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
49
Insurances with rates
5
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
361
—
OP REM FGN BDY/MOUTH/CMP
Gross
$2,074
981
—
SOFT TISS FB REMOVAL-PELVIS OR HIP-DEEP
Gross
$1,592
120
—
MED/SURG ROOM
Gross
$1,350
350
—
CT HEAD WO CONTRAST
Gross
$1,323
402
—
US VENOUS DOPPLER BILAT
Gross
$1,026
921
—
US CAROTID BILAT
Gross
$1,026
360
—
FACILITY FEE WO/BIOPSY
Gross
$1,016
610
—
MRI TMJ
Gross
$921
450
—
FACILITY/SOFT TISSUE FB REMOVAL-FOOT-DEE
Gross
$813
391
—
BLOOD ADMIN PER UNIT TX
Gross
$795
310
—
JAK2 V617F MUTATION, QNT
Gross
$664
410
—
INTUBATION EMERGENCY
Gross
$616
390
—
RBC LEUKOCYTE REDUCED
Gross
$531
320
—
XR MANDIBLE MIN 4 VIEW
Gross
$428
260
—
IVNF HYDRATION 1ST HR
Gross
$352
970
—
INSERTION CONT CAPSULE
Gross
$328
424
—
PT EVALUATION LOW COMPLEXITY
Gross
$258
521
—
ANNUAL PELVIC / BREAST EXAM
Gross
$257
900
—
PSYCHIATRIC DIAGNOSITC EVALUATION
Gross
$257
460
—
SPIROMETRY
Gross
$247
309
—
BB TYPE AND CROSSMATCH
Gross
$198
324
—
XR CHEST 1 V
Gross
$189
960
—
LTC INITIAL LEVEL 1
Gross
$159
525
—
LTC INITIAL LEVEL 1
Gross
$159
730
—
WELCOME TO M'CARE EKG
Gross
$157
306
—
HELICOBACTER PYLORI IGM (QUEST)
Gross
$153
305
—
*CBC W/AUTO DIFF
Gross
$134
259
—
TAMIFLU 30 MG BOTTLE
Gross
$113
302
—
ORGANISM ID (SEND OUT)
Gross
$112
311
—
PAP TEST
Gross
$103
522
—
LCSD JAIL VISITS
Gross
$103
762
—
OBSERVATION PER HOUR W/O
Gross
$103
731
—
SNCA HOLTER HOOK UP
Gross
$96
301
—
STOOL CULTURE (STATE)
Gross
$89
509
—
PT DEMO/INHAL
Gross
$89
780
—
TELEHEALTH ORIGINATING SITE FACILITY FEE
Gross
$68
403
—
MM MAMMOGRAPHY UNI SCREENING
Gross
$62
761
—
CATH FOR URINE COLLECT
Gross
$62
420
—
PT ROM MEAS - EXTREMITIES
Gross
$61
636
—
NS W 20KCL 1000ML
Gross
$44
274
—
CERVICAL COLLAR FOAM S
Gross
$43
307
—
*UA AUTOMATED W/O MICRO
Gross
$40
300
—
PATERNITY (LABCORP)
Gross
$28
250
—
3% HYPERTONIC SODIUM CHLORIDE 500ML
Gross
$26
258
—
NORMAL SALINE 250ML 16.8 Lbs
Gross
$26
771
—
MCARE FLU VACC ADMIN
Gross
$26
272
—
SET SECONDARY
Gross
$19
270
—
SKIN STAPLES 5 SHOT
Gross
$15
271
—
BANDAGE ELASTIC 2
Gross
$6
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 361 | OP REM FGN BDY/MOUTH/CMP | $2,074 | — | — | — | 5 |
| 981 | SOFT TISS FB REMOVAL-PELVIS OR HIP-DEEP | $1,592 | — | — | — | 5 |
| 120 | MED/SURG ROOM | $1,350 | — | — | — | 5 |
| 350 | CT HEAD WO CONTRAST | $1,323 | — | — | — | 5 |
| 402 | US VENOUS DOPPLER BILAT | $1,026 | — | — | — | 5 |
| 921 | US CAROTID BILAT | $1,026 | — | — | — | 5 |
