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
65
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
128
—
R&B SEMI PVT
Gross
$6,394
301
—
COVID 19 AMP 2020-01
Gross
$438
434
—
OT EVAL-LOW COMPLEX
Gross
$374
390
—
PLATELETS LEUKOREDUC
Gross
$373
402
—
US HEAD AND NECK
Gross
$341
483
—
ECHOCARDIOGRAM (REAL
Gross
$341
803
—
PERITONEAL DIALYSIS
Gross
$341
424
—
PT EVAL-LOW COMPLEX
Gross
$333
479
—
AMPUTATION OF AN I
Gross
$291
250
—
FEES
Gross
$217
310
—
SPEC COL SAR COV2/19
Gross
$216
731
—
HOLTER MONITOR
Gross
$173
306
—
NOV CORONAVIRUS CDC
Gross
$157
272
—
ADD SUP DUE RESP DIS
Gross
$150
740
—
EEG
Gross
$149
500
—
CLINC VT NEW EXTENDE
Gross
$140
510
—
BOTOX INJECTION 1 LI
Gross
$121
320
—
ABDOMEN SINGLE AP VI
Gross
$113
330
—
FLUORSCOPY
Gross
$113
983
—
APPLICATION MULIT LA
Gross
$103
450
—
ER VISIT
Gross
$93.75
302
—
AB COVID 19 SGLE STP
Gross
$79.15
309
—
HEP B CORE AB IGM
Gross
$67.5
771
—
MOD COV19 VAC ADM 1
Gross
$59.29
300
—
PAP SMEAR
Gross
$58.75
420
—
WOUND DEBRIDEMENT SK
Gross
$48.75
305
—
CK MB FRACTION ONLY
Gross
$43.75
430
—
OT 1/4 HR
Gross
$42.5
440
—
SPEECH THERAPY 1/4HR
Gross
$42.5
910
—
PSYCHOLOGY 1/4HR
Gross
$37.5
960
—
WOUND CARE PARTIAL T
Gross
$28.75
230
—
1:1 NURSING HRLY
Gross
$0
260
—
ENTERALS ADM FEEDING
Gross
$0
262
—
IV DRUGS
Gross
$0
270
—
4X6 BAND-AID
Gross
$0
274
—
ELBOW/KNEE SPLINT
Gross
$0
290
—
AIR MATTRESS
Gross
$0
340
—
MYO PERF W-WALLMOTIO
Gross
$0
351
—
CT HEAD OR BRAIN W/C
Gross
$0
352
—
CT ABDOMEN W/ CONTRA
Gross
$0
380
—
WHOLE BLOOD
Gross
$0
384
—
BLOOD PLATELETS
Gross
$0
385
—
BLOOD LEUKOCYTES
Gross
$0
410
—
AEROSOL SET UP
Gross
$0
444
—
DYSPHAGIA BEDSIDE EV
Gross
$0
470
—
SPONTANEOUR NYSTAGMU
Gross
$0
471
—
SINUSODIAL AXIS ROTA
Gross
$0
480
—
2D ECHO DOPPLER
Gross
$0
540
—
NON-EMERGENCY TRANSP
Gross
$0
611
—
MR BRAIN W/CONTRAST
Gross
$0
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 128 | R&B SEMI PVT | $6,394 | — | — | — | 0 |
| 301 | COVID 19 AMP 2020-01 | $438 | — | — | — | 0 |
| 434 | OT EVAL-LOW COMPLEX | $374 | — | — | — | 0 |
| 390 | PLATELETS LEUKOREDUC | $373 | — | — | — | 0 |
| 402 | US HEAD AND NECK | $341 | — | — | — | 0 |
| 483 | ECHOCARDIOGRAM (REAL | $341 | — | — | — | 0 |
| 803 | PERITONEAL DIALYSIS | $341 | — | — | — | 0 |
| 424 | PT EVAL-LOW COMPLEX | $333 | — | — | — | 0 |
| 479 | AMPUTATION OF AN I | $291 | — | — | — | 0 |
| 250 | FEES | $217 | — | $0 | $206 | 0 |
| 310 | SPEC COL SAR COV2/19 | $216 | — | — | — | 0 |
| 731 | HOLTER MONITOR | $173 | — | — | — | 0 |
| 306 | NOV CORONAVIRUS CDC | $157 | — | — | — | 0 |
| 272 | ADD SUP DUE RESP DIS | $150 | — | — | — | 0 |
| 740 | EEG | $149 | — | — | — | 0 |
| 500 | CLINC VT NEW EXTENDE | $140 | — | — | — | 0 |
| 510 | BOTOX INJECTION 1 LI | $121 | — | — | — | 0 |
| 320 | ABDOMEN SINGLE AP VI | $113 | — | — | — | 0 |
| 330 | FLUORSCOPY | $113 | — | — | — | 0 |
| 983 | APPLICATION MULIT LA | $103 | — | — | — | 0 |
| 450 | ER VISIT | $93.75 | — | — | — | 0 |
| 302 | AB COVID 19 SGLE STP | $79.15 | — | — | — | 0 |
| 309 | HEP B CORE AB IGM | $67.5 | — | — | — | 0 |
| 771 | MOD COV19 VAC ADM 1 | $59.29 | — | — | — | 0 |
| 300 | PAP SMEAR | $58.75 | — | — | — | 0 |
| 420 | WOUND DEBRIDEMENT SK | $48.75 | — | — | — | 0 |
| 305 | CK MB FRACTION ONLY | $43.75 | — | — | — | 0 |
| 430 | OT 1/4 HR | $42.5 | — | — | — | 0 |
| 440 | SPEECH THERAPY 1/4HR | $42.5 | — | — | — | 0 |
| 910 | PSYCHOLOGY 1/4HR | $37.5 | — | — | — | 0 |
| 960 | WOUND CARE PARTIAL T | $28.75 | — | — | — | 0 |
| 230 | 1:1 NURSING HRLY | $0 | — | $0 | — | 0 |
| 260 | ENTERALS ADM FEEDING | $0 | — | $0 | — | 0 |
| 262 | IV DRUGS | $0 | — | $0 | — | 0 |
| 270 | 4X6 BAND-AID | $0 | — | $0 | — | 0 |
| 274 | ELBOW/KNEE SPLINT | $0 | — | — | — | 0 |
| 290 | AIR MATTRESS | $0 | — | — | — | 0 |
| 340 | MYO PERF W-WALLMOTIO | $0 | — | — | — | 0 |
| 351 | CT HEAD OR BRAIN W/C | $0 | — | — | — | 0 |
| 352 | CT ABDOMEN W/ CONTRA | $0 | — | — | — | 0 |
| 380 | WHOLE BLOOD | $0 | — | — | — | 0 |
| 384 | BLOOD PLATELETS | $0 | — | — | — | 0 |
| 385 | BLOOD LEUKOCYTES | $0 | — | — | — | 0 |
| 410 | AEROSOL SET UP | $0 | — | — | — | 0 |
| 444 | DYSPHAGIA BEDSIDE EV | $0 | — | — | — | 0 |
| 470 | SPONTANEOUR NYSTAGMU | $0 | — | — | — | 0 |
| 471 | SINUSODIAL AXIS ROTA | $0 | — | — | — | 0 |
| 480 | 2D ECHO DOPPLER | $0 | — | — | — | 0 |
| 540 | NON-EMERGENCY TRANSP | $0 | — | — | — | 0 |
| 611 | MR BRAIN W/CONTRAST | $0 | — | — | — | 0 |
Showing top 50 of 65 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.