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
69
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
341
—
HT MUSCLE IMAGE SPECT SINGLE STUDY
Gross
$3,626
404
—
CT PET IMAGING ATTEN SKULL BASE MID THIG
Gross
$2,987
480
—
STRESS TTE ONLY
Gross
$2,401
351
—
CT SINUSES W/C
Gross
$2,167
350
—
CT SPINE CERVICAL W/C
Gross
$2,157
352
—
CT SPINE-LUMBAR W/C
Gross
$2,157
610
—
MR TMJ'S WITHOUT CONTRAST
Gross
$1,957
483
—
ECHOCARDIOGRAM
Gross
$1,921
360
—
DEBRID SKIN/SQ TISSUE 1ST 20CM
Gross
$1,123
482
—
CARDIOVASCULAR STRESS TEST
Gross
$1,064
390
—
LEUKOREDUCED RBC UNIT
Gross
$952
921
—
VASCULAR STUDY
Gross
$912
920
—
UPPER EXTREMITY VENOUS DOPPLER BILATERAL
Gross
$912
391
—
BLOOD ADMINISTRATION 0-4 HRS
Gross
$824
272
—
PROBE ARTHO SERFAS 90-S CRUISE
Gross
$800
343
—
TC-99M MEDRONATE UP TO 30 MILL
Gross
$701
402
—
US OB 1ST TRI (<14WKS)
Gross
$575
320
—
FLUOROGUIDE FOR VEIN
Gross
$527
760
—
IV INFUSION THERAPY INITIAL HR
Gross
$381
410
—
INH TX DX AERO NEB MDI IPPB INITIAL
Gross
$381
450
—
AVULSION NAIL PLATE SINGLE SIMPLE
Gross
$361
960
—
PULM REHAB & MONITOR PER HOUR
Gross
$357
982
—
DEBRIDE SKIN/TISSUE ADD 20SQ CM
Gross
$355
460
—
PULMONARY STRESS TEST
Gross
$338
324
—
XR CHEST 2 VIEWS
Gross
$321
730
—
EKG TRACING ONLY
Gross
$317
918
—
ST COGNITION EVAL
Gross
$300
451
—
ER LEVEL 1 (MSE ONLY)
Gross
$298
424
—
PT WOUND CARE EVAL/VISIT
Gross
$289
434
—
OT EVAL/VISIT LOW
Gross
$289
444
—
ST EVAL ORAL/PHAR SWALLOW FUNC
Gross
$276
302
—
RA SCREEN
Gross
$273
762
—
OBS 1ST HOUR
Gross
$260
636
—
SINCALIDE (CCK) INJ 5MCG
Gross
$260
441
—
ST TX SP/LANG VOICE DISORDER
Gross
$258
524
—
PHYS INITL SWING/NH CARE <=25
Gross
$243
310
—
FACTOR 5 LEIDEN MUTATION
Gross
$242
940
—
THER PHLEBOTOMY
Gross
$227
987
—
IP HOSP INIT DAY - LEVEL 1
Gross
$206
311
—
PAP SMEAR THIN LAYER
Gross
$201
301
—
BENZODIAZEPINES 1-12
Gross
$165
710
—
REC RM EA ADD 15 MIN
Gross
$136
771
—
IMMUNIZATION ADMINISTRATION
Gross
$129
510
—
IV PUSH ADDTL NEW DRUG
Gross
$125
431
—
OT ELECT STIM MAN 15MIN
Gross
$118
421
—
PT AQUA THRPY/15 MIN
Gross
$116
305
—
****CBC W/AUTO DIFF
Gross
$102
259
—
DEXTROSE 50% IN WATER SYRINGE 25 GM/50ML
Gross
$86
306
—
RAPID STREP A
Gross
$85
761
—
IV PUSH SAME DRUG
Gross
$70
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 341 | HT MUSCLE IMAGE SPECT SINGLE STUDY | $3,626 | — | — | — | 0 |
| 404 | CT PET IMAGING ATTEN SKULL BASE MID THIG | $2,987 | — | — | — | 0 |
| 480 | STRESS TTE ONLY | $2,401 | — | — | — | 0 |
| 351 | CT SINUSES W/C | $2,167 | — | — | — | 0 |
| 350 | CT SPINE CERVICAL W/C | $2,157 | — | — | — | 0 |
| 352 | CT SPINE-LUMBAR W/C | $2,157 | — | — | — | 0 |
