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
2,388
Insurances with rates
0
CPT / HCPCS codes
43
Most expensive procedures (gross)
39000014
$6,811
HC PROC FEE GRANULOCYTE PHERESIS
Gross
$6,811
31000201
$5,720
HC FUSION PANEL COMPREHENSIVE SOLID TUMOR TISSUE NGS
Gross
$5,720
31000130
$5,696
HC COMPREHENSIVE SOLID TUMOR FUSION PANEL
Gross
$5,696
31000135
$5,696
HC COMPREHENSIVE HEMATOLYMPHOID MUTATION PANEL
Gross
$5,696
31000263
$5,696
HC SOLID ORGAN/HEMATOLYMPHOID NEO/DO 51/>GSAP DNA/DNA&RNA SEND OUT
Gross
$5,696
0187-0993-95
$5,593
ACYCLOVIR 5 % TOPICAL OINTMENT [8968]
Gross
$5,593
J0850
$5,407
CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634]
Gross
$5,407
27808-102-01
$5,278
AMPHETAMINE ER 2.5 MG/ML ORAL 24 HR EXTENDED-RELEASE SUSPENSION [181408]
Gross
$5,278
15900002
$4,726
HC AND CADD ACUTE
Gross
$4,726
20000002
$4,726
HC CADD ACUTE
Gross
$4,726
36000420
$4,368
HC THERAPEUTIC APHERESIS WBC
Gross
$4,368
36000421
$4,368
HC THERAPEUTIC APHERESIS RBC
Gross
$4,368
36100210
$4,368
HC THERAPEUTIC APHERESIS PLASMA
Gross
$4,368
30087903
$3,903
HC HIV PHENOTYPE NUCLEIC FIRST
Gross
$3,903
20400001
$3,725
HC CHILDREN'S ACUTE
Gross
$3,725
36000422
$3,494
HC THERAPEUTIC APHERESIS FOR PLTS
Gross
$3,494
15900001
$2,956
HC AND CHILDREN'S ACUTE
Gross
$2,956
15900004
$2,956
HC AND ADOL ACUTE
Gross
$2,956
20200003
$2,956
HC ADOLESCENT ACUTE
Gross
$2,956
J1610
$1,888
GLUCAGON 1 MG INJECTION SOLUTION WRAPPER [400621]
Gross
$1,888
LFSPN-00002-47
$1,881
DIAZEPAM 10 MG RECTAL KIT [500211]
Gross
$1,881
31081220
$1,790
HC CYSTIC FIBROSIS PCR BUNDLED
Gross
$1,790
31000266
$1,782
HC MICROSATELLITE INSTABILITY BY PCR
Gross
$1,782
39000012
$1,763
HC PROC FEE PLT PHERESIS L/R
Gross
$1,763
30001111
$1,675
HC CNS PATHOGEN MULTIPLEX AMPLIFIED PROBE 12-25 TARGETS
Gross
$1,675
24338-183-04
$1,566
IVERMECTIN 0.5 % LOTION [116027]
Gross
$1,566
50474-500-15
$1,450
MIDAZOLAM 5 MG/SPRAY (0.1 ML) NASAL SPRAY [194588]
Gross
$1,450
0173-0720-20
$1,427
FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER [40699]
Gross
$1,427
91200006
$1,425
HC CHILDRENS PARTIAL
Gross
$1,425
91200007
$1,425
HC CHILDRENS REVERSE PARTIAL
Gross
$1,425
91200008
$1,425
HC CADD PARTIAL
Gross
$1,425
91200014
$1,425
HC ADOL PARTIAL HOSPITAL PROGRAM
Gross
$1,425
91200015
$1,425
HC CHILD PARTIAL HOSPITAL PROGRAM
Gross
$1,425
91200016
$1,425
HC PEDI PARTIAL HOSPITAL PROGRAM
Gross
$1,425
91200020
$1,425
HC OCD PARTIAL HOSPITAL PROGRAM
Gross
$1,425
91200037
$1,425
HC CADD PARTIAL HOSPITAL PROGRAM
Gross
$1,425
0078-0357-52
$1,400
OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION [30479]
