45 CFR § 180 compliance
F · 55
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
115
Insurances with rates
17
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
480
$2,407
US ECHO 2D COLOR FLOW DOPPLER
Gross
$2,407
444
$1,650
ST SPEECH EVAL
Gross
$1,650
121
$1,500
Rehab Room an Board
Gross
$1,500
424
$1,382
PT EVALUATION
Gross
$1,382
350
$1,238
CT HIP WO LEFT
Gross
$1,238
410
$1,100
CPAP-INITIAL
Gross
$1,100
434
$988
OT WHEELCHAIR EVAL
Gross
$988
270
$880
PT DELUXE HINGE KNEE WRAP
Gross
$880
128
$800
Telemetry Room and Board
Gross
$800
921
$702
US ARTERIAL DOPPLER LEFT LOWER EXT
Gross
$702
120
$600
Semi-private Room and Board
Gross
$600
300
$569
ANTIGLYCAN ANTIBODY FUNGUS
Gross
$569
440
$560
ST COGN/ATIVE EVAL
Gross
$560
385
$525
BB LEUKOPOOR BLOOD PROCESSING
Gross
$525
429
$493
PT FOOT CRADLE PER DAY
Gross
$493
521
$472
CLINIC NEW PATIENT/ MINIMAL VISIT
Gross
$472
402
$440
US SUPERFICIAL EXTREMITY LEFT
Gross
$440
260
$390
INFUSION THERAPY FIRST HOUR
Gross
$390
391
$300
BB BLOOD TRANSFUSION SERVICE
Gross
$300
320
$298
XR CLAVICAL LEFT
Gross
$298
460
$273
PULMON/ARY FUNCTION
Gross
$273
278
$225
PICC LINE EVAL
Gross
$225
431
$220
OT APP OF MULTI-LAY COMP THIGH/LEG
Gross
$220
324
$218
XR CHEST 2 VIEWS
Gross
$218
730
$198
ELECTROCARDIOGRAM TRACING
Gross
$198
361
$192
BB RED BLOOD CELLS EACH UNIT
Gross
$192
420
$164
PT ORTHOTIC FITTING/TRAINING
Gross
$164
940
$162
PHLEBOTOMY THERAPEUTIC PROCED
Gross
$162
987
$149
PHYSICIAN ROUND/HISTORY & PHYSICAL-LOW
Gross
$149
421
$135
PT - TX SET-UP
Gross
$135
410
$124
CPT SUBSEQUENT
Gross
$124
731
$124
HOLTER MONITOR HOOKUP
Gross
$124
430
$119
OT SPLINT ADD'L 15 MIN
Gross
$119
301
$103
URINE DRUG SCREEN
Gross
$103
306
$99
SMEAR GRAM STAIN
Gross
$99
460
$91
OXYGEN READING SPO2
Gross
$91
279
$89
PT K MODULE
Gross
$89
261
$86.13
PCA PUMP
Gross
$86.13
432
$83
OT MANUAL LYMPHATIC DRAIN/AGE-15 MIN
Gross
$83
920
$83
ARTERIAL PUCTURE W/D BLOOD
Gross
$83
439
$76
OT OTHER
Gross
$76
636
$70.2
*Influenza Vaccine Type A&B Trivalent
Gross
$70.2
259
$64.09
Al sulfate/Ca acetate (Domeboro) pkt
Gross
$64.09
309
$56
CRYSTAL EXAM BODY FLUID
Gross
$56
302
$55
BLOOD TYPING ABO
Gross
$55
271
$53
PT HOYER LIFT
Gross
$53
307
$51
URINE PREGN/ANCY TEST
Gross
$51
271
$40.95
KETOROLAC (TORADOL) INJ 30 MG/ML
Gross
$40.95
310
$36
CULTURE CATH TIP
Gross
$36
258
$33.93
Calcium CHLORIDE 10% PFS 1000mg/10mL
Gross
$33.93
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 480 | US ECHO 2D COLOR FLOW DOPPLER | $2,407 | $2,407 | — | — | 20 |
| 444 | ST SPEECH EVAL | $1,650 | $1,650 | — | — | 14 |
| 121 | Rehab Room an Board | $1,500 | $1,500 | — | — | 8 |
| 424 | PT EVALUATION | $1,382 | $1,382 | — | — | 14 |
| 350 | CT HIP WO LEFT | $1,238 | $1,238 | — | — | 20 |
| 410 | CPAP-INITIAL | $1,100 | $1,100 | — | — | 20 |
