45 CFR § 180 compliance
C · 70
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
219
Insurances with rates
10
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
0275 - MEDICAL/SURGICAL SUPPLIES AND DEVICES - PACEMAKER
—
CRT ICD GENERATOR
Gross
$150,475
0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT
—
IMPELLA
Gross
$142,756
0636 - PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A)
—
ALTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$77,089
CLOT TRIEVER PANEL
—
CLOT TRIEVER PANEL
Gross
$33,075
HC CARDIOPULMONARY BYPASS PANEL
—
HC CARDIOPULMONARY BYPASS PANEL
Gross
$20,588
0682 - TRAUMA RESPONSE - LEVEL II TRAUMA
—
HC TRAUMA ACTIVATION, PRE, CRITICAL, CAT 1
Gross
$14,333
NM WBC TECHNETIUM & 1AREA 2+DAY PANEL
—
NM WBC TECHNETIUM & 1AREA 2+DAY PANEL
Gross
$10,375
NM WBC TECHNETIUM & 1AREA 1DAY PANEL
—
NM WBC TECHNETIUM & 1AREA 1DAY PANEL
Gross
$9,435
NM WBC INDIUM & 1AREA 2+DAY PANEL
—
NM WBC INDIUM & 1AREA 2+DAY PANEL
Gross
$9,430
NM WBC INDIUM & 1AREA 1DAY PANEL
—
NM WBC INDIUM & 1AREA 1DAY PANEL
Gross
$8,490
EXTERNAL ECG REC >7D<=15D PANEL
—
EXTERNAL ECG REC >7D<=15D PANEL
Gross
$8,362
0174 - NURSERY - NEWBORN - LEVEL IV
—
HC INTENSIVE CARE NURSERY LEVEL 4 ROOM DAILY
Gross
$7,461
0208 - INTENSIVE CARE - TRAUMA
—
HC TRAUMA ICU PRIVATE ROOM DAILY
Gross
$6,995
0410 - RESPIRATORY SERVICES - GENERAL CLASSIFICATION
—
HC VENT IP/OVP MGMT ADULT INIT DAY
Gross
$6,994
0481 - CARDIOLOGY - CARDIAC CATH LAB
—
CL REMOVE PACER LEAD-DUAL
Gross
$6,719
0173 - NURSERY - NEWBORN - LEVEL III
—
HC INTERMEDIATE NURSERY LEVEL 3 ROOM DAILY
Gross
$6,528
0723 - LABOR ROOM/DELIVERY - CIRCUMCISION
—
HC CIRCUMCISION CLAMP DEVICE WO REGIONAL BLOCK
Gross
$6,439
TERUMO TUBING & OXYGENATOR PANEL
—
TERUMO TUBING & OXYGENATOR PANEL
Gross
$6,046
HC TRAUMA ICA PRIVATE ROOM DAILY PANEL
—
HC TRAUMA ICA PRIVATE ROOM DAILY PANEL
Gross
$6,007
HC TRAUMA ICA SEMI-PRIVATE ROOM DAILY PANEL
—
HC TRAUMA ICA SEMI-PRIVATE ROOM DAILY PANEL
Gross
$5,696
0200 - INTENSIVE CARE - GENERAL CLASSIFICATION
—
HC ICU PRIVATE ROOM DAILY
Gross
$5,440
HC IAPB INSERTION/MGMT PANEL
—
HC IAPB INSERTION/MGMT PANEL
Gross
$5,105
HC TRAUMA TEL PRIVATE ROOM DAILY PANEL
—
HC TRAUMA TEL PRIVATE ROOM DAILY PANEL
Gross
$5,074
HC TRAUMA TEL SEMI PRIVATE ROOM DAILY PANEL
—
HC TRAUMA TEL SEMI PRIVATE ROOM DAILY PANEL
Gross
$4,764
HC RENAL BX PATHOLOGY TC PANEL
—
HC RENAL BX PATHOLOGY TC PANEL
Gross
$4,741
0612 - MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE)
—
MRI CERVICAL SPINE W/O CONTRAST
Gross
$4,455
0206 - INTENSIVE CARE - INTERMEDIATE ICU
—
HC ICA SEMI PRIVATE ROOM DAILY
Gross
$4,275
0172 - NURSERY - NEWBORN - LEVEL II
—
HC CONTINUOUS CARE NURSERY LEVEL 2 ROOM DAILY
Gross
$4,198
EXTERNAL ECG REC >48HR<=7D PANEL
—
