Hospital 322004 prices — Hospital Ledger

45 CFR § 180 compliance

F · 55

This hospital published little of what § 180 requires.

●Machine-readable file published: assessment threshold met

○Gross / standard charges: below assessment threshold

○Discounted cash price: below assessment threshold

●Payer-specific negotiated rates: assessment threshold met

○Min / max negotiated charges: below assessment threshold

●Free, public, no login required: assessment threshold met

Procedures listed

973

Insurances with rates

CPT / HCPCS codes

118

Source MRF

json ↗

File last updated: 2026-03-17 (per the hospital's file)

Retrieved: 2026-10-27

Most expensive procedures (gross)

97110

—

Therapeutic exercises

Gait training therapy

Therapeutic activities

Self care mngment training

Community/work reintegration

Ot eval low complex 30 min

Ot eval mod complex 45 min

Ot eval high complex 60 min

Ot re-eval est plan care

Gross

—

0110

—

Room & Board - Private (One Bed) - General Classification

Gross

—

0111

—

Room & Board - Private (One Bed) - Medical/Surgical/GYN

Gross

—

0118

—

Room & Board - Private (One Bed) - Rehabilitation

Gross

—

0801

—

Inpatient Renal Dialysis - Hemodialysis

Gross

—

0802

—

Inpatient Renal Dialysis - Peritoneal Dialysis (Non-CAPD)

Gross

—

0800

—

Inpatient Renal Dialysis - General Classification

Gross

—

0803

—

Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (CAPD)

Gross

—

0804

—

Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (CCPD)

