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
60
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
612
—
MRI LSPINE W/WO CONT
Gross
$6,262
386
—
GRANULOCYTES PHER EU
Gross
$5,315
610
—
MRI UP EXT W/WO CONT
Gross
$5,165
803
—
CCPD DIALYSIS
Gross
$2,070
120
—
R&B SEMI PVT
Gross
$1,774
121
—
R&B SEMI PVT LEVEL 3
Gross
$1,774
128
—
R&B SEMI PVT LEVEL 4
Gross
$1,774
391
—
TRANSFUSION PER DAY
Gross
$1,222
611
—
MRI-HEAD W/O CONTRAS
Gross
$938
351
—
CT HEAD/BRAIN W/CONT
Gross
$734
385
—
WH/RBC LR CMV NEG EU
Gross
$702
402
—
US ECHO STUDY LIMITE
Gross
$549
424
—
PT EVAL-LOW COMPLEX
Gross
$538
434
—
OT EVAL-LOW COMPLEX
Gross
$538
381
—
RBC EACH UNIT
Gross
$511
352
—
CT ABDOMEN WO CONTRA
Gross
$451
382
—
WHOLE LEU RED IRR EU
Gross
$446
384
—
PLATE LEUK RED EA UN
Gross
$408
389
—
BLOOD - SPLIT UNIT
Gross
$359
230
—
2:1 NURSING 1ST SHIF
Gross
$294
444
—
ST COG SKIL EV AD 30
Gross
$242
387
—
CRYOPRECI EACH UNIT
Gross
$209
540
—
AMBULANCE WHEELCHAIR
Gross
$191
780
—
TELE I/P F/U LTD 15M
Gross
$160
801
—
DIALYSIS EXT TX PER
Gross
$155
272
—
ADD SUP DUE RESP DIS
Gross
$150
310
—
INF DIS NASOPH EA SW
Gross
$150
800
—
DIALYSIS AFTER-HRS
Gross
$134
917
—
BIOFEEDBACK TRAINING
Gross
$108
383
—
INF PLASMA PF 5%50ML
Gross
$99
771
—
MOD COV 19 VAC ADM 1
Gross
$59.29
961
—
PSYCH GROUP SERVICES
Gross
$54.05
302
—
AB COVID 19 MULT STP
Gross
$47.43
306
—
INF ANT MUL STP CORO
Gross
$47.43
510
—
NO SHOW FEE
Gross
$42.35
290
—
CPM SET UP
Gross
$34
412
—
RT REASSESS 15 MIN
Gross
$34
440
—
ST REM IMG PT NO E/M
Gross
$32
947
—
PRIME AIR AIR MATTRE
Gross
$32
320
—
OXYGEN BY NON EMERG
Gross
$29.2
390
—
BLOOD ADMIN
Gross
$25
392
—
PROC/STOR EA P9010
Gross
$25
420
—
PT HOT COLD PACK
Gross
$20.4
301
—
SERUM CRYOGLOB CRY-S
Gross
$20
271
—
OXYGEN PER HOUR
Gross
$16.05
990
—
DAY PASS
Gross
$10.25
430
—
WHEELCHAIR MGMT 15MN
Gross
$9
623
—
3X3 MEPILEX DRESSING
Gross
$7.23
260
—
IV START PACK
Gross
$5.8
257
—
HYDROCOD-ACET 5/500
Gross
$5
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 612 | MRI LSPINE W/WO CONT | $6,262 | — | — | — | 0 |
| 386 | GRANULOCYTES PHER EU | $5,315 | — | — | — | 0 |
| 610 | MRI UP EXT W/WO CONT | $5,165 | — | — | — | 0 |
| 803 | CCPD DIALYSIS | $2,070 | — | — | — | 0 |
| 120 | R&B SEMI PVT | $1,774 | — | — | — | 0 |
| 121 | R&B SEMI PVT LEVEL 3 | $1,774 | — | $1,396 | $1,396 | 0 |
| 128 | R&B SEMI PVT LEVEL 4 | $1,774 | — | $800 | $2,500 | 0 |
