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
70
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
110
—
R&B PRIVATE
Gross
$16,644
120
—
R&B SEMI PRIVATE
Gross
$16,644
404
—
PET TUMOR W/CT SKULL
Gross
$8,057
335
—
XR CHEMO UP TO 1 HR
Gross
$4,914
352
—
CT ABD & PELVIS W
Gross
$4,156
351
—
CT SOFT TISS NECK WO
Gross
$3,685
480
—
US ECHO 2D W/DOPPLER
Gross
$3,420
402
—
US ABDOMEN COMPLETE
Gross
$3,073
341
—
NM BONE/JT WHOLE BDY
Gross
$2,309
740
—
EEG, AWAKE AND ASLEE
Gross
$1,982
801
—
RENAL-HEMODIALYSIS
Gross
$1,929
333
—
XR SIMULATION-SIMPLE
Gross
$1,714
191
—
SAU SEMI PRIVATE
Gross
$1,577
921
—
US UP EXT ART DUP BI
Gross
$1,577
636
—
SPIRIVA 1.25MCG/ACT
Gross
$1,491
430
—
OT EVAL- LOW COMPLEX
Gross
$524
444
—
ST SPEECH EVALUATION
Gross
$473
420
—
PT EVAL- LOW COMPLE
Gross
$466
320
—
XR ABD SINGLE AP VW
Gross
$422
301
—
COVID 19 AMP 2020-01
Gross
$420
730
—
RT PROCEDURE ASSIST
Gross
$410
440
—
ORTH MGM/TRN SUB 15M
Gross
$342
310
—
SPEC COL SAR COV2/19
Gross
$208
410
—
RT CW MANIP INITIAL
Gross
$166
305
—
ANTITHROMBIN III
Gross
$161
423
—
PT THERA PROC-GROUP
Gross
$158
433
—
OT THERA PROC GRP
Gross
$158
443
—
ST GROUP TREATMENT
Gross
$154
306
—
NOV CORONAVIRUS CDC
Gross
$151
272
—
ADD SUP DUE RESP DIS
Gross
$150
302
—
AB COVID 19 SGLE STP
Gross
$76
307
—
UA AUTO W/MICROSCO
Gross
$71.8
771
—
MOD COV19 VAC ADM 1
Gross
$59.29
312
—
STAIN GROUP-II
Gross
$57.85
300
—
GLUCOSE ACCU-CHECK
Gross
$13.2
270
—
DRESSING MESALT 3 *S
Gross
$8
250
—
PREPARATION H 0.25
Gross
$0.01
180
—
LOA
Gross
$0
271
—
LIBERTY Y-CONNECTOR
Gross
$0
311
—
CYTOSPIN
Gross
$0
323
—
XR AORTOG ABD&BI FEM
Gross
$0
343
—
XR MEDRONATE <30MCI
Gross
$0
350
—
CT GUIDE NEEDLE BIOP
Gross
$0
360
—
PEG PLACEMENT
Gross
$0
361
—
J-TUBE PLACEMENT
Gross
$0
370
—
CONS SED >5YO 30MIN
Gross
$0
381
—
RED BLOOD CELLS
Gross
$0
383
—
FFP<8HRS
Gross
$0
384
—
PLATELETS PHERESIS
Gross
$0
390
—
FFP <8HRS
Gross
$0
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 110 | R&B PRIVATE | $16,644 | — | $0 | $4.75 | 0 |
| 120 | R&B SEMI PRIVATE | $16,644 | — | $0 | $11.4 | 0 |
| 404 | PET TUMOR W/CT SKULL | $8,057 | — | — | — | 0 |
| 335 | XR CHEMO UP TO 1 HR | $4,914 | — | — | — | 0 |
| 352 | CT ABD & PELVIS W | $4,156 | — | — | — | 0 |
| 351 | CT SOFT TISS NECK WO | $3,685 | — | — | — | 0 |
| 480 | US ECHO 2D W/DOPPLER | $3,420 | — | — | — | 0 |
