45 CFR § 180 compliance
F · 55
This hospital published little 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
819
Insurances with rates
14
CPT / HCPCS codes
771
Source MRF
Most expensive procedures (gross)
77295
$4,528
3D RADIOTHERAPY PLAN
Gross
$9,055
78456
$1,302
ACUTE VENOUS THROMB IMAGING
Gross
$2,603
86825
$945
ALLO-CROSSMATCH BY FLOW
Gross
$1,890
59001
$911
AMNIOCENTESIS THERAPEUTIC
Gross
$1,821
64448
$864
ADDUCTOR CANAL NERVE BLOCK CONT
Gross
$1,728
87798
$670
A PHAGOCYTOPHILUM PCR
Gross
$1,339
87799
$617
ADENOVIRUS QPCR (BAL)
Gross
$1,234
80299
$580
ACETAMINOPHEN LEVEL QUANTITATIVE ASSAY
Gross
$1,160
83491
$545
17-OH CORTICOSTEROID UR 24 HR
Gross
$1,089
64447
$519
ADDUCTOR CANAL NERVE BLOCK
Gross
$1,037
82107
$478
ALPHA FETOPROTEIN L3 PERCENT
Gross
$956
76377
$474
3D RECON W IND WKST
Gross
$948
83520
$466
11-DEHYDRO THROMBOXANE B2
Gross
$931
80307
$460
ACETAMINOPHEN LVL BLD SCREEN
Gross
$919
90935
$452
ACUTE HEMODIALYSIS OP
Gross
$904
82139
$430
AMINO ACIDS QNT 6+ BLOOD
Gross
$860
82136
$405
AMINO ACIDS 2-5 QUANT
Gross
$810
76376
$403
3D RECON NON IND WKST
Gross
$806
80074
$354
ACUTE HEPATITIS PANEL
Gross
$707
82633
$346
11-DESOXYCORTICOSTERONE
Gross
$692
RMC - 3001 - 370000234
$341
ANES TRAUMA RIB FRACTURE-BILATERAL
Gross
$682
RMC - 3001 - 370000233
$341
ANES TRAUMA RIB FRACTURE-UNILATERAL
Gross
$682
82634
$326
11-DEOXYCORTISOL
Gross
$652
74022
$325
ABDOMEN ACUTE SERIES
Gross
$649
82088
$319
ALDOSTERONE SERUM
Gross
$638
83519
$299
ACETYLCHOLINE RECEPT BIND AB
Gross
$597
82024
$286
ADENOCORTICOTROPIC HORMONE
Gross
$572
82652
$286
1,25-DIHYDROXYVITAMIN D LEVEL
Gross
$571
85397
$284
ADAMTS13 FUNC ACTIVITY
Gross
$568
73050
$280
ACROMIOCLAVICULAR JOINTS BIL
Gross
$560
87468
$279
ANAPLSMA PHGCYTOPHLM AMP PRB
Gross
$558
83586
$262
17-KETOSTEROIDS TOTAL
Gross
$524
84238
$229
ACETYLCHOLINE RECEPT BIND AB
Gross
$457
83516
$227
ACTIN SMOOTH MUSCLE AB
Gross
$454
84311
$226
ADENOSINE DEAMINASE PLEURAL FLUID
Gross
$451
82017
$221
ACYLCARNITINE
Gross
$442
82306
$220
25-HYDROXYVITAMIN D LEVEL
Gross
$439
G0480
$218
ALKALOIDS DEFINITIVE
Gross
$435
86255
$208
AMPA-R AB CBA
Gross
$416
82108
$199
ALUMINUM SERUM
Gross
$398
82013
$183
ACETYCHOLINESTERASE
Gross
$365
84143
$182
17-HYDROPREGNENOLONE
Gross
$363
86602
$178
ACTINOMYCES ANTIBODY
Gross
$356
82106
$177
ALPHA FETOPROTEIN AMNIONTIC
Gross
$354
82105
$177
ALPHA FETOPROTEIN MATERNAL
Gross
$354
86021
$168
ANCA
Gross
$336
83498
$165
17 HYDROXYPROGESTERONE URINE
Gross
$329
92650
$162
AEP SCR AUDITORY POTENTIAL
Gross
$323
95971
$161
ANALYZE NEUROSTIM SIMPLE
Gross
$321
94728
$160
AIRWAY RESIST -IMPULSE OSCILL
Gross
$320
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 77295 | 3D RADIOTHERAPY PLAN | $9,055 | $4,528 | $1,345 | $8,783 | 55 |
| 78456 | ACUTE VENOUS THROMB IMAGING | $2,603 | $1,302 | $285 | $2,525 | 55 |
| 86825 | ALLO-CROSSMATCH BY FLOW | $1,890 | $945 | $109 | $1,833 | 55 |
| 59001 | AMNIOCENTESIS THERAPEUTIC | $1,821 | $911 | $296 | $1,766 | 55 |
| 64448 | ADDUCTOR CANAL NERVE BLOCK CONT | $1,728 | $864 | $291 | $1,719 | 54 |
| 87798 | A PHAGOCYTOPHILUM PCR | $1,339 | $670 | $35.09 | $1,299 | 55 |
| 87799 | ADENOVIRUS QPCR (BAL) | $1,234 | $617 | $42.84 | $1,197 | 55 |
