45 CFR § 180 compliance
B · 85
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: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
136
Insurances with rates
4
CPT / HCPCS codes
0
Most expensive procedures (gross)
111344071022
$7,047
HC Lh Pm Acute Med Private
Gross
$7,047
118344071023
$7,047
HC Lh Pm Acute Rehab Private
Gross
$7,047
121317071041
$7,047
HC Lh Pm Acute Med Semi-Private
Gross
$7,047
128344071081
$7,047
HC Lh Pm Acute Rehab Semi-Private
Gross
$7,047
250839000020
$5,024
VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION
Gross
$5,024
SUP_ID-3257
$1,760
GRAFT TISSUE GRAFIX PRIME LATEX FREE ALLOGRAFT EXTRACELLULAR MATRIX PLACENTAL MEMBRANE FROZEN STERIL
Gross
$1,760
110358071010
$1,508
HC Lh SNF Private
Gross
$1,508
110358071012
$1,508
HC Lh Pm SNF Rehab Private
Gross
$1,508
110358071130
$1,508
HC Lh Pm SNF Private
Gross
$1,508
120358071025
$1,508
HC Lh SNF Semi-Private
Gross
$1,508
120358171037
$1,508
HC Lh Pm SNF Rehab Semi-Private
Gross
$1,508
130358071082
$1,508
HC Lh SNF Three or Four Beds
Gross
$1,508
160358071097
$1,508
HC Lh SNF Hold
Gross
$1,508
160358071099
$1,508
HC Lh SNF Hold Pvt
Gross
$1,508
160358071128
$1,508
HC Lh Pm SNF Rehab Hold
Gross
$1,508
160358071132
$1,508
HC Lh Pm SNF Rehab Hold Pvt
Gross
$1,508
320463041234
$1,264
HC GI Tract Upper WO Kub
Gross
$1,264
320463041105
$992
HC Survey Scolio W/Bend 6 Views
Gross
$992
320463041106
$992
HC Spine Lumb Ap Lat Bend 6 Views
Gross
$992
320463041072
$922
HC Ribs Bilat Include Pa Cxr
Gross
$922
SUP_ID-2849
$887
PROSTHESIS VOICE INDWELLING BLOM-SINGER CLASSIC LATEX FREE SILICONE STERILE 16FR X 10MM
Gross
$887
320463041155
$852
HC Hand 3 Views Bilateral
Gross
$852
320463041193
$838
HC Bilateral Knees 4+ Views
Gross
$838
320463041127
$810
HC Bilateral Shoulder 2+ Views
Gross
$810
320463041133
$810
HC Bilateral Humerus
Gross
$810
320463041191
$810
HC Bilateral Knee 3 Views
Gross
$810
320463041808
$809
HC Hip Routine 2-3 Views Bilat
Gross
$809
320463041138
$808
HC Bilateral Elbow 3+ Views
Gross
$808
320463041199
$802
HC Bilateral Tib/Fib
Gross
$802
320463041136
$802
HC Bilateral Elbow 2 Views
Gross
$802
320463041142
$802
HC Bilateral Forearm
Gross
$802
320463041150
$802
HC Bilateral Wrist 3+ Views
Gross
$802
320463041465
$802
HC Elbow 1 View Bilat
Gross
$802
320463041497
$802
HC Forearm 1 View Bilat
Gross
$802
320463041555
$802
HC Bilateral Knee 2 Views
Gross
$802
320463041572
$802
HC Bilateral Ankle 3 Views
Gross
$802
320463041580
$801
HC Bilateral Foot 3 Views
Gross
$801
320463041204
$798
HC Ankle 1 View Bilat
Gross
$798
320463041210
$798
HC Foot 1 View Bilat
Gross
$798
320463041212
$798
HC Foot 2 Views Bilateral
Gross
$798
320463041567
$798
HC Ankle 2 Views Bilateral
Gross
$798
320463041148
$798
HC Bilateral Wrist 2 Views
Gross
$798
320463041153
$798
HC Bilateral Hand
Gross
$798
320463041585
$797
HC Bilateral Heel
Gross
$797
320463042106
$765
HC Finger(S) Bilateral
Gross
$765
320463041181
$759
HC Femur Routine 2+ Views Bilat
Gross
$759
510407031060
$728
HC Paring Benign Lesion Over 4
Gross
$728
510407031056
$728
HC Pare Benign Lesion Single
Gross
$728
320463041174
$663
HC Hip Routine 3-4 Views Bilat
Gross
$663
320463041173
$562
HC Hip Bilat Two View
Gross
$562
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 111344071022 | HC Lh Pm Acute Med Private | $7,047 | $7,047 | — | — | 2 |
| 118344071023 | HC Lh Pm Acute Rehab Private | $7,047 | $7,047 | — | — | 2 |
| 121317071041 | HC Lh Pm Acute Med Semi-Private | $7,047 | $7,047 | — | — | 2 |
| 128344071081 | HC Lh Pm Acute Rehab Semi-Private | $7,047 | $7,047 | — | — | 2 |
