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
81
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
404
$8,897
HC Pet With Concurrently Acquired CT Skull Base to Mid Thigh
Gross
$9,078
790
$4,382
HC Lithotripsy
Gross
$4,472
740
$3,710
HC Eeg Phsy/Qhp Ea Incr>12hr<26hr After 24hr W/Veeg
Gross
$3,785
202
$3,462
HC Med/Surg Icu Room & Board
Gross
$3,533
114
$2,828
HC Private Room & Board Psych
Gross
$2,886
206
$2,539
HC Pcu Room & Board
Gross
$2,591
112
$2,144
HC Private Room & Board OB
Gross
$2,188
829
$2,021
HC Hemodialysis With Single Evaluation
Gross
$2,062
171
$1,942
HC Newborn Nursery Level 1 Room & Board
Gross
$1,981
113
$1,913
HC Private Room & Board Peds
Gross
$1,952
120
$1,805
HC Semi-Private Room & Board 2 Beds - Rehab
Gross
$1,842
130
$1,805
HC Semi-Private Room& Board 3 & 4 Beds - Rehab
Gross
$1,842
340
$1,779
HC Parathyroid Planar Imaging With Tomographic
Gross
$1,816
110
$1,688
HC Private Room & Board General
Gross
$1,722
121
$1,688
HC Semi-Private Room & Board Med/Surg/Gyn
Gross
$1,722
710
$1,528
HC Same Day Surgery Faciltiy Brief (0-199)
Gross
$1,559
921
$1,433
HC Carotid Duplex Bilateral
Gross
$1,462
412
$1,181
HC Aerosol Med Delivery
Gross
$1,205
615
$1,149
HC Mra Head Without Contrast
Gross
$1,173
720
$980
HC Amnioinfusion
Gross
$1,000
610
$865
HC MRI Temporomandibular Joint
Gross
$883
920
$817
HC Non Stress Test
Gross
$833
402
$748
HC Echoencephalography Real Time With Image Documentation
Gross
$763
611
$544
HC MRI Brain and Stem Without Contrast
Gross
$555
612
$519
HC MRI Spinal Canal and Contents Cervical Without Contrast
Gross
$530
260
$514
HC IV Infusion Hydration Initial 31 Minutes to 1 Hour
Gross
$525
391
$514
HC Blood Transfusion 0-90 Minutes
Gross
$525
723
$490
HC Circumcision
Gross
$500
390
$441
HC WHOLE BLOOD FOR TRANSFUSION
Gross
$450
341
$430
HC Thyroid Uptake Single or Multiple Quantitative Measurement
Gross
$438
402
$415
HC Ultrasound Prostate Volume Study
Gross
$423
300
$414
HC LIVER DIS 10 ASSAYS WITH NASH
Gross
$423
169
$314
HC Administration Day - Private Room & Board
Gross
$320
900
$294
HC Psych Diagnostic Evaluation
Gross
$300
221
$292
HC Admission Charge
Gross
$298
444
$263
HC EVAL OF SPEECH FLUENCY 15 MIN
Gross
$269
335
$257
HC Chemotherapy Subcutaneous or Intramuscular Non Hormomal Anti Neoplastic
Gross
$262
510
$257
HC Collect Blood From a Completely Implantable Venous Access Device
Gross
$262
916
$245
HC Family Psychotherapy W/O Pt
Gross
$250
310
$245
HC PROSTATE CANCER ANALYSIS OF ALL PSA STRUCTURAL ISOFORMS
Gross
$250
922
$239
HC Needle Electromyography 2 Extremities With or Without Related Paraspinal Areas
Gross
$244
351
$212
HC CT Cerebral Perfusion Study With Contrast
Gross
$217
424
$199
HC P/T EVAL LOW COMPLEX 15 MIN
Gross
$203
440
$182
HC SPEECH THERAPY INDIV 1-22 MIN
Gross
$186
762
$163
HC Observation Per Hour - OB
Gross
$167
940
$163
HC PHLEBOTOMY THERAPEUTIC
Gross
$167
301
$157
HC DRUG TEST DEFINITIVE 1-7 CLASSES
Gross
$160
320
$156
HC X-Ray of Eye for Foreign Body
Gross
$159
914
$147
HC Psychotherapy Pt/Family 30 Min
Gross
$150
480
$128
HC Echocardiograhy With or Without Contrast(Bubble-Complete)
Gross
$131
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 404 | HC Pet With Concurrently Acquired CT Skull Base to Mid Thigh | $9,078 | $8,897 | — | — | 0 |
| 790 | HC Lithotripsy | $4,472 | $4,382 | — | — | 0 |
| 740 | HC Eeg Phsy/Qhp Ea Incr>12hr<26hr After 24hr W/Veeg | $3,785 | $3,710 | — | — | 0 |
| 202 | HC Med/Surg Icu Room & Board | $3,533 | $3,462 | — | — | 0 |
| 114 | HC Private Room & Board Psych | $2,886 | $2,828 | — | — | 0 |
