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
66
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
0812 - ACQUISITION OF BODY COMPONENTS CADAVER DONOR
—
Acquisition Fee Liver
Gross
$77,520
0624 - FDA INVESTIGATIONAL DEVICES
—
G160259, Early Tavr, Nct 03042104
Gross
$30,000
0750 - GASTRO-INTESTINAL SERVICES, GENERAL
—
Esophscpy Trnso (eg, Zenker's)
Gross
$6,447
0210 - CORONARY CARE, GENERAL
—
Accommodation Ccu
Gross
$4,223
0200 - INTENSIVE CARE GENERAL
—
Accommodation Icu
Gross
$4,100
0483 - ECHOCARDIOLOGY
—
2d Tte W Contr Stress
Gross
$3,923
0206 - INTENSIVE CARE, POST ICU
—
Accommodation Telemetry
Gross
$2,627
0740 - ELECTROENCEPHALOGRAM (EEG), GENERAL
—
Eeg Cont Rec W/video By Tech Min 8 Channels
Gross
$2,240
0360 - OPERATING ROOM SERVICES, GENERAL
—
Guide Cathet Fluid Drainage
Gross
$2,176
0121 - ROOM & BOARD - SEMI-PRIVATE 2 BED, MED/SURG/GYN
—
Accommodation Med/surg
Gross
$2,030
0351 - COMPUTED TOMOGRAPHIC SCAN, HEAD
—
Ct Brain Perf W Contr
Gross
$2,027
0790 - LITHOTRIPSY, GENERAL
—
Lithotripsy Eswl Fortec
Gross
$1,652
0810 - ORGAN ACQUISITION
—
Acquisition Kidney Live Donor
Gross
$1,530
0811 - ACQUISITION OF BODY COMPONENTS LIVING DONOR
—
Acquisition Kidney Live Donor
Gross
$1,530
0490 - AMBULATORY SURGICAL CARE GENERAL CLASSIFICATION
—
Surgery Level 2 1st 30 Min Asc
Gross
$1,475
0921 - PERIPHERAL VASCULAR LAB
—
Duplex Scan Artl Infl&ven O/f Hemo Compl Bi Std
Gross
$1,458
0829 - OTHER OUTPATIENT HEMODIALYSIS
—
Unscheduled Dialys Tx
Gross
$1,403
0390 - BLOOD STORAGE AND PROCESSING, GENERAL
—
Whole Blood Txfus Per Unit
Gross
$801
0929 - OTHER DIAGNOSTIC SERVICE
—
Sane Eval
Gross
$661
0450 - EMERGENCY ROOM, GENERAL
—
Cl Tx Radial Hd/neck Fx; Wo Manip
Gross
$580
0761 - TREATMENT ROOM
—
I&d Abscess Smpl/sngl
Gross
$564
0352 - COMPUTED TOMOGRAPHIC SCAN, BODY
—
Ldct For Lung Ca Screen
Gross
$488
0710 - RECOVERY ROOM, GENERAL
—
Phase Ii Recovery 1st 30 Min
Gross
$283
0401 - OTHER IMAGING SERVICES, DIAGNOSTIC MAMMOGRAPHY
—
MAMMO DX BILAT DGTL
Gross
$277
0276 - MEDICAL/SURGICAL SUPPLIES AND DEVICES, INTRAOCULAR LENS
—
LENS ACRYSOF IQ +15 DIOPTER 0 D BICONVEX ACRYLIC 13MM IOL 1 PIECE FOLDABLE
Gross
$268
0370 - ANESTHESIA, GENERAL
—
Anes-paravert Block 15min
Gross
$240
0621 - MEDICAL/SURGICAL SUPPLIES, INCIDENT TO RADIOLOGY
—
GW VARBL STIFF
Gross
$234
0918 - TESTING
—
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes
Gross
$226
0343 - DIAGNOSTIC RADIOPHARMACEUTICALS
—
Tc99m Sestamibi Per Dose
Gross
$190
0402 - OTHER IMAGING SERVICES, ULTRASOUND
—
Study Common Carotid Imt
Gross
$170
0311 - LABORATORY, PATHOLOGICAL, CYTOLOGY
—
Cyto Imager Gyn Tp Screen
Gross
$160
0430 - OCCUPATIONAL THERAPY, GENERAL
—
Cognitive Skills Development
Gross
$149
0403 - OTHER IMAGING SERVICES, SCREENING MAMMOGRAPHY
—
MAMMO SCREEN BILAT DGTL
Gross
$139
0306 - LABORATORY, BACTERIOLOGY AND MICROBIOLOGY
—
Covid19 Inhouse
Gross
$125
0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES, OTHER IMPLANTS
—
PLUG ARTISAN 18-22MM LARGE BONE CEMENT
Gross
$100
0344 - THERAPEUTIC RADIOPHARMS
—
I131 Thera Capsl /mci
Gross
$88
0274 - MEDICAL/SURGICAL SUPPLIES AND DEVICES, PROSTHETIC/ORTHOTIC
—
TUBE TRACH UNCUF W/DIC
Gross
$84
