45 CFR § 180 compliance
B · 85
This hospital published most 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: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
365
Insurances with rates
10
CPT / HCPCS codes
355
Most expensive procedures (gross)
114
$1,200
ROOM AND BOARD
Gross
$1,200
320
$1,131
XR ABD AORTA
Gross
$1,131
74420
$604
XR RETRO PYLEGRAM
Gross
$604
74320
$575
XR CHOLANGIOGRAM/PERCUTANEOU
Gross
$575
74327
$575
XR BILIARY DRAINAGE
Gross
$575
74470
$519
XR RENAL CYST PUNCTURE
Gross
$519
74249
$465
XR USI/SML BOWEL
Gross
$465
74415
$448
XR UROGRAM-INF W/TOMOS
Gross
$448
74405
$431
XR UROGRAM-1V W/TOMS
Gross
$431
76001
$406
XR ROOM TIME PER HOUR
Gross
$406
74280
$403
XR BARIUM ENEMA/AIR
Gross
$403
G0410
$400
PARTIAL HOSPITALIZATION
Gross
$400
74246
$377
XR UGI/AIR
Gross
$377
74400
$377
XR IVP
Gross
$377
90744
$370
ENGERIX B INJ 20MCG/ML (HEP B)
Gross
$370
90670
$361
PNEUMOVAX 23 VAC 25MCG/0.5ML SDV
Gross
$361
76100
$354
XR LAMINOGR INDEP
Gross
$354
76061
$333
XR BONE SURVEY
Gross
$333
74300
$328
XR CHOLANGIO OPERATIVE
Gross
$328
74241
$328
XR UGI/KUB
Gross
$328
J1631
$309
HALDOL DEC INJ 100MG/ML 1 ML VIAL
Gross
$309
73530
$309
XR HIP IN O R UP TO 4 VIEWS
Gross
$309
72052
$301
XR CERVICAL SP 7V
Gross
$301
99223
$300
I/P PRO FEE INITIAL CARE LEVEL 3
Gross
$300
90853
$300
IOP GROUP THERAPY
Gross
$300
74250
$289
XR SMALL BOWEL
Gross
$289
31715
$281
XR BRONCHOGRAM/TRANS-TRACHEA
Gross
$281
74270
$276
XR BARIUM ENEMA
Gross
$276
76499
$272
XR C-ARM 30 MIN
Gross
$272
70130
$268
XR MASTOIDS-COMPLETE
Gross
$268
90471
$260
ADACEL VACCINE INJ
Gross
$260
70134
$255
XR INTERNAL AUD MEATUS
Gross
$255
72050
$253
XR CERVICAL SP COMP
Gross
$253
74305
$253
XR CHOLANGIO POST-OP
Gross
$253
74290
$253
XR CHOLECYSTECTOMY ORAL
Gross
$253
72110
$253
XR LUMBAR SP COMP
Gross
$253
70260
$253
XR SKULL COMP
Gross
$253
99222
$250
I/P PRO FEE INITIAL CARE LEVEL 2
Gross
$250
J2358
$247
ZYPREXA INJ 10 MG VIAL (OLANZAPINE)
Gross
$247
76000
$243
XR FLUOROSCOPY/IND PROCEDUR
Gross
$243
70330
$239
XR TM JOINTS BIL
Gross
$239
70110
$231
XR MANDIBLE COMP
Gross
$231
70220
$227
XR PARANASAL SINUSES
Gross
$227
76040
$214
XR BONE LENGTH
Gross
$214
71110
$214
XR RIBS BIL
Gross
$214
70150
$207
XR FACIAL BONES
Gross
$207
74220
$204
XR ESOPHOGRAM
Gross
$204
99221
$200
I/P PRO FEE INITIAL CARE LEVEL 1
Gross
$200
99233
$200
I/P PRO FEE SUBSQ CARE LEVEL 3
Gross
$200
70030
$198
XR EYE/FOREIGN BODY
Gross
$198
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 114 | ROOM AND BOARD | $1,200 | $1,200 | — | — | 8 |
| 320 | XR ABD AORTA | $1,131 | $1,131 | — | — | 2 |
| 74420 | XR RETRO PYLEGRAM | $604 | $604 | — | — | 6 |
| 74320 | XR CHOLANGIOGRAM/PERCUTANEOU | $575 | $575 | — | — | 2 |
| 74327 | XR BILIARY DRAINAGE | $575 | $575 | — | — | 2 |