| 250839000020 | VARICELLA-ZOSTER IMMUNE GLOB-MALTOSE 125 UNIT/1.2 ML IM SOLUTION | $5,024 | $5,024 | — | — | 8 |
| SUP_ID-3257 | GRAFT TISSUE GRAFIX PRIME LATEX FREE ALLOGRAFT EXTRACELLULAR MATRIX PLACENTAL MEMBRANE FROZEN STERIL | $1,760 | $1,760 | — | — | 4 |
| 110358071010 | HC Lh SNF Private | $1,508 | $1,508 | — | — | 2 |
| 110358071012 | HC Lh Pm SNF Rehab Private | $1,508 | $1,508 | — | — | 2 |
| 110358071130 | HC Lh Pm SNF Private | $1,508 | $1,508 | — | — | 2 |
| 120358071025 | HC Lh SNF Semi-Private | $1,508 | $1,508 | — | — | 2 |
| 120358171037 | HC Lh Pm SNF Rehab Semi-Private | $1,508 | $1,508 | — | — | 2 |
| 130358071082 | HC Lh SNF Three or Four Beds | $1,508 | $1,508 | — | — | 2 |
| 160358071097 | HC Lh SNF Hold | $1,508 | $1,508 | — | — | 2 |
| 160358071099 | HC Lh SNF Hold Pvt | $1,508 | $1,508 | — | — | 2 |
| 160358071128 | HC Lh Pm SNF Rehab Hold | $1,508 | $1,508 | — | — | 2 |
| 160358071132 | HC Lh Pm SNF Rehab Hold Pvt | $1,508 | $1,508 | — | — | 2 |
| 320463041234 | HC GI Tract Upper WO Kub | $1,264 | $1,264 | — | — | 2 |
| 320463041105 | HC Survey Scolio W/Bend 6 Views | $992 | $992 | — | — | 2 |
| 320463041106 | HC Spine Lumb Ap Lat Bend 6 Views | $992 | $992 | — | — | 2 |
| 320463041072 | HC Ribs Bilat Include Pa Cxr | $922 | $922 | — | — | 2 |
| SUP_ID-2849 | PROSTHESIS VOICE INDWELLING BLOM-SINGER CLASSIC LATEX FREE SILICONE STERILE 16FR X 10MM | $887 | $887 | — | — | 4 |
| 320463041155 | HC Hand 3 Views Bilateral | $852 | $852 | — | — | 2 |
| 320463041193 | HC Bilateral Knees 4+ Views | $838 | $838 | — | — | 2 |
| 320463041127 | HC Bilateral Shoulder 2+ Views | $810 | $810 | — | — | 4 |
| 320463041133 | HC Bilateral Humerus | $810 | $810 | — | — | 4 |
| 320463041191 | HC Bilateral Knee 3 Views | $810 | $810 | — | — | 4 |
| 320463041808 | HC Hip Routine 2-3 Views Bilat | $809 | $809 | — | — | 2 |
| 320463041138 | HC Bilateral Elbow 3+ Views | $808 | $808 | — | — | 2 |
| 320463041199 | HC Bilateral Tib/Fib | $802 | $802 | — | — | 6 |
| 320463041136 | HC Bilateral Elbow 2 Views | $802 | $802 | — | — | 2 |
| 320463041142 | HC Bilateral Forearm | $802 | $802 | — | — | 2 |
| 320463041150 | HC Bilateral Wrist 3+ Views | $802 | $802 | — | — | 2 |
| 320463041465 | HC Elbow 1 View Bilat | $802 | $802 | — | — | 2 |
| 320463041497 | HC Forearm 1 View Bilat | $802 | $802 | — | — | 2 |
| 320463041555 | HC Bilateral Knee 2 Views | $802 | $802 | — | — | 2 |
| 320463041572 | HC Bilateral Ankle 3 Views | $802 | $802 | — | — | 4 |
| 320463041580 | HC Bilateral Foot 3 Views | $801 | $801 | — | — | 4 |
| 320463041204 | HC Ankle 1 View Bilat | $798 | $798 | — | — | 4 |
| 320463041210 | HC Foot 1 View Bilat | $798 | $798 | — | — | 4 |
| 320463041212 | HC Foot 2 Views Bilateral | $798 | $798 | — | — | 4 |
| 320463041567 | HC Ankle 2 Views Bilateral | $798 | $798 | — | — | 4 |
| 320463041148 | HC Bilateral Wrist 2 Views | $798 | $798 | — | — | 2 |
| 320463041153 | HC Bilateral Hand | $798 | $798 | — | — | 2 |
| 320463041585 | HC Bilateral Heel | $797 | $797 | — | — | 2 |
| 320463042106 | HC Finger(S) Bilateral | $765 | $765 | — | — | 2 |
| 320463041181 | HC Femur Routine 2+ Views Bilat | $759 | $759 | — | — | 2 |
| 510407031060 | HC Paring Benign Lesion Over 4 | $728 | $728 | — | — | 2 |
| 510407031056 | HC Pare Benign Lesion Single | $728 | $728 | — | — | 2 |
| 320463041174 | HC Hip Routine 3-4 Views Bilat | $663 | $663 | — | — | 2 |
| 320463041173 | HC Hip Bilat Two View | $562 | $562 | — | — | 4 |
Showing top 50 of 136 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.