45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
256
Insurances with rates
12
CPT / HCPCS codes
0
Most expensive procedures (gross)
1000000042
$1,320
CARRIER PSYCH SEMI PRIVATE
Gross
$3,300
1000000062
$1,320
CARRIER ADMISTRATIVE DAY RATE
Gross
$3,300
1000000043
$1,100
CARRIER BLAKE SEMI-PRIVATE DETOX
Gross
$2,750
1000000044
$1,100
CARRIER BLAKE SEMI-PRIVATE REHAB
Gross
$2,750
1000000045
$1,100
CARRIER BLAKE SEMI-PRIVATE RESIDENTIAL
Gross
$2,750
1000000049
$946
CARRIER ADOL REHAB SERVICE IRT
Gross
$2,365
1000000059
$946
CARRIER THERAPEUTIC LEAVE IRT
Gross
$2,365
1000000060
$946
CARRIER HOSPITAL LEAVE IRT
Gross
$2,365
1000000047
$858
CARRIER ADOL REHAB SERVICE PCH
Gross
$2,145
1000000051
$858
CARRIER REHAB THERAPEUTIC LEAVE PCH
Gross
$2,145
1000000054
$858
CARRIER REHAB HOSPITAL LEAVE PCH
Gross
$2,145
1000000046
$781
CARRIER ADOL REHAB SERVICE BHS
Gross
$1,953
1000000050
$781
CARRIER REHAB THERAPEUTIC LEAVE BHS
Gross
$1,953
1000000053
$781
CARRIER REHAB HOSPITAL LEAVE BHS
Gross
$1,953
1000000048
$748
CARRIER ADOL REHAB SERVICE RTC
Gross
$1,870
1000000052
$748
CARRIER REHAB THERAPEUTIC LEAVE RTC
Gross
$1,870
1000000055
$748
CARRIER HOSPITAL LEAVE REHAB RTC
Gross
$1,870
2090870001
$748
ELECTROCONVULSIVE THERAPY
Gross
$1,870
169368712
$597
INSULIN DETEMIR 100 UNIT/ML SC SOLN
Gross
$1,641
2143301
$590
DULAGLUTIDE 0.75 MG/0.5ML SC SOPN
Gross
$1,476
20S9480001
$409
INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES PER DIEM
Gross
$1,023
2072110001
$408
RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS
Gross
$1,019
2143401
$374
DULAGLUTIDE 1.5 MG/0.5ML SC SOPN
Gross
$934
3500000370
$374
HIV 1 RNA QUANTITATIVE REAL TIME PCR QST
Gross
$934
2072052001
$343
RADEX SPINE CRV COMPL W/OBLQ&FLEX&/XTN STDS
Gross
$858
2090792001
$334
PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES
Gross
$836
20H0015001
$331
ALCOHOL AND/OR DRUG SERVICES IOP
Gross
$827
20H0015001A
$331
ALCOHOL AND/OR DRUG SERVICES IOP
Gross
$827
20H0015001B
$331
ALCOHOL AND/OR DRUG SERVICES IOP
Gross
$827
2073564001
$324
RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS
Gross
$809
2071111001
$321
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS
Gross
$803
2090791001
$316
PSYCHIATRIC DIAGNOSTIC EVALUATION
Gross
$790
2073523001
$312
RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS
Gross
$781
73070020011
$282
INSULIN ASPART PROT & ASPART (70-30) 100 UNIT/ML SC SUSP
Gross
$775
2071101001
$290
RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS
Gross
$724
4500010102
$283
NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR&PROTEAS
Gross
$707
2090870002
$281
PB ELECTROCONVULSIVE THERAPY
Gross
$703
4500010101
$281
NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION
Gross
$702
2073030001
$275
RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS
Gross
$688
2073562001
$275
RADIOLOGIC EXAMINATION KNEE 3 VIEWS
Gross
$688
2072072001
$270
RADEX SPINE THORACIC 3 VIEWS
Gross
$674
3500000201
$264
HEPATITIS PANEL ACUTE W/REFLEX TO CONFIRMATION QST
Gross
$660
2073630001
$260
RADEX FOOT COMPLETE MINIMUM 3 VIEWS
Gross
$649
2072070001
$259
RADEX SPINE THORACIC 2 VIEWS
Gross
$647
2073610001
$253
RADEX ANKLE COMPLETE MINIMUM 3 VIEWS
Gross
$633
2097163001
$244
PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS
Gross
$611
2090837001
$242
PSYCHOTHERAPY W/PATIENT 60 MINUTES
Gross
$605
2073110001
$240
RADEX WRIST COMPLETE MINIMUM 3 VIEWS
Gross
$600
2074019001
$236
RADIOLOGIC EXAM ABDOMEN 2 VIEWS
Gross
$589
2073080001
$231
RADEX ELBOW COMPLETE MINIMUM 3 VIEWS
Gross
$578
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1000000042 | CARRIER PSYCH SEMI PRIVATE | $3,300 | $1,320 | — | — | 25 |
| 1000000062 | CARRIER ADMISTRATIVE DAY RATE | $3,300 | $1,320 | — | — | 11 |
| 1000000043 | CARRIER BLAKE SEMI-PRIVATE DETOX | $2,750 | $1,100 | — | — | 24 |
| 1000000044 | CARRIER BLAKE SEMI-PRIVATE REHAB | $2,750 | $1,100 | — | — | 24 |
| 1000000045 | CARRIER BLAKE SEMI-PRIVATE RESIDENTIAL | $2,750 | $1,100 | — | — | 11 |