0301 - LABORATORY, CHEMISTRY
—
Oxycodone Scrn, Ur
Gross
$79
0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES, STERILE SUPPLY
—
HD SIMPULSE
Gross
$66
0623 - SURGICAL DRESSINGS
—
Drsg Hdrcld 30x9cm Aqcel Pu
Gross
$66
0302 - LABORATORY, IMMUNOLOGY
—
Eia Hiv-1/hiv-2 Screen
Gross
$64
0271 - MEDICAL/SURGICAL SUPPLIES AND DEVICES, NON-STERILE SUPPLY
—
CARRIER MESHGRAFT II DERMACARRIER II 1.5:1 PLATEAU GROOVE 8X3IN GRAFT
Gross
$62.74
0771 - VACCINE ADMINISTRATION
—
Admin Vaccine Pneumonia
Gross
$40
0120 - ROOM AND BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL)
—
Accommodation Semi Private, Zero Charge
Gross
$1
0420 - PHYSICAL THERAPY, GENERAL
—
Mobility Current Status
Gross
$1
0440 - SPEECH/LANGUAGE PATHOLOGY, GENERAL
—
Swallow Current Status
Gross
$1
0359 - COMPUTED TOMOGRAPHIC SCAN, OTHER
—
Clinical Decision Support Mechanism Evicore
Gross
$0.01
0349 - NUCLEAR MEDICINE, OTHER
—
Clinical Decision Support Mechanism Medcurrent
Gross
$0.01
0619 - MAGNETIC RESONANCE IMAGING, OTHER
—
Clinical Decision Support Mechanism Medcurrent
Gross
$0.01
0404 - POSITRON EMISSION TOMOGRAPHY (
—
Clinical Decision Support Mechanism National Decision Support Company
Gross
$0.01
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0812 - ACQUISITION OF BODY COMPONENTS CADAVER DONOR | Acquisition Fee Liver | $77,520 | — | — | — | 0 |
| 0624 - FDA INVESTIGATIONAL DEVICES | G160259, Early Tavr, Nct 03042104 | $30,000 | — | — | — | 0 |
| 0750 - GASTRO-INTESTINAL SERVICES, GENERAL | Esophscpy Trnso (eg, Zenker's) | $6,447 | — | — | — | 0 |
| 0210 - CORONARY CARE, GENERAL | Accommodation Ccu | $4,223 | — | — | — | 0 |
| 0200 - INTENSIVE CARE GENERAL | Accommodation Icu | $4,100 | — | — | — | 0 |
| 0483 - ECHOCARDIOLOGY | 2d Tte W Contr Stress | $3,923 | — | — | — | 0 |
| 0206 - INTENSIVE CARE, POST ICU | Accommodation Telemetry | $2,627 | — | — | — | 0 |
| 0740 - ELECTROENCEPHALOGRAM (EEG), GENERAL | Eeg Cont Rec W/video By Tech Min 8 Channels | $2,240 | — | — | — | 0 |
| 0360 - OPERATING ROOM SERVICES, GENERAL | Guide Cathet Fluid Drainage | $2,176 | — | — | — | 0 |
| 0121 - ROOM & BOARD - SEMI-PRIVATE 2 BED, MED/SURG/GYN | Accommodation Med/surg | $2,030 | — | — | — | 0 |
| 0351 - COMPUTED TOMOGRAPHIC SCAN, HEAD | Ct Brain Perf W Contr | $2,027 | — | — | — | 0 |
| 0790 - LITHOTRIPSY, GENERAL | Lithotripsy Eswl Fortec | $1,652 | — | — | — | 0 |
| 0810 - ORGAN ACQUISITION | Acquisition Kidney Live Donor | $1,530 | — | — | — | 0 |
| 0811 - ACQUISITION OF BODY COMPONENTS LIVING DONOR | Acquisition Kidney Live Donor | $1,530 | — | — | — | 0 |
| 0490 - AMBULATORY SURGICAL CARE GENERAL CLASSIFICATION | Surgery Level 2 1st 30 Min Asc | $1,475 | — | — | — | 0 |
| 0921 - PERIPHERAL VASCULAR LAB | Duplex Scan Artl Infl&ven O/f Hemo Compl Bi Std | $1,458 | — | — | — | 0 |
| 0829 - OTHER OUTPATIENT HEMODIALYSIS | Unscheduled Dialys Tx | $1,403 | — | — | — | 0 |
| 0390 - BLOOD STORAGE AND PROCESSING, GENERAL | Whole Blood Txfus Per Unit | $801 | — | — | — | 0 |
| 0929 - OTHER DIAGNOSTIC SERVICE | Sane Eval | $661 | — | — | — | 0 |
| 0450 - EMERGENCY ROOM, GENERAL | Cl Tx Radial Hd/neck Fx; Wo Manip | $580 | — | — | — | 0 |
