45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
○Discounted cash price: below assessment threshold
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,913
Insurances with rates
4
CPT / HCPCS codes
0
Most expensive procedures (gross)
35070450
—
CT HEAD/BRAIN; W/O CONTRAST
Gross
$2,456
921939711
—
US VEN DOP EXT; UNILAT RT UPPER
Gross
$1,800
35070486
—
"CT MAXILLOFACIAL, SINUS; W/O CONTRAST"
Gross
$1,693
25000117
—
Basaglar 100 Unit/ml Kwikpen
Gross
$1,549
25000151
—
Breo Ellipta 200-25
Gross
$1,538
110001
—
Semi-Private Room
Gross
$1,050
110002
—
Private Room
Gross
$1,050
990000043
—
ER Visit
Gross
$1,000
25001056
—
Risperdal Consta Im Susp 12.5mg
Gross
$946
25000020
—
ADVAIR 250/50 DISKUS
Gross
$819
25000467
—
Geodon 20 Mg/ml Vial
Gross
$654
23926026
—
Wound Care
Gross
$568
44400003
—
Speech Therapy Eval
Gross
$557
25000654
—
Levemir 100 Units/ml Vial
Gross
$519
25000655
—
Levemir Flextouch 100 Units/ml
Gross
$519
91400003
—
Individual Psychotherapy 60 Mi
Gross
$500
91600005
—
Family Psychotherapy W/Pt
Gross
$500
25000134
—
Betamethasone Dp 0.05% Crm
Gross
$499
25000135
—
Betamethasone Dp 0.05% Lot
Gross
$499
25000682
—
Linezolid 600 Mg Tablet
Gross
$453
25000258
—
Clonidine 0.1 Mg/day Patch
Gross
$447
25001115
—
Spiriva Respimat Inhal Spray
Gross
$429
25000720
—
Lumigan 0.01% Eye Drops
Gross
$425
91600004
—
Family Psychotherapy W/O Pt
Gross
$418
320740002
—
ABDOMEN; 2 VIEWS
Gross
$411
32073520
—
"HIPS, BILAT, 2+ VIEWS, W/ AP PELVIS"
Gross
$405
30080054
—
COMPREHENSIVE METABOLIC
Gross
$401
91600002
—
Cojoint (couple) Therapy
Gross
$392
90000001
—
Patient Education Group Sessio
Gross
$390
91500003
—
Group Psychotherapy 60 Mi
Gross
$390
25000345
—
Dorzolamide Hcl 2% Eye Drops
Gross
$386
25000346
—
Dorzolamide-Timolol Eye Drops
Gross
$386
25000100
—
Atrovent Hfa Inhaler
Gross
$380
73000001
—
Ekg
Gross
$369
25000860
—
Novolog Flexpen Syringe
Gross
$368
25000861
—
Novolog Mix 70-30 Flexpen Syrn
Gross
$368
25000035
—
Alphagan P 0.1% Drops
Gross
$358
91500002
—
Group Psychotherapy 45-50 Mi
Gross
$350
91500004
—
Interactive Grp Psy 45 to 50
Gross
$350
25000259
—
Clonidine 0.2 Mg/day Patch
Gross
$349
44200002
—
Speech Therapy
Gross
$340
91400001
—
Individual Psychotherapy 30 Mi
Gross
$326
91400002
—
Individual Psychotherapy 45-50
Gross
$326
91500001
—
Group Psychotherapy
Gross
$326
91400002
—
Individual Psychotherapy 45-50
Gross
$326
25001179
—
Travatan Z 0.004% Eye Drop
Gross
$323
32073510
—
LT-HIP UNILATERAL; 2+ VIEWS
Gross
$323
32072170
—
PELVIS; 1 OR 2 VIEWS
Gross
$311
25000864
—
NUPLAZID 10MG TAB
Gross
$305
25000865
—
Nuplazid 17 Mg Tablet
Gross
$305
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 35070450 | CT HEAD/BRAIN; W/O CONTRAST | $2,456 | — | — | — | 0 |
| 921939711 | US VEN DOP EXT; UNILAT RT UPPER | $1,800 | — | — | — | 0 |
| 35070486 | "CT MAXILLOFACIAL, SINUS; W/O CONTRAST" | $1,693 | — | — | — | 0 |
| 25000117 | Basaglar 100 Unit/ml Kwikpen | $1,549 | — | — | — | 0 |
