45 CFR § 180 compliance
C · 70
This hospital published part 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: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
13,230
Insurances with rates
9
CPT / HCPCS codes
10,141
Most expensive procedures (gross)
216956
$13,862
RIG HYPERRAB 1500 U IMSQ
Gross
$13,862
250369
$4,795
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording,
Gross
$4,795
263516
$2,998
PSYCHIATRIC
Gross
$2,998
264138
$2,998
PSYCHIATRIC
Gross
$2,998
264140
$2,998
PSYCHIATRIC
Gross
$2,998
291073
$2,776
DETOX
Gross
$2,776
291074
$2,776
DETOX
Gross
$2,776
291075
$2,776
DETOX
Gross
$2,776
407001
$2,709
Electroconvulsive therapy (includes necessary monitoring)
Gross
$2,709
159110
$2,628
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording,
Gross
$2,628
159109
$2,398
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording,
Gross
$2,398
195414
$2,097
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bila
Gross
$2,097
159112
$2,079
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous ele
Gross
$2,079
216955
$1,631
RABIES VAC IM
Gross
$1,631
19155
$1,596
EPIPEN 0.3MG/0.3ML SYR
Gross
$1,596
198843
$1,592
Ultrasound, abdominal, real time with image documentation; complete
Gross
$1,592
803922
$1,575
Vitamin D; 25 hydroxy, includes fraction(s), if performed
Gross
$1,575
181986
$1,538
NEG PRESSURE > 50 CM OT
Gross
$1,538
206761
$1,477
XR ANKLE 3 + V
Gross
$1,477
234332
$1,374
Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time wi
Gross
$1,374
76705
$1,373
Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, foll
Gross
$1,373
198839
$1,344
Ultrasound, scrotum and contents
Gross
$1,344
181980
$1,303
NEG PRESSURE > 50 CM PT
Gross
$1,303
803212
$1,244
Prealbumin
Gross
$1,244
109554
$1,238
EVAL ORAL/PHARYNG SWL OT
Gross
$1,238
104997
$1,161
HUMULIN R 10ML INJ
Gross
$1,161
271286
$1,140
BIMATOPROST 0.01% OPHTH
Gross
$1,140
249133
$1,130
Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use
Gross
$1,130
700829
$1,122
Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete
Gross
$1,122
4315
$1,120
PEN G BEN 1200000 U INJ
Gross
$1,120
103576
$1,112
COLISTIN/NEO/THO/HC OTIC
Gross
$1,112
181976
$1,107
NEG PRESSRE 50CM OR < PT
Gross
$1,107
181979
$1,107
NEG PRESSURE > 50 CM PT
Gross
$1,107
236324
$1,098
Occupational therapy evaluation, high complexity, requiring these components: An occupational profil
Gross
$1,098
181945
$1,085
DEBRD WD EA AD 20SQCM OT
Gross
$1,085
803665
$1,069
Triiodothyronine T3; total (TT-3)
Gross
$1,069
206765
$1,049
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or
Gross
$1,049
236333
$1,046
Physical therapy evaluation: high complexity, requiring these components: A history of present probl
Gross
$1,046
181975
$1,043
NEG PRESSRE 50CM OR < PT
Gross
$1,043
806153
$1,014
TP PA CONFIRMATION
Gross
$1,014
159115
$984
XR ANKLE 2 VIEWS BI
Gross
$984
3638
$944
BENZTROPINE 2 MG INJ
Gross
$944
109553
$931
EVAL ORAL/PHARYNG SWL OT
Gross
$931
181944
$918
DEBRD WD EA AD 20SQCM OT
Gross
$918
181937
$918
DEBRIDE WND IN 20SQC OT
Gross
$918
106000
$849
MYCOSTATIN PWD 15GM
Gross
$849
65651
$840
APLISOL SKIN TEST
Gross
$840
641
$839
GLUCAGON 1 MG INJ
Gross
$839
236322
$825
Occupational therapy evaluation, moderate complexity, requiring these components: An occupational pr
Gross
$825
159411
$815
Radiologic examination, spine, lumbosacral; 2 or 3 views
Gross
$815
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 216956 | RIG HYPERRAB 1500 U IMSQ | $13,862 | $13,862 | $7,000 | $8,317 | 3 |
| 250369 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, | $4,795 | $4,795 | $1,198 | $1,514 | 4 |
| 263516 | PSYCHIATRIC | $2,998 | $2,998 | — | — | 0 |
| 264138 | PSYCHIATRIC | $2,998 | $2,998 | — | — | 0 |
| 264140 | PSYCHIATRIC | $2,998 | $2,998 | — | — | 0 |
| 291073 | DETOX | $2,776 | $2,776 | — | — | 0 |
| 291074 | DETOX | $2,776 | $2,776 | — | — | 0 |
