45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
○Discounted cash price: below assessment threshold
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
76
Insurances with rates
5
CPT / HCPCS codes
71
Most expensive procedures (gross)
1240000001
—
HC R&B PSYCH SEMI PRIVATE
Gross
$1,800
T2034
—
HC PERS MOBILE PT REMAIN IN COMMUNITY
Gross
$1,250
90792
—
HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES 30 MIN
Gross
$485
90791
—
HC PSYCHIATRIC DIAGNOSTIC EVALUATION 30 MIN
Gross
$430
80338
—
HC ANTIDEPRESSANT NOT SPECIFIED
Gross
$287
80334
—
HC ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE
Gross
$287
80349
—
HC DRUG SCREENING CANNABINOIDS NATURAL
Gross
$287
80359
—
HC METHLENE DIOXYAMPHETAMINES
Gross
$287
80337
—
HC TRICYCLIC AND CYCLICALS 6 OR MORE
Gross
$287
82652
—
HC VIT D 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED
Gross
$285
80321
—
HC DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2
Gross
$265
80347
—
HC DRUG SCREENING BENZODIAZEPINES 13+ BENZODIAZEPINE - BUNDLED CHARGE
Gross
$265
80324
—
HC AMPHETAMINE CONFIRMATION
Gross
$251
87631
—
HC RESP VIRUS 3-5 TARGETS
Gross
$214
84480
—
HC ASSAY TRIIODOTHYRONINE (T3)
Gross
$205
82746
—
HC BLOOD FOLIC ACID SERUM - FOLATE
Gross
$190
87389
—
HC HIV 1 ANTIGENS WITH HIV 1 & HIV 2 ANTIBODIES BY IMMUNOASSAY
Gross
$160
82607
—
HC VITAMIN B-12 - VITAMIN B12
Gross
$160
87086
—
HC CULTURE URINE
Gross
$127
86480
—
HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST
Gross
$124
80175
—
HC DRUG SCREEN QUANT LAMOTRIGINE
Gross
$115
84703
—
HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE
Gross
$110
87811
—
HC SARS-COV-2 COVID19 W/OPTIC
Gross
$104
83550
—
HC IRON BIND CAPACITY
Gross
$100
83540
—
HC ASSAY OF IRON
Gross
$97
86780
—
HC ANTIBODY TREPONEMA PALLIDUM
Gross
$96
81025
—
HC URINE PREGNANCY TEST - PREGNANCY URINE
Gross
$95
84146
—
HC ASSAY OF PROLACTIN - PROLACTIN
Gross
$90
80165
—
HC VALPROIC ACID FREE
Gross
$89
84100
—
HC ASSAY OF INORGANIC PHOSPHORUS
Gross
$84
81015
—
HC URINE MICROSCOPIC
Gross
$84
84295
—
HC ASSAY OF SERUM SODIUM - SODIUM
Gross
$79.05
S9484
—
HC PERS ONSITE EVAL EACH ADDL HR
Gross
$75
84481
—
HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE
Gross
$75
87635
—
HC COVID RUCDR SALIVA TESTING
Gross
$74.99
80159
—
HC DRUG ASSAY CLOZAPINE
Gross
$72
80307
—
HC DRUG TEST PRSMV CHEM ANALYZR
Gross
$70
82962
—
HC GLUCOSE BLOOD TEST WITH DEVICE
Gross
$67
80156
—
HC ASSAY OF CARBAMAZEPINE TOTAL - CARBAMAZEPINE TOTAL
Gross
$60
87491
—
HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR
Gross
$54.99
87661
—
HC TRICHOMONAS VAGINALIS AMP
Gross
$54.99
80053
—
HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
Gross
$40
86800
—
HC THYROGLOBULIN ANTIBODY - ANTI-THYROGLOBULIN AB
Gross
$39.99
84702
—
HC CHORIONIC GONADOTROPIN QUANT
Gross
$37.99
86376
—
HC MICROSOMAL ANTIBODY EACH
Gross
$35.99
G0008
—
HC ADMIN INFLUENZA VIRUS VAC
Gross
$35
80048
—
HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE
Gross
$35
93005
—
HC ELECTROCARDIOGRAM, TRACING
Gross
$35
84439
—
HC ASSAY OF FREE THYROXINE - T4 FREE
Gross
$30
80061
—
HC LIPID PANEL - BUNDLED CHARGE
Gross
$30
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1240000001 | HC R&B PSYCH SEMI PRIVATE | $1,800 | — | — | — | 0 |
| T2034 | HC PERS MOBILE PT REMAIN IN COMMUNITY | $1,250 | — | — | — | 0 |
| 90792 | HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES 30 MIN | $485 | — | — | — | 0 |
| 90791 | HC PSYCHIATRIC DIAGNOSTIC EVALUATION 30 MIN | $430 | — | — | — | 0 |
