45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
112
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
220
$99,999
OUT SERVICE/TRANSPORT WC
Gross
$99,999
790
$14,623
LITHOTRIPSY UNILATERAL
Gross
$14,623
206
$3,150
ROOM & BOARD HIGH OBSERVATION
Gross
$3,150
200
$3,150
ROOM & BOARD INTENSIVE CARE
Gross
$3,150
321
$2,639
CTA ABDOMINAL AORTA W/RUNOFF
Gross
$2,639
202
$2,625
R&B ICU MEDICAL
Gross
$2,625
820
$2,475
INP HEMODIALYSIS 1 EVAL
Gross
$2,475
481
$2,341
CARDIAC CATH LAB ROOM SETUP
Gross
$2,341
636
$2,191
APLIGRAF
Gross
$2,191
612
$2,169
CT Cervical Spine w/ Contrast
Gross
$2,169
164
$2,100
ROOM & BOARD ISOLATION
Gross
$2,100
160
$2,100
ROOM & BOARD TELEMETRY
Gross
$2,100
618
$1,950
MRA ABD WO/W CONTRAST
Gross
$1,950
614
$1,895
HIP, LEFT
Gross
$1,895
615
$1,826
MRA HEAD W/O CONTRAST
Gross
$1,826
801
$1,817
HEMODIALYSIS
Gross
$1,817
110
$1,812
ROOM & BOARD PRIVATE
Gross
$1,812
111
$1,812
ROOM & BOARD PRIVATE MED/SURG
Gross
$1,812
802
$1,786
INP PERITONEAL DIALYSIS
Gross
$1,786
610
$1,734
CARDIAC FOR MORPHOLOGY W/O CON
Gross
$1,734
483
$1,694
ECHO 2D W/SPEC/COLOR COMPLETE
Gross
$1,694
351
$1,580
CT MASTOIDS W/CONTRAST
Gross
$1,580
128
$1,575
ROOM & BOARD REHAB
Gross
$1,575
120
$1,575
ROOM & BOARD SEMI PRIVATE
Gross
$1,575
831
$1,511
IP DIALYSIS PERITONEAL REPEAT
Gross
$1,511
190
$1,470
ROOM & BOARD SUB ACUTE
Gross
$1,470
320
$1,461
AORTA CATH PLACEMENT
Gross
$1,461
278
$1,456
CATH DIALYSIS
Gross
$1,456
616
$1,400
MRA Lower Ext w/wo Contrast
Gross
$1,400
350
$1,364
CT Abd & Pelvis w/ Contrast
Gross
$1,364
940
$1,350
AUTOL PRP FOR WOUND/ULCER
Gross
$1,350
611
$1,153
INTRACRANIAL VESSELS W/O CONT
Gross
$1,153
340
$1,041
ABCESS IMAGING WHOLE BODY
Gross
$1,041
341
$1,041
INDIUM ABSCESS WHOLE BODY
Gross
$1,041
901
$1,020
ELECTROCONVULSIVE THERAPY
Gross
$1,020
460
$1,005
OUTSIDE SRV PULMONARY FUNCTION
Gross
$1,005
360
$958
ACCESS AV DIAL GRFT FOR EVAL
Gross
$958
710
$720
PACU 1ST HR
Gross
$720
482
$715
ECHO STRESS TEST
Gross
$715
370
$667
ANES GENERAL 1ST HR
Gross
$667
920
$591
Arterial Ultrasound, Upper Ext
Gross
$591
471
$549
AUDITORY EVOKE POTENT
Gross
$549
542
$476
AMBULANCE ALS 1
Gross
$476
470
$460
ST MOTION FLURO SWALLOW
Gross
$460
750
$430
ANORECTAL MANOMETRY
Gross
$430
761
$426
DEBRIDE MUSC/FASCIA 20SQCM/<
Gross
$426
921
$414
DUPLEX VENOUS EXTREM UNILATERL
Gross
$414
260
$395
HYDRATION IV INF 31MIN-1HR
Gross
$395
740
$393
CEREBRAL DEATH EEG
Gross
$393
912
$380
ADHC REGULAR DAY
Gross
$380
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 220 | OUT SERVICE/TRANSPORT WC | $99,999 | $99,999 | — | — | 0 |
| 790 | LITHOTRIPSY UNILATERAL | $14,623 | $14,623 | — | — | 0 |
| 206 | ROOM & BOARD HIGH OBSERVATION | $3,150 | $3,150 | — | — | 0 |
| 200 | ROOM & BOARD INTENSIVE CARE | $3,150 | $3,150 | — | — | 0 |
| 321 | CTA ABDOMINAL AORTA W/RUNOFF | $2,639 | $2,639 | — | — | 0 |
| 202 | R&B ICU MEDICAL | $2,625 | $2,625 | — | — | 0 |
