45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
○Discounted cash price: below assessment threshold
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
14
Insurances with rates
5
CPT / HCPCS codes
6
Most expensive procedures (gross)
4037F
—
Influenza imm order/admin
Gross
$21,672
4148F
—
Hep a vac injxn admin/recvd
Gross
$21,672
4149F
—
Hep b vac injxn admin/recvd
Gross
$21,672
4274F
—
Flu immuno admind rcvd
Gross
$21,672
885
—
Psychoses
Gross
$20,845
895
—
Alcohol, drug abuse or dependence with rehabilitation therapy
Gross
$19,351
897
—
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
Gross
$17,946
3120F
—
12-lead ecg performed
Gross
$14,604
90785
—
Php - interactive complexity
Gross
$382
90832
—
Php indiv therapy 16-30 min
Gross
$382
90834
—
Php indiv therapy 31-45 min
Gross
$382
90846
—
Family psytx w/o pt 50 min
Gross
$382
90847
—
Family psytx w/pt 50 min
Gross
$382
90853
—
Group psychotherapy
Gross
$382
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4037F | Influenza imm order/admin | $21,672 | — | — | — | 0 |
| 4148F | Hep a vac injxn admin/recvd | $21,672 | — | — | — | 0 |
| 4149F | Hep b vac injxn admin/recvd | $21,672 | — | — | — | 0 |
| 4274F | Flu immuno admind rcvd | $21,672 | — | — | — | 0 |
| 885 | Psychoses | $20,845 | — | — | — | 0 |
| 895 | Alcohol, drug abuse or dependence with rehabilitation therapy | $19,351 | — | — | — | 0 |
| 897 | Alcohol, drug abuse or dependence without rehabilitation therapy without mcc | $17,946 | — | — | — | 0 |
| 3120F | 12-lead ecg performed | $14,604 | — | — | — | 0 |
| 90785 | Php - interactive complexity | $382 | — | — | — | 0 |
| 90832 | Php indiv therapy 16-30 min | $382 | — | — | — | 16 |
| 90834 | Php indiv therapy 31-45 min | $382 | — | — | — | 16 |
| 90846 | Family psytx w/o pt 50 min | $382 | — | — | — | 16 |
| 90847 | Family psytx w/pt 50 min | $382 | — | — | — | 16 |
| 90853 | Group psychotherapy | $382 | — | — | — | 16 |
Showing top 14 of 14 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.