| 80338 | HC ANTIDEPRESSANT NOT SPECIFIED | $287 | — | — | — | 0 |
| 80334 | HC ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE | $287 | — | — | — | 0 |
| 80349 | HC DRUG SCREENING CANNABINOIDS NATURAL | $287 | — | — | — | 0 |
| 80359 | HC METHLENE DIOXYAMPHETAMINES | $287 | — | — | — | 0 |
| 80337 | HC TRICYCLIC AND CYCLICALS 6 OR MORE | $287 | — | — | — | 0 |
| 82652 | HC VIT D 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $285 | — | — | — | 0 |
| 80321 | HC DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2 | $265 | — | — | — | 0 |
| 80347 | HC DRUG SCREENING BENZODIAZEPINES 13+ BENZODIAZEPINE - BUNDLED CHARGE | $265 | — | — | — | 0 |
| 80324 | HC AMPHETAMINE CONFIRMATION | $251 | — | — | — | 0 |
| 87631 | HC RESP VIRUS 3-5 TARGETS | $214 | — | — | — | 0 |
| 84480 | HC ASSAY TRIIODOTHYRONINE (T3) | $205 | — | — | — | 0 |
| 82746 | HC BLOOD FOLIC ACID SERUM - FOLATE | $190 | — | — | — | 0 |
| 87389 | HC HIV 1 ANTIGENS WITH HIV 1 & HIV 2 ANTIBODIES BY IMMUNOASSAY | $160 | — | — | — | 0 |
| 82607 | HC VITAMIN B-12 - VITAMIN B12 | $160 | — | — | — | 0 |
| 87086 | HC CULTURE URINE | $127 | — | — | — | 0 |
| 86480 | HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST | $124 | — | — | — | 0 |
| 80175 | HC DRUG SCREEN QUANT LAMOTRIGINE | $115 | — | — | — | 0 |
| 84703 | HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE | $110 | — | — | — | 0 |
| 87811 | HC SARS-COV-2 COVID19 W/OPTIC | $104 | — | — | — | 0 |
| 83550 | HC IRON BIND CAPACITY | $100 | — | — | — | 0 |
| 83540 | HC ASSAY OF IRON | $97 | — | — | — | 0 |
| 86780 | HC ANTIBODY TREPONEMA PALLIDUM | $96 | — | — | — | 0 |
| 81025 | HC URINE PREGNANCY TEST - PREGNANCY URINE | $95 | — | — | — | 0 |
| 84146 | HC ASSAY OF PROLACTIN - PROLACTIN | $90 | — | — | — | 0 |
| 80165 | HC VALPROIC ACID FREE | $89 | — | — | — | 0 |
| 84100 | HC ASSAY OF INORGANIC PHOSPHORUS | $84 | — | — | — | 0 |
| 81015 | HC URINE MICROSCOPIC | $84 | — | — | — | 0 |
| 84295 | HC ASSAY OF SERUM SODIUM - SODIUM | $79.05 | — | — | — | 0 |
| S9484 | HC PERS ONSITE EVAL EACH ADDL HR | $75 | — | — | — | 0 |
| 84481 | HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE | $75 | — | — | — | 0 |
| 87635 | HC COVID RUCDR SALIVA TESTING | $74.99 | — | — | — | 0 |
| 80159 | HC DRUG ASSAY CLOZAPINE | $72 | — | — | — | 0 |
| 80307 | HC DRUG TEST PRSMV CHEM ANALYZR | $70 | — | — | — | 0 |
| 82962 | HC GLUCOSE BLOOD TEST WITH DEVICE | $67 | — | — | — | 0 |
| 80156 | HC ASSAY OF CARBAMAZEPINE TOTAL - CARBAMAZEPINE TOTAL | $60 | — | — | — | 0 |
| 87491 | HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR | $54.99 | — | — | — | 0 |
| 87661 | HC TRICHOMONAS VAGINALIS AMP | $54.99 | — | — | — | 0 |
| 80053 | HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE | $40 | — | — | — | 0 |
| 86800 | HC THYROGLOBULIN ANTIBODY - ANTI-THYROGLOBULIN AB | $39.99 | — | — | — | 0 |
| 84702 | HC CHORIONIC GONADOTROPIN QUANT | $37.99 | — | — | — | 0 |
| 86376 | HC MICROSOMAL ANTIBODY EACH | $35.99 | — | — | — | 0 |
| G0008 | HC ADMIN INFLUENZA VIRUS VAC | $35 | — | — | — | 0 |
| 80048 | HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $35 | — | — | — | 0 |
| 93005 | HC ELECTROCARDIOGRAM, TRACING | $35 | — | — | — | 0 |
| 84439 | HC ASSAY OF FREE THYROXINE - T4 FREE | $30 | — | — | — | 0 |
| 80061 | HC LIPID PANEL - BUNDLED CHARGE | $30 | — | — | — | 0 |
Showing top 50 of 76 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.