EXTERNAL ECG REC >48HR<=7D PANEL
Gross
$4,181
0490 - AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION
—
EXT CANNULA DECLOT W/O BAL
Gross
$3,893
0352 - CT SCAN - BODY SCAN
—
CTA CHEST; POSTPROCESS; W OR W/WO
Gross
$3,665
0330 - RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - GENERAL CLASSIFICATION
—
THERAPEUTIC RADIOLOGY SIMULATION; COMPLEX
Gross
$3,531
0310 - LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION
—
AUTOPSY/ ADULT (W/O BRAIN)
Gross
$3,447
0118 - ROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - REHABILITATION
—
HC COMP MED REHAB PRIVATE ROOM DAILY
Gross
$3,342
0210 - CORONARY CARE - GENERAL CLASSIFICATION
—
HC TEL SEMI PRIVATE ROOM DAILY
Gross
$3,342
0720 - LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION
—
INDUCED ABORT 1/> VAG SUPPOSITORIES DLVR FETUS
Gross
$3,236
VENASEAL SYSTEM & PACK PANEL
—
VENASEAL SYSTEM & PACK PANEL
Gross
$3,189
0722 - LABOR ROOM/DELIVERY - DELIVERY ROOM
—
HC DELIVERY CARE
Gross
$3,140
0111 - ROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN
—
HC MED PRIVATE ROOM DAILY
Gross
$3,031
HC PLEURX KIT PANEL
—
HC PLEURX KIT PANEL
Gross
$3,000
0112 - ROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - OB
—
HC OB GYN/LD PRIVATE ROOM DAILY
Gross
$2,799
0113 - ROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - PEDIATRIC
—
HC PED PRIVATE ROOM DAILY
Gross
$2,799
0611 - MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM
—
HC MRI ORBIT/FACE/ AND/OR NECK W/O CONT
Gross
$2,755
0829 - HEMODIALYSIS - OUTPATIENT OR HOME - OTHER OP HEMODIALYSIS
—
O/P EMERGENT UNSCH DIALYSIS
Gross
$2,746
0121 - ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN
—
HC MED SEMI PRIVATE ROOM DAILY
Gross
$2,720
HOLTER HOOKUP & SCAN 48HR PANEL
—
HOLTER HOOKUP & SCAN 48HR PANEL
Gross
$2,714
0803 - INPATIENT RENAL DIALYSIS - INPATIENT CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD)
—
CONT.AMB.PERIT.DIALYSIS
Gross
$2,685
0804 - INPATIENT RENAL DIALYSIS - INPATIENT CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD)
—
CONT.CYCLER PERIT.DIALYSIS
Gross
$2,685
0840 - CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) - OUTPATIENT OR HOME - GENERAL CLASSIFICATION
—
HC OUTPATIENT CCPD
Gross
$2,685
0850 - CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) - OUTPATIENT OR HOME - GENERAL CLASSIFICATION
—
HC OUTPATIENT CAPD
Gross
$2,685
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0275 - MEDICAL/SURGICAL SUPPLIES AND DEVICES - PACEMAKER | CRT ICD GENERATOR | $150,475 | — | — | — | 11 |
| 0278 - MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT | IMPELLA | $142,756 | — | — | — | 10 |
| 0636 - PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) | ALTEPLASE 50 MG INTRAVENOUS SOLUTION | $77,089 | — | — | — | 11 |
