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
2,527
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4711056
—
ANTIVENIN SER SNAKE VL
Gross
$14,040
4712977
—
TNKASE KIT 1
Gross
$13,189
4711010
—
ACTIVASE 100 MG VL
Gross
$9,117
4872859
—
REPLANTATION;DIGIT, EX TH
Gross
$4,904
3170002
—
ROOM SEMI PRIVATE INS-MCR
Gross
$3,280
4633043
—
CTA ABD & PELVIS W/WO
Gross
$3,097
4633040
—
CT, ABD & PELVIS w/wo
Gross
$2,852
4071989
—
LEVAQUIN 500MG. VIAL
Gross
$2,809
4633039
—
CT, ABD $ PELVIS w/c
Gross
$2,505
3580005
—
MEDICARE EXTENDED CARE RM
Gross
$2,400
4633038
—
CT ABD/PELVIS wo
Gross
$2,075
4633022
—
CT SPINE LUMBAR w&w/o CON
Gross
$2,036
4872812
—
CPR
Gross
$1,904
4871030
—
ER PHYS FEE
Gross
$1,900
4712395
—
SYNVISC 2ML INJ
Gross
$1,885
4872877
—
CLS'D TX OF MONT DISLOC ELBOW / MANIPU
Gross
$1,869
4871031
—
CRITICAL CARE
Gross
$1,829
4633008
—
CTA HEAD w/wo
Gross
$1,814
4872625
—
2.6CM TO 7.5 CM
Gross
$1,763
4872692
—
CLOSED TX SHOUL DIS.
Gross
$1,735
4872841
—
TX OF DISLOC ELBOW/MANIPU
Gross
$1,697
4872693
—
HUMER SHFT FX-W/OUT MANIP
Gross
$1,671
4633013
—
CTA CHEST w&w/o CONT & IM
Gross
$1,642
4633037
—
CTA PELVIS w/wo contrast
Gross
$1,584
4633021
—
CT SPINE LUMBAR w CONTRAS
Gross
$1,564
4872737
—
TX ANKLE DISLOCATION
Gross
$1,561
4872721
—
TX INTERPHALG JT DISLOC
Gross
$1,557
4712956
—
ADVAIR INH
Gross
$1,520
4633035
—
CTA ABD w/wo CONTRAST
Gross
$1,514
4633034
—
CT ABD w & w/o CONTRAST
Gross
$1,505
4633012
—
CT CHEST w&w/o CONTRAST
Gross
$1,478
4872711
—
TX METACRPL FX W/O MANIP
Gross
$1,453
4633018
—
CT SPINE THORA w CONTRAST
Gross
$1,405
4505118
—
22+ DRUG CLASSES
Gross
$1,396
4872609
—
INT LAC/HND,ETC 7.6-12.5C
Gross
$1,356
4633025
—
CT PELVIS w&w/o CONTRAST
Gross
$1,347
4633007
—
CT NECK SFT TISS W & WO C
Gross
$1,326
4633042
—
CT SUNUS FACIAL/BO wo/w
Gross
$1,324
4633002
—
CT HEAD w& w/o CONTRAST
Gross
$1,315
4633033
—
CT ABD w CONTRAST
Gross
$1,267
4633011
—
CT CHEST w CONTRAST
Gross
$1,266
4070139
—
SIM REP S,N,G;20.1-30.0CM
Gross
$1,245
4633024
—
CT PELVIS w CONTRAST
Gross
$1,239
4871029
—
ER PHYS. FEE
Gross
$1,227
4633031
—
CT LOWER EXT w & w/o CONT
Gross
$1,226
4871013
—
OBS & HOLD
Gross
$1,176
4633006
—
CT NECK SFT TISS w CONTRA
Gross
$1,165
4633041
—
CT, SINUS/FACIAL BONES w
Gross
$1,162
4872858
—
CLOSED TX OF METACARPAL
Gross
$1,149
4070378
—
PICC LINE REMOVAL
Gross
$1,144
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4711056 | ANTIVENIN SER SNAKE VL | $14,040 | — | — | — | 0 |
| 4712977 | TNKASE KIT 1 | $13,189 | — | — | — | 0 |
| 4711010 | ACTIVASE 100 MG VL | $9,117 | — | — | — | 0 |
| 4872859 | REPLANTATION;DIGIT, EX TH | $4,904 | — | — | — | 0 |
| 3170002 | ROOM SEMI PRIVATE INS-MCR | $3,280 | — | — | — | 0 |
| 4633043 | CTA ABD & PELVIS W/WO | $3,097 | — | — | — | 0 |