Gross
$1,400
31000114
$1,375
HC TARGET GENOMIC SEQ ANALY PNL HEMATOLYMPHD NEO 5-50 GENES
Gross
$1,375
31000131
$1,375
HC SARCOMA FUSION PANEL
Gross
$1,375
31000132
$1,375
HC LUNG AND THYROID CANCER FUSION PANEL
Gross
$1,375
31000133
$1,375
HC NEURO-ONCOLOGY FUSION PANEL
Gross
$1,375
31000200
$1,375
HC FUSION PANEL SARCOMA TISSUE NGS
Gross
$1,375
31000202
$1,375
HC ACTIONABLE MUTATION PANEL BLOOD NGS
Gross
$1,375
31000203
$1,375
HC ACTIONABLE MUTATION PANEL BMA NGS
Gross
$1,375
31000204
$1,375
HC FUSION PANEL LUNG THYROID SALIVARY GLAND TISSUE NGS
Gross
$1,375
30002070
$1,358
HC CULTYPE TYPING ID BLD PATHOGEN & RESIST TYPE 6 OR> TARGETS
Gross
$1,358
31188269
$1,329
HC CHROMOSOME ANALY AMNIOTIC
Gross
$1,329
74000005
$1,273
HC EEG AWAKE & ASLEEP
Gross
$1,273
30001018
$1,250
HC GASTROINTESTINAL PATHOGEN PANEL
Gross
$1,250
31088349
$1,250
HC EM SCANNING
Gross
$1,250
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 39000014 | HC PROC FEE GRANULOCYTE PHERESIS | $6,811 | $6,811 | — | — | 0 |
| 31000201 | HC FUSION PANEL COMPREHENSIVE SOLID TUMOR TISSUE NGS | $5,720 | $5,720 | — | — | 0 |
| 31000130 | HC COMPREHENSIVE SOLID TUMOR FUSION PANEL | $5,696 | $5,696 | — | — | 0 |
| 31000135 | HC COMPREHENSIVE HEMATOLYMPHOID MUTATION PANEL | $5,696 | $5,696 | — | — | 0 |
| 31000263 | HC SOLID ORGAN/HEMATOLYMPHOID NEO/DO 51/>GSAP DNA/DNA&RNA SEND OUT | $5,696 | $5,696 | — | — | 0 |
| 0187-0993-95 | ACYCLOVIR 5 % TOPICAL OINTMENT [8968] | $5,593 | $5,593 | — | — | 0 |
| J0850 | CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [14634] | $5,407 | $5,407 | — | — | 0 |
| 27808-102-01 | AMPHETAMINE ER 2.5 MG/ML ORAL 24 HR EXTENDED-RELEASE SUSPENSION [181408] | $5,278 | $5,278 | — | — | 0 |
| 15900002 | HC AND CADD ACUTE | $4,726 | $4,726 | — | — | 0 |
| 20000002 | HC CADD ACUTE | $4,726 | $4,726 | — | — | 0 |
| 36000420 | HC THERAPEUTIC APHERESIS WBC | $4,368 | $4,368 | — | — | 0 |
| 36000421 | HC THERAPEUTIC APHERESIS RBC | $4,368 | $4,368 | — | — | 0 |
| 36100210 | HC THERAPEUTIC APHERESIS PLASMA | $4,368 | $4,368 | — | — | 0 |
| 30087903 | HC HIV PHENOTYPE NUCLEIC FIRST | $3,903 | $3,903 | — | — | 0 |
| 20400001 | HC CHILDREN'S ACUTE | $3,725 | $3,725 | — | — | 0 |
| 36000422 | HC THERAPEUTIC APHERESIS FOR PLTS | $3,494 | $3,494 | — | — | 0 |
| 15900001 | HC AND CHILDREN'S ACUTE | $2,956 | $2,956 | — | — | 0 |
| 15900004 | HC AND ADOL ACUTE | $2,956 | $2,956 | — | — | 0 |
| 20200003 | HC ADOLESCENT ACUTE | $2,956 | $2,956 | — | — | 0 |
| J1610 | GLUCAGON 1 MG INJECTION SOLUTION WRAPPER [400621] | $1,888 | $1,888 | — | — | 0 |