| 610 | MR TMJ'S WITHOUT CONTRAST | $1,957 | — | — | — | 0 |
| 483 | ECHOCARDIOGRAM | $1,921 | — | — | — | 0 |
| 360 | DEBRID SKIN/SQ TISSUE 1ST 20CM | $1,123 | — | — | — | 0 |
| 482 | CARDIOVASCULAR STRESS TEST | $1,064 | — | — | — | 0 |
| 390 | LEUKOREDUCED RBC UNIT | $952 | — | — | — | 0 |
| 921 | VASCULAR STUDY | $912 | — | — | — | 0 |
| 920 | UPPER EXTREMITY VENOUS DOPPLER BILATERAL | $912 | — | — | — | 0 |
| 391 | BLOOD ADMINISTRATION 0-4 HRS | $824 | — | — | — | 0 |
| 272 | PROBE ARTHO SERFAS 90-S CRUISE | $800 | — | — | — | 0 |
| 343 | TC-99M MEDRONATE UP TO 30 MILL | $701 | — | — | — | 0 |
| 402 | US OB 1ST TRI (<14WKS) | $575 | — | — | — | 0 |
| 320 | FLUOROGUIDE FOR VEIN | $527 | — | — | — | 0 |
| 760 | IV INFUSION THERAPY INITIAL HR | $381 | — | — | — | 0 |
| 410 | INH TX DX AERO NEB MDI IPPB INITIAL | $381 | — | — | — | 0 |
| 450 | AVULSION NAIL PLATE SINGLE SIMPLE | $361 | — | — | — | 0 |
| 960 | PULM REHAB & MONITOR PER HOUR | $357 | — | — | — | 0 |
| 982 | DEBRIDE SKIN/TISSUE ADD 20SQ CM | $355 | — | — | — | 0 |
| 460 | PULMONARY STRESS TEST | $338 | — | — | — | 0 |
| 324 | XR CHEST 2 VIEWS | $321 | — | — | — | 0 |
| 730 | EKG TRACING ONLY | $317 | — | — | — | 0 |
| 918 | ST COGNITION EVAL | $300 | — | — | — | 0 |
| 451 | ER LEVEL 1 (MSE ONLY) | $298 | — | — | — | 0 |
| 424 | PT WOUND CARE EVAL/VISIT | $289 | — | — | — | 0 |
| 434 | OT EVAL/VISIT LOW | $289 | — | — | — | 0 |
| 444 | ST EVAL ORAL/PHAR SWALLOW FUNC | $276 | — | — | — | 0 |
| 302 | RA SCREEN | $273 | — | — | — | 0 |
| 762 | OBS 1ST HOUR | $260 | — | — | — | 0 |
| 636 | SINCALIDE (CCK) INJ 5MCG | $260 | — | — | — | 0 |
| 441 | ST TX SP/LANG VOICE DISORDER | $258 | — | — | — | 0 |
| 524 | PHYS INITL SWING/NH CARE <=25 | $243 | — | — | — | 0 |
| 310 | FACTOR 5 LEIDEN MUTATION | $242 | — | — | — | 0 |
| 940 | THER PHLEBOTOMY | $227 | — | — | — | 0 |
| 987 | IP HOSP INIT DAY - LEVEL 1 | $206 | — | — | — | 0 |
| 311 | PAP SMEAR THIN LAYER | $201 | — | — | — | 0 |
| 301 | BENZODIAZEPINES 1-12 | $165 | — | — | — | 0 |
| 710 | REC RM EA ADD 15 MIN | $136 | — | — | — | 0 |
| 771 | IMMUNIZATION ADMINISTRATION | $129 | — | — | — | 0 |
| 510 | IV PUSH ADDTL NEW DRUG | $125 | — | — | — | 0 |
| 431 | OT ELECT STIM MAN 15MIN | $118 | — | — | — | 0 |
| 421 | PT AQUA THRPY/15 MIN | $116 | — | — | — | 0 |
| 305 | ****CBC W/AUTO DIFF | $102 | — | — | — | 0 |
| 259 | DEXTROSE 50% IN WATER SYRINGE 25 GM/50ML | $86 | — | — | — | 0 |
| 306 | RAPID STREP A | $85 | — | — | — | 0 |
| 761 | IV PUSH SAME DRUG | $70 | — | — | — | 0 |
Showing top 50 of 69 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.