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
162
Insurances with rates
0
CPT / HCPCS codes
159
Source MRF
Most expensive procedures (gross)
J0586
—
Dysport 500 unit
Gross
$3,436
64640
—
INJECTION BOTOX
Gross
$2,030
64645
—
INJECTION EA ADD EXT MUSCLES
Gross
$1,575
64642
—
INJECTION 1 EX 4 MUSCLES
Gross
$1,563
64644
—
INJECTION 1 EXTRE 5 MUSCLES
Gross
$1,563
11107
—
Incisional Biopsy of Skin ea s
Gross
$1,276
93306
—
ECHOCARDIOGRAPHY
Gross
$1,204
93925
—
Lower extremity study
Gross
$1,095
64643
—
INJECTION EA ADD 4 MUSCLES
Gross
$840
11106
—
Incisional Biopsy of Skin, sin
Gross
$799
92611
—
ST Motion fluoroscopy/swallow
Gross
$737
11103
—
Tangential Biopsy of Skin,ea
Gross
$700
11105
—
Punch Biopsy of Skin, ea sep
Gross
$700
64615
—
CHEMODENERV FACIAL NERVE MIGR
Gross
$654
64616
—
Chemodenervation of neck musc
Gross
$654
93926
—
DUPLEX SCAN LEG UNILATERAL
Gross
$647
92521
—
ST Evaluation of speech fluenc
Gross
$609
92522
—
ST Evaluate speech production
Gross
$609
92523
—
ST Speech sound lang comp Eval
Gross
$609
92524
—
ST Behavioral/qualitative Eval
Gross
$609
92610
—
ST Evaluate swallowing functio
Gross
$609
93307
—
Echocardiography, Real-Time Wi
Gross
$583
93880
—
Duplex Scan Carotid Artery
Gross
$583
93970
—
BILATERAL ULTRA OF LEG
Gross
$583
99202
—
RHB - NEW PT VISIT - LVL 2
Gross
$550
99203
—
RHB - NEW PT VISIT - LVL 3
Gross
$550
99204
—
RHB - NEW PT VISIT - LVL 4
Gross
$550
99205
—
RHB - NEW PT VISIT - LVL 5
Gross
$550
99211
—
RHB - EST PT VISIT - LVL 1
Gross
$550
99212
—
RHB - EST PT VISIT - LVL 2
Gross
$550
99213
—
RHB - EST PT VISIT - LVL 3
Gross
$550
99214
—
RHB - EST PT VISIT - LVL 4
Gross
$550
99215
—
RHB - EST PT VISIT - LVL 5
Gross
$550
99291
—
Critical Care < 74 min
Gross
$531
11055
—
Pairing or cutting benign hype
Gross
$520
97610
—
PT MIST
Gross
$500
G0463
—
RHB - OUTPATIENT CLINIC VISIT
Gross
$474
94660
—
Pos airway pressure cpap
Gross
$460
74230
—
ST X-ray xm swlng funcj c+
Gross
$456
11102
—
Tangential biopsy of skin-sing
Gross
$437
11104
—
Punch biopsy of skin, single l
Gross
$437
87631
—
RSV/Influenza Rapid Test -InHs
Gross
$428
97165
—
OT Ot eval low complex 30 min
Gross
$388
97166
—
OT Ot eval mod complex 45 min
Gross
$387
97167
—
OT Ot eval high complex 60 min
Gross
$387
92526
—
ST Oral function therapy
Gross
$372
97161
—
PT Pt eval low complex 20 min
Gross
$365
97162
—
PT Pt eval mod complex 30 min
Gross
$365
97163
—
PT Pt eval high complex 45 min
Gross
$365
94799
—
OXYGEN FULL DAY
Gross
$346
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J0586 | Dysport 500 unit | $3,436 | — | — | — | 0 |
| 64640 | INJECTION BOTOX | $2,030 | — | — | — | 0 |
| 64645 | INJECTION EA ADD EXT MUSCLES | $1,575 | — | — | — | 0 |
| 64642 | INJECTION 1 EX 4 MUSCLES | $1,563 | — | — | — | 0 |
| 64644 | INJECTION 1 EXTRE 5 MUSCLES | $1,563 | — | — | — | 0 |
| 11107 | Incisional Biopsy of Skin ea s | $1,276 | — | — | — | 0 |
