45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
12,395
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
12400001
$9,359,544
HC MH SEMI PRIVATE ROOM
Gross
$23,398,860
11400001
$4,921,446
HC PSYCH PRIVATE ROOM
Gross
$12,303,615
12900002
$3,644,844
HC ED RTC SEMI PRIVATE ROOM
Gross
$9,112,109
11900007
$2,278,822
HC ED ACUTE PRIVATE ROOM
Gross
$5,697,055
91300001
$2,232,258
HC ED PARTIAL FULL DAY
Gross
$5,580,646
90500001
$523,750
HC IOP PSYCHIATRIC
Gross
$1,309,375
30100292
$446,441
HC GLUCOSE BLOOD TEST
Gross
$1,116,102
90600001
$411,626
HC IOP CHEMICAL DEPENDANCY
Gross
$1,029,064
30100711
$332,342
HC DRUG TEST(S), PRESUMPTIVE, BY INSTRUMENTED CHEMISTRY ANALYZER
Gross
$830,854
30100189
$154,403
HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED
Gross
$386,008
30100001
$147,938
HC ROUTINE VENIPUNCTURE
Gross
$369,846
30100012
$139,928
HC COMPREHENSIVE METABOLIC PANEL
Gross
$349,821
30100240
$135,394
HC CYANOCOBALAMIN VITAMIN B-12
Gross
$338,486
30100469
$133,663
HC ASSAY OF THYROID STIMULATING HORMONE TSH
Gross
$334,158
30500009
$126,690
HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
Gross
$316,725
30100053
$118,422
HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY
Gross
$296,054
30100373
$100,038
HC ASSAY OF MAGNESIUM
Gross
$250,094
30100013
$86,999
HC LIPID PANEL
Gross
$217,498
30100269
$80,482
HC ASSAY OF FOLIC ACID SERUM
Gross
$201,206
30237-8900-6
$79,645
PROVENGE 50000000 CELLS IV SUSP
Gross
$199,113
63700001_00169750111
$69,649
HC DRUGS/SELF ADMINISTERED
Gross
$174,121
30100312
$62,655
HC HEMOGLOBIN GLYCOSYLATED A1C
Gross
$156,638
30100010
$60,299
HC GENERAL HEALTH PANEL
Gross
$150,748
63700001_00088222033
$58,452
HC DRUGS/SELF ADMINISTERED
Gross
$146,129
30100057
$56,731
HC URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS
Gross
$141,828
73000001
$53,574
HC ELECTROCARDIOGRAM TRACING
Gross
$133,936
90100001
$53,075
HC ELECTROCONVULSIVE THERAPY
Gross
$132,687
67979-002-01
$49,451
SUPPRELIN LA 50 MG SC KIT
Gross
$123,627
30100415
$47,374
HC ASSAY OF PHOSPHORUS INORGANIC
Gross
$118,434
63700001_00003089431
$44,888
HC DRUGS/SELF ADMINISTERED
Gross
$112,221
30200001
$42,492
HC ACUTE HEPATITIS PANEL
Gross
$106,230
30000012
$39,954
HC NOVEL CORONAVIRUS SARS-COV-2 BY PCR
Gross
$99,884
63700001_11523726808
$31,693
HC DRUGS/SELF ADMINISTERED
Gross
$79,232
63700001_00121176130
$29,491
HC DRUGS/SELF ADMINISTERED
Gross
$73,727
30100037
$28,799
HC DRUG SCREEN QUANTITATIVE LITHIUM
Gross
$71,997
63600001_63323001341
$27,652
HC DRUGS REQUIRING DETAILED CODING
Gross
$69,130
63700001_00186037028
$25,211
HC DRUGS/SELF ADMINISTERED
Gross
$63,028
99500001
$23,600
HC ED TRANSITIONAL
Gross
$59,000
30100009
$23,593
HC BASIC METABOLIC PANEL CALCIUM TOTAL
Gross
$58,982
9994-0908-73
$23,350
YTTRIUM-90 (Y-90) THERASPHERE INJECTION
Gross
$58,374
9994-0823-67
$23,350
YTTRIUM-90 SIR SPHERES INJECTION
Gross
$58,374
30602410
$22,816
HC IADNA VIRAL RESP RNA PROBE, 4 TARGETS (INFLU A/B, RSV, SARS-COV-2)
Gross
$57,040
30100031
$21,781
HC DRUG SCREEN QUANTITATIVE DIPROPYLACETIC ACID
Gross
$54,452
30100255
$21,202
HC ASSAY OF ESTRADIOL
Gross
$53,006
30600012
$21,100
HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE
Gross
$52,750
30100467
$18,426
HC ASSAY OF FREE THYROXINE
Gross
$46,065
63700001_77333081225
$18,063
HC DRUGS/SELF ADMINISTERED
Gross
$45,157
71000004
$17,695
HC RECOVERY ROOM USE LEVEL AA
Gross
$44,237
30100500
$17,602
HC GONADOTROPIN CHORIONIC QUALITATIVE
Gross
$44,004
63700001_00597002402
$17,405
HC DRUGS/SELF ADMINISTERED
Gross
$43,513
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 12400001 | HC MH SEMI PRIVATE ROOM | $23,398,860 | $9,359,544 | — | — | 0 |
| 11400001 | HC PSYCH PRIVATE ROOM | $12,303,615 | $4,921,446 | — | — | 0 |
| 12900002 | HC ED RTC SEMI PRIVATE ROOM | $9,112,109 | $3,644,844 | — | — | 0 |
| 11900007 | HC ED ACUTE PRIVATE ROOM | $5,697,055 | $2,278,822 | — | — | 0 |
