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
56
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
200
—
RNB- INTENSIVE CARE - PER DIEM
Gross
$3,750
214
—
RNB-TELEMETRY - PER DIEM
Gross
$3,450
121
—
RNB- MED SURG - PER DIEM
Gross
$3,150
352
—
CT LOW EXTREM W/CONT, LT
Gross
$2,580
610
—
MRA Head W/O Contrast
Gross
$2,182
384
—
BB PLATELET PHERESIS LEUKO RED
Gross
$2,106
730
—
Echo 2D W/Spec/Color Compl
Gross
$1,924
350
—
CT Abd & Pelvis W/O Contrast
Gross
$1,790
341
—
Nm Acute Gi Blood Loss
Gross
$1,738
801
—
Hemodialysis Treatment
Gross
$1,598
750
—
ENDOSCOPY W/PLACEMENT OF J-TUB
Gross
$1,461
410
—
Ventilator Each Subsequent Day
Gross
$1,200
386
—
COVID-19 Convalescent Plasma
Gross
$1,164
125
—
RNB- HOSPICE - PER DIEM
Gross
$1,000
710
—
Recovery Room (Bronchoscopy)
Gross
$962
381
—
BB RBC WASHED
Gross
$833
330
—
Chemotherapy Infusion 1St Hr
Gross
$550
255
—
MRI Brain W W/O Contrast
Gross
$411
320
—
XR Ankle Bilateral
Gross
$384
440
—
WRIST HAND FINGER ORTHOSIS
Gross
$317
760
—
WOUND VAC ATS
Gross
$300
278
—
CVC LINE DOUBLE LUMEN
Gross
$296
362
—
RESTOCKING CART-24X21X40 W/20X
Gross
$289
370
—
ANES GENERAL LEVEL I 1ST 30MIN
Gross
$270
434
—
OT Eval Mod Complexity 15 Min
Gross
$224
424
—
PT Eval High Complexity 45 Min
Gross
$220
324
—
Radiologic Exam Chest 4+ Views
Gross
$205
390
—
BB FRESH FROZEN PLASMA
Gross
$200
305
—
BB ABSORPTION
Gross
$195
300
—
BB BLOOD TYPE ANTIGEN DONOR EA
Gross
$161
302
—
Coombs Indirect Toter Ea Ab
Gross
$154
340
—
Dx Tc99M Maa, Psd/To 10Mci
Gross
$153
731
—
HOLTER MONITOR DR VIEW REPORT
Gross
$142
480
—
DOPPLER COLOR FLOW VELOCITY MA
Gross
$140
409
—
DOPPLER EXTREMITY VEINS BILATE
Gross
$120
771
—
COVID-19Vaccine Administration
Gross
$120
391
—
BB PLATELETS EACH UNIT
Gross
$112
307
—
Culture Fungi Mold
Gross
$105
460
—
Pulmonary Function Test
Gross
$93
329
—
Radiologic Examination Osseous
Gross
$89
360
—
BB ANTIGEN-UNIT RH POS 3 ADDTL
Gross
$80
402
—
PACEMAKER CHECK INTERNAL SINGL
Gross
$80
301
—
Albumin (Urine/Other Source)
Gross
$74
380
—
BB CRYOPRECIPITATE
Gross
$68
310
—
Culture Bacterial
Gross
$66.87
420
—
OT ELECTRICAL STIMULATION UNAT
Gross
$60
290
—
HEPA MACHINE DAILY
Gross
$50
270
—
AQUACEL AG EXTRA 4X5
Gross
$38
279
—
GLUCERNA VANILLA 8OZ. BTL
Gross
$35.88
940
—
NUTRITIONAL SVCS/SUBSEQ EVAL/1
Gross
$30
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 200 | RNB- INTENSIVE CARE - PER DIEM | $3,750 | — | $1,450 | $1,750 | 0 |
| 214 | RNB-TELEMETRY - PER DIEM | $3,450 | — | $1,200 | $1,650 | 0 |
| 121 | RNB- MED SURG - PER DIEM | $3,150 | — | $1,200 | $1,400 | 0 |
| 352 | CT LOW EXTREM W/CONT, LT | $2,580 | — | — | — | 0 |
| 610 | MRA Head W/O Contrast | $2,182 | — | — | — | 0 |
| 384 | BB PLATELET PHERESIS LEUKO RED | $2,106 | — | — | — | 0 |