| 93306 | ECHOCARDIOGRAPHY | $1,204 | — | — | — | 0 |
| 93925 | Lower extremity study | $1,095 | — | — | — | 0 |
| 64643 | INJECTION EA ADD 4 MUSCLES | $840 | — | — | — | 0 |
| 11106 | Incisional Biopsy of Skin, sin | $799 | — | — | — | 0 |
| 92611 | ST Motion fluoroscopy/swallow | $737 | — | — | — | 0 |
| 11103 | Tangential Biopsy of Skin,ea | $700 | — | — | — | 0 |
| 11105 | Punch Biopsy of Skin, ea sep | $700 | — | — | — | 0 |
| 64615 | CHEMODENERV FACIAL NERVE MIGR | $654 | — | — | — | 0 |
| 64616 | Chemodenervation of neck musc | $654 | — | — | — | 0 |
| 93926 | DUPLEX SCAN LEG UNILATERAL | $647 | — | — | — | 0 |
| 92521 | ST Evaluation of speech fluenc | $609 | — | — | — | 0 |
| 92522 | ST Evaluate speech production | $609 | — | — | — | 0 |
| 92523 | ST Speech sound lang comp Eval | $609 | — | — | — | 0 |
| 92524 | ST Behavioral/qualitative Eval | $609 | — | — | — | 0 |
| 92610 | ST Evaluate swallowing functio | $609 | — | — | — | 0 |
| 93307 | Echocardiography, Real-Time Wi | $583 | — | — | — | 0 |
| 93880 | Duplex Scan Carotid Artery | $583 | — | — | — | 0 |
| 93970 | BILATERAL ULTRA OF LEG | $583 | — | — | — | 0 |
| 99202 | RHB - NEW PT VISIT - LVL 2 | $550 | — | — | — | 0 |
| 99203 | RHB - NEW PT VISIT - LVL 3 | $550 | — | — | — | 0 |
| 99204 | RHB - NEW PT VISIT - LVL 4 | $550 | — | — | — | 0 |
| 99205 | RHB - NEW PT VISIT - LVL 5 | $550 | — | — | — | 0 |
| 99211 | RHB - EST PT VISIT - LVL 1 | $550 | — | — | — | 0 |
| 99212 | RHB - EST PT VISIT - LVL 2 | $550 | — | — | — | 0 |
| 99213 | RHB - EST PT VISIT - LVL 3 | $550 | — | — | — | 0 |
| 99214 | RHB - EST PT VISIT - LVL 4 | $550 | — | — | — | 0 |
| 99215 | RHB - EST PT VISIT - LVL 5 | $550 | — | — | — | 0 |
| 99291 | Critical Care < 74 min | $531 | — | — | — | 0 |
| 11055 | Pairing or cutting benign hype | $520 | — | — | — | 0 |
| 97610 | PT MIST | $500 | — | — | — | 0 |
| G0463 | RHB - OUTPATIENT CLINIC VISIT | $474 | — | — | — | 0 |
| 94660 | Pos airway pressure cpap | $460 | — | — | — | 0 |
| 74230 | ST X-ray xm swlng funcj c+ | $456 | — | — | — | 0 |
| 11102 | Tangential biopsy of skin-sing | $437 | — | — | — | 0 |
| 11104 | Punch biopsy of skin, single l | $437 | — | — | — | 0 |
| 87631 | RSV/Influenza Rapid Test -InHs | $428 | — | — | — | 0 |
| 97165 | OT Ot eval low complex 30 min | $388 | — | — | — | 0 |
| 97166 | OT Ot eval mod complex 45 min | $387 | — | — | — | 0 |
| 97167 | OT Ot eval high complex 60 min | $387 | — | — | — | 0 |
| 92526 | ST Oral function therapy | $372 | — | — | — | 0 |
| 97161 | PT Pt eval low complex 20 min | $365 | — | — | — | 0 |
| 97162 | PT Pt eval mod complex 30 min | $365 | — | — | — | 0 |
| 97163 | PT Pt eval high complex 45 min | $365 | — | — | — | 0 |
| 94799 | OXYGEN FULL DAY | $346 | — | — | — | 0 |
Showing top 50 of 162 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.