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
19,134
Insurances with rates
13
CPT / HCPCS codes
18,328
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| A4719 | ""Y SET"" TUBING | — | — | — | — | 14 |
| 96381 | 1 ADMN RSV MONOC ANTB IM NJX | — | — | $22 | $22 | 14 |
| G9773 | 1 BOD TEMP >=35.5 | — | — | — | — | 14 |
| 4559F | 1 BODYTEMP >=35.5CW/IN 30MIN | — | — | $7,075 | $7,075 | 14 |
| A4206 | 1 CC STERILE SYRINGE&NEEDLE | — | — | — | — | 14 |
| G9873 | 1 EM CORE SESSION | — | — | $47 | $47 | 14 |
| G9247 | 1 MED VISIT IN 24MO | — | — | — | — | 14 |
| G9354 | 1 OR NO CT SINUS W/IN 90D DX | — | — | — | — | 14 |
| S8490 | 100 INSULIN SYRINGES | — | — | — | — | 15 |
| 3120F | 12-LEAD ECG PERFORMED | — | — | $7,075 | $7,075 | 14 |
| G9414 | 1DOSE MENIG VAC BTWN 11 & 13 | — | — | — | — | 14 |
| 99223 | 1ST HOSP IP/OBS HIGH 75 | — | — | $994 | $3,060 | 14 |
| 99222 | 1ST HOSP IP/OBS MODERATE 55 | — | — | $994 | $3,060 | 14 |
| 99221 | 1ST HOSP IP/OBS SF/LOW 40 | — | — | $994 | $3,060 | 14 |
| 99306 | 1ST NF CARE HIGH MDM 50 | — | — | $0.01 | $0.01 | 14 |
| 99305 | 1ST NF CARE MODERATE MDM 35 | — | — | — | — | 14 |
| 99304 | 1ST NF CARE SF/LOW MDM 25 | — | — | — | — | 14 |
| 444T | 1ST PLMT DRUG ELUT OC INS | — | — | $748 | $748 | 11 |
| 99492 | 1ST PSYC COLLAB CARE MGMT | — | — | $57.16 | $244 | 20 |
| 99494 | 1ST/SBSQ PSYC COLLAB CARE | — | — | — | — | 14 |
| A4207 | 2 CC STERILE SYRINGE&NEEDLE | — | — | — | — | 12 |
| G9877 | 2 EM CORE MS MO 10-12 NO WL | — | — | $47 | $47 | 14 |
| G9879 | 2 EM CORE MS MO 10-12 WL | — | — | $47 | $47 | 14 |
| G9876 | 2 EM CORE MS MO 7-9 NO WL | — | — | $47 | $47 | 14 |
| G9878 | 2 EM CORE MS MO 7-9 WL | — | — | $47 | $47 | 14 |
| G9882 | 2 EM ONGOING MS MO 13-15 WL | — | — | $47 | $47 | 14 |
| G9883 | 2 EM ONGOING MS MO 16-18 WL | — | — | $47 | $47 | 14 |
| G9884 | 2 EM ONGOING MS MO 19-21 WL | — | — | $47 | $47 | 14 |
| G9885 | 2 EM ONGOING MS MO 22-24 WL | — | — | $47 | $47 | 14 |
| 4145F | 2+ ANTI-HYPRTNSV AGENTS TKN | — | — | $7,075 | $7,075 | 14 |
| G0032 | 2+ ANTIPSY SCHIZ | — | — | — | — | 14 |
| G0033 | 2+ BENZO SEIZ | — | — | — | — | 14 |
| A4213 | 20+ CC SYRINGE ONLY | — | — | — | — | 14 |
| D0702 | 2D CEPHAL RADIO IMAGE | — | — | $83.75 | $232 | 20 |
| D0340 | 2D CEPHALOMETRIC IMAGE | — | — | $83.75 | $232 | 20 |
| D0703 | 2D ORAL/FACIAL PHOTO IMAGE | — | — | $83.75 | $232 | 20 |
| C8925 | 2D TEE W OR W/O FOL W/CON,IN | — | — | $266 | $2,082 | 20 |
| C8923 | 2D TTE W OR W/O FOL W/CON,CO | — | — | $266 | $2,082 | 20 |
| C8924 | 2D TTE W OR W/O FOL W/CON,FU | — | — | $266 | $941 | 20 |
| 90650 | 2VHPV VACCINE 3 DOSE IM | — | — | $143 | $143 | 14 |
| A4208 | 3 CC STERILE SYRINGE&NEEDLE | — | — | — | — | 12 |
| G9226 | 3 COMP FOOT EXAM COMPLETED | — | — | — | — | 14 |
| 77295 | 3-D RADIOTHERAPY PLAN | — | — | $266 | $3,605 | 20 |
| D0801 | 3D DENTAL SCAN DIRECT | — | — | — | — | 14 |
| D0802 | 3D DENTAL SCAN INDIRECT | — | — | — | — | 14 |
| 93319 | 3D ECHO IMG CGEN CAR ANOMAL | — | — | $0.01 | $266 | 13 |
| D0803 | 3D FACIAL SCAN DIRECT | — | — | — | — | 14 |
| D0804 | 3D FACIAL SCAN INDIRECT | — | — | — | — | 14 |
| D0396 | 3D PRINT OF 3D SURFACE SCAN | — | — | — | — | 14 |
| 694T | 3D VOL IMG&RCNSTJ BRST/AX | — | — | $0.01 | $0.01 | 12 |
Showing top 50 of 19,134 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.