45 CFR § 180 compliance
F · 50
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
101
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
636
$8,983
TENECTEPLACE 50MG VIAL
Gross
$17,967
291
—
HEART FAILURE AND SHOCK WITH MCC
Gross
$8,245
690
—
KIDNEY AND URINARY TRACT INF W/O MCC
Gross
$5,723
194
—
SIMPLE PNEUMONIA AND PLEURISY WITH CC
Gross
$4,508
615
$2,080
MRA HEAD W/O CONTRAST
Gross
$4,160
350
$1,740
CTA ABD AORTA/BILAT ILEOFEMORAL RUNOFF
Gross
$3,480
195
—
SIMPLE PNEUMONIA AND PLEURISY W/O CC/MCC
Gross
$3,272
352
$595
CT LOWER EXT LEFT W/O CONTRAST
Gross
$1,190
351
—
CT SINUS/FACIAL W/O CONTRAST
Gross
$1,128
120
$475
ROOM/BOARD SEMI PRIVATE
Gross
$950
391
—
BLOOD ADMINISTRATION
Gross
$947
278
—
PORT INDWELLING IMPLANT
Gross
$850
260
$300
ACTEMRA INFUSION
Gross
$600
921
$252
US CAROTID SCAN UNILATERAL LT
Gross
$504
510
$160
OUTPATIENT VISIT - OP ONLY
Gross
$320
402
$149
US BREAST UNILATERAL LIMITED LT
Gross
$298
940
$122
BB PHLEBOTOMY
Gross
$243
730
$107
EKG
Gross
$214
310
$103
CLINICAL PATHOLOGY CONSULT : LIMITED
Gross
$205
771
$80
ADMIN INITIAL VACCINE/TOXOID
Gross
$160
320
$72.05
SPINE ENTIRE 2-3 VIEWS XRAY
Gross
$144
981
$65
ER PHYSICIAN LEVEL 1 CHG
Gross
$130
710
$50.75
PACU CON SED ADD 15MIN
Gross
$102
480
$37.5
US COLOR FLOW VELOCITY & AMB
Gross
$75
390
—
BB charge for FFP THAWING
Gross
$73.5
250
$35.89
DOXYCYCLINE (VIBRAMYCIN) 100MG VIAL
Gross
$71.78
270
$29.21
NITROGLYCERIN PLUM SET
Gross
$58.41
324
—
CHEST 2 VIEWS XRAY HEALTH DEPARTMENT
Gross
$49
110
—
EXU-DRY DRESSING DEVICE
Gross
$20.67
258
$8.76
NS 0.9% 100 ML
Gross
$17.51
255
—
ISOVUE 300
Gross
$17.5
762
$8.5
OBSERVATION PER HOUR
Gross
$17
460
—
INCENTIVE SPIROMETRY SUBSEQUENT
Gross
$15.45
410
$5.67
BEDSIDE HUMID DSC
Gross
$11.33
274
$2.94
ARM SLING XLG
Gross
$5.88
450
$0.5
OB ADMIT KIT
Gross
$1
272
$0.5
SURGICAL CLIPPERS BASE
Gross
$1
300
$0.5
GLUCOMETER/BLOOD SUGAR
Gross
$1
370
$0.01
NITROGLYCERIN PLUM SET
Gross
$0.01
392
—
ESOPHAGITIS, GASTROENTERITIS AND MIS DEGESTIVE DIS
Gross
$0.01
641
—
MISC DISORDERS OF NUTRITON, METABOLISM AND FLUIDS
Gross
$0.01
292
—
HEART FAILURE AND SHOCK WITH CC
Gross
$0.01
177
—
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
Gross
$0.01
191
—
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
Gross
$0.01
603
—
CELLULITIS W/O MCC
Gross
$0.01
948
—
SIGNS AND SYMPTOMS W/O MCC
Gross
$0.01
190
—
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
Gross
$0.01
683
—
RENAL FAILURE WITH CC
Gross
$0.01
178
—
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
Gross
$0.01
552
—
MEDICAL BACK PROBLEMS W/O MCC
Gross
$0.01
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 636 | TENECTEPLACE 50MG VIAL | $17,967 | $8,983 | — | — | 0 |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,245 | — | — | — | 0 |
| 690 | KIDNEY AND URINARY TRACT INF W/O MCC | $5,723 | — | — | — | 0 |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $4,508 | — | — | — | 0 |
| 615 | MRA HEAD W/O CONTRAST | $4,160 | $2,080 | — | — | 0 |
