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
159
Insurances with rates
2
CPT / HCPCS codes
13
Source MRF
Most expensive procedures (gross)
76700
—
Ultrasound of abdomen
Gross
$478
84153-84154
—
PSA (prostate specific antigen)
Gross
$126
97110
—
Physical therapy, therapeutic exercise
Gross
$120
72110
—
X-Ray, lower back, minimum four views
Gross
$94.63
84443
—
Blood test, thyroid stimulating hormone (TSH)
Gross
$88.58
80061
—
Blood test, lipids (cholesterol and triglycerides)
Gross
$40.48
85730
—
Blood test of blood clotting time assessment
Gross
$29.25
80053
—
Blood test, comprehensive group of blood chemicals
Gross
$24.78
80069
—
Kidney function panel test
Gross
$21.48
80048
—
Blood test, Basic metabolic panel
Gross
$19.83
80076
—
Liver function blood test panel
Gross
$19
85025
—
Complete blood cell count, with differential white blood cells, automated
Gross
$10.15
85610
—
Blood test, clotting time
Gross
$10.15
85027
—
Complete blood count, automated
Gross
$10.03
81000 or 81001
—
Manual urinalysis test with examination using microscope
Gross
$8.4
81002 or 81003
—
Machine / automated urinalysis test
Gross
$5.98
100
—
Seizures with major complication
Gross
—
146
—
Ear, Nose, Mouth and Throat cancers with major complication
Gross
—
166
—
Respiratory system surgeries with major complication
Gross
—
175
—
Pulmonary Blood Clot with major complication
Gross
—
177
—
Respiratory infection with inflammation with major complication
Gross
—
178
—
Respiratory infection with inflammation with complication or comorbidity
Gross
—
180
—
Respiratory growths with major complicationswith major complication
Gross
—
181
—
Respiratory growths with complication or comorbidity
Gross
—
182
—
Respiratory growths without major complication or comorbidity
Gross
—
189
—
Fluid in Lung and respiratory failure
Gross
—
190
—
Chronic obstructive pulmonary disease with major complication
Gross
—
191
—
Chronic obstructive pulmonary disease with complication or comorbidity
Gross
—
192
—
Chronic obstructive pulmonary disease without complication
Gross
—
193
—
Simple Pneumonia and pleurisy with major complications
Gross
—
194
—
Simple Pneumonia and pleurisy with complication or comorbidity
Gross
—
202
—
Bronchitis and Asthma with comorbidity or major complication
Gross
—
207
—
Respiratory system diagnosis with ventilator greater than 96 hours
Gross
—
208
—
Respiratory system diagnosis with ventilator less than 96 hours
Gross
—
216
—
Cardiac valve and other major heart/chest procedures with cardiac catheterization with major complic
Gross
—
280
—
Acute Heart Attack with major complication
Gross
—
281
—
Acute Heart Attack with complication or comorbidity
Gross
—
282
—
Acute Heart Attack without major complication or comorbidity
Gross
—
288
—
Acute and subacute (> one month) heart inflammation with major complication
Gross
—
291
—
Heart failure and shock with major complications
Gross
—
292
—
Heart failure and shock with complication or comorbidity
Gross
—
296
—
heart attack with Major complications
Gross
—
299
—
PVD / Circulatory disorder of the limbs with major complication
Gross
—
3
—
Life Support or Tracheostomy with Mechanical Ventilation greater than 96 hours
Gross
—
300
—
PVD / Circulatory disorder of the limbs with complication or comorbidity
Gross
—
301
—
PVD / Circulatory disorder of the limbs without major complication or comorbidity
Gross
—
302
—
Heart blood vessel diseases with major complication
Gross
—
303
—
Heart blood vessel diseases without major complication
Gross
—
307
—
Cardiac birth defects and heart valve disorders
Gross
—
309
—
Irregular hearbeat and heart rhythm disorders with complication
Gross
—
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 76700 | Ultrasound of abdomen | $478 | — | — | — | 0 |
| 84153-84154 | PSA (prostate specific antigen) | $126 | — | — | — | 0 |
| 97110 | Physical therapy, therapeutic exercise | $120 | — | — | — | 0 |
| 72110 | X-Ray, lower back, minimum four views | $94.63 | — | — | — | 0 |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | $88.58 | — | — | — | 0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | $40.48 | — | — | — | 0 |
| 85730 | Blood test of blood clotting time assessment | $29.25 | — | — | — | 0 |
