45 CFR § 180 compliance
C · 70
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
2,333
Insurances with rates
2
CPT / HCPCS codes
499
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| H1016 | Room & Board -WCE Studio level 1 | — | $102 | — | — | 2 |
| H1017 | Room & Board -WCE Studio level 2 | — | $126 | — | — | 2 |
| H1018 | Room & Board- WCE Studio level 3 | — | $143 | — | — | 2 |
| H1019 | Room & Board - WCE 1 Bedroom level 1 | — | $121 | — | — | 2 |
| H1020 | Room & Board - WCE 1 Bedroom level 2 | — | $145 | — | — | 2 |
| H1021 | Room & Board - WCE 1 Bedroom level 3 | — | $162 | — | — | 2 |
| H1023 | R & B studio-Cat B level 4 | — | $132 | — | — | 2 |
| H1024 | R & B- 1 Bedroom Cat B level 4 | — | $147 | — | — | 2 |
| H1026 | Assisted Living Medicaid | — | $111 | — | — | 2 |
| H1013 | Swing Bed Medicaid | — | $242 | — | — | 2 |
| H1014 | Swing Bed Skilled Medicare | — | $242 | — | — | 2 |
| H1015 | Swing Bed Self Pay | — | $242 | — | — | 2 |
| H1029 | Swing Bed other ins | — | $242 | — | — | 2 |
| H1002 | Room & Board - LMC Inpatient | — | $1,710 | — | — | 2 |
| H1003 | Room & Board-LMC Elective Stay Inpatient | — | $363 | — | — | 2 |
| H1022 | Swing Bed Skilled - Medicaid | — | $242 | — | — | 2 |
| H1027 | Swing Bed Skilled BC/BS | — | $242 | — | — | 2 |
| H1028 | Swing Bed Self Pay Semi-Private | — | $242 | — | — | 2 |
| 90471 | Vaccine Admin | — | $27 | — | — | 2 |
| 90472 | Immunization each additional | — | $25 | — | — | 2 |
| H10051 | Room & Board-LMC High Intensity Inpatient | — | $2,600 | — | — | 2 |
| A6235 | DuoDerm dressing | — | $31 | — | — | 2 |
| J3301 | Kenalog 10mg/cc 0.25ccx4=1cc | — | $12 | — | — | 2 |
| H2500222 | Adacel (dip/per/tetanus) per dose | — | $282 | — | — | 2 |
| MRI contr | MRI Contrast | — | $113 | — | — | 2 |
| H250110 | Hydralazine 20mg/ml IV | — | $74 | — | — | 2 |
| 25000019c | Zosyn 3.375g-IV | — | $79 | — | — | 2 |
| 25000113a | Gaviscon Chewable-po | — | $4 | — | — | 2 |
| H2000107c | Naprosyn (Naproxen) 500 mg po | — | $4 | — | — | 2 |
| H24011c | Zithromax Oral Susp 200mg/5ml btl | — | $35 | — | — | 2 |
| H249b | Benadryl (Diphenhydramine) 25 mg-po | — | $4 | — | — | 2 |
| H250000 | Pharmacy-Misc. | — | $4 | — | — | 2 |
| H25000015 | Zemuron (Rocuronium) 50mg/5ml IV | — | $31 | — | — | 2 |
| H2500002 | Kenalog (Triamcinolone) cream 1% | — | $16 | — | — | 2 |
| H25000025 | Duoneb (Albuterol/Atrovent) | — | $6 | — | — | 2 |
| H25000026 | Mucomyst 20% (acetylcysteine)per dose | — | $9 | — | — | 2 |
| H250001 | Dulcolax supp | — | $6 | — | — | 2 |
| H25000107 | Advair 250/50-puff (diskus) | — | $352 | — | — | 2 |
| H25000113 | Gaviscon oral susp | — | $4 | — | — | 2 |
| H25000118 | Aldactone (Spironolactone) 25mg-po | — | $6 | — | — | 2 |
| H2500012 | Marcaine 0.5% w/Epi (per 20 ml) inj | — | $15 | — | — | 2 |
| H25000126 | Zovirax (Acyclovir) 1000mg IV | — | $69 | — | — | 2 |
| H25000198 | Medrol Dose Pack 4 mg (21 tab) po | — | $59 | — | — | 2 |
| H250001a | Dulcolax 5mg-po | — | $4 | — | — | 2 |
| H250002 | Colace 100mg-po | — | $6 | — | — | 2 |
| H2500024 | Cardizem (Diltiazem) 50mg/10ml IV | — | $30 | — | — | 2 |
| H2500024a | Cardizem CD (diltiazem) 120mg po | — | $6 | — | — | 2 |
| H250003 | Metamucil oral 1 Tbsp | — | $4 | — | — | 2 |
| h2500035a | Aquaphor oint dual pak per 1 of 2 | — | $11 | — | — | 2 |
| H25000535 | Cortef 5mg po | — | $6 | — | — | 2 |
Showing top 50 of 2,333 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.