
97168	Ot re-eval est plan care	—	—	$85	$936	39
C1501	Pulmonary M >=68.50- Tier Tier 2	—	—	—	—	20
D1501	Pulmonary M >=68.50- Tier Tier 3	—	—	—	—	20
A1502	Pulmonary M >=56.50 and M <68.50- Tier None	—	—	—	—	20
B1502	Pulmonary M >=56.50 and M <68.50- Tier Tier 1	—	—	—	—	20
C1502	Pulmonary M >=56.50 and M <68.50- Tier Tier 2	—	—	—	—	20
D1502	Pulmonary M >=56.50 and M <68.50- Tier Tier 3	—	—	—	—	20
A1503	Pulmonary M >=45.50 and M <56.50- Tier None	—	—	—	—	20
B1503	Pulmonary M >=45.50 and M <56.50- Tier Tier 1	—	—	—	—	20
C1503	Pulmonary M >=45.50 and M <56.50- Tier Tier 2	—	—	—	—	20
D1503	Pulmonary M >=45.50 and M <56.50- Tier Tier 3	—	—	—	—	20
A1504	Pulmonary M <45.50- Tier None	—	—	—	—	20
B1504	Pulmonary M <45.50- Tier Tier 1	—	—	—	—	20
C1504	Pulmonary M <45.50- Tier Tier 2	—	—	—	—	20
D1504	Pulmonary M <45.50- Tier Tier 3	—	—	—	—	20
A1601	Pain syndrome M >=65.50- Tier None	—	—	—	—	20
B1601	Pain syndrome M >=65.50- Tier Tier 1	—	—	—	—	20
C1601	Pain syndrome M >=65.50- Tier Tier 2	—	—	—	—	20
D1601	Pain syndrome M >=65.50- Tier Tier 3	—	—	—	—	20
A1602	Pain syndrome M >=58.50 and M <65.50- Tier None	—	—	—	—	20
B1602	Pain syndrome M >=58.50 and M <65.50- Tier Tier 1	—	—	—	—	20
C1602	Pain syndrome M >=58.50 and M <65.50- Tier Tier 2	—	—	—	—	20
D1602	Pain syndrome M >=58.50 and M <65.50- Tier Tier 3	—	—	—	—	20
A1603	Pain syndrome M >=43.50 and M <58.50- Tier None	—	—	—	—	20
B1603	Pain syndrome M >=43.50 and M <58.50- Tier Tier 1	—	—	—	—	20
C1603	Pain syndrome M >=43.50 and M <58.50- Tier Tier 2	—	—	—	—	20
D1603	Pain syndrome M >=43.50 and M <58.50- Tier Tier 3	—	—	—	—	20
A1604	Pain syndrome M <43.50- Tier None	—	—	—	—	20
B1604	Pain syndrome M <43.50- Tier Tier 1	—	—	—	—	20
C1604	Pain syndrome M <43.50- Tier Tier 2	—	—	—	—	20
D1604	Pain syndrome M <43.50- Tier Tier 3	—	—	—	—	20
A1701	Major multiple trauma without brain or spinal cord injury M >=57.50- Tier None	—	—	$16,362	$16,362	20
B1701	Major multiple trauma without brain or spinal cord injury M >=57.50- Tier Tier 1	—	—	—	—	20
C1701	Major multiple trauma without brain or spinal cord injury M >=57.50- Tier Tier 2	—	—	—	—	20
D1701	Major multiple trauma without brain or spinal cord injury M >=57.50- Tier Tier 3	—	—	—	—	20
A1702	Major multiple trauma without brain or spinal cord injury M >=50.50 and M <57.50- Tier None	—	—	—	—	20
B1702	Major multiple trauma without brain or spinal cord injury M >=50.50 and M <57.50- Tier Tier 1	—	—	—	—	20
C1702	Major multiple trauma without brain or spinal cord injury M >=50.50 and M <57.50- Tier Tier 2	—	—	—	—	20
D1702	Major multiple trauma without brain or spinal cord injury M >=50.50 and M <57.50- Tier Tier 3	—	—	$6,668	$6,668	20
A1703	Major multiple trauma without brain or spinal cord injury M >=41.50 and M <50.50- Tier None	—	—	$24,649	$24,649	20
B1703	Major multiple trauma without brain or spinal cord injury M >=41.50 and M <50.50- Tier Tier 1	—	—	—	—	20
C1703	Major multiple trauma without brain or spinal cord injury M >=41.50 and M <50.50- Tier Tier 2	—	—	—	—	20

Showing top 50 of 2,219 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.