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
104
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
209
—
R&B
Gross
$25,991
200
—
R&B ICU SEMI
Gross
$24,500
202
—
R&B
Gross
$20,801
206
—
R&B
Gross
$20,801
110
—
R&B PRIVATE
Gross
$19,604
118
—
R&B LTC BI 1 SEMI PV
Gross
$17,431
121
—
R&B
Gross
$17,431
128
—
R&B
Gross
$17,431
129
—
R&B
Gross
$17,431
138
—
R&B
Gross
$17,431
386
—
GRANULOCYTES PHER EU
Gross
$14,595
120
—
R&B
Gross
$13,867
148
—
R&B DELUX REHAB LV 5
Gross
$13,867
158
—
R&B REHAB LEVEL 08
Gross
$13,867
100
—
R&B BY AQUITY LTAC
Gross
$13,562
350
—
CT ABD/PELVIS W
Gross
$11,480
610
—
MR EXTREMITY LOWER W
Gross
$10,017
519
—
SNRB:LUMB/SAC,EA BIL
Gross
$9,690
402
—
ABDOMINAL ULTRASOUND
Gross
$5,786
139
—
ROOM & BOARD SNF NEG
Gross
$5,730
191
—
R&B SNF LVL 1 SEMI
Gross
$5,730
192
—
R&B SNF LVL 2 SEMI
Gross
$5,730
193
—
R&B SNF LVL 3 SEMI
Gross
$5,730
22
—
R&B SNF SEMI-PRIVATE
Gross
$4,614
391
—
TRANSFUSION PER DAY
Gross
$3,356
611
—
MR BRAIN W/CONTRAST
Gross
$3,248
615
—
MRI-HEAD W/O CONTRAS
Gross
$3,248
636
—
BOTOX TYPE A PER UNI
Gross
$2,885
352
—
CT ABDOMEN W/ CONTRA
Gross
$2,778
490
—
CONS SED IV/IM 30MIN
Gross
$2,728
635
—
EPOGEN 20,000 UNITS
Gross
$2,566
341
—
BONE IMAGING
Gross
$2,302
382
—
WHOLE BLOOD EA UNIT
Gross
$2,131
311
—
FRAGILE X STUDY
Gross
$1,984
385
—
WH/RBC LR CMV NEG EU
Gross
$1,928
381
—
RBC LEUKO RED EA UN
Gross
$1,774
803
—
PERI DIALYSIS/START
Gross
$1,678
921
—
US GUIDED PARACENTES
Gross
$1,654
320
—
XRAY UPPER GI TRACT
Gross
$1,581
730
—
DOPPLER ECHO
Gross
$1,519
761
—
CONS SED IV/IM IN 15
Gross
$1,364
384
—
PLATELETS EACH UNIT
Gross
$1,137
270
—
CRASH CART CHARGE
Gross
$1,000
389
—
BLOOD - SPLIT UNIT
Gross
$986
540
—
AMBULANCE BLS
Gross
$810
434
—
OT EVAL- LOW COMPLEX
Gross
$714
302
—
QUANTIFERON TB GOLD
Gross
$704
383
—
FFP W/8HRS EA UN
Gross
$697
444
—
ST COG SKILL EVAL 1H
Gross
$666
424
—
PT EVAL-LOW COMPLEX
Gross
$635
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 209 | R&B | $25,991 | — | $0 | $18,993 | 0 |
| 200 | R&B ICU SEMI | $24,500 | — | $0 | $17,904 | 0 |
| 202 | R&B | $20,801 | — | $0 | $15,201 | 0 |
| 206 | R&B | $20,801 | — | $0 | $15,201 | 0 |
| 110 | R&B PRIVATE | $19,604 | — | $0 | — | 0 |
| 118 | R&B LTC BI 1 SEMI PV | $17,431 | — | $1,400 | $2,100 | 0 |
| 121 | R&B | $17,431 | — | $0 | $12,738 | 0 |
| 128 | R&B | $17,431 | — | $0 | $12,738 | 0 |
