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
118
Insurances with rates
4
CPT / HCPCS codes
117
Most expensive procedures (gross)
H2013
—
CSU / Room & Bd (Children)
Gross
$1,000
H0008
—
Inpatient Hospital Detox / Room & Bd
Gross
$1,000
10306
—
Hepatitis Acute Profile
Gross
$458
90792
—
Psychiatric Evaluation / IP
Gross
$400
99223
—
Initial IP H & P / High Complexity
Gross
$230
99222
—
Initial IP H & P / Moderate Complexity
Gross
$160
90791
—
Emergency Evaluation - Admit
Gross
$160
99233
—
Subsequent Hosp Care / Detailed
Gross
$150
80329
—
Acetaminophen
Gross
$140
99221
—
Initial IP H & P / Low Complexity
Gross
$130
80307
—
DRUG ABUSE PANEL 10-50 QUEST
Gross
$106
84146
—
Prolactin Level
Gross
$97.5
82306
—
Vitamin D Panel
Gross
$87.81
84702
—
Beta HCG
Gross
$86.25
99232
—
Subsequent Hosp Care / Expanded
Gross
$85
87641
—
MRSA Rapid Screen
Gross
$80.08
80156
—
Carbamazepine
Gross
$78.75
99231
—
Subsequent Hosp Care / Focused
Gross
$75
84153
—
PSA-Prostate Specific Ant
Gross
$67.5
84443
—
Thyroid Stimulating Hormone
Gross
$67.2
80061
—
Lipid Profile
Gross
$61.25
84403
—
Testosterone Total
Gross
$58.91
84402
—
Testosterone Free
Gross
$56.36
82140
—
Ammonia, Blood
Gross
$55
81064
—
Valproic Acid
Gross
$55
80076
—
Liver Profile I
Gross
$48.75
83925
—
Codeine - Gc/Ms Confirm
Gross
$48
80184
—
Phenobarbital-GC/MS Conf
Gross
$48
84270
—
SHBG Sex Hormone Binding Globulin
Gross
$47.44
82003
—
Serum Acetaminophen Level
Gross
$46.18
82728
—
Ferritin
Gross
$43.75
80198
—
Theophylline Level
Gross
$43.75
87070
—
Blood Cultures Aerobic
Gross
$42.5
82746
—
Folate- Ria -Serum
Gross
$42.5
82607
—
Vitamin B12 By RIA
Gross
$42.5
84207
—
Vitamin B6 serum level
Gross
$42.45
86430
—
Quinidine
Gross
$42
80160
—
Desipramine Blood Level
Gross
$39.26
80174
—
Imipramine Blood Level
Gross
$39.26
82533
—
Cortisol Level
Gross
$38.14
80162
—
Digoxin Level
Gross
$37.5
86235
—
Rheumatoid Arthritis Diagnostic Panel, Comprehensive
Gross
$37.5
86431
—
Rhuematoid, Factor (RA Test, Qual)
Gross
$37.5
86376
—
Thyroid Antibodies TA Serum
Gross
$36.29
80185
—
Dilantin Level
Gross
$36.25
86593
—
VDRL, RPR Qual
Gross
$36.25
84481
—
T3 FREE
Gross
$35.88
96372
—
Injection
Gross
$35
86592
—
Rapid Plasma Reagin
Gross
$34.8
80182
—
Nortriptyline Blood Level
Gross
$34.66
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| H2013 | CSU / Room & Bd (Children) | $1,000 | — | — | — | 50 |
| H0008 | Inpatient Hospital Detox / Room & Bd | $1,000 | — | — | — | 50 |
| 10306 | Hepatitis Acute Profile | $458 | — | — | — | 0 |
| 90792 | Psychiatric Evaluation / IP | $400 | — | — | — | 11 |
| 99223 | Initial IP H & P / High Complexity | $230 | — | — | — | 13 |
