452096

CCN 452096

45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
2,169
Insurances with rates
7
CPT / HCPCS codes
1,397
Source MRF
File last updated: 2026-08-10 (per the hospital's file)
Retrieved: 2026-10-28

Most expensive procedures (gross)

B1001
—
Amputation lower extremity M >=64.50- Tier Tier 1
Gross
—
C1001
—
Amputation lower extremity M >=64.50- Tier Tier 2
Gross
—
D1001
—
Amputation lower extremity M >=64.50- Tier Tier 3
Gross
—
A1002
—
Amputation lower extremity M >=55.50 and M <64.50- Tier None
Gross
—
B1002
—
Amputation lower extremity M >=55.50 and M <64.50- Tier Tier 1
Gross
—
C1002
—
Amputation lower extremity M >=55.50 and M <64.50- Tier Tier 2
Gross
—
D1002
—
Amputation lower extremity M >=55.50 and M <64.50- Tier Tier 3
Gross
—
A1003
—
Amputation lower extremity M >=47.50 and M <55.50- Tier None
Gross
—
B1003
—
Amputation lower extremity M >=47.50 and M <55.50- Tier Tier 1
Gross
—
C1003
—
Amputation lower extremity M >=47.50 and M <55.50- Tier Tier 2
Gross
—
D1003
—
Amputation lower extremity M >=47.50 and M <55.50- Tier Tier 3
Gross
—
A1004
—
Amputation lower extremity M <47.50- Tier None
Gross
—
B1004
—
Amputation lower extremity M <47.50- Tier Tier 1
Gross
—
C1004
—
Amputation lower extremity M <47.50- Tier Tier 2
Gross
—
D1004
—
Amputation lower extremity M <47.50- Tier Tier 3
Gross
—
A1101
—
Amputation non-lower extremity M >=58.50- Tier None
Gross
—
B1101
—
Amputation non-lower extremity M >=58.50- Tier Tier 1
Gross
—
C1101
—
Amputation non-lower extremity M >=58.50- Tier Tier 2
Gross
—
D1101
—
Amputation non-lower extremity M >=58.50- Tier Tier 3
Gross
—
0024
—
Health Insurance Prospective Payment System (HIPPS) - Inpatient Rehabilitation Facility
Gross
—
A0101
—
Stroke M >=72.50- Tier None
Gross
—
B0101
—
Stroke M >=72.50- Tier Tier 1
Gross
—
C0101
—
Stroke M >=72.50- Tier Tier 2
Gross
—
D0101
—
Stroke M >=72.50- Tier Tier 3
Gross
—
A0102
—
Stroke M >=63.50 and M <72.50- Tier None
Gross
—
B0102
—
Stroke M >=63.50 and M <72.50- Tier Tier 1
Gross
—
C0102
—
Stroke M >=63.50 and M <72.50- Tier Tier 2
Gross
—
D0102
—
Stroke M >=63.50 and M <72.50- Tier Tier 3
Gross
—
A0103
—
Stroke M >=50.50 and M <63.50- Tier None
Gross
—
B0103
—
Stroke M >=50.50 and M <63.50- Tier Tier 1
Gross
—
C0103
—
Stroke M >=50.50 and M <63.50- Tier Tier 2
Gross
—
D0103
—
Stroke M >=50.50 and M <63.50- Tier Tier 3
Gross
—
A0104
—
Stroke M >=41.50 and M <50.50- Tier None
Gross
—
B0104
—
Stroke M >=41.50 and M <50.50- Tier Tier 1
Gross
—
C0104
—
Stroke M >=41.50 and M <50.50- Tier Tier 2
Gross
—
D0104
—
Stroke M >=41.50 and M <50.50- Tier Tier 3
Gross
—
A0105
—
Stroke M <41.50 and A >=84.50- Tier None
Gross
—
B0105
—
Stroke M <41.50 and A >=84.50- Tier Tier 1
Gross
—
C0105
—
Stroke M <41.50 and A >=84.50- Tier Tier 2
Gross
—
D0105
—
Stroke M <41.50 and A >=84.50- Tier Tier 3
Gross
—
A0106
—
Stroke M <41.50 and A <84.50- Tier None
Gross
—
B0106
—
Stroke M <41.50 and A <84.50- Tier Tier 1
Gross
—
C0106
—
Stroke M <41.50 and A <84.50- Tier Tier 2
Gross
—
D0106
—
Stroke M <41.50 and A <84.50- Tier Tier 3
Gross
—
A0201
—
Traumatic brain injury M >=73.50- Tier None
Gross
—
B0201
—
Traumatic brain injury M >=73.50- Tier Tier 1
Gross
—
C0201
—
Traumatic brain injury M >=73.50- Tier Tier 2
Gross
—
D0201
—
Traumatic brain injury M >=73.50- Tier Tier 3
Gross
—
A0202
—
Traumatic brain injury M >=61.50 and M <73.50- Tier None
Gross
—
B0202
—
Traumatic brain injury M >=61.50 and M <73.50- Tier Tier 1
Gross
—
Showing top 50 of 2,169 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.