| 129 | R&B | $17,431 | — | $0 | $12,738 | 0 |
| 138 | R&B | $17,431 | — | $0 | $12,738 | 0 |
| 386 | GRANULOCYTES PHER EU | $14,595 | — | — | — | 0 |
| 120 | R&B | $13,867 | — | $0 | $10,134 | 0 |
| 148 | R&B DELUX REHAB LV 5 | $13,867 | — | $0 | $10,134 | 0 |
| 158 | R&B REHAB LEVEL 08 | $13,867 | — | $0 | $10,134 | 0 |
| 100 | R&B BY AQUITY LTAC | $13,562 | — | $0 | — | 0 |
| 350 | CT ABD/PELVIS W | $11,480 | — | — | — | 0 |
| 610 | MR EXTREMITY LOWER W | $10,017 | — | — | — | 0 |
| 519 | SNRB:LUMB/SAC,EA BIL | $9,690 | — | — | — | 0 |
| 402 | ABDOMINAL ULTRASOUND | $5,786 | — | — | — | 0 |
| 139 | ROOM & BOARD SNF NEG | $5,730 | — | $0 | $4,187 | 0 |
| 191 | R&B SNF LVL 1 SEMI | $5,730 | — | $0 | $4,187 | 0 |
| 192 | R&B SNF LVL 2 SEMI | $5,730 | — | $0 | $4,187 | 0 |
| 193 | R&B SNF LVL 3 SEMI | $5,730 | — | $0 | $4,187 | 0 |
| 22 | R&B SNF SEMI-PRIVATE | $4,614 | — | — | — | 0 |
| 391 | TRANSFUSION PER DAY | $3,356 | — | — | — | 0 |
| 611 | MR BRAIN W/CONTRAST | $3,248 | — | — | — | 0 |
| 615 | MRI-HEAD W/O CONTRAS | $3,248 | — | — | — | 0 |
| 636 | BOTOX TYPE A PER UNI | $2,885 | — | — | — | 0 |
| 352 | CT ABDOMEN W/ CONTRA | $2,778 | — | — | — | 0 |
| 490 | CONS SED IV/IM 30MIN | $2,728 | — | — | — | 0 |
| 635 | EPOGEN 20,000 UNITS | $2,566 | — | — | — | 0 |
| 341 | BONE IMAGING | $2,302 | — | — | — | 0 |
| 382 | WHOLE BLOOD EA UNIT | $2,131 | — | — | — | 0 |
| 311 | FRAGILE X STUDY | $1,984 | — | — | — | 0 |
| 385 | WH/RBC LR CMV NEG EU | $1,928 | — | — | — | 0 |
| 381 | RBC LEUKO RED EA UN | $1,774 | — | — | — | 0 |
| 803 | PERI DIALYSIS/START | $1,678 | — | — | — | 0 |
| 921 | US GUIDED PARACENTES | $1,654 | — | — | — | 0 |
| 320 | XRAY UPPER GI TRACT | $1,581 | — | — | — | 0 |
| 730 | DOPPLER ECHO | $1,519 | — | — | — | 0 |
| 761 | CONS SED IV/IM IN 15 | $1,364 | — | — | — | 0 |
| 384 | PLATELETS EACH UNIT | $1,137 | — | — | — | 0 |
| 270 | CRASH CART CHARGE | $1,000 | — | $0 | — | 0 |
| 389 | BLOOD - SPLIT UNIT | $986 | — | — | — | 0 |
| 540 | AMBULANCE BLS | $810 | — | — | — | 0 |
| 434 | OT EVAL- LOW COMPLEX | $714 | — | — | — | 0 |
| 302 | QUANTIFERON TB GOLD | $704 | — | — | — | 0 |
| 383 | FFP W/8HRS EA UN | $697 | — | — | — | 0 |
| 444 | ST COG SKILL EVAL 1H | $666 | — | — | — | 0 |
| 424 | PT EVAL-LOW COMPLEX | $635 | — | — | — | 0 |
Showing top 50 of 104 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.