| 402 | US ABDOMEN COMPLETE | $3,073 | — | — | — | 0 |
| 341 | NM BONE/JT WHOLE BDY | $2,309 | — | — | — | 0 |
| 740 | EEG, AWAKE AND ASLEE | $1,982 | — | — | — | 0 |
| 801 | RENAL-HEMODIALYSIS | $1,929 | — | — | — | 0 |
| 333 | XR SIMULATION-SIMPLE | $1,714 | — | — | — | 0 |
| 191 | SAU SEMI PRIVATE | $1,577 | — | $0 | $4.75 | 0 |
| 921 | US UP EXT ART DUP BI | $1,577 | — | — | — | 0 |
| 636 | SPIRIVA 1.25MCG/ACT | $1,491 | — | — | — | 0 |
| 430 | OT EVAL- LOW COMPLEX | $524 | — | — | — | 0 |
| 444 | ST SPEECH EVALUATION | $473 | — | — | — | 0 |
| 420 | PT EVAL- LOW COMPLE | $466 | — | — | — | 0 |
| 320 | XR ABD SINGLE AP VW | $422 | — | — | — | 0 |
| 301 | COVID 19 AMP 2020-01 | $420 | — | — | — | 0 |
| 730 | RT PROCEDURE ASSIST | $410 | — | — | — | 0 |
| 440 | ORTH MGM/TRN SUB 15M | $342 | — | — | — | 0 |
| 310 | SPEC COL SAR COV2/19 | $208 | — | — | — | 0 |
| 410 | RT CW MANIP INITIAL | $166 | — | — | — | 0 |
| 305 | ANTITHROMBIN III | $161 | — | — | — | 0 |
| 423 | PT THERA PROC-GROUP | $158 | — | — | — | 0 |
| 433 | OT THERA PROC GRP | $158 | — | — | — | 0 |
| 443 | ST GROUP TREATMENT | $154 | — | — | — | 0 |
| 306 | NOV CORONAVIRUS CDC | $151 | — | — | — | 0 |
| 272 | ADD SUP DUE RESP DIS | $150 | — | — | — | 0 |
| 302 | AB COVID 19 SGLE STP | $76 | — | — | — | 0 |
| 307 | UA AUTO W/MICROSCO | $71.8 | — | — | — | 0 |
| 771 | MOD COV19 VAC ADM 1 | $59.29 | — | — | — | 0 |
| 312 | STAIN GROUP-II | $57.85 | — | — | — | 0 |
| 300 | GLUCOSE ACCU-CHECK | $13.2 | — | — | — | 0 |
| 270 | DRESSING MESALT 3 *S | $8 | — | $0 | $48.45 | 0 |
| 250 | PREPARATION H 0.25 | $0.01 | — | $0 | $10.07 | 0 |
| 180 | LOA | $0 | — | $0 | $11.4 | 0 |
| 271 | LIBERTY Y-CONNECTOR | $0 | — | — | — | 0 |
| 311 | CYTOSPIN | $0 | — | — | — | 0 |
| 323 | XR AORTOG ABD&BI FEM | $0 | — | — | — | 0 |
| 343 | XR MEDRONATE <30MCI | $0 | — | — | — | 0 |
| 350 | CT GUIDE NEEDLE BIOP | $0 | — | — | — | 0 |
| 360 | PEG PLACEMENT | $0 | — | — | — | 0 |
| 361 | J-TUBE PLACEMENT | $0 | — | — | — | 0 |
| 370 | CONS SED >5YO 30MIN | $0 | — | — | — | 0 |
| 381 | RED BLOOD CELLS | $0 | — | — | — | 0 |
| 383 | FFP<8HRS | $0 | — | — | — | 0 |
| 384 | PLATELETS PHERESIS | $0 | — | — | — | 0 |
| 390 | FFP <8HRS | $0 | — | — | — | 0 |
Showing top 50 of 70 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.