45 CFR § 180 compliance
D · 65
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
33
Insurances with rates
0
CPT / HCPCS codes
27
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| R1000 | ROOM & BOARD - M | $1,523 | $1,523 | — | — | 0 |
| R1001 | ROOM & BOARD - NM | $1,523 | $1,523 | — | — | 0 |
| 96132 | NEURO TESTING | $233 | $233 | — | — | 0 |
| 90837 | PSYCHOTHERAPY, 60 MINUTES | $220 | $220 | — | — | 0 |
| 90792 | PSYCHIATRIC EVAL W/ MED SVC | $207 | $207 | — | — | 0 |
| 96130 | PSYCH TESTING | $206 | $206 | — | — | 0 |
| 90791 | PSYCHIATRIC EVAL NO MED SVC | $200 | $200 | — | — | 0 |
| 96133 | NEURO TESTING | $177 | $177 | — | — | 0 |
| 96131 | PSYCH TESTING | $157 | $157 | — | — | 0 |
| G0397 | ALCOHOL/SUBSTANCE ABUSE | $140 | $140 | — | — | 0 |
| 97165 | OCCUPATIONAL THERAPY EVAL | $132 | $132 | — | — | 0 |
| 97166 | OCCUPATIONAL THERAPY EVAL | $132 | $132 | — | — | 0 |
| 97167 | OCCUPATIONAL THERAPY EVAL | $132 | $132 | — | — | 0 |
| G0479 | DRUG TEST PRESUMP OPT INST | $111 | $111 | — | — | 0 |
| H2010 | Med Management-15 mn increment | $97.6 | $97.6 | — | — | 0 |
| Y8038 | STAT LAB DRAW | $90.13 | $90.13 | — | — | 0 |
| U0002 | SARS-COV-2 TESTING NON-CDC | $89.79 | $89.79 | — | — | 0 |
| 90834 | PSYCHOTHERAPY, 45 MINUTES | $89.69 | $89.69 | — | — | 0 |
| 97168 | OCCUPATIONAL THERAPY EVAL | $87.13 | $87.13 | — | — | 0 |
| 69200 | Removal foreign body from ear | $84.28 | $84.28 | — | — | 0 |
| 90836 | ADD ON PSYCHOTHERAPY, 60 MINS | $81.92 | $81.92 | — | — | 0 |
| G0396 | ALCOHOL/SUBSTANCE | $70 | $70 | — | — | 0 |
| U0001 | SARS-COV-2 TESTING CDC | $62.84 | $62.84 | — | — | 0 |
| 90833 | ADD ON PSYCHOTHERAPY, 30 MINS | $50.03 | $50.03 | — | — | 0 |
| H0004 HH | OP THERAPY CO-OCURRING 15 MIN | $36.75 | $36.75 | — | — | 0 |
| H0004 MHA | OP THERPY MEN HLTH AGCY 15 MIN | $36.75 | $36.75 | — | — | 0 |
| H2000 | COMPREHENSIVE ASSESSEMENT MHA | $36.75 | $36.75 | — | — | 0 |
| H2000 HH | COMP ASSESSMENT CO-OCCURRING | $36.75 | $36.75 | — | — | 0 |
| H0004 AH | OP THERAPY PSYCHOLOGIST 15 MIN | $31.75 | $31.75 | — | — | 0 |
| 69209 | EAR IRRIGATION, UNILATERAL | $20.53 | $20.53 | — | — | 0 |
| H0004 AH HQ | OP THERAPY GROUP-15 MIN | $10.34 | $10.34 | — | — | 0 |
| H0004 HQHH | OP THERAPY-GROUP CO-OCURRING | $9.19 | $9.19 | — | — | 0 |
| 36415 | COLL VENOUS BLOOD BY VENIPUCTU | $5.25 | $5.25 | — | — | 0 |
Showing top 33 of 33 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.