ANDROSCOGGIN VALLEY HOSPITAL

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

1,966

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Poisoning & toxic effects of drugs with major co	Poisoning & toxic effects of drugs with major complications	$66,499	$41,895	—	—	1
Peripheral, cranial & autonomic nerve disorders	Peripheral, cranial & autonomic nerve disorders [Minor Severity]	$66,224	$41,721	—	—	1
Peritoneal adhesiolysis [Minor Severity]	Peritoneal adhesiolysis [Minor Severity]	$53,368	$33,622	—	—	1
Inflammatory bowel disease with complications	Inflammatory bowel disease with complications	$51,010	$32,136	—	—	1
Abnormal or Irregular Heartbeat with complicatio	Abnormal or Irregular Heartbeat with complications	$49,142	$30,960	—	—	1
Other pneumonia [Major Severity]	Other pneumonia [Major Severity]	$46,684	$29,411	—	—	1
Stroke with complications	Stroke with complications	$45,415	$28,612	—	—	1
Respiratory Failure	Respiratory Failure	$45,347	$28,568	—	—	1
Laparoscopic cholecystectomy with complications	Laparoscopic cholecystectomy with complications	$39,758	$25,048	—	—	1
Blood infection without major complications	Blood infection without major complications	$39,260	$24,734	—	—	1
Cesarean delivery [Moderate Severity]	Cesarean delivery [Moderate Severity]	$35,980	$22,668	—	—	1
Diabetes [Moderate Severity]	Diabetes [Moderate Severity]	$33,811	$21,301	—	—	1
02025490	ATTUNE CRS FEMORAL RT SZ 5 CEM	$33,029	$20,808	—	—	4
02027495	ATTUNE CRS FEMORAL LT SZ 6 CEM	$33,029	$20,808	—	—	4
02027086	VNGD TI FEM SSK 65MM RT	$31,404	$19,785	—	—	4
Bacterial & tuberculous infections of nervous sy	Bacterial & tuberculous infections of nervous system [Major Severity]	$29,064	$18,310	—	—	1
Osteomyelitis with complications	Osteomyelitis with complications	$28,442	$17,919	—	—	1
APPENDIX PROCEDURES WITHOUT CC/MCC	APPENDIX PROCEDURES WITHOUT CC/MCC	$28,078	$17,689	—	—	1
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT C	CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC	$26,959	$16,984	—	—	1
Alcohol or Drug Abuse without rehab or major com	Alcohol or Drug Abuse without rehab or major complications [MSDRG 897]	$26,067	$16,422	—	—	2
Chronic Lung Disease with complications	Chronic Lung Disease with complications	$25,220	$15,888	—	—	1
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C W	VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC	$25,086	$15,804	—	—	2
Traumatic stupor & coma, coma <1 hr without comp	Traumatic stupor & coma, coma <1 hr without complications	$24,214	$15,255	—	—	1
02025498	ATTUNE REV RP TIB BASE SZ4 CEM	$23,974	$15,104	—	—	4
Other gastroenteritis, nausa & vomiting [Moderat	Other gastroenteritis, nausa & vomiting [Moderate Severity]	$22,819	$14,376	—	—	1
Full term newborn with major problems	Full term newborn with major problems	$21,322	$13,433	—	—	1
Nutritional & misc metabolic disorders with majo	Nutritional & misc metabolic disorders with major complications	$21,319	$13,431	—	—	1
Kidney failure with complications	Kidney failure with complications	$20,878	$13,153	—	—	1
G.I. obstruction with complications	G.I. obstruction with complications	$20,593	$12,974	—	—	1
Nutritional or Metabolic Disorders without major	Nutritional or Metabolic Disorders without major complications	$20,108	$12,668	—	—	2
Disorders of gallbladder & biliary tract [Major	Disorders of gallbladder & biliary tract [Major Severity]	$20,066	$12,642	—	—	1
02023314	ATTUNE KNEE SYS TIB ROT PL SZ7	$19,448	$12,252	—	—	4
Cesarean delivery [Minor Severity]	Cesarean delivery [Minor Severity]	$19,130	$12,052	—	—	1
02025514	ATT TIB SLV M/L 29MM FULL POR	$18,140	$11,428	—	—	4
Kidney & urinary tract infections [Moderate Seve	Kidney & urinary tract infections [Moderate Severity]	$17,995	$11,337	—	—	1
CESAREAN SECTION WITH STERILIZATION WITHOUT CC/M	CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC	$17,832	$11,234	—	—	1
CESAREAN SECTION WITH STERILIZATION WITH CC	CESAREAN SECTION WITH STERILIZATION WITH CC	$17,695	$11,148	—	—	1
43035997	VEDOLIZUMAB(ENTYVIO), PER 1MG	$17,465	$11,003	—	—	2
Chronic Lung Disease without complications	Chronic Lung Disease without complications	$17,024	$10,725	—	—	2
02025858	EMDURANCE SZ 3 240MM	$16,448	$10,362	—	—	4
02023602	SHELL ACETAB/MULTIHOLE 54MM	$16,385	$10,323	—	—	7
02025506	ATT TIB SLV M/L 35MM FULL POR	$16,067	$10,122	—	—	4
02027498	ATTUNE FEM SLV M/L 40MM FULL	$16,067	$10,122	—	—	4
Other digestive system diagnoses with complicati	Other digestive system diagnoses with complications	$15,699	$9,890	—	—	1
43028448	TENECTAPLASE INJ PER 1 MG	$15,522	$9,779	—	—	2
Respiratory Failure [Moderate Severity]	Respiratory Failure [Moderate Severity]	$15,450	$9,734	—	—	1
Other digestive system diagnoses without complic	Other digestive system diagnoses without complications	$14,846	$9,353	—	—	1
02025530	ATTUNE CRS RP INSRT SZ5 10M	$14,310	$9,015	—	—	4
02027501	ATTUNE CRS RP INSRT SZ6 8MM	$14,310	$9,015	—	—	4
02027663	COMP PRIMARY STEM 10MM MINI	$13,536	$8,528	—	—	4

Showing top 50 of 1,966 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.