| 291075 | DETOX | $2,776 | $2,776 | — | — | 0 |
| 407001 | Electroconvulsive therapy (includes necessary monitoring) | $2,709 | $2,709 | $409 | $600 | 6 |
| 159110 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, | $2,628 | $2,628 | $1,198 | $1,514 | 4 |
| 159109 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, | $2,398 | $2,398 | $1,198 | $1,514 | 4 |
| 195414 | Duplex scan of extremity veins including responses to compression and other maneuvers; complete bila | $2,097 | $2,097 | $735 | $929 | 4 |
| 159112 | Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous ele | $2,079 | $2,079 | $1,198 | $1,514 | 4 |
| 216955 | RABIES VAC IM | $1,631 | $1,631 | $824 | $979 | 3 |
| 19155 | EPIPEN 0.3MG/0.3ML SYR | $1,596 | $1,596 | $319 | $958 | 7 |
| 198843 | Ultrasound, abdominal, real time with image documentation; complete | $1,592 | $1,592 | $185 | $234 | 4 |
| 803922 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | $1,575 | $1,575 | $29.6 | $77.55 | 12 |
| 181986 | NEG PRESSURE > 50 CM OT | $1,538 | $1,538 | $777 | $923 | 3 |
| 206761 | XR ANKLE 3 + V | $1,477 | $1,477 | $746 | $886 | 3 |
| 234332 | Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time wi | $1,374 | $1,374 | $65.51 | $82.81 | 4 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, foll | $1,373 | $1,373 | $139 | $176 | 4 |
| 198839 | Ultrasound, scrotum and contents | $1,344 | $1,344 | $165 | $208 | 4 |
| 181980 | NEG PRESSURE > 50 CM PT | $1,303 | $1,303 | $658 | $782 | 3 |
| 803212 | Prealbumin | $1,244 | $1,244 | $14.59 | $38.23 | 12 |
| 109554 | EVAL ORAL/PHARYNG SWL OT | $1,238 | $1,238 | $625 | $743 | 3 |
| 104997 | HUMULIN R 10ML INJ | $1,161 | $1,161 | $232 | $697 | 7 |
| 271286 | BIMATOPROST 0.01% OPHTH | $1,140 | $1,140 | $228 | $684 | 7 |
| 249133 | Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use | $1,130 | $1,130 | — | — | 8 |
| 700829 | Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete | $1,122 | $1,122 | $172 | $218 | 4 |
| 4315 | PEN G BEN 1200000 U INJ | $1,120 | $1,120 | $565 | $672 | 3 |
| 103576 | COLISTIN/NEO/THO/HC OTIC | $1,112 | $1,112 | $223 | $667 | 7 |
| 181976 | NEG PRESSRE 50CM OR < PT | $1,107 | $1,107 | $559 | $664 | 3 |
| 181979 | NEG PRESSURE > 50 CM PT | $1,107 | $1,107 | $559 | $664 | 3 |
| 236324 | Occupational therapy evaluation, high complexity, requiring these components: An occupational profil | $1,098 | $1,098 | $100 | $263 | 8 |
| 181945 | DEBRD WD EA AD 20SQCM OT | $1,085 | $1,085 | $548 | $651 | 3 |
| 803665 | Triiodothyronine T3; total (TT-3) | $1,069 | $1,069 | $14.18 | $37.15 | 12 |
| 206765 | Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or | $1,049 | $1,049 | $735 | $929 | 4 |
| 236333 | Physical therapy evaluation: high complexity, requiring these components: A history of present probl | $1,046 | $1,046 | $97.64 | $256 | 8 |
| 181975 | NEG PRESSRE 50CM OR < PT | $1,043 | $1,043 | $526 | $626 | 3 |
| 806153 | TP PA CONFIRMATION | $1,014 | $1,014 | $512 | $609 | 3 |
| 159115 | XR ANKLE 2 VIEWS BI | $984 | $984 | $497 | $591 | 3 |
| 3638 | BENZTROPINE 2 MG INJ | $944 | $944 | $189 | $567 | 7 |
| 109553 | EVAL ORAL/PHARYNG SWL OT | $931 | $931 | $470 | $559 | 3 |
| 181944 | DEBRD WD EA AD 20SQCM OT | $918 | $918 | $464 | $551 | 3 |
| 181937 | DEBRIDE WND IN 20SQC OT | $918 | $918 | $464 | $551 | 3 |
| 106000 | MYCOSTATIN PWD 15GM | $849 | $849 | $170 | $510 | 7 |
| 65651 | APLISOL SKIN TEST | $840 | $840 | $168 | $504 | 7 |
| 641 | GLUCAGON 1 MG INJ | $839 | $839 | $424 | $503 | 3 |
| 236322 | Occupational therapy evaluation, moderate complexity, requiring these components: An occupational pr | $825 | $825 | $100 | $263 | 8 |
| 159411 | Radiologic examination, spine, lumbosacral; 2 or 3 views | $815 | $815 | $67.06 | $84.77 | 4 |
Showing top 50 of 13,230 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.