| LFSPN-00002-47 | DIAZEPAM 10 MG RECTAL KIT [500211] | $1,881 | $1,881 | — | — | 0 |
| 31081220 | HC CYSTIC FIBROSIS PCR BUNDLED | $1,790 | $1,790 | — | — | 0 |
| 31000266 | HC MICROSATELLITE INSTABILITY BY PCR | $1,782 | $1,782 | — | — | 0 |
| 39000012 | HC PROC FEE PLT PHERESIS L/R | $1,763 | $1,763 | — | — | 0 |
| 30001111 | HC CNS PATHOGEN MULTIPLEX AMPLIFIED PROBE 12-25 TARGETS | $1,675 | $1,675 | — | — | 0 |
| 24338-183-04 | IVERMECTIN 0.5 % LOTION [116027] | $1,566 | $1,566 | — | — | 0 |
| 50474-500-15 | MIDAZOLAM 5 MG/SPRAY (0.1 ML) NASAL SPRAY [194588] | $1,450 | $1,450 | — | — | 0 |
| 0173-0720-20 | FLUTICASONE PROPIONATE 220 MCG/ACTUATION HFA AEROSOL INHALER [40699] | $1,427 | $1,427 | — | — | 0 |
| 91200006 | HC CHILDRENS PARTIAL | $1,425 | $1,425 | — | — | 0 |
| 91200007 | HC CHILDRENS REVERSE PARTIAL | $1,425 | $1,425 | — | — | 0 |
| 91200008 | HC CADD PARTIAL | $1,425 | $1,425 | — | — | 0 |
| 91200014 | HC ADOL PARTIAL HOSPITAL PROGRAM | $1,425 | $1,425 | — | — | 0 |
| 91200015 | HC CHILD PARTIAL HOSPITAL PROGRAM | $1,425 | $1,425 | — | — | 0 |
| 91200016 | HC PEDI PARTIAL HOSPITAL PROGRAM | $1,425 | $1,425 | — | — | 0 |
| 91200020 | HC OCD PARTIAL HOSPITAL PROGRAM | $1,425 | $1,425 | — | — | 0 |
| 91200037 | HC CADD PARTIAL HOSPITAL PROGRAM | $1,425 | $1,425 | — | — | 0 |
| 0078-0357-52 | OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION [30479] | $1,400 | $1,400 | — | — | 0 |
| 31000114 | HC TARGET GENOMIC SEQ ANALY PNL HEMATOLYMPHD NEO 5-50 GENES | $1,375 | $1,375 | — | — | 0 |
| 31000131 | HC SARCOMA FUSION PANEL | $1,375 | $1,375 | — | — | 0 |
| 31000132 | HC LUNG AND THYROID CANCER FUSION PANEL | $1,375 | $1,375 | — | — | 0 |
| 31000133 | HC NEURO-ONCOLOGY FUSION PANEL | $1,375 | $1,375 | — | — | 0 |
| 31000200 | HC FUSION PANEL SARCOMA TISSUE NGS | $1,375 | $1,375 | — | — | 0 |
| 31000202 | HC ACTIONABLE MUTATION PANEL BLOOD NGS | $1,375 | $1,375 | — | — | 0 |
| 31000203 | HC ACTIONABLE MUTATION PANEL BMA NGS | $1,375 | $1,375 | — | — | 0 |
| 31000204 | HC FUSION PANEL LUNG THYROID SALIVARY GLAND TISSUE NGS | $1,375 | $1,375 | — | — | 0 |
| 30002070 | HC CULTYPE TYPING ID BLD PATHOGEN & RESIST TYPE 6 OR> TARGETS | $1,358 | $1,358 | — | — | 0 |
| 31188269 | HC CHROMOSOME ANALY AMNIOTIC | $1,329 | $1,329 | — | — | 0 |
| 74000005 | HC EEG AWAKE & ASLEEP | $1,273 | $1,273 | — | — | 0 |
| 30001018 | HC GASTROINTESTINAL PATHOGEN PANEL | $1,250 | $1,250 | — | — | 0 |
| 31088349 | HC EM SCANNING | $1,250 | $1,250 | — | — | 0 |
Showing top 50 of 2,388 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.