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
61
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
220
$99,999
OUT SERVICE/TRANSPORT WC
Gross
$99,999
206
$3,150
ROOM & BOARD HIGH OBSERVATION
Gross
$3,150
200
$3,150
ROOM & BOARD INTENSIVE CARE
Gross
$3,150
202
$2,625
R&B ICU MEDICAL
Gross
$2,625
636
$2,191
APLIGRAF
Gross
$2,191
164
$2,100
ROOM & BOARD ISOLATION
Gross
$2,100
110
$1,812
ROOM & BOARD PRIVATE
Gross
$1,812
111
$1,812
ROOM & BOARD PRIVATE MED/SURG
Gross
$1,812
120
$1,575
ROOM & BOARD SEMI PRIVATE
Gross
$1,575
160
$1,575
ROOM & BOARD TELEMETRY
Gross
$1,575
483
$1,485
Echo, Transthoracic Complete
Gross
$1,485
190
$1,470
ROOM & BOARD SUB ACUTE
Gross
$1,470
384
$1,296
PLATE LEUKOCYTES REDUC
Gross
$1,296
921
$938
Venous Ultrasound
Gross
$938
402
$864
Arterial Ultrasound, Lower Ext
Gross
$864
360
$783
BRONCHOSCOPY, CLEAR AIRWAYS
Gross
$783
482
$715
ECHO STRESS TEST
Gross
$715
390
$613
AS-1 RED BLD CELL LEUK REDUC
Gross
$613
920
$591
Arterial Ultrasound, Upper Ext
Gross
$591
381
$578
Packed RBC
Gross
$578
274
$406
TRACH/VENT SPEAK VALVE AQUA
Gross
$406
434
$385
OT EVAL HIGH COMPLEXITY 60 MIN
Gross
$385
424
$385
PT EVAL HIGH COMPLEXITY 45 MIN
Gross
$385
291
$360
RENTAL BARI BED W/TRAP EXCEL
Gross
$360
444
$350
BEHAV AND QUALITATIVE ANALY VO
Gross
$350
412
$330
BIPAP/CPAP INITIAL SETUP
Gross
$330
410
$330
CHEST PHYSIOTHERAPY INITIAL
Gross
$330
460
$323
RESPIRATORY ASSESSMENT
Gross
$323
918
$323
ST COGNITIVE TEST PER HR
Gross
$323
542
$300
TRANSPORT AMBULANCE BLS
Gross
$300
916
$250
FAMILY PSYTX W/PATIENT
Gross
$250
900
$250
PSYCH DIAG EVAL W/MED SRVCS
Gross
$250
300
$203
Blood Culture
Gross
$203
914
$200
PSYTX PT&/FAM W/E&M 30 MIN
Gross
$200
230
$200
TELEMETRY DAILY CHARGE
Gross
$200
301
$199
Amikacin Peak
Gross
$199
391
$197
BLOOD ADMIN FEE
Gross
$197
947
$194
BARIATRIC
Gross
$194
320
$188
Chest X-Ray 2 View
Gross
$188
361
$157
APPLICATION OF PASTE BOOT
Gross
$157
324
$153
CAD CXR W/PRIMARY INTERPRET
Gross
$153
510
$144
E/M ESTAB PT VISIT 10MIN
Gross
$144
306
$99
C-Diff Test
Gross
$99
309
$95
Body Fluid Cell Count and Diff
Gross
$95
420
$75
ASSISTIVE TECHNOLOGY ASSESSMEN
Gross
$75
430
$75
ASSISTIVE TECHNOLOGY ASSESSMEN
Gross
$75
302
$73.78
ANCA, MPO/PR3
Gross
$73.78
257
$63.3
Ammonium Lactate
Gross
$63.3
380
$62
FRESH FROZEN PLASMA - THAWING
Gross
$62
271
$21
BAG METER URINE DRAIN 400ML
Gross
$21
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 220 | OUT SERVICE/TRANSPORT WC | $99,999 | $99,999 | — | — | 0 |
| 206 | ROOM & BOARD HIGH OBSERVATION | $3,150 | $3,150 | — | — | 0 |
| 200 | ROOM & BOARD INTENSIVE CARE | $3,150 | $3,150 | $3,150 | $3,150 | 0 |
| 202 | R&B ICU MEDICAL | $2,625 | $2,625 | — | — | 0 |
| 636 | APLIGRAF | $2,191 | $2,191 | — | — | 0 |
| 164 | ROOM & BOARD ISOLATION | $2,100 | $2,100 | $2,100 | $2,100 | 0 |
