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Hospital

Hospital 363043

CCN 363043

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

389

Insurances with rates

15

CPT / HCPCS codes

2

Source MRF

File last updated: 2026-01-01 (per the hospital's file)

Retrieved: 2026-10-27

Most expensive procedures (gross)

0202U

$966

VIRAL RESP PNL 22 TARGETS INCL

Gross

$1,288

0240U

$331

VIRAL RESP RNA 3 TARGETS INCL

Gross

$441

0241U

$331

VIRAL RESP RNA 4 TARGETS INCL

Gross

$441

230

$169

TELEMETRY DAILY MONITORING

Gross

$225

Needle Insert-w/o Inj -3+ musc

Needle Insert-w/o Inj -1 2 mus

270

$21.75

ROLYAN SOCK NOTCH GARTER STYLE 1 081289826

Gross

$29

250

$3.36

diphenhydrAMINE 50 mg/mL Inj Sol

Gross

$4.48

118; 120; 128; 138; 148; 158

—

Inpatient Rehab Per Diem Level 1

Gross

—

CMG 0101-A

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0101-B

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0101-C

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0101-D

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0102-A

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0102-B

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0102-C

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0102-D

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0103-A

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0103-B

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0103-C

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0103-D

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0104-A

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0104-B

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0104-C

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0104-D

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0105-A

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0105-B

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0105-C

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0105-D

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0106-A

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0106-B

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0106-C

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0106-D

—

Inpatient Rehab Per Discharge: Stroke

Gross

—

CMG 0201-A

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0201-B

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0201-C

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0201-D

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0202-A

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0202-B

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0202-C

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0202-D

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0203-A

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0203-B

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0203-C

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0203-D

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0204-A

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0204-B

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0204-C

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0204-D

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

CMG 0205-A

—

Inpatient Rehab Per Discharge: Brain dysfunction, traumatic

Gross

—

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
0202U	VIRAL RESP PNL 22 TARGETS INCL	$1,288	$966	—	—	12
0240U	VIRAL RESP RNA 3 TARGETS INCL	$441	$331	—	—	12
0241U	VIRAL RESP RNA 4 TARGETS INCL	$441	$331	—	—	12
230	TELEMETRY DAILY MONITORING	$225	$169	—	—	12
20561	Needle Insert-w/o Inj -3+ musc	$134	$101	—	—	12
20560	Needle Insert-w/o Inj -1 2 mus	$98	$73.5	—	—	12
270	ROLYAN SOCK NOTCH GARTER STYLE 1 081289826	$29	$21.75	—	—	9
250	diphenhydrAMINE 50 mg/mL Inj Sol	$4.48	$3.36	—	—	12
118; 120; 128; 138; 148; 158	Inpatient Rehab Per Diem Level 1	—	—	—	—	9
CMG 0101-A	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0101-B	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0101-C	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0101-D	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0102-A	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0102-B	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0102-C	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0102-D	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0103-A	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0103-B	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0103-C	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0103-D	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0104-A	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0104-B	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0104-C	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0104-D	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0105-A	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0105-B	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0105-C	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0105-D	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0106-A	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0106-B	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0106-C	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0106-D	Inpatient Rehab Per Discharge: Stroke	—	—	—	—	21
CMG 0201-A	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0201-B	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0201-C	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0201-D	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0202-A	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0202-B	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0202-C	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0202-D	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0203-A	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0203-B	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0203-C	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0203-D	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0204-A	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0204-B	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0204-C	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0204-D	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21
CMG 0205-A	Inpatient Rehab Per Discharge: Brain dysfunction, traumatic	—	—	—	—	21

Showing top 50 of 389 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.