45 CFR § 180 compliance
D · 65
This hospital published part 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
6,222
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4100048
$12,328
BED SYSTEM ENVISION ON VERSA
Gross
$12,328
3001960
$8,888
INJECTION, MEPOLIZUMAB, 1 MG
Gross
$8,888
3009070
$6,423
UNCLASSIFIED DRUGS
Gross
$6,423
4009004
$3,535
SCOPE RHINOLARYNGO DISPO
Gross
$3,535
8094013
$3,511
36H21-42/30M
Gross
$3,511
4004218
$3,456
CATHETER GROSHONG SNG LUMEN 4F
Gross
$3,456
100017
$3,434
VENT ROOM AND BOARD
Gross
$3,434
100015
$3,284
TRACH ROOM AND BOARD
Gross
$3,284
8094012
$3,037
30H/31-36H/30M
Gross
$3,037
100013
$2,987
SEMI/PRIVATE ROOM AND BOARD
Gross
$2,987
1101222
$2,669
CHROMOSOME MICROARRAY
Gross
$2,669
8094011
$2,560
24H/31M-30H/30M
Gross
$2,560
100016
$2,366
VENT ROOM W/NURSING LEVEL OF C
Gross
$2,366
100014
$2,149
TRACH ROOM WITH NURSING LEVEL
Gross
$2,149
8094010
$2,084
21H/31M-24H/30M
Gross
$2,084
0100012
$1,974
SEMI/PRIVATE W/NURSING LEVEL
Gross
$1,974
8094009
$1,905
18H/31M-21H/30M
Gross
$1,905
799471
$1,853
CRITICAL CARE, INIT 29D-24MOS
Gross
$1,853
4001142
$1,851
POSITIONER NEO FULL BODY W/COV
Gross
$1,851
9999999
$1,806
PHARMACY MISC CHARGE
Gross
$1,806
8094008
$1,730
15H/31M-18H/30M
Gross
$1,730
8094007
$1,548
12H/31M-15H/30M
Gross
$1,548
7500148
$1,443
INCISION & DRAINAGE, MULTIPLE
Gross
$1,443
7000075
$1,337
DCFS P/EV 6-12
Gross
$1,337
7000076
$1,337
DCFS P/EV 13-17
Gross
$1,337
1001203
$1,320
RESPIRATORY VIRUS, AMP PROB 12
Gross
$1,320
7003057
$1,308
DCFS P/EV 6-12
Gross
$1,308
5510002
$1,275
BRONCHOSCOPY FIBEROPTICS
Gross
$1,275
8094006
$1,254
9H/31M-12H/30M
Gross
$1,254
5000014
$1,244
VENTILATOR/BIPAP/INITIAL DAY
Gross
$1,244
5510001
$1,204
LARYNGOSCOPY FIBEROPT
Gross
$1,204
7600116
$1,204
INCISION & DRAINAGE OF ABCESS/
Gross
$1,204
7600128
$1,204
DERMABOND SUTURE APPLICATION
Gross
$1,204
4003189
$1,145
TRACH CUSTOMIZED
Gross
$1,145
4003251
$1,141
TRACH CUSTOM BIVONA 3.5ID
Gross
$1,141
5094668
$1,113
VENTILATOR/BIPAP SUBSEQUENT
Gross
$1,113
4007325
$1,100
VEST SLOTTED WRAP SPU SML
Gross
$1,100
4007328
$1,100
VEST SLOTTED WRAP SPU XL
Gross
$1,100
4007324
$1,089
VEST SLOTTED WRAP SPU XSML
Gross
$1,089
4007326
$1,089
VEST SLOTTED WRAP SPU MED
Gross
$1,089
4006039
$1,084
SLING MAXI MOVE DISP MEDIUM
Gross
$1,084
4006041
$1,084
SLING MAXI MOVE DISP XLARGE
Gross
$1,084
4002107
$1,080
DRESSING FOAM WHITE SMALL
Gross
$1,080
4003195
$1,079
TRACH CUSTOM 7.5
Gross
$1,079
4006040
$1,077
SLING MAXI MOVE DISP LARGE
Gross
$1,077
4003258
$1,076
TRACH BIVONA 3.5 PED CUSTOM
Gross
$1,076
4003266
$1,076
TRACH BIVONA 5.0 PED FLEX
Gross
$1,076
4003268
$1,076
TRACH BIVONA 5.5 CUSTOM
Gross
$1,076
4003277
$1,076
TRACH BIVONA CUSTOM 3.0 L 50
Gross
$1,076
4003294
$1,044
TRACH BIVONA CUSTOM 5.5 70CM
Gross
$1,044
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4100048 | BED SYSTEM ENVISION ON VERSA | $12,328 | $12,328 | — | — | 0 |
| 3001960 | INJECTION, MEPOLIZUMAB, 1 MG | $8,888 | $8,888 | — | — | 0 |
| 3009070 | UNCLASSIFIED DRUGS | $6,423 | $6,423 | — | — | 0 |
| 4009004 | SCOPE RHINOLARYNGO DISPO | $3,535 | $3,535 | — | — | 0 |
| 8094013 | 36H21-42/30M | $3,511 | $3,511 | — | — | 0 |