| 80299 | ACETAMINOPHEN LEVEL QUANTITATIVE ASSAY | $1,160 | $580 | $18.64 | $1,125 | 55 |
| 83491 | 17-OH CORTICOSTEROID UR 24 HR | $1,089 | $545 | $17.9 | $1,056 | 55 |
| 64447 | ADDUCTOR CANAL NERVE BLOCK | $1,037 | $519 | $175 | $1,372 | 54 |
| 82107 | ALPHA FETOPROTEIN L3 PERCENT | $956 | $478 | $64.41 | $927 | 55 |
| 76377 | 3D RECON W IND WKST | $948 | $474 | $83.15 | $920 | 48 |
| 83520 | 11-DEHYDRO THROMBOXANE B2 | $931 | $466 | $17.27 | $903 | 55 |
| 80307 | ACETAMINOPHEN LVL BLD SCREEN | $919 | $460 | $62.14 | $891 | 55 |
| 90935 | ACUTE HEMODIALYSIS OP | $904 | $452 | $152 | $1,334 | 55 |
| 82139 | AMINO ACIDS QNT 6+ BLOOD | $860 | $430 | $16.87 | $834 | 55 |
| 82136 | AMINO ACIDS 2-5 QUANT | $810 | $405 | $19.61 | $786 | 55 |
| 76376 | 3D RECON NON IND WKST | $806 | $403 | $63.17 | $782 | 48 |
| 80074 | ACUTE HEPATITIS PANEL | $707 | $354 | $47.63 | $686 | 55 |
| 82633 | 11-DESOXYCORTICOSTERONE | $692 | $346 | $30.98 | $671 | 55 |
| RMC - 3001 - 370000234 | ANES TRAUMA RIB FRACTURE-BILATERAL | $682 | $341 | — | — | 0 |
| RMC - 3001 - 370000233 | ANES TRAUMA RIB FRACTURE-UNILATERAL | $682 | $341 | — | — | 0 |
| 82634 | 11-DEOXYCORTISOL | $652 | $326 | $29.28 | $632 | 55 |
| 74022 | ABDOMEN ACUTE SERIES | $649 | $325 | $40.79 | $630 | 55 |
| 82088 | ALDOSTERONE SERUM | $638 | $319 | $40.75 | $619 | 55 |
| 83519 | ACETYLCHOLINE RECEPT BIND AB | $597 | $299 | $18.4 | $579 | 55 |
| 82024 | ADENOCORTICOTROPIC HORMONE | $572 | $286 | $38.62 | $555 | 55 |
| 82652 | 1,25-DIHYDROXYVITAMIN D LEVEL | $571 | $286 | $38.5 | $554 | 55 |
| 85397 | ADAMTS13 FUNC ACTIVITY | $568 | $284 | $30.86 | $551 | 55 |
| 73050 | ACROMIOCLAVICULAR JOINTS BIL | $560 | $280 | $31.98 | $543 | 55 |
| 87468 | ANAPLSMA PHGCYTOPHLM AMP PRB | $558 | $279 | $35.09 | $541 | 55 |
| 83586 | 17-KETOSTEROIDS TOTAL | $524 | $262 | $12.8 | $508 | 55 |
| 84238 | ACETYLCHOLINE RECEPT BIND AB | $457 | $229 | $36.57 | $443 | 55 |
| 83516 | ACTIN SMOOTH MUSCLE AB | $454 | $227 | $11.53 | $440 | 55 |
| 84311 | ADENOSINE DEAMINASE PLEURAL FLUID | $451 | $226 | $8.1 | $437 | 55 |
| 82017 | ACYLCARNITINE | $442 | $221 | $16.87 | $429 | 55 |
| 82306 | 25-HYDROXYVITAMIN D LEVEL | $439 | $220 | $29.6 | $426 | 55 |
| G0480 | ALKALOIDS DEFINITIVE | $435 | $218 | $73.34 | $422 | 55 |
| 86255 | AMPA-R AB CBA | $416 | $208 | $12.05 | $404 | 55 |
| 82108 | ALUMINUM SERUM | $398 | $199 | $25.48 | $386 | 55 |
| 82013 | ACETYCHOLINESTERASE | $365 | $183 | $12.29 | $354 | 55 |
| 84143 | 17-HYDROPREGNENOLONE | $363 | $182 | $22.81 | $352 | 55 |
| 86602 | ACTINOMYCES ANTIBODY | $356 | $178 | $10.18 | $345 | 55 |
| 82106 | ALPHA FETOPROTEIN AMNIONTIC | $354 | $177 | $17 | $343 | 55 |
| 82105 | ALPHA FETOPROTEIN MATERNAL | $354 | $177 | $16.77 | $343 | 55 |
| 86021 | ANCA | $336 | $168 | $15.05 | $326 | 55 |
| 83498 | 17 HYDROXYPROGESTERONE URINE | $329 | $165 | $27.17 | $319 | 55 |
| 92650 | AEP SCR AUDITORY POTENTIAL | $323 | $162 | $54.45 | $313 | 48 |
| 95971 | ANALYZE NEUROSTIM SIMPLE | $321 | $161 | $54.12 | $311 | 55 |
| 94728 | AIRWAY RESIST -IMPULSE OSCILL | $320 | $160 | $32.9 | $310 | 55 |
Showing top 50 of 819 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.