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
83
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
0200
—
INTENSIVE CARE UNIT
Gross
$2,551
0122
—
OBSTETRICS ROOM AND BOARD
Gross
$2,505
0270
—
Innova Stent 6x40x130
Gross
$1,960
0124
—
PSYCHIATRIC CARE
Gross
$1,929
0310
—
CHROMOSOMAL ANALYSIS
Gross
$1,856
0275
—
MEDTRONIC ATRIAL LEAD 5592-45
Gross
$1,595
0120
—
MED/SURG - L-1 R&B
Gross
$1,422
0123
—
PEDIATRIC ROOM AND BOARD
Gross
$1,422
0250
—
FMP250 FMT LOWER DELIVERY
Gross
$1,105
0800
—
RENAL DIALYSIS
Gross
$926
0710
—
SAME DAY SURGERY 0-2 HRS
Gross
$885
0921
—
UNILAT. CAROTID ARTERY DOPPLER
Gross
$783
0278
—
ARTHREX BIOCORKSREW AR-1920BF
Gross
$783
0170
—
NEWBORN CARE
Gross
$757
0615
—
MRI ANGIO HEAD W/CONTRAST
Gross
$716
0614
—
MRI PELVIS W/O CONTRAST
Gross
$662
0790
—
LITHOTRIPSY,CYSTOURETHROSCOPY
Gross
$601
0740
—
EEG, COMA OR SLEEP ONLY
Gross
$574
0610
—
MRI TEMPOROMANDIBULAR JOINTS
Gross
$545
0720
—
FETAL NON-STRESS TEST
Gross
$524
0340
—
BONE MARROW IMAGING; LIMITED
Gross
$522
0221
—
ADMISSION FEE
Gross
$503
0391
—
TRANSFUS,1ST HR (0-90 MINS)
Gross
$457
0276
—
IOL STAAR 14.5 DIO AA4207VF
Gross
$438
0351
—
CT PERFUSION W/CONTRAST CBF
Gross
$394
0723
—
CIRCUMCISION
Gross
$315
0331
—
CHEMO VISIT (SUBQ/IM)
Gross
$291
0341
—
THYROID UPTAKE
Gross
$261
0333
—
CT GUIDANCE RADIATION THX
Gross
$259
0260
—
INFUSION NON-CHEMO, SEQUENTIAL
Gross
$249
0344
—
IODINE 131 CAPSULE
Gross
$238
0300
—
PROTHROMBIN ANTIBODIES, IGG
Gross
$232
0940
—
PHLEBOTOMY THERAPEUTIC
Gross
$232
0410
—
PULM REHAB INCLUSIVE SERVICES
Gross
$208
0943
—
CARDIAC REHAB EXERCISE W/ ECG
Gross
$208
0450
—
ATTENDANCE AT DELIVERY
Gross
$202
0920
—
SOMATOSENSORY TEST, UPPR LIMBS
Gross
$200
0352
—
CT, THORAX; WO/CONTRAST
Gross
$197
0359
—
CT SOFT TISSUE NECK; WO/CONT
Gross
$197
0306
—
CULT,OTH SRC W/ISO &PRESUMP ID
Gross
$186
0311
—
THIN PREP PAPSMEAR
Gross
$186
0390
—
FRESH FROZEN PLASMA PROCESSING
Gross
$186
0440
—
Eval 15M Fluency
Gross
$175
0342
—
THYROID THERAPY COMPLETE (NM)
Gross
$174
0335
—
CHEMO VISIT (EACH ADD PUSH)
Gross
$166
0771
—
INJ, TIXAGEVI AND CILGABI
Gross
$151
0424
—
PT EVALUTION- LOW- 15 MINS
Gross
$140
0434
—
OT EVALUTION- LOW- 15 MINS
Gross
$130
0942
—
MNT IND 2nd REFERRAL 15 MIN
Gross
$125
0460
—
SPIROMETRY WITH BRONCHODILATOR
Gross
$124
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0200 | INTENSIVE CARE UNIT | $2,551 | — | — | — | 0 |
| 0122 | OBSTETRICS ROOM AND BOARD | $2,505 | — | — | — | 0 |
| 0270 | Innova Stent 6x40x130 | $1,960 | — | — | — | 0 |
| 0124 | PSYCHIATRIC CARE | $1,929 | — | — | — | 0 |
| 0310 | CHROMOSOMAL ANALYSIS | $1,856 | — | — | — | 0 |
| 0275 | MEDTRONIC ATRIAL LEAD 5592-45 | $1,595 | — | — | — | 0 |
