45 CFR § 180 compliance
F · 50
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
181
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
362
—
DONOR PNEUMONECTOMY CADAVER DONOR
Gross
$25,000
480
—
ABLATE L/R ATRIAL FIBRIL W/ ISOLATED PULM VEIN
Gross
$13,390
275
—
LEAD LEFT VENTRICULAR CORONARY VENOUS SYSTEM
Gross
$12,830
174
—
NURSERY - NEWBORN LEVEL IV (NICU)
Gross
$10,000
210
—
CORONARY CARE UNIT - GENERAL
Gross
$9,500
200
—
INTENSIVE CARE UNIT
Gross
$9,500
367
—
DONOR NEPHRECT CADAVER DONR UNI/BIL
Gross
$6,500
404
—
BRAIN PET MET EVAL
Gross
$6,260
272
—
CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 19/<
Gross
$5,630
722
—
C SECTION ONLY
Gross
$5,470
LEVEL 44
—
LEVEL 44
Gross
$5,400
481
—
ABLAT VENTRIC ARRHYTHM W/BYPS
Gross
$5,391
LEVEL 43
—
LEVEL 43
Gross
$4,900
341
—
ADRENAL IMAGING
Gross
$4,630
LEVEL 42
—
LEVEL 42
Gross
$4,400
333
—
3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS
Gross
$4,146
110
—
PRIVATE
Gross
$4,000
540
—
AAIR AMBULAN NONEMERG ROTARY
Gross
$4,000
801
—
UNSCHED DIALYSIS ESRD PT HOS
Gross
$3,960
LEVEL 41
—
LEVEL 41
Gross
$3,900
120
—
SEMI-PRIVATE
Gross
$3,500
LEVEL 40
—
LEVEL 40
Gross
$3,400
130
—
MULTIBED STANDARD ( 3 - 4)
Gross
$3,000
LEVEL 39
—
LEVEL 39
Gross
$2,900
LEVEL 38
—
LEVEL 38
Gross
$2,700
340
—
ABS LOCALIZ LIMITED
Gross
$2,628
819
—
TPLNT PREP HEM PRGNTR;CRY&STOR
Gross
$2,548
150
—
WARD
Gross
$2,500
450
—
CRITICAL CARE CONSTANT 30-74 MINS
Gross
$2,500
360
—
OB OR HOURS LEVEL 01 15 MINS
Gross
$2,500
278
—
AQUEOUS SHUNT
Gross
$2,500
LEVEL 37
—
LEVEL 37
Gross
$2,500
636
—
ABATACEPT 125 MG/1 ML INJ SYRINGE
Gross
$2,492
314
—
BIOPSY PROSTATE 10-20
Gross
$2,435
LEVEL 36
—
LEVEL 36
Gross
$2,300
351
—
CT HEAD/BRAIN; W/CONTRAST MATL
Gross
$2,264
274
—
ABDUCTION BAR JOINTED ADJ
Gross
$2,162
LEVEL 35
—
LEVEL 35
Gross
$2,100
361
—
ABDOMINAL PARACENTESIS DX/THERPEUTIC W IMAGING GUIDANCE
Gross
$1,941
LEVEL 34
—
LEVEL 34
Gross
$1,900
352
—
CMPT TOMOGRPH CRV SPN;W/CONTRS
Gross
$1,780
901
—
ECT; SINGLE SEIZURE
Gross
$1,743
611
—
MRI BRAIN DUR INTRACRAN; W/CONTRST
Gross
$1,706
LEVEL 33
—
LEVEL 33
Gross
$1,700
740
—
DIGITAL ANALYSIS EEG
Gross
$1,528
LEVEL 32
—
LEVEL 32
Gross
$1,500
LEVEL 31
—
LEVEL 31
Gross
$1,400
762
—
OBSERVATION PER HOUR IP
Gross
$1,312
276
—
ANTER CHAMBER INTRAOCULAR LENS
Gross
$1,308
LEVEL 30
—
LEVEL 30
Gross
$1,300
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 362 | DONOR PNEUMONECTOMY CADAVER DONOR | $25,000 | — | — | — | 0 |
| 480 | ABLATE L/R ATRIAL FIBRIL W/ ISOLATED PULM VEIN | $13,390 | — | — | — | 0 |
| 275 | LEAD LEFT VENTRICULAR CORONARY VENOUS SYSTEM | $12,830 | — | — | — | 0 |
| 174 | NURSERY - NEWBORN LEVEL IV (NICU) | $10,000 | — | — | — | 0 |
| 210 | CORONARY CARE UNIT - GENERAL | $9,500 | — | — | — | 0 |
