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
2,360
Insurances with rates
1
CPT / HCPCS codes
2,329
Source MRF
Most expensive procedures (gross)
G0480
$207
L791584 ETOH BIOMRKRS
Gross
—
83586
$98.51
17-KETOSTEROIDS, TOT
Gross
—
88342
$143
1ST SEP ID AB
Gross
—
81329
$411
Q18041 SMA CAR SCN
Gross
—
81420
$1,050
451934 MTNLT21 CRSCA
Gross
—
A6211
$4.49
4X4 AQUACEL FOAM NO ADHESIVE
Gross
—
A6214
$4.87
4X4 AQUACEL FOAM WITH ADHESIVE
Gross
—
85316
$340
SOLUB LIV AG AB(RDL)
Gross
—
83497
$586
Q523 5-HIAA U24 HPLC
Gross
—
84311
$56.24
SPECTROPHOTO, NOS
Gross
—
88189
$216
A3001780 FLWCY 16MRK
Gross
—
J0130
$2,832
ABCIXIMAB 10MG
Gross
—
A6252
$0.19
ABD PADS 5X9
Gross
—
A6253
$0.29
ABD PADS 8X10
Gross
—
82962
$5.26
GLU,HOME USE DIAGNOS
Gross
—
A6449
$0.98
ACE WRAP 4 INCH
Gross
—
A6450
$1.44
ACE WRAP 6 INCH
Gross
—
Q4126
$80.34
ACELL DERM MAT 1SQCM
Gross
—
J0131
$1.8
ACETAMINO 10MG INJ
Gross
—
80143
$112
ACETAMINOPHEN QT
Gross
—
J1120
$185
ACETAZOLAMI 500MGINJ
Gross
—
82009
$207
ACETON-KETON SERM QL
Gross
—
82010
$48.33
ACETON-KETON SERM QT
Gross
—
86043
$33.12
ACTYLC RCPT MODL AB
Gross
—
J0132
$10.66
ACTYLCYSTN INJ 100MG
Gross
—
J0133
$0.62
ACYCLOVIR 5MG INJ
Gross
—
SURG
$743
VENOUS BALLOON ADDITIONAL
Gross
—
J0153
$9.27
ADENOSINE 1MG INJ
Gross
—
C1765
$2,674
ADHESION BARRIER4
Gross
—
0011A
$20.94
ADM COV2 VAC (M) 1ST
Gross
—
0012A
$35.09
ADM COV2 VAC (M) 2ND
Gross
—
0001A
$20.94
ADM COV2 VAC (P) 1ST
Gross
—
0002A
$35.09
ADM COV2 VAC (P) 2ND
Gross
—
M0245
$781
ADM IV INF BAM ETES
Gross
—
M0243
$511
ADM IV INF CASI IMDV
Gross
—
M0247
$781
ADM IV INF SOTROVIM
Gross
—
90471
$63.04
IMM ADM PNEU VACCINE
Gross
—
J0171
$2.4
EPINEPHRINE INJ 30MG/30ML (1 MG/ML)
Gross
—
82024
$200
Q211 ACTH PL IA
Gross
—
99497
$174
ADVANC DIRECTIVE(30MIN OF COUNCILING)
Gross
—
94645
$419
CONT INH TX ED AD HR
Gross
—
94644
$419
CONT INH TX ED 1HR
Gross
—
82106
$424
AFP AMNIOTIC FLD
Gross
—
82105
$685
Q5059 MAT SER AFP IA
Gross
—
82107
$318
Q19529 AFP/L3 LIBASY
Gross
—
87449
$532
Q8856 LEGIO AG U IA
Gross
—
87300
$73.25
AG DETECT POLYVAL IF
Gross
—
87899
$95.17
L183025 CRYPTO AG
Gross
—
C1721
$56,302
AICD DUAL CHAMBER L1
Gross
—
C1882
$59,999
AICD OHR THN SGL/DU1
Gross
—
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| G0480 | L791584 ETOH BIOMRKRS | — | $207 | — | — | 0 |
| 83586 | 17-KETOSTEROIDS, TOT | — | $98.51 | — | — | 0 |
| 88342 | 1ST SEP ID AB | — | $143 | — | — | 0 |
| 81329 | Q18041 SMA CAR SCN | — | $411 | — | — | 0 |
| 81420 | 451934 MTNLT21 CRSCA | — | $1,050 | — | — | 0 |
| A6211 | 4X4 AQUACEL FOAM NO ADHESIVE | — | $4.49 | — | — | 0 |