Gross

—

0809

—

Inpatient Renal Dialysis - Other

Gross

—

193

—

Simple Pneumonia and Pleurisy with MCC*

Gross

—

640

—

Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC

Gross

—

729

—

Other Male Reproductive System Diagnoses with CC/MCC

Gross

—

183

—

Major Chest Trauma with MCC

Gross

—

184

—

Major Chest Trauma with CC

Gross

—

185

—

Major Chest Trauma without CC/MCC

Gross

—

186

—

Pleural Effusion with MCC

Gross

—

187

—

Pleural Effusion with CC

Gross

—

188

—

Pleural Effusion without CC/MCC

Gross

—

189

—

Pulmonary Edema and Respiratory Failure

Gross

—

190

—

Chronic Obstructive Pulmonary Disease with MCC*

Gross

—

191

—

Chronic Obstructive Pulmonary Disease with CC*

Gross

—

192

—

Chronic Obstructive Pulmonary Disease without CC/MCC*

Gross

—

194

—

Simple Pneumonia and Pleurisy with CC*

Gross

—

195

—

Simple Pneumonia and Pleurisy without CC/MCC*

Gross

—

196

—

Interstitial Lung Disease with MCC

Gross

—

197

—

Interstitial Lung Disease with CC

Gross

—

198

—

Interstitial Lung Disease without CC/MCC

Gross

—

199

—

Pneumothorax with MCC

Gross

—

200

—

Pneumothorax with CC

Gross

—

201

—

Pneumothorax without CC/MCC

Gross

—

202

—

Bronchitis and Asthma with CC/MCC

Gross

—

203

—

Bronchitis and Asthma without CC/MCC

Gross

—

204

—

Respiratory Signs and Symptoms

Gross

—

205

—

Other Respiratory System Diagnoses with MCC

Gross

—

206

—

Other Respiratory System Diagnoses without MCC

Gross

—

207

—

Respiratory System Diagnosis with Ventilator Support >96 Hours

Gross

—

208

—

Respiratory System Diagnosis with Ventilator Support <=96 Hours

Gross

—

209

—

Complex Aortic Arch Procedures

Gross

—

212

—

Concomitant Aortic and Mitral Valve Procedures

Gross

—

213

—

Endovascular Abdominal Aorta with Iliac Branch Procedures

Gross

—

215

—

Other Heart Assist System Implant

Gross

—

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
97110	Therapeutic exercises	—	—	$35.4	$90	19
97116	Gait training therapy	—	—	$35.4	$90	19
97530	Therapeutic activities	—	—	$35.4	$90	19
97535	Self care mngment training	—	—	$35.4	$90	19
97537	Community/work reintegration	—	—	$35.4	$90	19
97165	Ot eval low complex 30 min	—	—	$88.5	$150	19
97166	Ot eval mod complex 45 min	—	—	$88.5	$150	19
97167	Ot eval high complex 60 min	—	—	$88.5	$150	19
97168	Ot re-eval est plan care	—	—	$88.5	$150	19
0110	Room & Board - Private (One Bed) - General Classification	—	—	$1,182	$1,800	39
0111	Room & Board - Private (One Bed) - Medical/Surgical/GYN	—	—	$1,375	$1,800	39
0118	Room & Board - Private (One Bed) - Rehabilitation	—	—	$1,800	$1,825	34
0801	Inpatient Renal Dialysis - Hemodialysis	—	—	$379	$600	18
0802	Inpatient Renal Dialysis - Peritoneal Dialysis (Non-CAPD)	—	—	$434	$600	12
0800	Inpatient Renal Dialysis - General Classification	—	—	$434	$600	10
0803	Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (CAPD)	—	—	$434	$600	11
0804	Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (CCPD)	—	—	$434	$600	11
0809	Inpatient Renal Dialysis - Other	—	—	$434	$600	11
193	Simple Pneumonia and Pleurisy with MCC*	—	—	—	—	12
640	Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC	—	—	—	—	12
729	Other Male Reproductive System Diagnoses with CC/MCC	—	—	—	—	12
183	Major Chest Trauma with MCC	—	—	—	—	12
184	Major Chest Trauma with CC	—	—	—	—	12
185	Major Chest Trauma without CC/MCC	—	—	—	—	12
186	Pleural Effusion with MCC	—	—	—	—	12
187	Pleural Effusion with CC	—	—	—	—	12
188	Pleural Effusion without CC/MCC	—	—	—	—	12
189	Pulmonary Edema and Respiratory Failure	—	—	$42,913	$42,913	12
190	Chronic Obstructive Pulmonary Disease with MCC*	—	—	—	—	12
191	Chronic Obstructive Pulmonary Disease with CC*	—	—	—	—	12
192	Chronic Obstructive Pulmonary Disease without CC/MCC*	—	—	—	—	12
194	Simple Pneumonia and Pleurisy with CC*	—	—	—	—	12
195	Simple Pneumonia and Pleurisy without CC/MCC*	—	—	—	—	12
196	Interstitial Lung Disease with MCC	—	—	—	—	12
197	Interstitial Lung Disease with CC	—	—	—	—	12
198	Interstitial Lung Disease without CC/MCC	—	—	—	—	12
199	Pneumothorax with MCC	—	—	—	—	12
200	Pneumothorax with CC	—	—	—	—	12
201	Pneumothorax without CC/MCC	—	—	—	—	12
202	Bronchitis and Asthma with CC/MCC	—	—	—	—	12
203	Bronchitis and Asthma without CC/MCC	—	—	—	—	12
204	Respiratory Signs and Symptoms	—	—	—	—	12
205	Other Respiratory System Diagnoses with MCC	—	—	—	—	12
206	Other Respiratory System Diagnoses without MCC	—	—	—	—	12
207	Respiratory System Diagnosis with Ventilator Support >96 Hours	—	—	$88,086	$88,086	12
208	Respiratory System Diagnosis with Ventilator Support <=96 Hours	—	—	$34,217	$34,217	12
209	Complex Aortic Arch Procedures	—	—	—	—	12
212	Concomitant Aortic and Mitral Valve Procedures	—	—	—	—	12
213	Endovascular Abdominal Aorta with Iliac Branch Procedures	—	—	—	—	12
215	Other Heart Assist System Implant	—	—	—	—	12

Showing top 50 of 973 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.