45 CFR § 180 compliance
D · 65
This hospital published part 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
308
Insurances with rates
10
CPT / HCPCS codes
1
Source MRF
Most expensive procedures (gross)
11100000
$6,800
R & B-Med-Surg (Pri)
Gross
$8,500
11400000
$6,800
R & B-Psychiatric (Pri)
Gross
$8,500
11600000
$6,800
Room & Board - Detox (Private)
Gross
$8,500
11800000
$6,800
Room & Board - Rehab (Private)
Gross
$8,500
12100000
$6,000
R & B-Med-Surg Semi-pri,2 bed
Gross
$7,500
12400000
$6,000
R & B-Psychiatric Semi-pri
Gross
$7,500
12600000
$6,000
R & B-Detox (Semi-private)
Gross
$7,500
12800000
$6,000
R & B-Rehab (Semi‑private)
Gross
$7,500
13400000
$6,000
Room & Board - Psych (3-4 Bed)
Gross
$7,500
13600000
$6,000
Room & Board - Detox (3-4 Bed)
Gross
$7,500
13800000
$6,000
Room & Board - Rehab (3-4 Bed)
Gross
$7,500
10020000
$4,000
Residential (Semi-private)
Gross
$5,000
10020001
$4,000
Residential (Private)
Gross
$5,000
90100000
$3,785
Electroconvulsive Ther (ECT)
Gross
$4,732
30000107
$3,013
HCV RNA,PCR W/REFLS
Gross
$3,766
30000108
$2,927
HCV GENOTYPE LIPA(R)
Gross
$3,659
30000083
$2,240
LYPMH SUBSET PNL4, NY
Gross
$2,799
91800000
$1,765
Psych Test (fac comp)1st 60min
Gross
$2,206
92100002
$1,370
US Duplex Scan Lower Ext Veins
Gross
$1,713
92100005
$1,370
US Dup Aorta/Inf Vena Cava
Gross
$1,713
92100006
$1,370
US Dup, Art In/Ven Out Abd/Pel
Gross
$1,713
92100007
$1,370
US Dup, ExtraCran Art,Comp
Gross
$1,713
92100011
$1,370
US Dup,LowExt Art, Comp Bi
Gross
$1,713
92100013
$1,370
US Dup,UppExt Art, Comp Bi
Gross
$1,713
98700011
$1,120
Critical Care 1st 30-74 Mins
Gross
$1,400
30000010
$961
DM ANTIPSYCHOTICS, U
Gross
$1,201
30000040
$949
BNP
Gross
$1,186
91600000
$911
Psychotherapy-Fam-Pt not pres
Gross
$1,138
91600001
$911
Psychotherapy-Fam--Pt pres
Gross
$1,138
91400000
$911
Psychotherapy-Ind 30 mins
Gross
$1,138
91400001
$911
Psychotherapy-Ind 45 mins
Gross
$1,138
91400002
$911
Psychotherapy-Ind 60 mins
Gross
$1,138
92100010
$887
US NI Ext Artery,ComBi,Mult
Gross
$1,109
30000041
$864
CARDIO IQ NT PROBNP
Gross
$1,080
30000042
$864
PROBNP
Gross
$1,080
30000046
$818
TESTOSTERONE,MALE,IA
Gross
$1,022
30000008
$785
VANCOMYCIN, PEAK
Gross
$982
30000009
$785
VANCOMYCIN, TROUGH
Gross
$982
98700008
$780
Admit & Dx Same Day >85 Min
Gross
$975
91800001
$731
Psych Test (fac comp)1st 30min
Gross
$913
92100009
$731
US NI Ext Artery,Bilat Sgl Lvl
Gross
$913
30000071
$712
B2-GLYCO I(IGA)
Gross
$890
30000077
$709
ANTI-DSDNA AB, EIA
Gross
$886
30000078
$709
CHROMATIN AUTO AB
Gross
$886
30000079
$709
RNP ANTIBODY
Gross
$886
30000080
$709
SM ANTIBODY
Gross
$886
30000081
$709
SM/RNP ABS
Gross
$886
30000018
$696
0035 AMMONIA PLASMA
Gross
$870
30000020
$696
AMMONIA PLASMA
Gross
$870
30000057
$678
TROPONIN T (HS)
Gross
$848
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 11100000 | R & B-Med-Surg (Pri) | $8,500 | $6,800 | — | — | 0 |
| 11400000 | R & B-Psychiatric (Pri) | $8,500 | $6,800 | — | — | 0 |
| 11600000 | Room & Board - Detox (Private) | $8,500 | $6,800 | — | — | 0 |
| 11800000 | Room & Board - Rehab (Private) | $8,500 | $6,800 | — | — | 0 |