| 200 | INTENSIVE CARE UNIT | $9,500 | — | — | — | 0 |
| 367 | DONOR NEPHRECT CADAVER DONR UNI/BIL | $6,500 | — | — | — | 0 |
| 404 | BRAIN PET MET EVAL | $6,260 | — | — | — | 0 |
| 272 | CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 19/< | $5,630 | — | — | — | 0 |
| 722 | C SECTION ONLY | $5,470 | — | — | — | 0 |
| LEVEL 44 | LEVEL 44 | $5,400 | — | — | — | 0 |
| 481 | ABLAT VENTRIC ARRHYTHM W/BYPS | $5,391 | — | — | — | 0 |
| LEVEL 43 | LEVEL 43 | $4,900 | — | — | — | 0 |
| 341 | ADRENAL IMAGING | $4,630 | — | — | — | 0 |
| LEVEL 42 | LEVEL 42 | $4,400 | — | — | — | 0 |
| 333 | 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS | $4,146 | — | — | — | 0 |
| 110 | PRIVATE | $4,000 | — | — | — | 0 |
| 540 | AAIR AMBULAN NONEMERG ROTARY | $4,000 | — | — | — | 0 |
| 801 | UNSCHED DIALYSIS ESRD PT HOS | $3,960 | — | — | — | 0 |
| LEVEL 41 | LEVEL 41 | $3,900 | — | — | — | 0 |
| 120 | SEMI-PRIVATE | $3,500 | — | — | — | 0 |
| LEVEL 40 | LEVEL 40 | $3,400 | — | — | — | 0 |
| 130 | MULTIBED STANDARD ( 3 - 4) | $3,000 | — | — | — | 0 |
| LEVEL 39 | LEVEL 39 | $2,900 | — | — | — | 0 |
| LEVEL 38 | LEVEL 38 | $2,700 | — | — | — | 0 |
| 340 | ABS LOCALIZ LIMITED | $2,628 | — | — | — | 0 |
| 819 | TPLNT PREP HEM PRGNTR;CRY&STOR | $2,548 | — | — | — | 0 |
| 150 | WARD | $2,500 | — | — | — | 0 |
| 450 | CRITICAL CARE CONSTANT 30-74 MINS | $2,500 | — | — | — | 0 |
| 360 | OB OR HOURS LEVEL 01 15 MINS | $2,500 | — | — | — | 0 |
| 278 | AQUEOUS SHUNT | $2,500 | — | — | — | 0 |
| LEVEL 37 | LEVEL 37 | $2,500 | — | — | — | 0 |
| 636 | ABATACEPT 125 MG/1 ML INJ SYRINGE | $2,492 | — | — | — | 0 |
| 314 | BIOPSY PROSTATE 10-20 | $2,435 | — | — | — | 0 |
| LEVEL 36 | LEVEL 36 | $2,300 | — | — | — | 0 |
| 351 | CT HEAD/BRAIN; W/CONTRAST MATL | $2,264 | — | — | — | 0 |
| 274 | ABDUCTION BAR JOINTED ADJ | $2,162 | — | — | — | 0 |
| LEVEL 35 | LEVEL 35 | $2,100 | — | — | — | 0 |
| 361 | ABDOMINAL PARACENTESIS DX/THERPEUTIC W IMAGING GUIDANCE | $1,941 | — | — | — | 0 |
| LEVEL 34 | LEVEL 34 | $1,900 | — | — | — | 0 |
| 352 | CMPT TOMOGRPH CRV SPN;W/CONTRS | $1,780 | — | — | — | 0 |
| 901 | ECT; SINGLE SEIZURE | $1,743 | — | — | — | 0 |
| 611 | MRI BRAIN DUR INTRACRAN; W/CONTRST | $1,706 | — | — | — | 0 |
| LEVEL 33 | LEVEL 33 | $1,700 | — | — | — | 0 |
| 740 | DIGITAL ANALYSIS EEG | $1,528 | — | — | — | 0 |
| LEVEL 32 | LEVEL 32 | $1,500 | — | — | — | 0 |
| LEVEL 31 | LEVEL 31 | $1,400 | — | — | — | 0 |
| 762 | OBSERVATION PER HOUR IP | $1,312 | — | — | — | 0 |
| 276 | ANTER CHAMBER INTRAOCULAR LENS | $1,308 | — | — | — | 0 |
| LEVEL 30 | LEVEL 30 | $1,300 | — | — | — | 0 |
Showing top 50 of 181 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.