| 91300001 | HC ED PARTIAL FULL DAY | $5,580,646 | $2,232,258 | — | — | 0 |
| 90500001 | HC IOP PSYCHIATRIC | $1,309,375 | $523,750 | — | — | 0 |
| 30100292 | HC GLUCOSE BLOOD TEST | $1,116,102 | $446,441 | — | — | 0 |
| 90600001 | HC IOP CHEMICAL DEPENDANCY | $1,029,064 | $411,626 | — | — | 0 |
| 30100711 | HC DRUG TEST(S), PRESUMPTIVE, BY INSTRUMENTED CHEMISTRY ANALYZER | $830,854 | $332,342 | — | — | 0 |
| 30100189 | HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | $386,008 | $154,403 | — | — | 0 |
| 30100001 | HC ROUTINE VENIPUNCTURE | $369,846 | $147,938 | — | — | 0 |
| 30100012 | HC COMPREHENSIVE METABOLIC PANEL | $349,821 | $139,928 | — | — | 0 |
| 30100240 | HC CYANOCOBALAMIN VITAMIN B-12 | $338,486 | $135,394 | — | — | 0 |
| 30100469 | HC ASSAY OF THYROID STIMULATING HORMONE TSH | $334,158 | $133,663 | — | — | 0 |
| 30500009 | HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $316,725 | $126,690 | — | — | 0 |
| 30100053 | HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $296,054 | $118,422 | — | — | 0 |
| 30100373 | HC ASSAY OF MAGNESIUM | $250,094 | $100,038 | — | — | 0 |
| 30100013 | HC LIPID PANEL | $217,498 | $86,999 | — | — | 0 |
| 30100269 | HC ASSAY OF FOLIC ACID SERUM | $201,206 | $80,482 | — | — | 0 |
| 30237-8900-6 | PROVENGE 50000000 CELLS IV SUSP | $199,113 | $79,645 | — | — | 0 |
| 63700001_00169750111 | HC DRUGS/SELF ADMINISTERED | $174,121 | $69,649 | — | — | 0 |
| 30100312 | HC HEMOGLOBIN GLYCOSYLATED A1C | $156,638 | $62,655 | — | — | 0 |
| 30100010 | HC GENERAL HEALTH PANEL | $150,748 | $60,299 | — | — | 0 |
| 63700001_00088222033 | HC DRUGS/SELF ADMINISTERED | $146,129 | $58,452 | — | — | 0 |
| 30100057 | HC URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $141,828 | $56,731 | — | — | 0 |
| 73000001 | HC ELECTROCARDIOGRAM TRACING | $133,936 | $53,574 | — | — | 0 |
| 90100001 | HC ELECTROCONVULSIVE THERAPY | $132,687 | $53,075 | — | — | 0 |
| 67979-002-01 | SUPPRELIN LA 50 MG SC KIT | $123,627 | $49,451 | — | — | 0 |
| 30100415 | HC ASSAY OF PHOSPHORUS INORGANIC | $118,434 | $47,374 | — | — | 0 |
| 63700001_00003089431 | HC DRUGS/SELF ADMINISTERED | $112,221 | $44,888 | — | — | 0 |
| 30200001 | HC ACUTE HEPATITIS PANEL | $106,230 | $42,492 | — | — | 0 |
| 30000012 | HC NOVEL CORONAVIRUS SARS-COV-2 BY PCR | $99,884 | $39,954 | — | — | 0 |
| 63700001_11523726808 | HC DRUGS/SELF ADMINISTERED | $79,232 | $31,693 | — | — | 0 |
| 63700001_00121176130 | HC DRUGS/SELF ADMINISTERED | $73,727 | $29,491 | — | — | 0 |
| 30100037 | HC DRUG SCREEN QUANTITATIVE LITHIUM | $71,997 | $28,799 | — | — | 0 |
| 63600001_63323001341 | HC DRUGS REQUIRING DETAILED CODING | $69,130 | $27,652 | — | — | 0 |
| 63700001_00186037028 | HC DRUGS/SELF ADMINISTERED | $63,028 | $25,211 | — | — | 0 |
| 99500001 | HC ED TRANSITIONAL | $59,000 | $23,600 | — | — | 0 |
| 30100009 | HC BASIC METABOLIC PANEL CALCIUM TOTAL | $58,982 | $23,593 | — | — | 0 |
| 9994-0908-73 | YTTRIUM-90 (Y-90) THERASPHERE INJECTION | $58,374 | $23,350 | — | — | 0 |
| 9994-0823-67 | YTTRIUM-90 SIR SPHERES INJECTION | $58,374 | $23,350 | — | — | 0 |
| 30602410 | HC IADNA VIRAL RESP RNA PROBE, 4 TARGETS (INFLU A/B, RSV, SARS-COV-2) | $57,040 | $22,816 | — | — | 0 |
| 30100031 | HC DRUG SCREEN QUANTITATIVE DIPROPYLACETIC ACID | $54,452 | $21,781 | — | — | 0 |
| 30100255 | HC ASSAY OF ESTRADIOL | $53,006 | $21,202 | — | — | 0 |
| 30600012 | HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | $52,750 | $21,100 | — | — | 0 |
| 30100467 | HC ASSAY OF FREE THYROXINE | $46,065 | $18,426 | — | — | 0 |
| 63700001_77333081225 | HC DRUGS/SELF ADMINISTERED | $45,157 | $18,063 | — | — | 0 |
| 71000004 | HC RECOVERY ROOM USE LEVEL AA | $44,237 | $17,695 | — | — | 0 |
| 30100500 | HC GONADOTROPIN CHORIONIC QUALITATIVE | $44,004 | $17,602 | — | — | 0 |
| 63700001_00597002402 | HC DRUGS/SELF ADMINISTERED | $43,513 | $17,405 | — | — | 0 |
Showing top 50 of 12,395 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.