| A6214 | 4X4 AQUACEL FOAM WITH ADHESIVE | — | $4.87 | — | — | 0 |
| 85316 | SOLUB LIV AG AB(RDL) | — | $340 | — | — | 0 |
| 83497 | Q523 5-HIAA U24 HPLC | — | $586 | — | — | 0 |
| 84311 | SPECTROPHOTO, NOS | — | $56.24 | — | — | 0 |
| 88189 | A3001780 FLWCY 16MRK | — | $216 | — | — | 0 |
| J0130 | ABCIXIMAB 10MG | — | $2,832 | — | — | 0 |
| A6252 | ABD PADS 5X9 | — | $0.19 | — | — | 0 |
| A6253 | ABD PADS 8X10 | — | $0.29 | — | — | 0 |
| 82962 | GLU,HOME USE DIAGNOS | — | $5.26 | — | — | 0 |
| A6449 | ACE WRAP 4 INCH | — | $0.98 | — | — | 0 |
| A6450 | ACE WRAP 6 INCH | — | $1.44 | — | — | 0 |
| Q4126 | ACELL DERM MAT 1SQCM | — | $80.34 | — | — | 0 |
| J0131 | ACETAMINO 10MG INJ | — | $1.8 | — | — | 0 |
| 80143 | ACETAMINOPHEN QT | — | $112 | — | — | 0 |
| J1120 | ACETAZOLAMI 500MGINJ | — | $185 | — | — | 0 |
| 82009 | ACETON-KETON SERM QL | — | $207 | — | — | 0 |
| 82010 | ACETON-KETON SERM QT | — | $48.33 | — | — | 0 |
| 86043 | ACTYLC RCPT MODL AB | — | $33.12 | — | — | 0 |
| J0132 | ACTYLCYSTN INJ 100MG | — | $10.66 | — | — | 0 |
| J0133 | ACYCLOVIR 5MG INJ | — | $0.62 | — | — | 0 |
| SURG | VENOUS BALLOON ADDITIONAL | — | $743 | — | — | 0 |
| J0153 | ADENOSINE 1MG INJ | — | $9.27 | — | — | 0 |
| C1765 | ADHESION BARRIER4 | — | $2,674 | — | — | 0 |
| 0011A | ADM COV2 VAC (M) 1ST | — | $20.94 | — | — | 0 |
| 0012A | ADM COV2 VAC (M) 2ND | — | $35.09 | — | — | 0 |
| 0001A | ADM COV2 VAC (P) 1ST | — | $20.94 | — | — | 0 |
| 0002A | ADM COV2 VAC (P) 2ND | — | $35.09 | — | — | 0 |
| M0245 | ADM IV INF BAM ETES | — | $781 | — | — | 0 |
| M0243 | ADM IV INF CASI IMDV | — | $511 | — | — | 0 |
| M0247 | ADM IV INF SOTROVIM | — | $781 | — | — | 0 |
| 90471 | IMM ADM PNEU VACCINE | — | $63.04 | — | — | 0 |
| J0171 | EPINEPHRINE INJ 30MG/30ML (1 MG/ML) | — | $2.4 | — | — | 0 |
| 82024 | Q211 ACTH PL IA | — | $200 | — | — | 0 |
| 99497 | ADVANC DIRECTIVE(30MIN OF COUNCILING) | — | $174 | — | — | 0 |
| 94645 | CONT INH TX ED AD HR | — | $419 | — | — | 0 |
| 94644 | CONT INH TX ED 1HR | — | $419 | — | — | 0 |
| 82106 | AFP AMNIOTIC FLD | — | $424 | — | — | 0 |
| 82105 | Q5059 MAT SER AFP IA | — | $685 | — | — | 0 |
| 82107 | Q19529 AFP/L3 LIBASY | — | $318 | — | — | 0 |
| 87449 | Q8856 LEGIO AG U IA | — | $532 | — | — | 0 |
| 87300 | AG DETECT POLYVAL IF | — | $73.25 | — | — | 0 |
| 87899 | L183025 CRYPTO AG | — | $95.17 | — | — | 0 |
| C1721 | AICD DUAL CHAMBER L1 | — | $56,302 | — | — | 0 |
| C1882 | AICD OHR THN SGL/DU1 | — | $59,999 | — | — | 0 |
Showing top 50 of 2,360 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.