| 730 | Echo 2D W/Spec/Color Compl | $1,924 | — | — | — | 0 |
| 350 | CT Abd & Pelvis W/O Contrast | $1,790 | — | — | — | 0 |
| 341 | Nm Acute Gi Blood Loss | $1,738 | — | — | — | 0 |
| 801 | Hemodialysis Treatment | $1,598 | — | — | — | 0 |
| 750 | ENDOSCOPY W/PLACEMENT OF J-TUB | $1,461 | — | — | — | 0 |
| 410 | Ventilator Each Subsequent Day | $1,200 | — | — | — | 0 |
| 386 | COVID-19 Convalescent Plasma | $1,164 | — | — | — | 0 |
| 125 | RNB- HOSPICE - PER DIEM | $1,000 | — | $500 | $500 | 0 |
| 710 | Recovery Room (Bronchoscopy) | $962 | — | — | — | 0 |
| 381 | BB RBC WASHED | $833 | — | — | — | 0 |
| 330 | Chemotherapy Infusion 1St Hr | $550 | — | — | — | 0 |
| 255 | MRI Brain W W/O Contrast | $411 | — | — | — | 0 |
| 320 | XR Ankle Bilateral | $384 | — | — | — | 0 |
| 440 | WRIST HAND FINGER ORTHOSIS | $317 | — | — | — | 0 |
| 760 | WOUND VAC ATS | $300 | — | — | — | 0 |
| 278 | CVC LINE DOUBLE LUMEN | $296 | — | — | — | 0 |
| 362 | RESTOCKING CART-24X21X40 W/20X | $289 | — | — | — | 0 |
| 370 | ANES GENERAL LEVEL I 1ST 30MIN | $270 | — | — | — | 0 |
| 434 | OT Eval Mod Complexity 15 Min | $224 | — | — | — | 0 |
| 424 | PT Eval High Complexity 45 Min | $220 | — | — | — | 0 |
| 324 | Radiologic Exam Chest 4+ Views | $205 | — | — | — | 0 |
| 390 | BB FRESH FROZEN PLASMA | $200 | — | — | — | 0 |
| 305 | BB ABSORPTION | $195 | — | — | — | 0 |
| 300 | BB BLOOD TYPE ANTIGEN DONOR EA | $161 | — | — | — | 0 |
| 302 | Coombs Indirect Toter Ea Ab | $154 | — | — | — | 0 |
| 340 | Dx Tc99M Maa, Psd/To 10Mci | $153 | — | — | — | 0 |
| 731 | HOLTER MONITOR DR VIEW REPORT | $142 | — | — | — | 0 |
| 480 | DOPPLER COLOR FLOW VELOCITY MA | $140 | — | — | — | 0 |
| 409 | DOPPLER EXTREMITY VEINS BILATE | $120 | — | — | — | 0 |
| 771 | COVID-19Vaccine Administration | $120 | — | — | — | 0 |
| 391 | BB PLATELETS EACH UNIT | $112 | — | — | — | 0 |
| 307 | Culture Fungi Mold | $105 | — | — | — | 0 |
| 460 | Pulmonary Function Test | $93 | — | — | — | 0 |
| 329 | Radiologic Examination Osseous | $89 | — | — | — | 0 |
| 360 | BB ANTIGEN-UNIT RH POS 3 ADDTL | $80 | — | — | — | 0 |
| 402 | PACEMAKER CHECK INTERNAL SINGL | $80 | — | — | — | 0 |
| 301 | Albumin (Urine/Other Source) | $74 | — | — | — | 0 |
| 380 | BB CRYOPRECIPITATE | $68 | — | — | — | 0 |
| 310 | Culture Bacterial | $66.87 | — | — | — | 0 |
| 420 | OT ELECTRICAL STIMULATION UNAT | $60 | — | — | — | 0 |
| 290 | HEPA MACHINE DAILY | $50 | — | — | — | 0 |
| 270 | AQUACEL AG EXTRA 4X5 | $38 | — | — | — | 0 |
| 279 | GLUCERNA VANILLA 8OZ. BTL | $35.88 | — | — | — | 0 |
| 940 | NUTRITIONAL SVCS/SUBSEQ EVAL/1 | $30 | — | — | — | 0 |
Showing top 50 of 56 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.