| 4633040 | CT, ABD & PELVIS w/wo | $2,852 | — | — | — | 0 |
| 4071989 | LEVAQUIN 500MG. VIAL | $2,809 | — | — | — | 0 |
| 4633039 | CT, ABD $ PELVIS w/c | $2,505 | — | — | — | 0 |
| 3580005 | MEDICARE EXTENDED CARE RM | $2,400 | — | — | — | 0 |
| 4633038 | CT ABD/PELVIS wo | $2,075 | — | — | — | 0 |
| 4633022 | CT SPINE LUMBAR w&w/o CON | $2,036 | — | — | — | 0 |
| 4872812 | CPR | $1,904 | — | — | — | 0 |
| 4871030 | ER PHYS FEE | $1,900 | — | — | — | 0 |
| 4712395 | SYNVISC 2ML INJ | $1,885 | — | — | — | 0 |
| 4872877 | CLS'D TX OF MONT DISLOC ELBOW / MANIPU | $1,869 | — | — | — | 0 |
| 4871031 | CRITICAL CARE | $1,829 | — | — | — | 0 |
| 4633008 | CTA HEAD w/wo | $1,814 | — | — | — | 0 |
| 4872625 | 2.6CM TO 7.5 CM | $1,763 | — | — | — | 0 |
| 4872692 | CLOSED TX SHOUL DIS. | $1,735 | — | — | — | 0 |
| 4872841 | TX OF DISLOC ELBOW/MANIPU | $1,697 | — | — | — | 0 |
| 4872693 | HUMER SHFT FX-W/OUT MANIP | $1,671 | — | — | — | 0 |
| 4633013 | CTA CHEST w&w/o CONT & IM | $1,642 | — | — | — | 0 |
| 4633037 | CTA PELVIS w/wo contrast | $1,584 | — | — | — | 0 |
| 4633021 | CT SPINE LUMBAR w CONTRAS | $1,564 | — | — | — | 0 |
| 4872737 | TX ANKLE DISLOCATION | $1,561 | — | — | — | 0 |
| 4872721 | TX INTERPHALG JT DISLOC | $1,557 | — | — | — | 0 |
| 4712956 | ADVAIR INH | $1,520 | — | — | — | 0 |
| 4633035 | CTA ABD w/wo CONTRAST | $1,514 | — | — | — | 0 |
| 4633034 | CT ABD w & w/o CONTRAST | $1,505 | — | — | — | 0 |
| 4633012 | CT CHEST w&w/o CONTRAST | $1,478 | — | — | — | 0 |
| 4872711 | TX METACRPL FX W/O MANIP | $1,453 | — | — | — | 0 |
| 4633018 | CT SPINE THORA w CONTRAST | $1,405 | — | — | — | 0 |
| 4505118 | 22+ DRUG CLASSES | $1,396 | — | — | — | 0 |
| 4872609 | INT LAC/HND,ETC 7.6-12.5C | $1,356 | — | — | — | 0 |
| 4633025 | CT PELVIS w&w/o CONTRAST | $1,347 | — | — | — | 0 |
| 4633007 | CT NECK SFT TISS W & WO C | $1,326 | — | — | — | 0 |
| 4633042 | CT SUNUS FACIAL/BO wo/w | $1,324 | — | — | — | 0 |
| 4633002 | CT HEAD w& w/o CONTRAST | $1,315 | — | — | — | 0 |
| 4633033 | CT ABD w CONTRAST | $1,267 | — | — | — | 0 |
| 4633011 | CT CHEST w CONTRAST | $1,266 | — | — | — | 0 |
| 4070139 | SIM REP S,N,G;20.1-30.0CM | $1,245 | — | — | — | 0 |
| 4633024 | CT PELVIS w CONTRAST | $1,239 | — | — | — | 0 |
| 4871029 | ER PHYS. FEE | $1,227 | — | — | — | 0 |
| 4633031 | CT LOWER EXT w & w/o CONT | $1,226 | — | — | — | 0 |
| 4871013 | OBS & HOLD | $1,176 | — | — | — | 0 |
| 4633006 | CT NECK SFT TISS w CONTRA | $1,165 | — | — | — | 0 |
| 4633041 | CT, SINUS/FACIAL BONES w | $1,162 | — | — | — | 0 |
| 4872858 | CLOSED TX OF METACARPAL | $1,149 | — | — | — | 0 |
| 4070378 | PICC LINE REMOVAL | $1,144 | — | — | — | 0 |
Showing top 50 of 2,527 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.