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
57
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
352
—
CT LOW EXTREM W/CONT, LT
Gross
$2,580
200
—
RNB- INTENSIVE CARE - PER DIEM
Gross
$2,500
610
—
MRA Head W/O Contrast
Gross
$2,182
384
—
BB PLATELET PHERESIS LEUKO RED
Gross
$2,106
214
—
RNB-TELEMETRY - PER DIEM
Gross
$2,100
121
—
RNB- MED SURG - PER DIEM
Gross
$1,950
730
—
Echo 2D W/Spec/Color Compl
Gross
$1,924
341
—
Nm Acute Gi Blood Loss
Gross
$1,738
480
—
Echo Transesophageal
Gross
$1,675
350
—
CT Head W/O Contrast
Gross
$1,640
801
—
Hemodialysis Treatment
Gross
$1,598
410
—
Ventilator Each Subsequent Day
Gross
$1,576
360
—
EGD
Gross
$1,474
380
—
BB PLATELET PHERESIS
Gross
$1,259
386
—
COVID-19 Convalescent Plasma
Gross
$1,164
710
—
Recovery Room (Bronchoscopy)
Gross
$962
329
—
US Pelvis Complete
Gross
$840
391
—
BB TRANSFUSION BLOOD/COMP
Gross
$833
381
—
BB RBC WASHED
Gross
$833
330
—
Chemotherapy Infusion 1St Hr
Gross
$550
320
—
Spine Lumbosacral Ap & Lat
Gross
$447
255
—
MRI Brain W W/O Contrast
Gross
$411
444
—
Evaluation of Swallow Function
Gross
$399
750
—
FLOUROSCOPY BY OUTSIDE PROVIDE
Gross
$311
302
—
R C-reactive Protein
Gross
$300
760
—
WOUND VAC ATS
Gross
$300
278
—
CVC LINE DOUBLE LUMEN
Gross
$296
324
—
XR Chest Single View
Gross
$293
636
—
PLASMA PROTEIN FRACTION IV 5%
Gross
$290
362
—
RESTOCKING CART-24X21X40 W/20X
Gross
$289
440
—
Treatment of Speech
Gross
$285
370
—
ANES GENERAL LEVEL I 1ST 30MIN
Gross
$270
270
—
Eval Use/Fitting Speech Device
Gross
$260
434
—
OT Eval Low Complexity 15 Min
Gross
$224
424
—
PT Eval Mod Complexity 30 Min
Gross
$220
390
—
BB FRESH FROZEN PLASMA
Gross
$200
307
—
C-Diffcile Toxin Ag Eia
Gross
$192
340
—
Dx Tc99M Maa, Psd/To 10Mci
Gross
$153
420
—
PT Therapeutic Exercise 15 Min
Gross
$133
430
—
OT Self-Care/Home Mgmt 15 Min
Gross
$124
409
—
DPPLER EXTRACRANIAL ARTERIES B
Gross
$120
771
—
COVID-19Vaccine Administration
Gross
$120
402
—
ECHOGRAPHY THYROID
Gross
$119
272
—
Tube Trach 6Dct Cuffed Low Pre
Gross
$115
460
—
Pulmonary Function Test
Gross
$93
731
—
HOLTER MONITOR HOOK UP RECORDI
Gross
$90
310
—
Cytopath Concentrate Tech
Gross
$78.42
301
—
Albumin (Urine/Other Source)
Gross
$74
305
—
Sed Rate Auto Sedimentary
Gross
$71
290
—
HEPA MACHINE DAILY
Gross
$50
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 352 | CT LOW EXTREM W/CONT, LT | $2,580 | — | — | — | 0 |
| 200 | RNB- INTENSIVE CARE - PER DIEM | $2,500 | — | $1,155 | $2,300 | 0 |
| 610 | MRA Head W/O Contrast | $2,182 | — | — | — | 0 |
| 384 | BB PLATELET PHERESIS LEUKO RED | $2,106 | — | — | — | 0 |
| 214 | RNB-TELEMETRY - PER DIEM | $2,100 | — | $970 | $1,954 | 0 |
| 121 | RNB- MED SURG - PER DIEM | $1,950 | — | $901 | $1,822 | 0 |