| 350 | CTA ABD AORTA/BILAT ILEOFEMORAL RUNOFF | $3,480 | $1,740 | — | — | 0 |
| 195 | SIMPLE PNEUMONIA AND PLEURISY W/O CC/MCC | $3,272 | — | — | — | 0 |
| 352 | CT LOWER EXT LEFT W/O CONTRAST | $1,190 | $595 | — | — | 0 |
| 351 | CT SINUS/FACIAL W/O CONTRAST | $1,128 | — | — | — | 0 |
| 120 | ROOM/BOARD SEMI PRIVATE | $950 | $475 | — | — | 0 |
| 391 | BLOOD ADMINISTRATION | $947 | — | — | — | 0 |
| 278 | PORT INDWELLING IMPLANT | $850 | — | — | — | 0 |
| 260 | ACTEMRA INFUSION | $600 | $300 | — | — | 0 |
| 921 | US CAROTID SCAN UNILATERAL LT | $504 | $252 | — | — | 0 |
| 510 | OUTPATIENT VISIT - OP ONLY | $320 | $160 | — | — | 0 |
| 402 | US BREAST UNILATERAL LIMITED LT | $298 | $149 | — | — | 0 |
| 940 | BB PHLEBOTOMY | $243 | $122 | — | — | 0 |
| 730 | EKG | $214 | $107 | — | — | 0 |
| 310 | CLINICAL PATHOLOGY CONSULT : LIMITED | $205 | $103 | — | — | 0 |
| 771 | ADMIN INITIAL VACCINE/TOXOID | $160 | $80 | — | — | 0 |
| 320 | SPINE ENTIRE 2-3 VIEWS XRAY | $144 | $72.05 | — | — | 0 |
| 981 | ER PHYSICIAN LEVEL 1 CHG | $130 | $65 | — | — | 0 |
| 710 | PACU CON SED ADD 15MIN | $102 | $50.75 | — | — | 0 |
| 480 | US COLOR FLOW VELOCITY & AMB | $75 | $37.5 | — | — | 0 |
| 390 | BB charge for FFP THAWING | $73.5 | — | — | — | 0 |
| 250 | DOXYCYCLINE (VIBRAMYCIN) 100MG VIAL | $71.78 | $35.89 | — | — | 0 |
| 270 | NITROGLYCERIN PLUM SET | $58.41 | $29.21 | — | — | 0 |
| 324 | CHEST 2 VIEWS XRAY HEALTH DEPARTMENT | $49 | — | — | — | 0 |
| 110 | EXU-DRY DRESSING DEVICE | $20.67 | — | — | — | 0 |
| 258 | NS 0.9% 100 ML | $17.51 | $8.76 | — | — | 0 |
| 255 | ISOVUE 300 | $17.5 | — | — | — | 0 |
| 762 | OBSERVATION PER HOUR | $17 | $8.5 | — | — | 0 |
| 460 | INCENTIVE SPIROMETRY SUBSEQUENT | $15.45 | — | — | — | 0 |
| 410 | BEDSIDE HUMID DSC | $11.33 | $5.67 | — | — | 0 |
| 274 | ARM SLING XLG | $5.88 | $2.94 | — | — | 0 |
| 450 | OB ADMIT KIT | $1 | $0.5 | — | — | 0 |
| 272 | SURGICAL CLIPPERS BASE | $1 | $0.5 | — | — | 0 |
| 300 | GLUCOMETER/BLOOD SUGAR | $1 | $0.5 | — | — | 0 |
| 370 | NITROGLYCERIN PLUM SET | $0.01 | $0.01 | — | — | 0 |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MIS DEGESTIVE DIS | $0.01 | — | — | — | 0 |
| 641 | MISC DISORDERS OF NUTRITON, METABOLISM AND FLUIDS | $0.01 | — | — | — | 0 |
| 292 | HEART FAILURE AND SHOCK WITH CC | $0.01 | — | — | — | 0 |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $0.01 | — | — | — | 0 |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $0.01 | — | — | — | 0 |
| 603 | CELLULITIS W/O MCC | $0.01 | — | — | — | 0 |
| 948 | SIGNS AND SYMPTOMS W/O MCC | $0.01 | — | — | — | 0 |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $0.01 | — | — | — | 0 |
| 683 | RENAL FAILURE WITH CC | $0.01 | — | — | — | 0 |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $0.01 | — | — | — | 0 |
| 552 | MEDICAL BACK PROBLEMS W/O MCC | $0.01 | — | — | — | 0 |
Showing top 50 of 101 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.