45 CFR § 180 compliance
C · 70
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
17,487
Insurances with rates
22
CPT / HCPCS codes
16,641
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| A4719 | ""Y SET"" TUBING | — | — | — | — | 49 |
| 96381 | 1 ADMN RSV MONOC ANTB IM NJX | — | — | $32 | $142 | 49 |
| G9773 | 1 BOD TEMP >=35.5 | — | — | — | — | 44 |
| 4559F | 1 BODYTEMP >=35.5CW/IN 30MIN | — | — | — | — | 49 |
| A4206 | 1 CC STERILE SYRINGE&NEEDLE | — | — | $0.66 | $0.66 | 49 |
| G9873 | 1 EM CORE SESSION | — | — | $242 | $271 | 44 |
| G9247 | 1 MED VISIT IN 24MO | — | — | — | — | 44 |
| G9354 | 1 OR NO CT SINUS W/IN 90D DX | — | — | — | — | 44 |
| S8490 | 100 INSULIN SYRINGES | — | — | — | — | 48 |
| 3120F | 12-LEAD ECG PERFORMED | — | — | — | — | 49 |
| G9414 | 1DOSE MENIG VAC BTWN 11 & 13 | — | — | — | — | 44 |
| 99223 | 1ST HOSP IP/OBS HIGH 75 | — | — | $512 | $4,833 | 49 |
| 99222 | 1ST HOSP IP/OBS MODERATE 55 | — | — | $346 | $4,833 | 49 |
| 99221 | 1ST HOSP IP/OBS SF/LOW 40 | — | — | $257 | $4,833 | 49 |
| 99306 | 1ST NF CARE HIGH MDM 50 | — | — | $326 | $326 | 49 |
| 99305 | 1ST NF CARE MODERATE MDM 35 | — | — | $255 | $255 | 49 |
| 99304 | 1ST NF CARE SF/LOW MDM 25 | — | — | $179 | $179 | 49 |
| 444T | 1ST PLMT DRUG ELUT OC INS | — | — | $958 | $2,868 | 42 |
| 99492 | 1ST PSYC COLLAB CARE MGMT | — | — | $35.85 | $187 | 66 |
| 99494 | 1ST/SBSQ PSYC COLLAB CARE | — | — | — | — | 49 |
| A4207 | 2 CC STERILE SYRINGE&NEEDLE | — | — | — | — | 49 |
| G9877 | 2 EM CORE MS MO 10-12 NO WL | — | — | $242 | $271 | 44 |
| G9879 | 2 EM CORE MS MO 10-12 WL | — | — | $242 | $271 | 44 |
| G9876 | 2 EM CORE MS MO 7-9 NO WL | — | — | $242 | $271 | 44 |
| G9878 | 2 EM CORE MS MO 7-9 WL | — | — | $242 | $271 | 44 |
| G9882 | 2 EM ONGOING MS MO 13-15 WL | — | — | $242 | $271 | 44 |
| G9883 | 2 EM ONGOING MS MO 16-18 WL | — | — | $242 | $271 | 44 |
| G9884 | 2 EM ONGOING MS MO 19-21 WL | — | — | $242 | $271 | 44 |
| G9885 | 2 EM ONGOING MS MO 22-24 WL | — | — | $242 | $271 | 44 |
| 4145F | 2+ ANTI-HYPRTNSV AGENTS TKN | — | — | — | — | 49 |
| G0032 | 2+ ANTIPSY SCHIZ | — | — | $3,950 | $3,950 | 45 |
| G0033 | 2+ BENZO SEIZ | — | — | $3,950 | $3,950 | 45 |
| A4213 | 20+ CC SYRINGE ONLY | — | — | $1.33 | $1.33 | 49 |
| U0001 | 2019-NCOV DIAGNOSTIC P | — | — | $9.9 | $1,080 | 66 |
| D0702 | 2D CEPHAL RADIO IMAGE | — | — | $89.11 | $758 | 66 |
| D0340 | 2D CEPHALOMETRIC IMAGE | — | — | $89.11 | $420 | 66 |
| D0703 | 2D ORAL/FACIAL PHOTO IMAGE | — | — | $89.11 | $527 | 66 |
| 90650 | 2VHPV VACCINE 3 DOSE IM | — | — | $301 | $648 | 47 |
| A4208 | 3 CC STERILE SYRINGE&NEEDLE | — | — | $0.66 | $0.66 | 49 |
| G9226 | 3 COMP FOOT EXAM COMPLETED | — | — | — | — | 44 |
| D0801 | 3D DENTAL SCAN DIRECT | — | — | — | — | 49 |
| D0802 | 3D DENTAL SCAN INDIRECT | — | — | — | — | 49 |
| D0803 | 3D FACIAL SCAN DIRECT | — | — | — | — | 49 |
| D0804 | 3D FACIAL SCAN INDIRECT | — | — | — | — | 49 |
| D0396 | 3D PRINT OF 3D SURFACE SCAN | — | — | — | — | 44 |
| 694T | 3D VOL IMG&RCNSTJ BRST/AX | — | — | $93.86 | $140 | 47 |
| 944T | 3D contour simulation of target liver lesion(s) and margin(s) for image-guided percutaneous microwav | — | — | $205 | $489 | 65 |
| 4165F | 3D-CRT/IMRT RECEIVED | — | — | — | — | 49 |
| C8001 | 3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obt | — | — | $89.11 | $387 | 65 |
| G9874 | 4 EM CORE SESSIONS | — | — | $242 | $271 | 44 |
Showing top 50 of 17,487 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.