| 360 | FACILITY FEE WO/BIOPSY | $1,016 | — | — | — | 5 |
| 610 | MRI TMJ | $921 | — | — | — | 5 |
| 450 | FACILITY/SOFT TISSUE FB REMOVAL-FOOT-DEE | $813 | — | — | — | 5 |
| 391 | BLOOD ADMIN PER UNIT TX | $795 | — | — | — | 5 |
| 310 | JAK2 V617F MUTATION, QNT | $664 | — | — | — | 5 |
| 410 | INTUBATION EMERGENCY | $616 | — | — | — | 5 |
| 390 | RBC LEUKOCYTE REDUCED | $531 | — | — | — | 5 |
| 320 | XR MANDIBLE MIN 4 VIEW | $428 | — | — | — | 5 |
| 260 | IVNF HYDRATION 1ST HR | $352 | — | — | — | 5 |
| 970 | INSERTION CONT CAPSULE | $328 | — | — | — | 5 |
| 424 | PT EVALUATION LOW COMPLEXITY | $258 | — | — | — | 5 |
| 521 | ANNUAL PELVIC / BREAST EXAM | $257 | — | — | — | 5 |
| 900 | PSYCHIATRIC DIAGNOSITC EVALUATION | $257 | — | — | — | 5 |
| 460 | SPIROMETRY | $247 | — | — | — | 5 |
| 309 | BB TYPE AND CROSSMATCH | $198 | — | — | — | 5 |
| 324 | XR CHEST 1 V | $189 | — | — | — | 5 |
| 960 | LTC INITIAL LEVEL 1 | $159 | — | — | — | 5 |
| 525 | LTC INITIAL LEVEL 1 | $159 | — | — | — | 5 |
| 730 | WELCOME TO M'CARE EKG | $157 | — | — | — | 5 |
| 306 | HELICOBACTER PYLORI IGM (QUEST) | $153 | — | — | — | 5 |
| 305 | *CBC W/AUTO DIFF | $134 | — | — | — | 5 |
| 259 | TAMIFLU 30 MG BOTTLE | $113 | — | — | — | 5 |
| 302 | ORGANISM ID (SEND OUT) | $112 | — | — | — | 5 |
| 311 | PAP TEST | $103 | — | — | — | 5 |
| 522 | LCSD JAIL VISITS | $103 | — | — | — | 5 |
| 762 | OBSERVATION PER HOUR W/O | $103 | — | — | — | 5 |
| 731 | SNCA HOLTER HOOK UP | $96 | — | — | — | 5 |
| 301 | STOOL CULTURE (STATE) | $89 | — | — | — | 5 |
| 509 | PT DEMO/INHAL | $89 | — | — | — | 5 |
| 780 | TELEHEALTH ORIGINATING SITE FACILITY FEE | $68 | — | — | — | 5 |
| 403 | MM MAMMOGRAPHY UNI SCREENING | $62 | — | — | — | 5 |
| 761 | CATH FOR URINE COLLECT | $62 | — | — | — | 5 |
| 420 | PT ROM MEAS - EXTREMITIES | $61 | — | — | — | 5 |
| 636 | NS W 20KCL 1000ML | $44 | — | — | — | 5 |
| 274 | CERVICAL COLLAR FOAM S | $43 | — | — | — | 5 |
| 307 | *UA AUTOMATED W/O MICRO | $40 | — | — | — | 5 |
| 300 | PATERNITY (LABCORP) | $28 | — | — | — | 5 |
| 250 | 3% HYPERTONIC SODIUM CHLORIDE 500ML | $26 | — | — | — | 5 |
| 258 | NORMAL SALINE 250ML 16.8 Lbs | $26 | — | — | — | 5 |
| 771 | MCARE FLU VACC ADMIN | $26 | — | — | — | 5 |
| 272 | SET SECONDARY | $19 | — | — | — | 5 |
| 270 | SKIN STAPLES 5 SHOT | $15 | — | — | — | 5 |
| 271 | BANDAGE ELASTIC 2 | $6 | — | — | — | 5 |
Showing top 49 of 49 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.