| 74470 | XR RENAL CYST PUNCTURE | $519 | $519 | — | — | 6 |
| 74249 | XR USI/SML BOWEL | $465 | $465 | — | — | 5 |
| 74415 | XR UROGRAM-INF W/TOMOS | $448 | $448 | — | — | 6 |
| 74405 | XR UROGRAM-1V W/TOMS | $431 | $431 | — | — | 2 |
| 76001 | XR ROOM TIME PER HOUR | $406 | $406 | — | — | 2 |
| 74280 | XR BARIUM ENEMA/AIR | $403 | $403 | — | — | 6 |
| G0410 | PARTIAL HOSPITALIZATION | $400 | $400 | — | — | 6 |
| 74246 | XR UGI/AIR | $377 | $377 | — | — | 6 |
| 74400 | XR IVP | $377 | $377 | — | — | 6 |
| 90744 | ENGERIX B INJ 20MCG/ML (HEP B) | $370 | $370 | — | — | 3 |
| 90670 | PNEUMOVAX 23 VAC 25MCG/0.5ML SDV | $361 | $361 | — | — | 3 |
| 76100 | XR LAMINOGR INDEP | $354 | $354 | — | — | 6 |
| 76061 | XR BONE SURVEY | $333 | $333 | — | — | 2 |
| 74300 | XR CHOLANGIO OPERATIVE | $328 | $328 | — | — | 3 |
| 74241 | XR UGI/KUB | $328 | $328 | — | — | 5 |
| J1631 | HALDOL DEC INJ 100MG/ML 1 ML VIAL | $309 | $309 | — | — | 3 |
| 73530 | XR HIP IN O R UP TO 4 VIEWS | $309 | $309 | — | — | 2 |
| 72052 | XR CERVICAL SP 7V | $301 | $301 | — | — | 6 |
| 99223 | I/P PRO FEE INITIAL CARE LEVEL 3 | $300 | $300 | — | — | 4 |
| 90853 | IOP GROUP THERAPY | $300 | $300 | — | — | 14 |
| 74250 | XR SMALL BOWEL | $289 | $289 | — | — | 6 |
| 31715 | XR BRONCHOGRAM/TRANS-TRACHEA | $281 | $281 | — | — | 2 |
| 74270 | XR BARIUM ENEMA | $276 | $276 | — | — | 6 |
| 76499 | XR C-ARM 30 MIN | $272 | $272 | — | — | 5 |
| 70130 | XR MASTOIDS-COMPLETE | $268 | $268 | — | — | 6 |
| 90471 | ADACEL VACCINE INJ | $260 | $260 | — | — | 6 |
| 70134 | XR INTERNAL AUD MEATUS | $255 | $255 | — | — | 6 |
| 72050 | XR CERVICAL SP COMP | $253 | $253 | — | — | 6 |
| 74305 | XR CHOLANGIO POST-OP | $253 | $253 | — | — | 2 |
| 74290 | XR CHOLECYSTECTOMY ORAL | $253 | $253 | — | — | 6 |
| 72110 | XR LUMBAR SP COMP | $253 | $253 | — | — | 6 |
| 70260 | XR SKULL COMP | $253 | $253 | — | — | 6 |
| 99222 | I/P PRO FEE INITIAL CARE LEVEL 2 | $250 | $250 | — | — | 4 |
| J2358 | ZYPREXA INJ 10 MG VIAL (OLANZAPINE) | $247 | $247 | — | — | 3 |
| 76000 | XR FLUOROSCOPY/IND PROCEDUR | $243 | $243 | — | — | 6 |
| 70330 | XR TM JOINTS BIL | $239 | $239 | — | — | 6 |
| 70110 | XR MANDIBLE COMP | $231 | $231 | — | — | 6 |
| 70220 | XR PARANASAL SINUSES | $227 | $227 | — | — | 6 |
| 76040 | XR BONE LENGTH | $214 | $214 | — | — | 2 |
| 71110 | XR RIBS BIL | $214 | $214 | — | — | 6 |
| 70150 | XR FACIAL BONES | $207 | $207 | — | — | 6 |
| 74220 | XR ESOPHOGRAM | $204 | $204 | — | — | 6 |
| 99221 | I/P PRO FEE INITIAL CARE LEVEL 1 | $200 | $200 | — | — | 4 |
| 99233 | I/P PRO FEE SUBSQ CARE LEVEL 3 | $200 | $200 | — | — | 4 |
| 70030 | XR EYE/FOREIGN BODY | $198 | $198 | — | — | 6 |
Showing top 50 of 365 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.