45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
○Discounted cash price: below assessment threshold
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
22
Insurances with rates
23
CPT / HCPCS codes
0
Most expensive procedures (gross)
204
—
ICU/PSYCH - Room & Board - IP PSYCH LOCKED
Gross
$2,145
134
—
PSYCH - Room & Board - IP ADOLESCENT
Gross
$2,145
905
—
MH INTENSIVE OUTPATIENT
Gross
$400
912
—
PARTIAL HOSPITALIZATION
Gross
$400
730
—
EEG
Gross
$256
329
—
XR AFTER REGULAR HOURS
Gross
$242
320
—
XR A C JOINTS
Gross
$182
410
—
B IPAP
Gross
$171
239
—
PSYCH 1:1 STAFFING 1
Gross
$138
460
—
ARTERIAL BLOOD GAS ABG
Gross
$114
915
—
ADULT GROUP THERAPY
Gross
$100
916
—
FAMILY THERAPY W/O PT
Gross
$100
914
—
INDIV THX 16-37 MINS
Gross
$100
985
—
EKG PRO FEE
Gross
$69.5
960
—
BLOODGAS ANALYSIS PRO FEE
Gross
$61
270
—
20 X 1 IV AUTOGUARD CATHETER
Gross
$38.56
260
—
SECONDARY IV SET
Gross
$32.9
300
—
ABO TYPE
Gross
$30.2
272
—
1X8 ZEROFOAM
Gross
$8.5
271
—
AIRWAY GUEDEL 90 MM
Gross
$7.8
264
—
5ML SALINE FLUSH SYRINGE
Gross
$4.14
250
—
A & D OINTMENT UD 5 GM
Gross
$3.8
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 204 | ICU/PSYCH - Room & Board - IP PSYCH LOCKED | $2,145 | — | — | — | 74 |
| 134 | PSYCH - Room & Board - IP ADOLESCENT | $2,145 | — | — | — | 41 |
| 905 | MH INTENSIVE OUTPATIENT | $400 | — | — | — | 61 |
| 912 | PARTIAL HOSPITALIZATION | $400 | — | — | — | 67 |
| 730 | EEG | $256 | — | — | — | 0 |
| 329 | XR AFTER REGULAR HOURS | $242 | — | — | — | 0 |
| 320 | XR A C JOINTS | $182 | — | — | — | 0 |
| 410 | B IPAP | $171 | — | — | — | 0 |
| 239 | PSYCH 1:1 STAFFING 1 | $138 | — | — | — | 13 |
| 460 | ARTERIAL BLOOD GAS ABG | $114 | — | — | — | 0 |
| 915 | ADULT GROUP THERAPY | $100 | — | — | — | 1 |
| 916 | FAMILY THERAPY W/O PT | $100 | — | — | — | 1 |
| 914 | INDIV THX 16-37 MINS | $100 | — | — | — | 1 |
| 985 | EKG PRO FEE | $69.5 | — | — | — | 0 |
| 960 | BLOODGAS ANALYSIS PRO FEE | $61 | — | — | — | 0 |
| 270 | 20 X 1 IV AUTOGUARD CATHETER | $38.56 | — | — | — | 0 |
| 260 | SECONDARY IV SET | $32.9 | — | — | — | 0 |
| 300 | ABO TYPE | $30.2 | — | — | — | 0 |
| 272 | 1X8 ZEROFOAM | $8.5 | — | — | — | 0 |
| 271 | AIRWAY GUEDEL 90 MM | $7.8 | — | — | — | 0 |
| 264 | 5ML SALINE FLUSH SYRINGE | $4.14 | — | — | — | 0 |
| 250 | A & D OINTMENT UD 5 GM | $3.8 | — | — | — | 0 |
Showing top 22 of 22 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.