| CLOT TRIEVER PANEL | CLOT TRIEVER PANEL | $33,075 | — | — | — | 0 |
| HC CARDIOPULMONARY BYPASS PANEL | HC CARDIOPULMONARY BYPASS PANEL | $20,588 | — | — | — | 0 |
| 0682 - TRAUMA RESPONSE - LEVEL II TRAUMA | HC TRAUMA ACTIVATION, PRE, CRITICAL, CAT 1 | $14,333 | — | — | — | 10 |
| NM WBC TECHNETIUM & 1AREA 2+DAY PANEL | NM WBC TECHNETIUM & 1AREA 2+DAY PANEL | $10,375 | — | — | — | 0 |
| NM WBC TECHNETIUM & 1AREA 1DAY PANEL | NM WBC TECHNETIUM & 1AREA 1DAY PANEL | $9,435 | — | — | — | 0 |
| NM WBC INDIUM & 1AREA 2+DAY PANEL | NM WBC INDIUM & 1AREA 2+DAY PANEL | $9,430 | — | — | — | 0 |
| NM WBC INDIUM & 1AREA 1DAY PANEL | NM WBC INDIUM & 1AREA 1DAY PANEL | $8,490 | — | — | — | 0 |
| EXTERNAL ECG REC >7D<=15D PANEL | EXTERNAL ECG REC >7D<=15D PANEL | $8,362 | — | — | — | 0 |
| 0174 - NURSERY - NEWBORN - LEVEL IV | HC INTENSIVE CARE NURSERY LEVEL 4 ROOM DAILY | $7,461 | — | — | — | 6 |
| 0208 - INTENSIVE CARE - TRAUMA | HC TRAUMA ICU PRIVATE ROOM DAILY | $6,995 | — | — | — | 6 |
| 0410 - RESPIRATORY SERVICES - GENERAL CLASSIFICATION | HC VENT IP/OVP MGMT ADULT INIT DAY | $6,994 | — | — | — | 10 |
| 0481 - CARDIOLOGY - CARDIAC CATH LAB | CL REMOVE PACER LEAD-DUAL | $6,719 | — | — | — | 10 |
| 0173 - NURSERY - NEWBORN - LEVEL III | HC INTERMEDIATE NURSERY LEVEL 3 ROOM DAILY | $6,528 | — | — | — | 6 |
| 0723 - LABOR ROOM/DELIVERY - CIRCUMCISION | HC CIRCUMCISION CLAMP DEVICE WO REGIONAL BLOCK | $6,439 | — | — | — | 8 |
| TERUMO TUBING & OXYGENATOR PANEL | TERUMO TUBING & OXYGENATOR PANEL | $6,046 | — | — | — | 0 |
| HC TRAUMA ICA PRIVATE ROOM DAILY PANEL | HC TRAUMA ICA PRIVATE ROOM DAILY PANEL | $6,007 | — | — | — | 0 |
| HC TRAUMA ICA SEMI-PRIVATE ROOM DAILY PANEL | HC TRAUMA ICA SEMI-PRIVATE ROOM DAILY PANEL | $5,696 | — | — | — | 0 |
| 0200 - INTENSIVE CARE - GENERAL CLASSIFICATION | HC ICU PRIVATE ROOM DAILY | $5,440 | — | — | — | 6 |
| HC IAPB INSERTION/MGMT PANEL | HC IAPB INSERTION/MGMT PANEL | $5,105 | — | — | — | 0 |
| HC TRAUMA TEL PRIVATE ROOM DAILY PANEL | HC TRAUMA TEL PRIVATE ROOM DAILY PANEL | $5,074 | — | — | — | 0 |
| HC TRAUMA TEL SEMI PRIVATE ROOM DAILY PANEL | HC TRAUMA TEL SEMI PRIVATE ROOM DAILY PANEL | $4,764 | — | — | — | 0 |
| HC RENAL BX PATHOLOGY TC PANEL | HC RENAL BX PATHOLOGY TC PANEL | $4,741 | — | — | — | 0 |
| 0612 - MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) | MRI CERVICAL SPINE W/O CONTRAST | $4,455 | — | — | — | 10 |
| 0206 - INTENSIVE CARE - INTERMEDIATE ICU | HC ICA SEMI PRIVATE ROOM DAILY | $4,275 | — | — | — | 6 |
| 0172 - NURSERY - NEWBORN - LEVEL II | HC CONTINUOUS CARE NURSERY LEVEL 2 ROOM DAILY | $4,198 | — | — | — | 6 |
| EXTERNAL ECG REC >48HR<=7D PANEL | EXTERNAL ECG REC >48HR<=7D PANEL | $4,181 | — | — | — | 0 |