| 434 | OT WHEELCHAIR EVAL | $988 | $988 | — | — | 14 |
| 270 | PT DELUXE HINGE KNEE WRAP | $880 | $880 | — | — | 14 |
| 128 | Telemetry Room and Board | $800 | $800 | — | — | 8 |
| 921 | US ARTERIAL DOPPLER LEFT LOWER EXT | $702 | $702 | — | — | 20 |
| 120 | Semi-private Room and Board | $600 | $600 | — | — | 8 |
| 300 | ANTIGLYCAN ANTIBODY FUNGUS | $569 | $569 | — | — | 20 |
| 440 | ST COGN/ATIVE EVAL | $560 | $560 | — | — | 14 |
| 385 | BB LEUKOPOOR BLOOD PROCESSING | $525 | $525 | — | — | 20 |
| 429 | PT FOOT CRADLE PER DAY | $493 | $493 | — | — | 14 |
| 521 | CLINIC NEW PATIENT/ MINIMAL VISIT | $472 | $472 | — | — | 20 |
| 402 | US SUPERFICIAL EXTREMITY LEFT | $440 | $440 | — | — | 20 |
| 260 | INFUSION THERAPY FIRST HOUR | $390 | $390 | — | — | 20 |
| 391 | BB BLOOD TRANSFUSION SERVICE | $300 | $300 | — | — | 20 |
| 320 | XR CLAVICAL LEFT | $298 | $298 | — | — | 20 |
| 460 | PULMON/ARY FUNCTION | $273 | $273 | — | — | 20 |
| 278 | PICC LINE EVAL | $225 | $225 | — | — | 14 |
| 431 | OT APP OF MULTI-LAY COMP THIGH/LEG | $220 | $220 | — | — | 14 |
| 324 | XR CHEST 2 VIEWS | $218 | $218 | — | — | 20 |
| 730 | ELECTROCARDIOGRAM TRACING | $198 | $198 | — | — | 20 |
| 361 | BB RED BLOOD CELLS EACH UNIT | $192 | $192 | — | — | 12 |
| 420 | PT ORTHOTIC FITTING/TRAINING | $164 | $164 | — | — | 14 |
| 940 | PHLEBOTOMY THERAPEUTIC PROCED | $162 | $162 | — | — | 20 |
| 987 | PHYSICIAN ROUND/HISTORY & PHYSICAL-LOW | $149 | $149 | — | — | 20 |
| 421 | PT - TX SET-UP | $135 | $135 | — | — | 14 |
| 410 | CPT SUBSEQUENT | $124 | $124 | — | — | 11 |
| 731 | HOLTER MONITOR HOOKUP | $124 | $124 | — | — | 20 |
| 430 | OT SPLINT ADD'L 15 MIN | $119 | $119 | — | — | 14 |
| 301 | URINE DRUG SCREEN | $103 | $103 | — | — | 20 |
| 306 | SMEAR GRAM STAIN | $99 | $99 | — | — | 20 |
| 460 | OXYGEN READING SPO2 | $91 | $91 | — | — | 12 |
| 279 | PT K MODULE | $89 | $89 | — | — | 14 |
| 261 | PCA PUMP | $86.13 | $86.13 | — | — | 12 |
| 432 | OT MANUAL LYMPHATIC DRAIN/AGE-15 MIN | $83 | $83 | — | — | 14 |
| 920 | ARTERIAL PUCTURE W/D BLOOD | $83 | $83 | — | — | 9 |
| 439 | OT OTHER | $76 | $76 | — | — | 14 |
| 636 | *Influenza Vaccine Type A&B Trivalent | $70.2 | $70.2 | — | — | 12 |
| 259 | Al sulfate/Ca acetate (Domeboro) pkt | $64.09 | $64.09 | — | — | 12 |
| 309 | CRYSTAL EXAM BODY FLUID | $56 | $56 | — | — | 20 |
| 302 | BLOOD TYPING ABO | $55 | $55 | — | — | 20 |
| 271 | PT HOYER LIFT | $53 | $53 | — | — | 14 |
| 307 | URINE PREGN/ANCY TEST | $51 | $51 | — | — | 20 |
| 271 | KETOROLAC (TORADOL) INJ 30 MG/ML | $40.95 | $40.95 | — | — | 12 |
| 310 | CULTURE CATH TIP | $36 | $36 | — | — | 20 |
| 258 | Calcium CHLORIDE 10% PFS 1000mg/10mL | $33.93 | $33.93 | — | — | 12 |
Showing top 50 of 115 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.