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
681
Insurances with rates
22
CPT / HCPCS codes
0
Most expensive procedures (gross)
0636
$5,574
COAGULATION FACTOR IX (RECOMB) 3000 UNITS IV KIT
Gross
$14,670
0278
$4,169
HC Stent Viatorr Covered
Gross
$10,970
0275
$3,658
LEAD RELIANCE 0137-59
Gross
$9,625
0342
$3,111
HC Interstitial Rad Applic Complex
Gross
$8,187
0790
$2,524
HC Lithotripsy Aborted Proc
Gross
$6,642
0480
$2,319
HC CT Coronary Fractional Flow Reserve (Ffr) W Alys Cta I&R Phy/Qhp
Gross
$6,103
0203
$2,219
HC Isolation Picu Room and Care
Gross
$5,840
0404
$2,072
HC NM Pet Brain Amyloid
Gross
$5,452
0200
$2,010
HC Isolation Critical Room and Care
Gross
$5,290
0210
$2,005
HC Intensive Coronary Room and Care
Gross
$5,275
0173
$1,858
HC Intensive Nursery Room and Care
Gross
$4,890
0920
$1,683
HC Cpap Sleep Staging
Gross
$4,430
0323
$1,638
HC Aortography Thoracic
Gross
$4,310
0682
$1,611
HC Trauma Consult
Gross
$4,240
0206
$1,575
HC Isolation Intermediate Sa Room and Care
Gross
$4,145
0214
$1,569
HC Intermediate Stepdown Room and Care
Gross
$4,130
0360
$1,554
HC Sp Pta Venous Angioplasty Pta Balloon
Gross
$4,089
0172
$1,547
HC Intermediate Nursery Room and Care
Gross
$4,070
0340
$1,463
HC NM Thyroid Ca Mets Imaging Whole Body
Gross
$3,850
0483
$1,236
HC Echo Transesophageal
Gross
$3,252
0118
$1,170
HC Rehab Private Room and Care
Gross
$3,080
0710
$1,100
HC Pacu Class 2 Npr 1:1
Gross
$2,895
0114
$1,053
HC Geropsych Room and Board
Gross
$2,770
0124
$1,049
HC Psychiatric Adult Room and Care
Gross
$2,760
0126
$1,049
HC Subs Abuse Adult Room and Care
Gross
$2,760
0128
$870
HC Rehab Semi Private Room and Care
Gross
$2,290
0113
$787
HC Pediatric Private Room and Care
Gross
$2,070
0361
$768
HC Paracentesis With Imaging
Gross
$2,022
0740
$732
HC Eeg Portable
Gross
$1,925
0110
$680
HC Isolation Room and Care
Gross
$1,790
0161
$675
HC Hospital at Home Room and Care
Gross
$1,775
0350
$640
HC Auto Quantification C Plaque
Gross
$1,685
0120
$595
HC Semi Private Room and Care
Gross
$1,565
0750
$587
HC Manometry
Gross
$1,545
0370
$553
HC Popliteal Nerve Block Anes
Gross
$1,455
0482
$506
HC Cardiac Nuclear Stress Test
Gross
$1,332
0115
$494
HC Hospice Palliative Respite Room and Care
Gross
$1,300
0921
$435
HC US Carotid Duplex Bilateral
Gross
$1,146
0391
$418
HC Transfuse Blood/Compo
Gross
$1,100
0724
$396
HC Hanger Thigh Weight Bearing Lacer L2530
Gross
$1,041
0112
$393
HC Rooming in Mother Care
Gross
$1,035
0170
$393
HC Rooming in Nb Care
Gross
$1,035
0820
$373
HC Hemodialysis Unscheduled OP
Gross
$981
0372
$333
HC Mod Sedation > 5 Yrs Old Initial 15 Mins
Gross
$875
0402
$321
HC Anes US Guide Vascular Access
Gross
$844
0413
$309
HC Hbo2 Tx per 30 Min Mcare BCBS
Gross
$814
0331
$307
HC Intrathecal Chemo Inject
Gross
$807
0341
$285
HC Aqmbf Spect Xers/Strs & Rest
Gross
$751
0900
$285
HC Bh Urgent Care per Event
Gross
$750
0924
$269
HC Methocholine Administration
Gross
$709
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0636 | COAGULATION FACTOR IX (RECOMB) 3000 UNITS IV KIT | $14,670 | $5,574 | — | — | 33 |
| 0278 | HC Stent Viatorr Covered | $10,970 | $4,169 | — | — | 16 |
| 0275 | LEAD RELIANCE 0137-59 | $9,625 | $3,658 | — | — | 15 |
| 0342 | HC Interstitial Rad Applic Complex | $8,187 | $3,111 | — | — | 16 |
| 0790 | HC Lithotripsy Aborted Proc | $6,642 | $2,524 | — | — | 16 |