| 1000000049 | CARRIER ADOL REHAB SERVICE IRT | $2,365 | $946 | — | — | 14 |
| 1000000059 | CARRIER THERAPEUTIC LEAVE IRT | $2,365 | $946 | — | — | 10 |
| 1000000060 | CARRIER HOSPITAL LEAVE IRT | $2,365 | $946 | — | — | 10 |
| 1000000047 | CARRIER ADOL REHAB SERVICE PCH | $2,145 | $858 | — | — | 14 |
| 1000000051 | CARRIER REHAB THERAPEUTIC LEAVE PCH | $2,145 | $858 | — | — | 10 |
| 1000000054 | CARRIER REHAB HOSPITAL LEAVE PCH | $2,145 | $858 | — | — | 10 |
| 1000000046 | CARRIER ADOL REHAB SERVICE BHS | $1,953 | $781 | — | — | 14 |
| 1000000050 | CARRIER REHAB THERAPEUTIC LEAVE BHS | $1,953 | $781 | — | — | 10 |
| 1000000053 | CARRIER REHAB HOSPITAL LEAVE BHS | $1,953 | $781 | — | — | 10 |
| 1000000048 | CARRIER ADOL REHAB SERVICE RTC | $1,870 | $748 | — | — | 14 |
| 1000000052 | CARRIER REHAB THERAPEUTIC LEAVE RTC | $1,870 | $748 | — | — | 10 |
| 1000000055 | CARRIER HOSPITAL LEAVE REHAB RTC | $1,870 | $748 | — | — | 10 |
| 2090870001 | ELECTROCONVULSIVE THERAPY | $1,870 | $748 | — | — | 23 |
| 169368712 | INSULIN DETEMIR 100 UNIT/ML SC SOLN | $1,641 | $597 | — | — | 5 |
| 2143301 | DULAGLUTIDE 0.75 MG/0.5ML SC SOPN | $1,476 | $590 | — | — | 6 |
| 20S9480001 | INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES PER DIEM | $1,023 | $409 | — | — | 4 |
| 2072110001 | RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $1,019 | $408 | — | — | 1 |
| 2143401 | DULAGLUTIDE 1.5 MG/0.5ML SC SOPN | $934 | $374 | — | — | 6 |
| 3500000370 | HIV 1 RNA QUANTITATIVE REAL TIME PCR QST | $934 | $374 | — | — | 1 |
| 2072052001 | RADEX SPINE CRV COMPL W/OBLQ&FLEX&/XTN STDS | $858 | $343 | — | — | 1 |
| 2090792001 | PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES | $836 | $334 | — | — | 10 |
| 20H0015001 | ALCOHOL AND/OR DRUG SERVICES IOP | $827 | $331 | — | — | 21 |
| 20H0015001A | ALCOHOL AND/OR DRUG SERVICES IOP | $827 | $331 | — | — | 8 |
| 20H0015001B | ALCOHOL AND/OR DRUG SERVICES IOP | $827 | $331 | — | — | 8 |
| 2073564001 | RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS | $809 | $324 | — | — | 1 |
| 2071111001 | RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS | $803 | $321 | — | — | 1 |
| 2090791001 | PSYCHIATRIC DIAGNOSTIC EVALUATION | $790 | $316 | — | — | 10 |
| 2073523001 | RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS | $781 | $312 | — | — | 1 |
| 73070020011 | INSULIN ASPART PROT & ASPART (70-30) 100 UNIT/ML SC SUSP | $775 | $282 | — | — | 6 |
| 2071101001 | RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS | $724 | $290 | — | — | 1 |
| 4500010102 | NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR&PROTEAS | $707 | $283 | — | — | 1 |
| 2090870002 | PB ELECTROCONVULSIVE THERAPY | $703 | $281 | — | — | 4 |
| 4500010101 | NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION | $702 | $281 | — | — | 1 |
| 2073030001 | RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $688 | $275 | — | — | 1 |
| 2073562001 | RADIOLOGIC EXAMINATION KNEE 3 VIEWS | $688 | $275 | — | — | 1 |
| 2072072001 | RADEX SPINE THORACIC 3 VIEWS | $674 | $270 | — | — | 1 |
| 3500000201 | HEPATITIS PANEL ACUTE W/REFLEX TO CONFIRMATION QST | $660 | $264 | — | — | 1 |
| 2073630001 | RADEX FOOT COMPLETE MINIMUM 3 VIEWS | $649 | $260 | — | — | 1 |
| 2072070001 | RADEX SPINE THORACIC 2 VIEWS | $647 | $259 | — | — | 1 |
| 2073610001 | RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $633 | $253 | — | — | 1 |
| 2097163001 | PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $611 | $244 | — | — | 1 |
| 2090837001 | PSYCHOTHERAPY W/PATIENT 60 MINUTES | $605 | $242 | — | — | 13 |
| 2073110001 | RADEX WRIST COMPLETE MINIMUM 3 VIEWS | $600 | $240 | — | — | 1 |
| 2074019001 | RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $589 | $236 | — | — | 1 |
| 2073080001 | RADEX ELBOW COMPLETE MINIMUM 3 VIEWS | $578 | $231 | — | — | 1 |
Showing top 50 of 256 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.