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
65
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
610
—
MRI UPPER JOINT W RT
Gross
$2,926
351
—
CT ORBIT/EAR/FOSSA W
Gross
$2,843
352
—
CT SPINE LUMBAR W
Gross
$2,843
615
—
MRA HEAD W/O
Gross
$2,672
611
—
MRI BRAIN W/O
Gross
$2,474
612
—
MRI T-SPINE W/O
Gross
$2,474
350
—
CT UPPER EXT WO RT
Gross
$2,062
341
—
NM BONE WHOLE BODY
Gross
$1,510
360
—
DEBRIDE SKIN AND SQ TISS 1ST 20CM
Gross
$1,382
981
—
PHYSICIAN ER LEVEL 5
Gross
$1,119
483
—
US 2 D ECHO
Gross
$1,104
390
—
BB FFP PER UNIT
Gross
$970
460
—
EEG
Gross
$962
391
—
BLOOD TRANSFUSION 0-4 HOURS P
Gross
$947
482
—
CARDIO/PHARMACOLOG STRESS TEST
Gross
$900
311
—
CULTURE LYMPHOCYTE TISSUE
Gross
$691
310
—
CELL SURF MARKER 1ST
Gross
$626
444
—
ST EVAL ORAL/PHAR SWALLOW FUNC
Gross
$605
921
—
US CAROTID DUP UNI RT
Gross
$552
306
—
CULTURE BLOOD 1
Gross
$535
441
—
ST TX SP/LANG VOICE DISORDER
Gross
$478
410
—
OXYGEN DAILY
Gross
$431
761
—
FOLEY CATH INSERT SIMPLE
Gross
$391
450
—
AVULSION NAIL PLATE SINGLE SIM
Gross
$384
401
—
MM UNILATERAL RT W/CAD
Gross
$359
943
—
CARDIAC REHAB W/ ECG MONITOR
Gross
$357
424
—
PT WOUND CARE EVAL/VISIT HIGH
Gross
$328
420
—
PT APLY MULTILAYER COMPRES LEG
Gross
$302
402
—
US TRANSPLANT KIDNEY RT
Gross
$275
320
—
XR FOOT 2 VIEWS RT
Gross
$266
324
—
XR CHEST 1 VIEW
Gross
$260
987
—
INITIAL HOSP VISIT 40 MIN < PF
Gross
$255
730
—
EKG TRACING ONLY
Gross
$247
403
—
MM UNILAT SCREENING
Gross
$230
710
—
REC RM EA ADD 15 MIN
Gross
$202
343
—
TECHNETIUM TC-99M SESTAMIBI
Gross
$179
305
—
.CBC W/AUTO DIFF CHARGE ONLY
Gross
$156
510
—
OV NEW LIMITED - LEVEL 2
Gross
$139
421
—
PT AQUA THRPY/15 MIN
Gross
$135
760
—
IV INF ADD SEQ DRUG UP TO 1 HR
Gross
$133
NF-Symbicort Inh Aer Liq 160MCG-4.5MCG
—
NF-Symbicort Inh Aer Liq 160MCG-4.5MCG
Gross
$131
433
—
OT GROUP THERAPY/15 MIN
Gross
$129
300
—
IONIZED CALCIUM
Gross
$124
301
—
ACETONE SERUM QUAL
Gross
$124
302
—
RHEUMATOID FACTOR SCREEN
Gross
$122
431
—
OT ELECT STIM MAN 15MIN
Gross
$112
780
—
TELEHEALTH FACILITY FEE
Gross
$107
771
—
ADMIN INFLUENZA VIRUS
Gross
$85
430
—
OT ROM MEASURE EXT
Gross
$77
942
—
SMOKING/TOBACCO CESSATION COUNSELING 3-1
Gross
$76
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 610 | MRI UPPER JOINT W RT | $2,926 | — | — | — | 0 |
| 351 | CT ORBIT/EAR/FOSSA W | $2,843 | — | — | — | 0 |
| 352 | CT SPINE LUMBAR W | $2,843 | — | — | — | 0 |
| 615 | MRA HEAD W/O | $2,672 | — | — | — | 0 |
| 611 | MRI BRAIN W/O | $2,474 | — | — | — | 0 |
| 612 | MRI T-SPINE W/O | $2,474 | — | — | — | 0 |
| 350 | CT UPPER EXT WO RT | $2,062 | — | — | — | 0 |
