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
50
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
386
—
GRANULOCYTES PHER EU
Gross
$5,847
360
—
DX BRONCHOSC/LAVAGE
Gross
$5,322
120
—
R&B
Gross
$2,643
128
—
R&B
Gross
$2,643
803
—
DIALYSIS CAPD
Gross
$2,424
351
—
CT HEAD/BRAIN WO/W C
Gross
$1,450
391
—
TRANSFUSION PER DAY
Gross
$1,344
385
—
WH/RBC LR CMV NEG EU
Gross
$772
352
—
CT LUMBAR WO CONTRAS
Gross
$658
381
—
RBC EACH UNIT
Gross
$562
382
—
WHOLE LEU RED IRR EU
Gross
$491
801
—
DIALYSIS OTH NURS SE
Gross
$486
384
—
PLATE LEUK RED EA UN
Gross
$449
389
—
BLOOD - SPLIT UNIT
Gross
$395
424
—
PT RE-EVAL (2017)
Gross
$244
434
—
OT RE-EVAL (2017)
Gross
$244
730
—
EKG TRACE ONLY W/O I
Gross
$238
387
—
CRYOPRECI EACH UNIT
Gross
$230
987
—
SUBSQT CARE 1 - LOW
Gross
$222
444
—
ST COG SKIL EV AD 30
Gross
$215
274
—
WHO COCK UP PREFAB
Gross
$198
780
—
I/P TELE FU LTD 15M
Gross
$171
310
—
INF DIS NASOPH EA SW
Gross
$165
320
—
ANKLE 2 VIEWS
Gross
$162
383
—
INF PLASMA PF 5%50ML
Gross
$109
471
—
HEAR SCREEN PURETONE
Gross
$85.1
272
—
ISOLATION KIT
Gross
$80
771
—
PFIZER COV19 VAC AD1
Gross
$59.29
302
—
AB COVID 19 MULT STP
Gross
$52.15
306
—
INF ANT MUL STP CORO
Gross
$52.15
290
—
CPM DAILY
Gross
$45
390
—
PROC/STOR EA P9010
Gross
$27.5
279
—
AQUACEL AG 4X4 DRSG
Gross
$25.65
420
—
PULSE OXIMETRY N/T
Gross
$20.35
230
—
1:1 NURSING 15 MIN
Gross
$17.55
999
—
EMPLOYEE PLUS 1
Gross
$14.85
623
—
OPTIFOAM DRESSING
Gross
$12.48
301
—
GLUC MON BLD BY DEV
Gross
$12.1
430
—
HCV AB
Gross
$12.1
271
—
OXYGEN CONT PER HOUR
Gross
$10.9
990
—
DAY PASS
Gross
$10.4
760
—
BOTOX INJECTION
Gross
$9.95
410
—
PSY MUIR VLV SUB20MN
Gross
$9.35
440
—
MISCELLANEOUS
Gross
$5.25
888
—
FIT TAI CHI-MEMBER
Gross
$4.45
300
—
THEOPHYLLINE
Gross
$2.2
412
—
RT PT RE-ASSESS 15MN
Gross
$1
270
—
2X3 TELFA W/ADHESIVE
Gross
$0.19
250
—
GATTEX (POM)5MG KIT
Gross
$0.01
636
—
BAMLANIVIMB 700MG/20
Gross
$0.01
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 386 | GRANULOCYTES PHER EU | $5,847 | — | — | — | 0 |
| 360 | DX BRONCHOSC/LAVAGE | $5,322 | — | — | — | 0 |
| 120 | R&B | $2,643 | — | $1,075 | — | 0 |
| 128 | R&B | $2,643 | — | $1,450 | — | 0 |
| 803 | DIALYSIS CAPD | $2,424 | — | — | — | 0 |
| 351 | CT HEAD/BRAIN WO/W C | $1,450 | — | — | — | 0 |
| 391 | TRANSFUSION PER DAY | $1,344 | — | — | — | 0 |