| 820 | INP HEMODIALYSIS 1 EVAL | $2,475 | $2,475 | — | — | 0 |
| 481 | CARDIAC CATH LAB ROOM SETUP | $2,341 | $2,341 | — | — | 0 |
| 636 | APLIGRAF | $2,191 | $2,191 | — | — | 0 |
| 612 | CT Cervical Spine w/ Contrast | $2,169 | $2,169 | — | — | 0 |
| 164 | ROOM & BOARD ISOLATION | $2,100 | $2,100 | $2,100 | $2,100 | 0 |
| 160 | ROOM & BOARD TELEMETRY | $2,100 | $2,100 | — | — | 0 |
| 618 | MRA ABD WO/W CONTRAST | $1,950 | $1,950 | — | — | 0 |
| 614 | HIP, LEFT | $1,895 | $1,895 | — | — | 0 |
| 615 | MRA HEAD W/O CONTRAST | $1,826 | $1,826 | — | — | 0 |
| 801 | HEMODIALYSIS | $1,817 | $1,817 | $1,817 | $1,817 | 0 |
| 110 | ROOM & BOARD PRIVATE | $1,812 | $1,812 | $1,812 | $1,812 | 0 |
| 111 | ROOM & BOARD PRIVATE MED/SURG | $1,812 | $1,812 | — | — | 0 |
| 802 | INP PERITONEAL DIALYSIS | $1,786 | $1,786 | — | — | 0 |
| 610 | CARDIAC FOR MORPHOLOGY W/O CON | $1,734 | $1,734 | — | — | 0 |
| 483 | ECHO 2D W/SPEC/COLOR COMPLETE | $1,694 | $1,694 | — | — | 0 |
| 351 | CT MASTOIDS W/CONTRAST | $1,580 | $1,580 | — | — | 0 |
| 128 | ROOM & BOARD REHAB | $1,575 | $1,575 | — | — | 0 |
| 120 | ROOM & BOARD SEMI PRIVATE | $1,575 | $1,575 | — | — | 0 |
| 831 | IP DIALYSIS PERITONEAL REPEAT | $1,511 | $1,511 | — | — | 0 |
| 190 | ROOM & BOARD SUB ACUTE | $1,470 | $1,470 | — | — | 0 |
| 320 | AORTA CATH PLACEMENT | $1,461 | $1,461 | — | — | 0 |
| 278 | CATH DIALYSIS | $1,456 | $1,456 | — | — | 0 |
| 616 | MRA Lower Ext w/wo Contrast | $1,400 | $1,400 | — | — | 0 |
| 350 | CT Abd & Pelvis w/ Contrast | $1,364 | $1,364 | — | — | 0 |
| 940 | AUTOL PRP FOR WOUND/ULCER | $1,350 | $1,350 | — | — | 0 |
| 611 | INTRACRANIAL VESSELS W/O CONT | $1,153 | $1,153 | — | — | 0 |
| 340 | ABCESS IMAGING WHOLE BODY | $1,041 | $1,041 | — | — | 0 |
| 341 | INDIUM ABSCESS WHOLE BODY | $1,041 | $1,041 | — | — | 0 |
| 901 | ELECTROCONVULSIVE THERAPY | $1,020 | $1,020 | — | — | 0 |
| 460 | OUTSIDE SRV PULMONARY FUNCTION | $1,005 | $1,005 | — | — | 0 |
| 360 | ACCESS AV DIAL GRFT FOR EVAL | $958 | $958 | — | — | 0 |
| 710 | PACU 1ST HR | $720 | $720 | — | — | 0 |
| 482 | ECHO STRESS TEST | $715 | $715 | — | — | 0 |
| 370 | ANES GENERAL 1ST HR | $667 | $667 | — | — | 0 |
| 920 | Arterial Ultrasound, Upper Ext | $591 | $591 | $591 | $591 | 0 |
| 471 | AUDITORY EVOKE POTENT | $549 | $549 | — | — | 0 |
| 542 | AMBULANCE ALS 1 | $476 | $476 | — | — | 0 |
| 470 | ST MOTION FLURO SWALLOW | $460 | $460 | — | — | 0 |
| 750 | ANORECTAL MANOMETRY | $430 | $430 | — | — | 0 |
| 761 | DEBRIDE MUSC/FASCIA 20SQCM/< | $426 | $426 | $385 | $385 | 0 |
| 921 | DUPLEX VENOUS EXTREM UNILATERL | $414 | $414 | — | — | 0 |
| 260 | HYDRATION IV INF 31MIN-1HR | $395 | $395 | — | — | 0 |
| 740 | CEREBRAL DEATH EEG | $393 | $393 | — | — | 0 |
| 912 | ADHC REGULAR DAY | $380 | $380 | — | — | 0 |
Showing top 50 of 112 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.