| 206 | HC Pcu Room & Board | $2,591 | $2,539 | — | — | 0 |
| 112 | HC Private Room & Board OB | $2,188 | $2,144 | — | — | 0 |
| 829 | HC Hemodialysis With Single Evaluation | $2,062 | $2,021 | — | — | 0 |
| 171 | HC Newborn Nursery Level 1 Room & Board | $1,981 | $1,942 | — | — | 0 |
| 113 | HC Private Room & Board Peds | $1,952 | $1,913 | — | — | 0 |
| 120 | HC Semi-Private Room & Board 2 Beds - Rehab | $1,842 | $1,805 | — | — | 0 |
| 130 | HC Semi-Private Room& Board 3 & 4 Beds - Rehab | $1,842 | $1,805 | — | — | 0 |
| 340 | HC Parathyroid Planar Imaging With Tomographic | $1,816 | $1,779 | — | — | 0 |
| 110 | HC Private Room & Board General | $1,722 | $1,688 | — | — | 0 |
| 121 | HC Semi-Private Room & Board Med/Surg/Gyn | $1,722 | $1,688 | — | — | 0 |
| 710 | HC Same Day Surgery Faciltiy Brief (0-199) | $1,559 | $1,528 | — | — | 0 |
| 921 | HC Carotid Duplex Bilateral | $1,462 | $1,433 | — | — | 0 |
| 412 | HC Aerosol Med Delivery | $1,205 | $1,181 | — | — | 0 |
| 615 | HC Mra Head Without Contrast | $1,173 | $1,149 | — | — | 0 |
| 720 | HC Amnioinfusion | $1,000 | $980 | — | — | 0 |
| 610 | HC MRI Temporomandibular Joint | $883 | $865 | — | — | 0 |
| 920 | HC Non Stress Test | $833 | $817 | — | — | 0 |
| 402 | HC Echoencephalography Real Time With Image Documentation | $763 | $748 | — | — | 0 |
| 611 | HC MRI Brain and Stem Without Contrast | $555 | $544 | — | — | 0 |
| 612 | HC MRI Spinal Canal and Contents Cervical Without Contrast | $530 | $519 | — | — | 0 |
| 260 | HC IV Infusion Hydration Initial 31 Minutes to 1 Hour | $525 | $514 | — | — | 0 |
| 391 | HC Blood Transfusion 0-90 Minutes | $525 | $514 | — | — | 0 |
| 723 | HC Circumcision | $500 | $490 | — | — | 0 |
| 390 | HC WHOLE BLOOD FOR TRANSFUSION | $450 | $441 | — | — | 0 |
| 341 | HC Thyroid Uptake Single or Multiple Quantitative Measurement | $438 | $430 | — | — | 0 |
| 402 | HC Ultrasound Prostate Volume Study | $423 | $415 | — | — | 0 |
| 300 | HC LIVER DIS 10 ASSAYS WITH NASH | $423 | $414 | — | — | 0 |
| 169 | HC Administration Day - Private Room & Board | $320 | $314 | — | — | 0 |
| 900 | HC Psych Diagnostic Evaluation | $300 | $294 | — | — | 0 |
| 221 | HC Admission Charge | $298 | $292 | — | — | 0 |
| 444 | HC EVAL OF SPEECH FLUENCY 15 MIN | $269 | $263 | — | — | 0 |
| 335 | HC Chemotherapy Subcutaneous or Intramuscular Non Hormomal Anti Neoplastic | $262 | $257 | — | — | 0 |
| 510 | HC Collect Blood From a Completely Implantable Venous Access Device | $262 | $257 | — | — | 0 |
| 916 | HC Family Psychotherapy W/O Pt | $250 | $245 | — | — | 0 |
| 310 | HC PROSTATE CANCER ANALYSIS OF ALL PSA STRUCTURAL ISOFORMS | $250 | $245 | — | — | 0 |
| 922 | HC Needle Electromyography 2 Extremities With or Without Related Paraspinal Areas | $244 | $239 | — | — | 0 |
| 351 | HC CT Cerebral Perfusion Study With Contrast | $217 | $212 | — | — | 0 |
| 424 | HC P/T EVAL LOW COMPLEX 15 MIN | $203 | $199 | — | — | 0 |
| 440 | HC SPEECH THERAPY INDIV 1-22 MIN | $186 | $182 | — | — | 0 |
| 762 | HC Observation Per Hour - OB | $167 | $163 | — | — | 0 |
| 940 | HC PHLEBOTOMY THERAPEUTIC | $167 | $163 | — | — | 0 |
| 301 | HC DRUG TEST DEFINITIVE 1-7 CLASSES | $160 | $157 | — | — | 0 |
| 320 | HC X-Ray of Eye for Foreign Body | $159 | $156 | — | — | 0 |
| 914 | HC Psychotherapy Pt/Family 30 Min | $150 | $147 | — | — | 0 |
| 480 | HC Echocardiograhy With or Without Contrast(Bubble-Complete) | $131 | $128 | — | — | 0 |
Showing top 50 of 81 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.