| 341 | NM BONE WHOLE BODY | $1,510 | — | — | — | 0 |
| 360 | DEBRIDE SKIN AND SQ TISS 1ST 20CM | $1,382 | — | — | — | 0 |
| 981 | PHYSICIAN ER LEVEL 5 | $1,119 | — | — | — | 0 |
| 483 | US 2 D ECHO | $1,104 | — | — | — | 0 |
| 390 | BB FFP PER UNIT | $970 | — | — | — | 0 |
| 460 | EEG | $962 | — | — | — | 0 |
| 391 | BLOOD TRANSFUSION 0-4 HOURS P | $947 | — | — | — | 0 |
| 482 | CARDIO/PHARMACOLOG STRESS TEST | $900 | — | — | — | 0 |
| 311 | CULTURE LYMPHOCYTE TISSUE | $691 | — | — | — | 0 |
| 310 | CELL SURF MARKER 1ST | $626 | — | — | — | 0 |
| 444 | ST EVAL ORAL/PHAR SWALLOW FUNC | $605 | — | — | — | 0 |
| 921 | US CAROTID DUP UNI RT | $552 | — | — | — | 0 |
| 306 | CULTURE BLOOD 1 | $535 | — | — | — | 0 |
| 441 | ST TX SP/LANG VOICE DISORDER | $478 | — | — | — | 0 |
| 410 | OXYGEN DAILY | $431 | — | — | — | 0 |
| 761 | FOLEY CATH INSERT SIMPLE | $391 | — | — | — | 0 |
| 450 | AVULSION NAIL PLATE SINGLE SIM | $384 | — | — | — | 0 |
| 401 | MM UNILATERAL RT W/CAD | $359 | — | — | — | 0 |
| 943 | CARDIAC REHAB W/ ECG MONITOR | $357 | — | — | — | 0 |
| 424 | PT WOUND CARE EVAL/VISIT HIGH | $328 | — | — | — | 0 |
| 420 | PT APLY MULTILAYER COMPRES LEG | $302 | — | — | — | 0 |
| 402 | US TRANSPLANT KIDNEY RT | $275 | — | — | — | 0 |
| 320 | XR FOOT 2 VIEWS RT | $266 | — | — | — | 0 |
| 324 | XR CHEST 1 VIEW | $260 | — | — | — | 0 |
| 987 | INITIAL HOSP VISIT 40 MIN < PF | $255 | — | — | — | 0 |
| 730 | EKG TRACING ONLY | $247 | — | — | — | 0 |
| 403 | MM UNILAT SCREENING | $230 | — | — | — | 0 |
| 710 | REC RM EA ADD 15 MIN | $202 | — | — | — | 0 |
| 343 | TECHNETIUM TC-99M SESTAMIBI | $179 | — | — | — | 0 |
| 305 | .CBC W/AUTO DIFF CHARGE ONLY | $156 | — | — | — | 0 |
| 510 | OV NEW LIMITED - LEVEL 2 | $139 | — | — | — | 0 |
| 421 | PT AQUA THRPY/15 MIN | $135 | — | — | — | 0 |
| 760 | IV INF ADD SEQ DRUG UP TO 1 HR | $133 | — | — | — | 0 |
| NF-Symbicort Inh Aer Liq 160MCG-4.5MCG | NF-Symbicort Inh Aer Liq 160MCG-4.5MCG | $131 | — | — | — | 0 |
| 433 | OT GROUP THERAPY/15 MIN | $129 | — | — | — | 0 |
| 300 | IONIZED CALCIUM | $124 | — | — | — | 0 |
| 301 | ACETONE SERUM QUAL | $124 | — | — | — | 0 |
| 302 | RHEUMATOID FACTOR SCREEN | $122 | — | — | — | 0 |
| 431 | OT ELECT STIM MAN 15MIN | $112 | — | — | — | 0 |
| 780 | TELEHEALTH FACILITY FEE | $107 | — | — | — | 0 |
| 771 | ADMIN INFLUENZA VIRUS | $85 | — | — | — | 0 |
| 430 | OT ROM MEASURE EXT | $77 | — | — | — | 0 |
| 942 | SMOKING/TOBACCO CESSATION COUNSELING 3-1 | $76 | — | — | — | 0 |
Showing top 50 of 65 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.