| 385 | WH/RBC LR CMV NEG EU | $772 | — | — | — | 0 |
| 352 | CT LUMBAR WO CONTRAS | $658 | — | — | — | 0 |
| 381 | RBC EACH UNIT | $562 | — | — | — | 0 |
| 382 | WHOLE LEU RED IRR EU | $491 | — | — | — | 0 |
| 801 | DIALYSIS OTH NURS SE | $486 | — | — | — | 0 |
| 384 | PLATE LEUK RED EA UN | $449 | — | — | — | 0 |
| 389 | BLOOD - SPLIT UNIT | $395 | — | — | — | 0 |
| 424 | PT RE-EVAL (2017) | $244 | — | — | — | 0 |
| 434 | OT RE-EVAL (2017) | $244 | — | — | — | 0 |
| 730 | EKG TRACE ONLY W/O I | $238 | — | — | — | 0 |
| 387 | CRYOPRECI EACH UNIT | $230 | — | — | — | 0 |
| 987 | SUBSQT CARE 1 - LOW | $222 | — | — | — | 0 |
| 444 | ST COG SKIL EV AD 30 | $215 | — | — | — | 0 |
| 274 | WHO COCK UP PREFAB | $198 | — | — | — | 0 |
| 780 | I/P TELE FU LTD 15M | $171 | — | — | — | 0 |
| 310 | INF DIS NASOPH EA SW | $165 | — | — | — | 0 |
| 320 | ANKLE 2 VIEWS | $162 | — | — | — | 0 |
| 383 | INF PLASMA PF 5%50ML | $109 | — | — | — | 0 |
| 471 | HEAR SCREEN PURETONE | $85.1 | — | — | — | 0 |
| 272 | ISOLATION KIT | $80 | — | — | — | 0 |
| 771 | PFIZER COV19 VAC AD1 | $59.29 | — | — | — | 0 |
| 302 | AB COVID 19 MULT STP | $52.15 | — | — | — | 0 |
| 306 | INF ANT MUL STP CORO | $52.15 | — | — | — | 0 |
| 290 | CPM DAILY | $45 | — | — | — | 0 |
| 390 | PROC/STOR EA P9010 | $27.5 | — | — | — | 0 |
| 279 | AQUACEL AG 4X4 DRSG | $25.65 | — | — | — | 0 |
| 420 | PULSE OXIMETRY N/T | $20.35 | — | — | — | 0 |
| 230 | 1:1 NURSING 15 MIN | $17.55 | — | — | — | 0 |
| 999 | EMPLOYEE PLUS 1 | $14.85 | — | — | — | 0 |
| 623 | OPTIFOAM DRESSING | $12.48 | — | — | — | 0 |
| 301 | GLUC MON BLD BY DEV | $12.1 | — | — | — | 0 |
| 430 | HCV AB | $12.1 | — | — | — | 0 |
| 271 | OXYGEN CONT PER HOUR | $10.9 | — | — | — | 0 |
| 990 | DAY PASS | $10.4 | — | — | — | 0 |
| 760 | BOTOX INJECTION | $9.95 | — | — | — | 0 |
| 410 | PSY MUIR VLV SUB20MN | $9.35 | — | — | — | 0 |
| 440 | MISCELLANEOUS | $5.25 | — | — | — | 0 |
| 888 | FIT TAI CHI-MEMBER | $4.45 | — | — | — | 0 |
| 300 | THEOPHYLLINE | $2.2 | — | — | — | 0 |
| 412 | RT PT RE-ASSESS 15MN | $1 | — | — | — | 0 |
| 270 | 2X3 TELFA W/ADHESIVE | $0.19 | — | — | — | 0 |
| 250 | GATTEX (POM)5MG KIT | $0.01 | — | — | — | 0 |
| 636 | BAMLANIVIMB 700MG/20 | $0.01 | — | — | — | 0 |
Showing top 50 of 50 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.