| 4004218 | CATHETER GROSHONG SNG LUMEN 4F | $3,456 | $3,456 | — | — | 0 |
| 100017 | VENT ROOM AND BOARD | $3,434 | $3,434 | — | — | 0 |
| 100015 | TRACH ROOM AND BOARD | $3,284 | $3,284 | — | — | 0 |
| 8094012 | 30H/31-36H/30M | $3,037 | $3,037 | — | — | 0 |
| 100013 | SEMI/PRIVATE ROOM AND BOARD | $2,987 | $2,987 | — | — | 0 |
| 1101222 | CHROMOSOME MICROARRAY | $2,669 | $2,669 | — | — | 0 |
| 8094011 | 24H/31M-30H/30M | $2,560 | $2,560 | — | — | 0 |
| 100016 | VENT ROOM W/NURSING LEVEL OF C | $2,366 | $2,366 | — | — | 0 |
| 100014 | TRACH ROOM WITH NURSING LEVEL | $2,149 | $2,149 | — | — | 0 |
| 8094010 | 21H/31M-24H/30M | $2,084 | $2,084 | — | — | 0 |
| 0100012 | SEMI/PRIVATE W/NURSING LEVEL | $1,974 | $1,974 | — | — | 0 |
| 8094009 | 18H/31M-21H/30M | $1,905 | $1,905 | — | — | 0 |
| 799471 | CRITICAL CARE, INIT 29D-24MOS | $1,853 | $1,853 | — | — | 0 |
| 4001142 | POSITIONER NEO FULL BODY W/COV | $1,851 | $1,851 | — | — | 0 |
| 9999999 | PHARMACY MISC CHARGE | $1,806 | $1,806 | — | — | 0 |
| 8094008 | 15H/31M-18H/30M | $1,730 | $1,730 | — | — | 0 |
| 8094007 | 12H/31M-15H/30M | $1,548 | $1,548 | — | — | 0 |
| 7500148 | INCISION & DRAINAGE, MULTIPLE | $1,443 | $1,443 | — | — | 0 |
| 7000075 | DCFS P/EV 6-12 | $1,337 | $1,337 | — | — | 0 |
| 7000076 | DCFS P/EV 13-17 | $1,337 | $1,337 | — | — | 0 |
| 1001203 | RESPIRATORY VIRUS, AMP PROB 12 | $1,320 | $1,320 | — | — | 0 |
| 7003057 | DCFS P/EV 6-12 | $1,308 | $1,308 | — | — | 0 |
| 5510002 | BRONCHOSCOPY FIBEROPTICS | $1,275 | $1,275 | — | — | 0 |
| 8094006 | 9H/31M-12H/30M | $1,254 | $1,254 | — | — | 0 |
| 5000014 | VENTILATOR/BIPAP/INITIAL DAY | $1,244 | $1,244 | — | — | 0 |
| 5510001 | LARYNGOSCOPY FIBEROPT | $1,204 | $1,204 | — | — | 0 |
| 7600116 | INCISION & DRAINAGE OF ABCESS/ | $1,204 | $1,204 | — | — | 0 |
| 7600128 | DERMABOND SUTURE APPLICATION | $1,204 | $1,204 | — | — | 0 |
| 4003189 | TRACH CUSTOMIZED | $1,145 | $1,145 | — | — | 0 |
| 4003251 | TRACH CUSTOM BIVONA 3.5ID | $1,141 | $1,141 | — | — | 0 |
| 5094668 | VENTILATOR/BIPAP SUBSEQUENT | $1,113 | $1,113 | — | — | 0 |
| 4007325 | VEST SLOTTED WRAP SPU SML | $1,100 | $1,100 | — | — | 0 |
| 4007328 | VEST SLOTTED WRAP SPU XL | $1,100 | $1,100 | — | — | 0 |
| 4007324 | VEST SLOTTED WRAP SPU XSML | $1,089 | $1,089 | — | — | 0 |
| 4007326 | VEST SLOTTED WRAP SPU MED | $1,089 | $1,089 | — | — | 0 |
| 4006039 | SLING MAXI MOVE DISP MEDIUM | $1,084 | $1,084 | — | — | 0 |
| 4006041 | SLING MAXI MOVE DISP XLARGE | $1,084 | $1,084 | — | — | 0 |
| 4002107 | DRESSING FOAM WHITE SMALL | $1,080 | $1,080 | — | — | 0 |
| 4003195 | TRACH CUSTOM 7.5 | $1,079 | $1,079 | — | — | 0 |
| 4006040 | SLING MAXI MOVE DISP LARGE | $1,077 | $1,077 | — | — | 0 |
| 4003258 | TRACH BIVONA 3.5 PED CUSTOM | $1,076 | $1,076 | — | — | 0 |
| 4003266 | TRACH BIVONA 5.0 PED FLEX | $1,076 | $1,076 | — | — | 0 |
| 4003268 | TRACH BIVONA 5.5 CUSTOM | $1,076 | $1,076 | — | — | 0 |
| 4003277 | TRACH BIVONA CUSTOM 3.0 L 50 | $1,076 | $1,076 | — | — | 0 |
| 4003294 | TRACH BIVONA CUSTOM 5.5 70CM | $1,044 | $1,044 | — | — | 0 |
Showing top 50 of 6,222 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.