| 25000151 | Breo Ellipta 200-25 | $1,538 | — | — | — | 0 |
| 110001 | Semi-Private Room | $1,050 | — | — | — | 4 |
| 110002 | Private Room | $1,050 | — | — | — | 4 |
| 990000043 | ER Visit | $1,000 | — | — | — | 0 |
| 25001056 | Risperdal Consta Im Susp 12.5mg | $946 | — | — | — | 0 |
| 25000020 | ADVAIR 250/50 DISKUS | $819 | — | — | — | 0 |
| 25000467 | Geodon 20 Mg/ml Vial | $654 | — | — | — | 0 |
| 23926026 | Wound Care | $568 | — | — | — | 0 |
| 44400003 | Speech Therapy Eval | $557 | — | — | — | 0 |
| 25000654 | Levemir 100 Units/ml Vial | $519 | — | — | — | 0 |
| 25000655 | Levemir Flextouch 100 Units/ml | $519 | — | — | — | 0 |
| 91400003 | Individual Psychotherapy 60 Mi | $500 | — | — | — | 0 |
| 91600005 | Family Psychotherapy W/Pt | $500 | — | — | — | 0 |
| 25000134 | Betamethasone Dp 0.05% Crm | $499 | — | — | — | 0 |
| 25000135 | Betamethasone Dp 0.05% Lot | $499 | — | — | — | 0 |
| 25000682 | Linezolid 600 Mg Tablet | $453 | — | — | — | 0 |
| 25000258 | Clonidine 0.1 Mg/day Patch | $447 | — | — | — | 0 |
| 25001115 | Spiriva Respimat Inhal Spray | $429 | — | — | — | 0 |
| 25000720 | Lumigan 0.01% Eye Drops | $425 | — | — | — | 0 |
| 91600004 | Family Psychotherapy W/O Pt | $418 | — | — | — | 0 |
| 320740002 | ABDOMEN; 2 VIEWS | $411 | — | — | — | 0 |
| 32073520 | "HIPS, BILAT, 2+ VIEWS, W/ AP PELVIS" | $405 | — | — | — | 0 |
| 30080054 | COMPREHENSIVE METABOLIC | $401 | — | — | — | 0 |
| 91600002 | Cojoint (couple) Therapy | $392 | — | — | — | 0 |
| 90000001 | Patient Education Group Sessio | $390 | — | — | — | 0 |
| 91500003 | Group Psychotherapy 60 Mi | $390 | — | — | — | 0 |
| 25000345 | Dorzolamide Hcl 2% Eye Drops | $386 | — | — | — | 0 |
| 25000346 | Dorzolamide-Timolol Eye Drops | $386 | — | — | — | 0 |
| 25000100 | Atrovent Hfa Inhaler | $380 | — | — | — | 0 |
| 73000001 | Ekg | $369 | — | — | — | 0 |
| 25000860 | Novolog Flexpen Syringe | $368 | — | — | — | 0 |
| 25000861 | Novolog Mix 70-30 Flexpen Syrn | $368 | — | — | — | 0 |
| 25000035 | Alphagan P 0.1% Drops | $358 | — | — | — | 0 |
| 91500002 | Group Psychotherapy 45-50 Mi | $350 | — | — | — | 0 |
| 91500004 | Interactive Grp Psy 45 to 50 | $350 | — | — | — | 0 |
| 25000259 | Clonidine 0.2 Mg/day Patch | $349 | — | — | — | 0 |
| 44200002 | Speech Therapy | $340 | — | — | — | 0 |
| 91400001 | Individual Psychotherapy 30 Mi | $326 | — | — | — | 0 |
| 91400002 | Individual Psychotherapy 45-50 | $326 | — | — | — | 0 |
| 91500001 | Group Psychotherapy | $326 | — | — | — | 0 |
| 91400002 | Individual Psychotherapy 45-50 | $326 | — | — | — | 0 |
| 25001179 | Travatan Z 0.004% Eye Drop | $323 | — | — | — | 0 |
| 32073510 | LT-HIP UNILATERAL; 2+ VIEWS | $323 | — | — | — | 0 |
| 32072170 | PELVIS; 1 OR 2 VIEWS | $311 | — | — | — | 0 |
| 25000864 | NUPLAZID 10MG TAB | $305 | — | — | — | 0 |
| 25000865 | Nuplazid 17 Mg Tablet | $305 | — | — | — | 0 |
Showing top 50 of 1,913 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.