| 0480 | HC CT Coronary Fractional Flow Reserve (Ffr) W Alys Cta I&R Phy/Qhp | $6,103 | $2,319 | — | — | 16 |
| 0203 | HC Isolation Picu Room and Care | $5,840 | $2,219 | — | — | 1 |
| 0404 | HC NM Pet Brain Amyloid | $5,452 | $2,072 | — | — | 16 |
| 0200 | HC Isolation Critical Room and Care | $5,290 | $2,010 | — | — | 1 |
| 0210 | HC Intensive Coronary Room and Care | $5,275 | $2,005 | — | — | 1 |
| 0173 | HC Intensive Nursery Room and Care | $4,890 | $1,858 | — | — | 1 |
| 0920 | HC Cpap Sleep Staging | $4,430 | $1,683 | — | — | 16 |
| 0323 | HC Aortography Thoracic | $4,310 | $1,638 | — | — | 16 |
| 0682 | HC Trauma Consult | $4,240 | $1,611 | — | — | 15 |
| 0206 | HC Isolation Intermediate Sa Room and Care | $4,145 | $1,575 | — | — | 1 |
| 0214 | HC Intermediate Stepdown Room and Care | $4,130 | $1,569 | — | — | 1 |
| 0360 | HC Sp Pta Venous Angioplasty Pta Balloon | $4,089 | $1,554 | — | — | 16 |
| 0172 | HC Intermediate Nursery Room and Care | $4,070 | $1,547 | — | — | 1 |
| 0340 | HC NM Thyroid Ca Mets Imaging Whole Body | $3,850 | $1,463 | — | — | 16 |
| 0483 | HC Echo Transesophageal | $3,252 | $1,236 | — | — | 16 |
| 0118 | HC Rehab Private Room and Care | $3,080 | $1,170 | — | — | 1 |
| 0710 | HC Pacu Class 2 Npr 1:1 | $2,895 | $1,100 | — | — | 0 |
| 0114 | HC Geropsych Room and Board | $2,770 | $1,053 | — | — | 1 |
| 0124 | HC Psychiatric Adult Room and Care | $2,760 | $1,049 | — | — | 1 |
| 0126 | HC Subs Abuse Adult Room and Care | $2,760 | $1,049 | — | — | 1 |
| 0128 | HC Rehab Semi Private Room and Care | $2,290 | $870 | — | — | 1 |
| 0113 | HC Pediatric Private Room and Care | $2,070 | $787 | — | — | 1 |
| 0361 | HC Paracentesis With Imaging | $2,022 | $768 | — | — | 16 |
| 0740 | HC Eeg Portable | $1,925 | $732 | — | — | 16 |
| 0110 | HC Isolation Room and Care | $1,790 | $680 | — | — | 1 |
| 0161 | HC Hospital at Home Room and Care | $1,775 | $675 | — | — | 1 |
| 0350 | HC Auto Quantification C Plaque | $1,685 | $640 | — | — | 16 |
| 0120 | HC Semi Private Room and Care | $1,565 | $595 | — | — | 1 |
| 0750 | HC Manometry | $1,545 | $587 | — | — | 16 |
| 0370 | HC Popliteal Nerve Block Anes | $1,455 | $553 | — | — | 16 |
| 0482 | HC Cardiac Nuclear Stress Test | $1,332 | $506 | — | — | 16 |
| 0115 | HC Hospice Palliative Respite Room and Care | $1,300 | $494 | — | — | 1 |
| 0921 | HC US Carotid Duplex Bilateral | $1,146 | $435 | — | — | 16 |
| 0391 | HC Transfuse Blood/Compo | $1,100 | $418 | — | — | 16 |
| 0724 | HC Hanger Thigh Weight Bearing Lacer L2530 | $1,041 | $396 | — | — | 1 |
| 0112 | HC Rooming in Mother Care | $1,035 | $393 | — | — | 1 |
| 0170 | HC Rooming in Nb Care | $1,035 | $393 | — | — | 1 |
| 0820 | HC Hemodialysis Unscheduled OP | $981 | $373 | — | — | 16 |
| 0372 | HC Mod Sedation > 5 Yrs Old Initial 15 Mins | $875 | $333 | — | — | 16 |
| 0402 | HC Anes US Guide Vascular Access | $844 | $321 | — | — | 16 |
| 0413 | HC Hbo2 Tx per 30 Min Mcare BCBS | $814 | $309 | — | — | 16 |
| 0331 | HC Intrathecal Chemo Inject | $807 | $307 | — | — | 16 |
| 0341 | HC Aqmbf Spect Xers/Strs & Rest | $751 | $285 | — | — | 1 |
| 0900 | HC Bh Urgent Care per Event | $750 | $285 | — | — | 16 |
| 0924 | HC Methocholine Administration | $709 | $269 | — | — | 16 |
Showing top 50 of 681 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.