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
1,896
Insurances with rates
3
CPT / HCPCS codes
44
Source MRF
Most expensive procedures (gross)
360220
—
CYSTOSCOPY/BIOPSY 1
Gross
$3,815
360225
—
CYSTO/R-TONE/STENT COMPLI
Gross
$3,815
360229
—
CYSTO W/ INJ CHEMODENERVA
Gross
$3,815
180304
—
DEST BY NEUR AGENT,BILAT
Gross
$2,163
360416
—
ABD PARACENTESIS(W/IMG)
Gross
$1,675
180302
—
DEST BY NEUROLYTIC AGENT
Gross
$1,442
Rev Code 120
$1,200
Room and board
Gross
$1,400
388006
—
DRESN SENSATRAC SILVER LG
Gross
$1,378
200250
—
VENT MGMT INITIAL DAY
Gross
$1,360
360206
—
CYSTOURETHROSCOPY
Gross
$1,275
360404
—
CHANGE OF CYSTO TUBE/COMP
Gross
$1,275
360406
—
CMG W/URETHRA/VOID PRESSU
Gross
$1,275
180111
—
INJ L/S SINGLE LEVEL
Gross
$1,192
180423
—
TRANSF;C/T SING LEV/BILAT
Gross
$1,192
180450
—
INJ PARAV JOINT W/ IMAGE
Gross
$1,192
180454
—
INJ PROC SI JT/ BILATERAL
Gross
$1,192
180456
—
INJ.PARAV.JT, FACET BILAT
Gross
$1,192
180459
—
INJ -SACROILIAC JOINT
Gross
$953
42311
—
INJ/SING LUMBAR EPIDURAL
Gross
$935
70070
—
PATIENT ROOM RATE
Gross
$935
140070
—
PATIENT ROOM RATE
Gross
$935
180100
—
INJ/SIN EPIDURAL L/S
Gross
$795
180101
—
INJ LUMB/SAC SINGLE LEVEL
Gross
$795
180103
—
INJ/SIN EPIDURAL C/T
Gross
$795
180105
—
INJ INCL CATHETER PLACEME
Gross
$795
180203
—
STELLATE GANGLION (CERV
Gross
$795
180206
—
LUMBAR OR THORACIC
Gross
$795
180303
—
LUMBAR OR SACRAL, EACH AD
Gross
$795
180406
—
NERVE BLOCK-INTERCOSTAL
Gross
$795
180410
—
INJ/PARAVERTEBRAL FACET J
Gross
$795
180413
—
INJ/PARAVERT. W/IMAGE
Gross
$795
180422
—
TRANSF C/T SINGLE LEVEL
Gross
$795
180453
—
INJ PROC FOR SI JT OTHER
Gross
$795
360424
—
INJ LUM/SAC CAUDAL IMAGIN
Gross
$795
360209
—
INTRA-AUDOMINAL PRESSURE
Gross
$776
264062
—
KALETRA SOL. 400MG/100MG
Gross
$776
200240
—
CARDIOPULMONARY RESUSCITA
Gross
$733
264188
—
BREO ELLIPTA 100/25 INH
Gross
$677
180419
—
INJ PROCEDURE FOR SI JOIN
Gross
$636
263997
—
TOLVAPTAN 15 MG
Gross
$625
180112
—
INJ L/S EACH ADDL LEVEL
Gross
$618
180120
—
INJ EPIDURAL,BLOOD PATCH
Gross
$618
180425
—
TRANSF;C/T EACH LEV/BILAT
Gross
$618
775023
—
INJECTION BILATERAL 20526
Gross
$602
263628
—
BACLOFEN INJ 10MG/20ML(M)
Gross
$586
264120
—
GABLOFEN 10MG/20ML (M)
Gross
$586
264167
—
GABLOFEN 20MG/20ML (M)
Gross
$586
264168
—
GABLOFEN 40MG/20ML (M)
Gross
$586
360166
—
CYSTOGRAM
Gross
$570
450118
—
NEURO TEST 1HR LICENSED
Gross
$557
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 360220 | CYSTOSCOPY/BIOPSY 1 | $3,815 | — | — | — | 0 |
| 360225 | CYSTO/R-TONE/STENT COMPLI | $3,815 | — | — | — | 0 |
| 360229 | CYSTO W/ INJ CHEMODENERVA | $3,815 | — | — | — | 0 |
| 180304 | DEST BY NEUR AGENT,BILAT | $2,163 | — | — | — | 0 |
| 360416 | ABD PARACENTESIS(W/IMG) | $1,675 | — | — | — | 0 |
