45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
○Discounted cash price: below assessment threshold
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
23
Insurances with rates
4
CPT / HCPCS codes
0
Most expensive procedures (gross)
114
—
PSYCH PVT
Gross
$2,700
124
—
PSYCH SEMI PVT
Gross
$2,500
450
—
EMERGENCY ROOM
Gross
$2,000
361
—
MID LINE
Gross
$1,275
300
—
RESPIRATORY PANEL
Gross
$1,074
730
—
EKG W/ INTERPRETATION
Gross
$750
402
—
BLADDER SCAN
Gross
$240
424
—
PT EVALUATION
Gross
$195
444
—
ST EVALUATION
Gross
$195
320
—
XR EYE FOR FOREIGN BOD
Gross
$165
306
—
CULTURE AEROB
Gross
$54.66
420
—
PT - 1 UNIT
Gross
$48.75
430
—
OT - 1 UNIT
Gross
$48.75
440
—
ST - 1 UNIT
Gross
$48.75
301
—
AMMONIA PLASMA
Gross
$48.57
257
—
HumuLIN R 100 unit
Gross
$35.69
636
—
chlorproMAZINE HCL
Gross
$31.76
272
—
CATH TRY URE RD 14FR
Gross
$29.7
271
—
DRSG ALLEVYN HL ELB
Gross
$29.01
302
—
CREACTIVE PRO QUA
Gross
$25.29
305
—
CBC WITH AUTOMATED D
Gross
$15.33
270
—
BAND COBAN LF 4X5 YD
Gross
$10
250
—
MULTIVITAMIN VITAMIN B COMPLEX
Gross
$0.3
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 114 | PSYCH PVT | $2,700 | — | $900 | $1,100 | 4 |
| 124 | PSYCH SEMI PVT | $2,500 | — | $900 | $1,100 | 4 |
| 450 | EMERGENCY ROOM | $2,000 | — | — | — | 0 |
| 361 | MID LINE | $1,275 | — | — | — | 0 |
| 300 | RESPIRATORY PANEL | $1,074 | — | — | — | 0 |
| 730 | EKG W/ INTERPRETATION | $750 | — | — | — | 0 |
| 402 | BLADDER SCAN | $240 | — | — | — | 0 |
| 424 | PT EVALUATION | $195 | — | — | — | 0 |
| 444 | ST EVALUATION | $195 | — | — | — | 0 |
| 320 | XR EYE FOR FOREIGN BOD | $165 | — | — | — | 0 |
| 306 | CULTURE AEROB | $54.66 | — | — | — | 0 |
| 420 | PT - 1 UNIT | $48.75 | — | — | — | 0 |
| 430 | OT - 1 UNIT | $48.75 | — | — | — | 0 |
| 440 | ST - 1 UNIT | $48.75 | — | — | — | 0 |
| 301 | AMMONIA PLASMA | $48.57 | — | — | — | 0 |
| 257 | HumuLIN R 100 unit | $35.69 | — | — | — | 0 |
| 636 | chlorproMAZINE HCL | $31.76 | — | — | — | 0 |
| 272 | CATH TRY URE RD 14FR | $29.7 | — | — | — | 0 |
| 271 | DRSG ALLEVYN HL ELB | $29.01 | — | — | — | 0 |
| 302 | CREACTIVE PRO QUA | $25.29 | — | — | — | 0 |
| 305 | CBC WITH AUTOMATED D | $15.33 | — | — | — | 0 |
| 270 | BAND COBAN LF 4X5 YD | $10 | — | — | — | 0 |
| 250 | MULTIVITAMIN VITAMIN B COMPLEX | $0.3 | — | — | — | 0 |
Showing top 23 of 23 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.