| 110 | ROOM & BOARD PRIVATE | $1,812 | $1,812 | $1,812 | $1,812 | 0 |
| 111 | ROOM & BOARD PRIVATE MED/SURG | $1,812 | $1,812 | — | — | 0 |
| 120 | ROOM & BOARD SEMI PRIVATE | $1,575 | $1,575 | $1,575 | $1,575 | 0 |
| 160 | ROOM & BOARD TELEMETRY | $1,575 | $1,575 | — | — | 0 |
| 483 | Echo, Transthoracic Complete | $1,485 | $1,485 | — | — | 0 |
| 190 | ROOM & BOARD SUB ACUTE | $1,470 | $1,470 | — | — | 0 |
| 384 | PLATE LEUKOCYTES REDUC | $1,296 | $1,296 | — | — | 0 |
| 921 | Venous Ultrasound | $938 | $938 | — | — | 0 |
| 402 | Arterial Ultrasound, Lower Ext | $864 | $864 | — | — | 0 |
| 360 | BRONCHOSCOPY, CLEAR AIRWAYS | $783 | $783 | $783 | $783 | 0 |
| 482 | ECHO STRESS TEST | $715 | $715 | — | — | 0 |
| 390 | AS-1 RED BLD CELL LEUK REDUC | $613 | $613 | — | — | 0 |
| 920 | Arterial Ultrasound, Upper Ext | $591 | $591 | — | — | 0 |
| 381 | Packed RBC | $578 | $578 | $578 | $578 | 0 |
| 274 | TRACH/VENT SPEAK VALVE AQUA | $406 | $406 | $406 | $406 | 0 |
| 434 | OT EVAL HIGH COMPLEXITY 60 MIN | $385 | $385 | — | — | 0 |
| 424 | PT EVAL HIGH COMPLEXITY 45 MIN | $385 | $385 | $385 | $385 | 0 |
| 291 | RENTAL BARI BED W/TRAP EXCEL | $360 | $360 | — | — | 0 |
| 444 | BEHAV AND QUALITATIVE ANALY VO | $350 | $350 | — | — | 0 |
| 412 | BIPAP/CPAP INITIAL SETUP | $330 | $330 | $330 | $330 | 0 |
| 410 | CHEST PHYSIOTHERAPY INITIAL | $330 | $330 | $330 | $330 | 0 |
| 460 | RESPIRATORY ASSESSMENT | $323 | $323 | $323 | $323 | 0 |
| 918 | ST COGNITIVE TEST PER HR | $323 | $323 | — | — | 0 |
| 542 | TRANSPORT AMBULANCE BLS | $300 | $300 | — | — | 0 |
| 916 | FAMILY PSYTX W/PATIENT | $250 | $250 | — | — | 0 |
| 900 | PSYCH DIAG EVAL W/MED SRVCS | $250 | $250 | — | — | 0 |
| 300 | Blood Culture | $203 | $203 | $203 | $203 | 0 |
| 914 | PSYTX PT&/FAM W/E&M 30 MIN | $200 | $200 | — | — | 0 |
| 230 | TELEMETRY DAILY CHARGE | $200 | $200 | $200 | $200 | 0 |
| 301 | Amikacin Peak | $199 | $199 | — | — | 0 |
| 391 | BLOOD ADMIN FEE | $197 | $197 | $197 | $197 | 0 |
| 947 | BARIATRIC | $194 | $194 | — | — | 0 |
| 320 | Chest X-Ray 2 View | $188 | $188 | $188 | $188 | 0 |
| 361 | APPLICATION OF PASTE BOOT | $157 | $157 | — | — | 0 |
| 324 | CAD CXR W/PRIMARY INTERPRET | $153 | $153 | — | — | 0 |
| 510 | E/M ESTAB PT VISIT 10MIN | $144 | $144 | — | — | 0 |
| 306 | C-Diff Test | $99 | $99 | $99 | $99 | 0 |
| 309 | Body Fluid Cell Count and Diff | $95 | $95 | — | — | 0 |
| 420 | ASSISTIVE TECHNOLOGY ASSESSMEN | $75 | $75 | — | — | 0 |
| 430 | ASSISTIVE TECHNOLOGY ASSESSMEN | $75 | $75 | — | — | 0 |
| 302 | ANCA, MPO/PR3 | $73.78 | $73.78 | — | — | 0 |
| 257 | Ammonium Lactate | $63.3 | $63.3 | — | — | 0 |
| 380 | FRESH FROZEN PLASMA - THAWING | $62 | $62 | — | — | 0 |
| 271 | BAG METER URINE DRAIN 400ML | $21 | $21 | — | — | 0 |
Showing top 50 of 61 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.