| 391 | TRANSFUSION PER DAY | $1,222 | — | — | — | 0 |
| 611 | MRI-HEAD W/O CONTRAS | $938 | — | — | — | 0 |
| 351 | CT HEAD/BRAIN W/CONT | $734 | — | — | — | 0 |
| 385 | WH/RBC LR CMV NEG EU | $702 | — | — | — | 0 |
| 402 | US ECHO STUDY LIMITE | $549 | — | — | — | 0 |
| 424 | PT EVAL-LOW COMPLEX | $538 | — | — | — | 0 |
| 434 | OT EVAL-LOW COMPLEX | $538 | — | — | — | 0 |
| 381 | RBC EACH UNIT | $511 | — | — | — | 0 |
| 352 | CT ABDOMEN WO CONTRA | $451 | — | — | — | 0 |
| 382 | WHOLE LEU RED IRR EU | $446 | — | — | — | 0 |
| 384 | PLATE LEUK RED EA UN | $408 | — | — | — | 0 |
| 389 | BLOOD - SPLIT UNIT | $359 | — | — | — | 0 |
| 230 | 2:1 NURSING 1ST SHIF | $294 | — | — | — | 0 |
| 444 | ST COG SKIL EV AD 30 | $242 | — | — | — | 0 |
| 387 | CRYOPRECI EACH UNIT | $209 | — | — | — | 0 |
| 540 | AMBULANCE WHEELCHAIR | $191 | — | — | — | 0 |
| 780 | TELE I/P F/U LTD 15M | $160 | — | — | — | 0 |
| 801 | DIALYSIS EXT TX PER | $155 | — | — | — | 0 |
| 272 | ADD SUP DUE RESP DIS | $150 | — | — | — | 0 |
| 310 | INF DIS NASOPH EA SW | $150 | — | — | — | 0 |
| 800 | DIALYSIS AFTER-HRS | $134 | — | — | — | 0 |
| 917 | BIOFEEDBACK TRAINING | $108 | — | — | — | 0 |
| 383 | INF PLASMA PF 5%50ML | $99 | — | — | — | 0 |
| 771 | MOD COV 19 VAC ADM 1 | $59.29 | — | — | — | 0 |
| 961 | PSYCH GROUP SERVICES | $54.05 | — | — | — | 0 |
| 302 | AB COVID 19 MULT STP | $47.43 | — | — | — | 0 |
| 306 | INF ANT MUL STP CORO | $47.43 | — | — | — | 0 |
| 510 | NO SHOW FEE | $42.35 | — | — | — | 0 |
| 290 | CPM SET UP | $34 | — | — | — | 0 |
| 412 | RT REASSESS 15 MIN | $34 | — | — | — | 0 |
| 440 | ST REM IMG PT NO E/M | $32 | — | — | — | 0 |
| 947 | PRIME AIR AIR MATTRE | $32 | — | — | — | 0 |
| 320 | OXYGEN BY NON EMERG | $29.2 | — | — | — | 0 |
| 390 | BLOOD ADMIN | $25 | — | — | — | 0 |
| 392 | PROC/STOR EA P9010 | $25 | — | — | — | 0 |
| 420 | PT HOT COLD PACK | $20.4 | — | — | — | 0 |
| 301 | SERUM CRYOGLOB CRY-S | $20 | — | — | — | 0 |
| 271 | OXYGEN PER HOUR | $16.05 | — | — | — | 0 |
| 990 | DAY PASS | $10.25 | — | — | — | 0 |
| 430 | WHEELCHAIR MGMT 15MN | $9 | — | — | — | 0 |
| 623 | 3X3 MEPILEX DRESSING | $7.23 | — | — | — | 0 |
| 260 | IV START PACK | $5.8 | — | — | — | 0 |
| 257 | HYDROCOD-ACET 5/500 | $5 | — | — | — | 0 |
Showing top 50 of 60 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.