| 0761 - TREATMENT ROOM | I&d Abscess Smpl/sngl | $564 | — | — | — | 0 |
| 0352 - COMPUTED TOMOGRAPHIC SCAN, BODY | Ldct For Lung Ca Screen | $488 | — | — | — | 0 |
| 0710 - RECOVERY ROOM, GENERAL | Phase Ii Recovery 1st 30 Min | $283 | — | — | — | 0 |
| 0401 - OTHER IMAGING SERVICES, DIAGNOSTIC MAMMOGRAPHY | MAMMO DX BILAT DGTL | $277 | — | — | — | 0 |
| 0276 - MEDICAL/SURGICAL SUPPLIES AND DEVICES, INTRAOCULAR LENS | LENS ACRYSOF IQ +15 DIOPTER 0 D BICONVEX ACRYLIC 13MM IOL 1 PIECE FOLDABLE | $268 | — | — | — | 0 |
| 0370 - ANESTHESIA, GENERAL | Anes-paravert Block 15min | $240 | — | — | — | 0 |
| 0621 - MEDICAL/SURGICAL SUPPLIES, INCIDENT TO RADIOLOGY | GW VARBL STIFF | $234 | — | — | — | 0 |
| 0918 - TESTING | Ther Ivntj Cog Funcj Cntct 1st 15 Minutes | $226 | — | — | — | 0 |
| 0343 - DIAGNOSTIC RADIOPHARMACEUTICALS | Tc99m Sestamibi Per Dose | $190 | — | — | — | 0 |
| 0402 - OTHER IMAGING SERVICES, ULTRASOUND | Study Common Carotid Imt | $170 | — | — | — | 0 |
| 0311 - LABORATORY, PATHOLOGICAL, CYTOLOGY | Cyto Imager Gyn Tp Screen | $160 | — | — | — | 0 |
| 0430 - OCCUPATIONAL THERAPY, GENERAL | Cognitive Skills Development | $149 | — | — | — | 0 |
| 0403 - OTHER IMAGING SERVICES, SCREENING MAMMOGRAPHY | MAMMO SCREEN BILAT DGTL | $139 | — | — | — | 0 |
| 0306 - LABORATORY, BACTERIOLOGY AND MICROBIOLOGY | Covid19 Inhouse | $125 | — | — | — | 0 |
| 0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES, OTHER IMPLANTS | PLUG ARTISAN 18-22MM LARGE BONE CEMENT | $100 | — | — | — | 0 |
| 0344 - THERAPEUTIC RADIOPHARMS | I131 Thera Capsl /mci | $88 | — | — | — | 0 |
| 0274 - MEDICAL/SURGICAL SUPPLIES AND DEVICES, PROSTHETIC/ORTHOTIC | TUBE TRACH UNCUF W/DIC | $84 | — | — | — | 0 |
| 0301 - LABORATORY, CHEMISTRY | Oxycodone Scrn, Ur | $79 | — | — | — | 0 |
| 0272 - MEDICAL/SURGICAL SUPPLIES AND DEVICES, STERILE SUPPLY | HD SIMPULSE | $66 | — | — | — | 0 |
| 0623 - SURGICAL DRESSINGS | Drsg Hdrcld 30x9cm Aqcel Pu | $66 | — | — | — | 0 |
| 0302 - LABORATORY, IMMUNOLOGY | Eia Hiv-1/hiv-2 Screen | $64 | — | — | — | 0 |
| 0271 - MEDICAL/SURGICAL SUPPLIES AND DEVICES, NON-STERILE SUPPLY | CARRIER MESHGRAFT II DERMACARRIER II 1.5:1 PLATEAU GROOVE 8X3IN GRAFT | $62.74 | — | — | — | 0 |
| 0771 - VACCINE ADMINISTRATION | Admin Vaccine Pneumonia | $40 | — | — | — | 0 |
| 0120 - ROOM AND BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) | Accommodation Semi Private, Zero Charge | $1 | — | — | — | 0 |
| 0420 - PHYSICAL THERAPY, GENERAL | Mobility Current Status | $1 | — | — | — | 0 |
| 0440 - SPEECH/LANGUAGE PATHOLOGY, GENERAL | Swallow Current Status | $1 | — | — | — | 0 |
| 0359 - COMPUTED TOMOGRAPHIC SCAN, OTHER | Clinical Decision Support Mechanism Evicore | $0.01 | — | — | — | 0 |
| 0349 - NUCLEAR MEDICINE, OTHER | Clinical Decision Support Mechanism Medcurrent | $0.01 | — | — | — | 0 |
| 0619 - MAGNETIC RESONANCE IMAGING, OTHER | Clinical Decision Support Mechanism Medcurrent | $0.01 | — | — | — | 0 |
| 0404 - POSITRON EMISSION TOMOGRAPHY ( | Clinical Decision Support Mechanism National Decision Support Company | $0.01 | — | — | — | 0 |
Showing top 50 of 66 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.