| 180302 | DEST BY NEUROLYTIC AGENT | $1,442 | — | — | — | 0 |
| Rev Code 120 | Room and board | $1,400 | $1,200 | $680 | $1,400 | 3 |
| 388006 | DRESN SENSATRAC SILVER LG | $1,378 | — | — | — | 0 |
| 200250 | VENT MGMT INITIAL DAY | $1,360 | — | — | — | 0 |
| 360206 | CYSTOURETHROSCOPY | $1,275 | — | — | — | 0 |
| 360404 | CHANGE OF CYSTO TUBE/COMP | $1,275 | — | — | — | 0 |
| 360406 | CMG W/URETHRA/VOID PRESSU | $1,275 | — | — | — | 0 |
| 180111 | INJ L/S SINGLE LEVEL | $1,192 | — | — | — | 0 |
| 180423 | TRANSF;C/T SING LEV/BILAT | $1,192 | — | — | — | 0 |
| 180450 | INJ PARAV JOINT W/ IMAGE | $1,192 | — | — | — | 0 |
| 180454 | INJ PROC SI JT/ BILATERAL | $1,192 | — | — | — | 0 |
| 180456 | INJ.PARAV.JT, FACET BILAT | $1,192 | — | — | — | 0 |
| 180459 | INJ -SACROILIAC JOINT | $953 | — | — | — | 0 |
| 42311 | INJ/SING LUMBAR EPIDURAL | $935 | — | — | — | 0 |
| 70070 | PATIENT ROOM RATE | $935 | — | — | — | 0 |
| 140070 | PATIENT ROOM RATE | $935 | — | — | — | 0 |
| 180100 | INJ/SIN EPIDURAL L/S | $795 | — | — | — | 0 |
| 180101 | INJ LUMB/SAC SINGLE LEVEL | $795 | — | — | — | 0 |
| 180103 | INJ/SIN EPIDURAL C/T | $795 | — | — | — | 0 |
| 180105 | INJ INCL CATHETER PLACEME | $795 | — | — | — | 0 |
| 180203 | STELLATE GANGLION (CERV | $795 | — | — | — | 0 |
| 180206 | LUMBAR OR THORACIC | $795 | — | — | — | 0 |
| 180303 | LUMBAR OR SACRAL, EACH AD | $795 | — | — | — | 0 |
| 180406 | NERVE BLOCK-INTERCOSTAL | $795 | — | — | — | 0 |
| 180410 | INJ/PARAVERTEBRAL FACET J | $795 | — | — | — | 0 |
| 180413 | INJ/PARAVERT. W/IMAGE | $795 | — | — | — | 0 |
| 180422 | TRANSF C/T SINGLE LEVEL | $795 | — | — | — | 0 |
| 180453 | INJ PROC FOR SI JT OTHER | $795 | — | — | — | 0 |
| 360424 | INJ LUM/SAC CAUDAL IMAGIN | $795 | — | — | — | 0 |
| 360209 | INTRA-AUDOMINAL PRESSURE | $776 | — | — | — | 0 |
| 264062 | KALETRA SOL. 400MG/100MG | $776 | — | — | — | 0 |
| 200240 | CARDIOPULMONARY RESUSCITA | $733 | — | — | — | 0 |
| 264188 | BREO ELLIPTA 100/25 INH | $677 | — | — | — | 0 |
| 180419 | INJ PROCEDURE FOR SI JOIN | $636 | — | — | — | 0 |
| 263997 | TOLVAPTAN 15 MG | $625 | — | — | — | 0 |
| 180112 | INJ L/S EACH ADDL LEVEL | $618 | — | — | — | 0 |
| 180120 | INJ EPIDURAL,BLOOD PATCH | $618 | — | — | — | 0 |
| 180425 | TRANSF;C/T EACH LEV/BILAT | $618 | — | — | — | 0 |
| 775023 | INJECTION BILATERAL 20526 | $602 | — | — | — | 0 |
| 263628 | BACLOFEN INJ 10MG/20ML(M) | $586 | — | — | — | 0 |
| 264120 | GABLOFEN 10MG/20ML (M) | $586 | — | — | — | 0 |
| 264167 | GABLOFEN 20MG/20ML (M) | $586 | — | — | — | 0 |
| 264168 | GABLOFEN 40MG/20ML (M) | $586 | — | — | — | 0 |
| 360166 | CYSTOGRAM | $570 | — | — | — | 0 |
| 450118 | NEURO TEST 1HR LICENSED | $557 | — | — | — | 0 |
Showing top 50 of 1,896 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.