| 0120 | MED/SURG - L-1 R&B | $1,422 | — | — | — | 0 |
| 0123 | PEDIATRIC ROOM AND BOARD | $1,422 | — | — | — | 0 |
| 0250 | FMP250 FMT LOWER DELIVERY | $1,105 | — | — | — | 0 |
| 0800 | RENAL DIALYSIS | $926 | — | — | — | 0 |
| 0710 | SAME DAY SURGERY 0-2 HRS | $885 | — | — | — | 0 |
| 0921 | UNILAT. CAROTID ARTERY DOPPLER | $783 | — | — | — | 0 |
| 0278 | ARTHREX BIOCORKSREW AR-1920BF | $783 | — | — | — | 0 |
| 0170 | NEWBORN CARE | $757 | — | — | — | 0 |
| 0615 | MRI ANGIO HEAD W/CONTRAST | $716 | — | — | — | 0 |
| 0614 | MRI PELVIS W/O CONTRAST | $662 | — | — | — | 0 |
| 0790 | LITHOTRIPSY,CYSTOURETHROSCOPY | $601 | — | — | — | 0 |
| 0740 | EEG, COMA OR SLEEP ONLY | $574 | — | — | — | 0 |
| 0610 | MRI TEMPOROMANDIBULAR JOINTS | $545 | — | — | — | 0 |
| 0720 | FETAL NON-STRESS TEST | $524 | — | — | — | 0 |
| 0340 | BONE MARROW IMAGING; LIMITED | $522 | — | — | — | 0 |
| 0221 | ADMISSION FEE | $503 | — | — | — | 0 |
| 0391 | TRANSFUS,1ST HR (0-90 MINS) | $457 | — | — | — | 0 |
| 0276 | IOL STAAR 14.5 DIO AA4207VF | $438 | — | — | — | 0 |
| 0351 | CT PERFUSION W/CONTRAST CBF | $394 | — | — | — | 0 |
| 0723 | CIRCUMCISION | $315 | — | — | — | 0 |
| 0331 | CHEMO VISIT (SUBQ/IM) | $291 | — | — | — | 0 |
| 0341 | THYROID UPTAKE | $261 | — | — | — | 0 |
| 0333 | CT GUIDANCE RADIATION THX | $259 | — | — | — | 0 |
| 0260 | INFUSION NON-CHEMO, SEQUENTIAL | $249 | — | — | — | 0 |
| 0344 | IODINE 131 CAPSULE | $238 | — | — | — | 0 |
| 0300 | PROTHROMBIN ANTIBODIES, IGG | $232 | — | — | — | 0 |
| 0940 | PHLEBOTOMY THERAPEUTIC | $232 | — | — | — | 0 |
| 0410 | PULM REHAB INCLUSIVE SERVICES | $208 | — | — | — | 0 |
| 0943 | CARDIAC REHAB EXERCISE W/ ECG | $208 | — | — | — | 0 |
| 0450 | ATTENDANCE AT DELIVERY | $202 | — | — | — | 0 |
| 0920 | SOMATOSENSORY TEST, UPPR LIMBS | $200 | — | — | — | 0 |
| 0352 | CT, THORAX; WO/CONTRAST | $197 | — | — | — | 0 |
| 0359 | CT SOFT TISSUE NECK; WO/CONT | $197 | — | — | — | 0 |
| 0306 | CULT,OTH SRC W/ISO &PRESUMP ID | $186 | — | — | — | 0 |
| 0311 | THIN PREP PAPSMEAR | $186 | — | — | — | 0 |
| 0390 | FRESH FROZEN PLASMA PROCESSING | $186 | — | — | — | 0 |
| 0440 | Eval 15M Fluency | $175 | — | — | — | 0 |
| 0342 | THYROID THERAPY COMPLETE (NM) | $174 | — | — | — | 0 |
| 0335 | CHEMO VISIT (EACH ADD PUSH) | $166 | — | — | — | 0 |
| 0771 | INJ, TIXAGEVI AND CILGABI | $151 | — | — | — | 0 |
| 0424 | PT EVALUTION- LOW- 15 MINS | $140 | — | — | — | 0 |
| 0434 | OT EVALUTION- LOW- 15 MINS | $130 | — | — | — | 0 |
| 0942 | MNT IND 2nd REFERRAL 15 MIN | $125 | — | — | — | 0 |
| 0460 | SPIROMETRY WITH BRONCHODILATOR | $124 | — | — | — | 0 |
Showing top 50 of 83 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.