| 12100000 | R & B-Med-Surg Semi-pri,2 bed | $7,500 | $6,000 | — | — | 0 |
| 12400000 | R & B-Psychiatric Semi-pri | $7,500 | $6,000 | — | — | 0 |
| 12600000 | R & B-Detox (Semi-private) | $7,500 | $6,000 | — | — | 0 |
| 12800000 | R & B-Rehab (Semi‑private) | $7,500 | $6,000 | — | — | 0 |
| 13400000 | Room & Board - Psych (3-4 Bed) | $7,500 | $6,000 | — | — | 0 |
| 13600000 | Room & Board - Detox (3-4 Bed) | $7,500 | $6,000 | — | — | 0 |
| 13800000 | Room & Board - Rehab (3-4 Bed) | $7,500 | $6,000 | — | — | 0 |
| 10020000 | Residential (Semi-private) | $5,000 | $4,000 | — | — | 0 |
| 10020001 | Residential (Private) | $5,000 | $4,000 | — | — | 0 |
| 90100000 | Electroconvulsive Ther (ECT) | $4,732 | $3,785 | — | — | 0 |
| 30000107 | HCV RNA,PCR W/REFLS | $3,766 | $3,013 | — | — | 0 |
| 30000108 | HCV GENOTYPE LIPA(R) | $3,659 | $2,927 | — | — | 0 |
| 30000083 | LYPMH SUBSET PNL4, NY | $2,799 | $2,240 | — | — | 0 |
| 91800000 | Psych Test (fac comp)1st 60min | $2,206 | $1,765 | — | — | 0 |
| 92100002 | US Duplex Scan Lower Ext Veins | $1,713 | $1,370 | — | — | 0 |
| 92100005 | US Dup Aorta/Inf Vena Cava | $1,713 | $1,370 | — | — | 0 |
| 92100006 | US Dup, Art In/Ven Out Abd/Pel | $1,713 | $1,370 | — | — | 0 |
| 92100007 | US Dup, ExtraCran Art,Comp | $1,713 | $1,370 | — | — | 0 |
| 92100011 | US Dup,LowExt Art, Comp Bi | $1,713 | $1,370 | — | — | 0 |
| 92100013 | US Dup,UppExt Art, Comp Bi | $1,713 | $1,370 | — | — | 0 |
| 98700011 | Critical Care 1st 30-74 Mins | $1,400 | $1,120 | — | — | 0 |
| 30000010 | DM ANTIPSYCHOTICS, U | $1,201 | $961 | — | — | 0 |
| 30000040 | BNP | $1,186 | $949 | — | — | 0 |
| 91600000 | Psychotherapy-Fam-Pt not pres | $1,138 | $911 | — | — | 0 |
| 91600001 | Psychotherapy-Fam--Pt pres | $1,138 | $911 | — | — | 0 |
| 91400000 | Psychotherapy-Ind 30 mins | $1,138 | $911 | — | — | 0 |
| 91400001 | Psychotherapy-Ind 45 mins | $1,138 | $911 | — | — | 0 |
| 91400002 | Psychotherapy-Ind 60 mins | $1,138 | $911 | — | — | 0 |
| 92100010 | US NI Ext Artery,ComBi,Mult | $1,109 | $887 | — | — | 0 |
| 30000041 | CARDIO IQ NT PROBNP | $1,080 | $864 | — | — | 0 |
| 30000042 | PROBNP | $1,080 | $864 | — | — | 0 |
| 30000046 | TESTOSTERONE,MALE,IA | $1,022 | $818 | — | — | 0 |
| 30000008 | VANCOMYCIN, PEAK | $982 | $785 | — | — | 0 |
| 30000009 | VANCOMYCIN, TROUGH | $982 | $785 | — | — | 0 |
| 98700008 | Admit & Dx Same Day >85 Min | $975 | $780 | — | — | 0 |
| 91800001 | Psych Test (fac comp)1st 30min | $913 | $731 | — | — | 0 |
| 92100009 | US NI Ext Artery,Bilat Sgl Lvl | $913 | $731 | — | — | 0 |
| 30000071 | B2-GLYCO I(IGA) | $890 | $712 | — | — | 0 |
| 30000077 | ANTI-DSDNA AB, EIA | $886 | $709 | — | — | 0 |
| 30000078 | CHROMATIN AUTO AB | $886 | $709 | — | — | 0 |
| 30000079 | RNP ANTIBODY | $886 | $709 | — | — | 0 |
| 30000080 | SM ANTIBODY | $886 | $709 | — | — | 0 |
| 30000081 | SM/RNP ABS | $886 | $709 | — | — | 0 |
| 30000018 | 0035 AMMONIA PLASMA | $870 | $696 | — | — | 0 |
| 30000020 | AMMONIA PLASMA | $870 | $696 | — | — | 0 |
| 30000057 | TROPONIN T (HS) | $848 | $678 | — | — | 0 |
Showing top 50 of 308 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.