| 0490 - AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | EXT CANNULA DECLOT W/O BAL | $3,893 | — | — | — | 10 |
| 0352 - CT SCAN - BODY SCAN | CTA CHEST; POSTPROCESS; W OR W/WO | $3,665 | — | — | — | 10 |
| 0330 - RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - GENERAL CLASSIFICATION | THERAPEUTIC RADIOLOGY SIMULATION; COMPLEX | $3,531 | — | — | — | 10 |
| 0310 - LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION | AUTOPSY/ ADULT (W/O BRAIN) | $3,447 | — | — | — | 10 |
| 0118 - ROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - REHABILITATION | HC COMP MED REHAB PRIVATE ROOM DAILY | $3,342 | — | — | — | 4 |
| 0210 - CORONARY CARE - GENERAL CLASSIFICATION | HC TEL SEMI PRIVATE ROOM DAILY | $3,342 | — | — | — | 6 |
| 0720 - LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION | INDUCED ABORT 1/> VAG SUPPOSITORIES DLVR FETUS | $3,236 | — | — | — | 10 |
| VENASEAL SYSTEM & PACK PANEL | VENASEAL SYSTEM & PACK PANEL | $3,189 | — | — | — | 0 |
| 0722 - LABOR ROOM/DELIVERY - DELIVERY ROOM | HC DELIVERY CARE | $3,140 | — | — | — | 10 |
| 0111 - ROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN | HC MED PRIVATE ROOM DAILY | $3,031 | — | — | — | 6 |
| HC PLEURX KIT PANEL | HC PLEURX KIT PANEL | $3,000 | — | — | — | 0 |
| 0112 - ROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - OB | HC OB GYN/LD PRIVATE ROOM DAILY | $2,799 | — | — | — | 6 |
| 0113 - ROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - PEDIATRIC | HC PED PRIVATE ROOM DAILY | $2,799 | — | — | — | 6 |
| 0611 - MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - BRAIN/BRAINSTEM | HC MRI ORBIT/FACE/ AND/OR NECK W/O CONT | $2,755 | — | — | — | 10 |
| 0829 - HEMODIALYSIS - OUTPATIENT OR HOME - OTHER OP HEMODIALYSIS | O/P EMERGENT UNSCH DIALYSIS | $2,746 | — | — | — | 9 |
| 0121 - ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN | HC MED SEMI PRIVATE ROOM DAILY | $2,720 | — | — | — | 6 |
| HOLTER HOOKUP & SCAN 48HR PANEL | HOLTER HOOKUP & SCAN 48HR PANEL | $2,714 | — | — | — | 0 |
| 0803 - INPATIENT RENAL DIALYSIS - INPATIENT CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) | CONT.AMB.PERIT.DIALYSIS | $2,685 | — | — | — | 10 |
| 0804 - INPATIENT RENAL DIALYSIS - INPATIENT CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) | CONT.CYCLER PERIT.DIALYSIS | $2,685 | — | — | — | 10 |
| 0840 - CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) - OUTPATIENT OR HOME - GENERAL CLASSIFICATION | HC OUTPATIENT CCPD | $2,685 | — | — | — | 10 |
| 0850 - CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) - OUTPATIENT OR HOME - GENERAL CLASSIFICATION | HC OUTPATIENT CAPD | $2,685 | — | — | — | 10 |
Showing top 50 of 219 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.