45 CFR § 180 compliance
B · 85
This hospital published most 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
39
Insurances with rates
8
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
350
$3,722
CT ABD/PELVIS W/CONT
Gross
$4,962
361
$1,615
43246 Esophagogastroduodenoscopy, flxble, transoral; w/ directed placemt of percutaneous gastro tube
Gross
$2,153
239
$1,408
PICC Line Insertion JCHC
Gross
$1,877
320
$617
JCHC US Guided Needle Placement
Gross
$822
731
$612
93226 Monitor Scan Analysis Report 48Hrs Charge
Gross
$816
960
$510
11406 PF EXC TR-EXT B9+MARG >4.0 CM
Gross
$680
450
$346
10140 I&D HEMATOMA SEROMA/FLUID COLLECTION TechFee
Gross
$461
730
$257
93005 EKG w/ 12+ leads; Tracing Only
Gross
$342
440
$252
Behav/Qual Analysis of Voice and Resonance Minutes
Gross
$336
340
$224
50419-0220-01 - Technetium tc-99m(AcuteCT)[JCHC]
Gross
$298
521
$189
10040 Acne Surgery
Gross
$252
761
$184
49082 PARACENTESIS CHARGE
Gross
$245
636
$173
80631-0107-10 - SARS-CoV-2 rS-protein vaccine, recomb (cvx 313) preservative-free 5 mcg/0.5 mL Sus[J
Gross
$231
300
$167
.ANA Screen Rfx UNMC
Gross
$223
471
$146
NEWBORN HEARING SCREENING CHARGE
Gross
$194
760
$133
96361 OBS IV HYDRATION, EACH ADDL HR
Gross
$177
525
$132
99304 Initial Nursing Facility Care, Low
Gross
$176
522
$131
99342 Home Visit, New Patient, Expanded Problem Focused
Gross
$174
410
$126
RN OTPT Handheld Nebulizer TX CHARGE
Gross
$168
942
$125
95249 Personal CGM - Startup/Trainin
Gross
$166
524
$105
20610 SNF PF DRAIN/INJ JOINT/BURSE W/O US
Gross
$140
270
$99.8
08627-0053-03 - Dexcom G6 Sensor Kit 1pkg of 3ea [JCHC]
Gross
$133
420
$97.5
Aquatic Therapy Charges
Gross
$130
311
$87.75
Cytology Genital Screen (PAP) UNMC
Gross
$117
510
$83.25
10021 Fine needle aspiration; without imaging guidance-Tech Fee
Gross
$111
401
$81.75
DIAG BREAST TOMO, BILATER
Gross
$109
914
$80.25
90832 Psychotherapy, 30 min Charge
Gross
$107
403
$78.75
Breast TOMO. Bilater
Gross
$105
981
$67.5
29240 STRAPPING SHOULDER TechFee
Gross
$90
310
$67.5
88311 AP Bill Decalcify tissue
Gross
$90
430
$65.25
Attended E-Stim Charges
Gross
$87
770
$64.5
Bill Only Drug Screen Collection
Gross
$86
940
$63.75
97810 Acupuncture 1 or more needles without electrical stimulation, initial 15 minutes of personal 1
Gross
$85
771
$59.25
0001A Pfizer-Biontech Covid-19 Vaccine 1st Dose
Gross
$79
301
$57
INR
Gross
$76
390
$17.25
Filter Fee
Gross
$23
259
$16.8
00093-6816-73 - budesonide 0.5 mg/2 mL (Pulmicort) Inh Susp [JCHC]
Gross
$22.4
250
$8.32
00002-7510-01 - insulin lispro 100 units/mL (Humalog) 10ml Sol [JCHC]
Gross
$11.09
580
$7.5
BATHING/SHOWER ASSISTANCE
Gross
$10
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 350 | CT ABD/PELVIS W/CONT | $4,962 | $3,722 | — | — | 15 |
| 361 | 43246 Esophagogastroduodenoscopy, flxble, transoral; w/ directed placemt of percutaneous gastro tube | $2,153 | $1,615 | — | — | 15 |
| 239 | PICC Line Insertion JCHC | $1,877 | $1,408 | — | — | 15 |