| 730 | Echo 2D W/Spec/Color Compl | $1,924 | — | — | — | 0 |
| 341 | Nm Acute Gi Blood Loss | $1,738 | — | — | — | 0 |
| 480 | Echo Transesophageal | $1,675 | — | — | — | 0 |
| 350 | CT Head W/O Contrast | $1,640 | — | — | — | 0 |
| 801 | Hemodialysis Treatment | $1,598 | — | $390 | $450 | 0 |
| 410 | Ventilator Each Subsequent Day | $1,576 | — | $100 | $100 | 0 |
| 360 | EGD | $1,474 | — | — | — | 0 |
| 380 | BB PLATELET PHERESIS | $1,259 | — | — | — | 0 |
| 386 | COVID-19 Convalescent Plasma | $1,164 | — | — | — | 0 |
| 710 | Recovery Room (Bronchoscopy) | $962 | — | — | — | 0 |
| 329 | US Pelvis Complete | $840 | — | — | — | 0 |
| 391 | BB TRANSFUSION BLOOD/COMP | $833 | — | — | — | 0 |
| 381 | BB RBC WASHED | $833 | — | — | — | 0 |
| 330 | Chemotherapy Infusion 1St Hr | $550 | — | — | — | 0 |
| 320 | Spine Lumbosacral Ap & Lat | $447 | — | — | — | 0 |
| 255 | MRI Brain W W/O Contrast | $411 | — | — | — | 0 |
| 444 | Evaluation of Swallow Function | $399 | — | — | — | 0 |
| 750 | FLOUROSCOPY BY OUTSIDE PROVIDE | $311 | — | — | — | 0 |
| 302 | R C-reactive Protein | $300 | — | — | — | 0 |
| 760 | WOUND VAC ATS | $300 | — | — | — | 0 |
| 278 | CVC LINE DOUBLE LUMEN | $296 | — | — | — | 0 |
| 324 | XR Chest Single View | $293 | — | — | — | 0 |
| 636 | PLASMA PROTEIN FRACTION IV 5% | $290 | — | — | — | 0 |
| 362 | RESTOCKING CART-24X21X40 W/20X | $289 | — | — | — | 0 |
| 440 | Treatment of Speech | $285 | — | — | — | 0 |
| 370 | ANES GENERAL LEVEL I 1ST 30MIN | $270 | — | — | — | 0 |
| 270 | Eval Use/Fitting Speech Device | $260 | — | — | — | 0 |
| 434 | OT Eval Low Complexity 15 Min | $224 | — | — | — | 0 |
| 424 | PT Eval Mod Complexity 30 Min | $220 | — | — | — | 0 |
| 390 | BB FRESH FROZEN PLASMA | $200 | — | — | — | 0 |
| 307 | C-Diffcile Toxin Ag Eia | $192 | — | — | — | 0 |
| 340 | Dx Tc99M Maa, Psd/To 10Mci | $153 | — | — | — | 0 |
| 420 | PT Therapeutic Exercise 15 Min | $133 | — | — | — | 0 |
| 430 | OT Self-Care/Home Mgmt 15 Min | $124 | — | — | — | 0 |
| 409 | DPPLER EXTRACRANIAL ARTERIES B | $120 | — | — | — | 0 |
| 771 | COVID-19Vaccine Administration | $120 | — | — | — | 0 |
| 402 | ECHOGRAPHY THYROID | $119 | — | — | — | 0 |
| 272 | Tube Trach 6Dct Cuffed Low Pre | $115 | — | — | — | 0 |
| 460 | Pulmonary Function Test | $93 | — | — | — | 0 |
| 731 | HOLTER MONITOR HOOK UP RECORDI | $90 | — | — | — | 0 |
| 310 | Cytopath Concentrate Tech | $78.42 | — | — | — | 0 |
| 301 | Albumin (Urine/Other Source) | $74 | — | — | — | 0 |
| 305 | Sed Rate Auto Sedimentary | $71 | — | — | — | 0 |
| 290 | HEPA MACHINE DAILY | $50 | — | — | — | 0 |
Showing top 50 of 57 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.