| 80053 | Blood test, comprehensive group of blood chemicals | $24.78 | — | — | — | 0 |
| 80069 | Kidney function panel test | $21.48 | — | — | — | 0 |
| 80048 | Blood test, Basic metabolic panel | $19.83 | — | — | — | 0 |
| 80076 | Liver function blood test panel | $19 | — | — | — | 0 |
| 85025 | Complete blood cell count, with differential white blood cells, automated | $10.15 | — | — | — | 0 |
| 85610 | Blood test, clotting time | $10.15 | — | — | — | 0 |
| 85027 | Complete blood count, automated | $10.03 | — | — | — | 0 |
| 81000 or 81001 | Manual urinalysis test with examination using microscope | $8.4 | — | — | — | 0 |
| 81002 or 81003 | Machine / automated urinalysis test | $5.98 | — | — | — | 0 |
| 100 | Seizures with major complication | — | — | $1,975 | $1,975 | 2 |
| 146 | Ear, Nose, Mouth and Throat cancers with major complication | — | — | $1,673 | $1,673 | 2 |
| 166 | Respiratory system surgeries with major complication | — | — | $3,213 | $3,213 | 2 |
| 175 | Pulmonary Blood Clot with major complication | — | — | $1,729 | $1,729 | 2 |
| 177 | Respiratory infection with inflammation with major complication | — | — | $1,968 | $1,968 | 2 |
| 178 | Respiratory infection with inflammation with complication or comorbidity | — | — | $1,694 | $1,694 | 2 |
| 180 | Respiratory growths with major complicationswith major complication | — | — | $1,809 | $1,809 | 2 |
| 181 | Respiratory growths with complication or comorbidity | — | — | $1,673 | $1,673 | 2 |
| 182 | Respiratory growths without major complication or comorbidity | — | — | $1,673 | $1,673 | 2 |
| 189 | Fluid in Lung and respiratory failure | — | — | $2,410 | $2,410 | 2 |
| 190 | Chronic obstructive pulmonary disease with major complication | — | — | $1,910 | $1,910 | 2 |
| 191 | Chronic obstructive pulmonary disease with complication or comorbidity | — | — | $1,910 | $1,910 | 2 |
| 192 | Chronic obstructive pulmonary disease without complication | — | — | $1,729 | $1,729 | 2 |
| 193 | Simple Pneumonia and pleurisy with major complications | — | — | $1,988 | $1,988 | 2 |
| 194 | Simple Pneumonia and pleurisy with complication or comorbidity | — | — | $1,709 | $1,709 | 2 |
| 202 | Bronchitis and Asthma with comorbidity or major complication | — | — | $2,016 | $2,016 | 2 |
| 207 | Respiratory system diagnosis with ventilator greater than 96 hours | — | — | $3,411 | $3,411 | 2 |
| 208 | Respiratory system diagnosis with ventilator less than 96 hours | — | — | $2,889 | $2,889 | 2 |
| 216 | Cardiac valve and other major heart/chest procedures with cardiac catheterization with major complic | — | — | $2,016 | $2,016 | 2 |
| 280 | Acute Heart Attack with major complication | — | — | $2,166 | $2,166 | 2 |
| 281 | Acute Heart Attack with complication or comorbidity | — | — | $1,729 | $1,729 | 2 |
| 282 | Acute Heart Attack without major complication or comorbidity | — | — | $1,673 | $1,673 | 2 |
| 288 | Acute and subacute (> one month) heart inflammation with major complication | — | — | $2,052 | $2,052 | 2 |
| 291 | Heart failure and shock with major complications | — | — | $2,024 | $2,024 | 2 |
| 292 | Heart failure and shock with complication or comorbidity | — | — | $1,948 | $1,948 | 2 |
| 296 | heart attack with Major complications | — | — | $2,024 | $2,024 | 2 |
| 299 | PVD / Circulatory disorder of the limbs with major complication | — | — | $1,920 | $1,920 | 2 |
| 3 | Life Support or Tracheostomy with Mechanical Ventilation greater than 96 hours | — | — | $3,597 | $3,597 | 2 |
| 300 | PVD / Circulatory disorder of the limbs with complication or comorbidity | — | — | $1,508 | $1,508 | 2 |
| 301 | PVD / Circulatory disorder of the limbs without major complication or comorbidity | — | — | $1,508 | $1,508 | 2 |
| 302 | Heart blood vessel diseases with major complication | — | — | $2,016 | $2,016 | 2 |
| 303 | Heart blood vessel diseases without major complication | — | — | $1,673 | $1,673 | 2 |
| 307 | Cardiac birth defects and heart valve disorders | — | — | $1,729 | $1,729 | 2 |
| 309 | Irregular hearbeat and heart rhythm disorders with complication | — | — | $1,809 | $1,809 | 2 |
Showing top 50 of 159 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.