| 320 | JCHC US Guided Needle Placement | $822 | $617 | — | — | 15 |
| 731 | 93226 Monitor Scan Analysis Report 48Hrs Charge | $816 | $612 | — | — | 15 |
| 960 | 11406 PF EXC TR-EXT B9+MARG >4.0 CM | $680 | $510 | — | — | 15 |
| 450 | 10140 I&D HEMATOMA SEROMA/FLUID COLLECTION TechFee | $461 | $346 | — | — | 15 |
| 730 | 93005 EKG w/ 12+ leads; Tracing Only | $342 | $257 | — | — | 15 |
| 440 | Behav/Qual Analysis of Voice and Resonance Minutes | $336 | $252 | — | — | 15 |
| 340 | 50419-0220-01 - Technetium tc-99m(AcuteCT)[JCHC] | $298 | $224 | — | — | 15 |
| 521 | 10040 Acne Surgery | $252 | $189 | — | — | 15 |
| 761 | 49082 PARACENTESIS CHARGE | $245 | $184 | — | — | 15 |
| 636 | 80631-0107-10 - SARS-CoV-2 rS-protein vaccine, recomb (cvx 313) preservative-free 5 mcg/0.5 mL Sus[J | $231 | $173 | — | — | 15 |
| 300 | .ANA Screen Rfx UNMC | $223 | $167 | — | — | 15 |
| 471 | NEWBORN HEARING SCREENING CHARGE | $194 | $146 | — | — | 15 |
| 760 | 96361 OBS IV HYDRATION, EACH ADDL HR | $177 | $133 | — | — | 15 |
| 525 | 99304 Initial Nursing Facility Care, Low | $176 | $132 | — | — | 15 |
| 522 | 99342 Home Visit, New Patient, Expanded Problem Focused | $174 | $131 | — | — | 15 |
| 410 | RN OTPT Handheld Nebulizer TX CHARGE | $168 | $126 | — | — | 15 |
| 942 | 95249 Personal CGM - Startup/Trainin | $166 | $125 | — | — | 15 |
| 524 | 20610 SNF PF DRAIN/INJ JOINT/BURSE W/O US | $140 | $105 | — | — | 15 |
| 270 | 08627-0053-03 - Dexcom G6 Sensor Kit 1pkg of 3ea [JCHC] | $133 | $99.8 | — | — | 15 |
| 420 | Aquatic Therapy Charges | $130 | $97.5 | — | — | 15 |
| 311 | Cytology Genital Screen (PAP) UNMC | $117 | $87.75 | — | — | 15 |
| 510 | 10021 Fine needle aspiration; without imaging guidance-Tech Fee | $111 | $83.25 | — | — | 15 |
| 401 | DIAG BREAST TOMO, BILATER | $109 | $81.75 | — | — | 15 |
| 914 | 90832 Psychotherapy, 30 min Charge | $107 | $80.25 | — | — | 15 |
| 403 | Breast TOMO. Bilater | $105 | $78.75 | — | — | 15 |
| 981 | 29240 STRAPPING SHOULDER TechFee | $90 | $67.5 | — | — | 15 |
| 310 | 88311 AP Bill Decalcify tissue | $90 | $67.5 | — | — | 15 |
| 430 | Attended E-Stim Charges | $87 | $65.25 | — | — | 15 |
| 770 | Bill Only Drug Screen Collection | $86 | $64.5 | — | — | 15 |
| 940 | 97810 Acupuncture 1 or more needles without electrical stimulation, initial 15 minutes of personal 1 | $85 | $63.75 | — | — | 15 |
| 771 | 0001A Pfizer-Biontech Covid-19 Vaccine 1st Dose | $79 | $59.25 | — | — | 15 |
| 301 | INR | $76 | $57 | — | — | 15 |
| 390 | Filter Fee | $23 | $17.25 | — | — | 15 |
| 259 | 00093-6816-73 - budesonide 0.5 mg/2 mL (Pulmicort) Inh Susp [JCHC] | $22.4 | $16.8 | — | — | 15 |
| 250 | 00002-7510-01 - insulin lispro 100 units/mL (Humalog) 10ml Sol [JCHC] | $11.09 | $8.32 | — | — | 15 |
| 580 | BATHING/SHOWER ASSISTANCE | $10 | $7.5 | — | — | 15 |
Showing top 39 of 39 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.