| 99222 | Initial IP H & P / Moderate Complexity | $160 | — | — | — | 13 |
| 90791 | Emergency Evaluation - Admit | $160 | — | — | — | 1 |
| 99233 | Subsequent Hosp Care / Detailed | $150 | — | — | — | 13 |
| 80329 | Acetaminophen | $140 | — | — | — | 0 |
| 99221 | Initial IP H & P / Low Complexity | $130 | — | — | — | 13 |
| 80307 | DRUG ABUSE PANEL 10-50 QUEST | $106 | — | — | — | 0 |
| 84146 | Prolactin Level | $97.5 | — | — | — | 0 |
| 82306 | Vitamin D Panel | $87.81 | — | — | — | 0 |
| 84702 | Beta HCG | $86.25 | — | — | — | 0 |
| 99232 | Subsequent Hosp Care / Expanded | $85 | — | — | — | 13 |
| 87641 | MRSA Rapid Screen | $80.08 | — | — | — | 0 |
| 80156 | Carbamazepine | $78.75 | — | — | — | 0 |
| 99231 | Subsequent Hosp Care / Focused | $75 | — | — | — | 13 |
| 84153 | PSA-Prostate Specific Ant | $67.5 | — | — | — | 0 |
| 84443 | Thyroid Stimulating Hormone | $67.2 | — | — | — | 0 |
| 80061 | Lipid Profile | $61.25 | — | — | — | 0 |
| 84403 | Testosterone Total | $58.91 | — | — | — | 0 |
| 84402 | Testosterone Free | $56.36 | — | — | — | 0 |
| 82140 | Ammonia, Blood | $55 | — | — | — | 0 |
| 81064 | Valproic Acid | $55 | — | — | — | 0 |
| 80076 | Liver Profile I | $48.75 | — | — | — | 0 |
| 83925 | Codeine - Gc/Ms Confirm | $48 | — | — | — | 0 |
| 80184 | Phenobarbital-GC/MS Conf | $48 | — | — | — | 0 |
| 84270 | SHBG Sex Hormone Binding Globulin | $47.44 | — | — | — | 0 |
| 82003 | Serum Acetaminophen Level | $46.18 | — | — | — | 0 |
| 82728 | Ferritin | $43.75 | — | — | — | 0 |
| 80198 | Theophylline Level | $43.75 | — | — | — | 0 |
| 87070 | Blood Cultures Aerobic | $42.5 | — | — | — | 0 |
| 82746 | Folate- Ria -Serum | $42.5 | — | — | — | 0 |
| 82607 | Vitamin B12 By RIA | $42.5 | — | — | — | 0 |
| 84207 | Vitamin B6 serum level | $42.45 | — | — | — | 0 |
| 86430 | Quinidine | $42 | — | — | — | 0 |
| 80160 | Desipramine Blood Level | $39.26 | — | — | — | 0 |
| 80174 | Imipramine Blood Level | $39.26 | — | — | — | 0 |
| 82533 | Cortisol Level | $38.14 | — | — | — | 0 |
| 80162 | Digoxin Level | $37.5 | — | — | — | 0 |
| 86235 | Rheumatoid Arthritis Diagnostic Panel, Comprehensive | $37.5 | — | — | — | 0 |
| 86431 | Rhuematoid, Factor (RA Test, Qual) | $37.5 | — | — | — | 0 |
| 86376 | Thyroid Antibodies TA Serum | $36.29 | — | — | — | 0 |
| 80185 | Dilantin Level | $36.25 | — | — | — | 0 |
| 86593 | VDRL, RPR Qual | $36.25 | — | — | — | 0 |
| 84481 | T3 FREE | $35.88 | — | — | — | 0 |
| 96372 | Injection | $35 | — | — | — | 0 |
| 86592 | Rapid Plasma Reagin | $34.8 | — | — | — | 0 |
| 80182 | Nortriptyline Blood Level | $34.66 | — | — | — | 0 |
Showing top 50 of 118 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.