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
4,172
Insurances with rates
4
CPT / HCPCS codes
1,941
Most expensive procedures (gross)
197133
$16,445
ARIPIPRAZOL ER 400 MG IM
Gross
$16,445
216956
$12,835
RIG HYPERRAB 1500 U IMSQ
Gross
$12,835
250369
$4,795
ECHO2D COMP W CF DOP
Gross
$4,795
264140
$2,776
PSYCHIATRIC
Gross
$2,776
263516
$2,776
PSYCHIATRIC
Gross
$2,776
264138
$2,776
PSYCHIATRIC
Gross
$2,776
159110
$2,628
ECHO STRESS
Gross
$2,628
407001
$2,509
ECT WITH MONITORING
Gross
$2,509
159109
$2,398
ECHO2D COMP W/O CF DOP
Gross
$2,398
195414
$2,097
DUP VEIN BIL
Gross
$2,097
159112
$2,079
STRESS TEST
Gross
$2,079
198843
$1,592
US ABDOMEN COMPLETE
Gross
$1,592
181986
$1,538
NEG PRESSURE > 50 CM OT
Gross
$1,538
216955
$1,510
RABIES VAC IM
Gross
$1,510
19155
$1,478
EPIPEN 0.3MG/0.3ML SYR
Gross
$1,478
201077
$1,478
EPINEPHRINE 0.3 MG SYR
Gross
$1,478
206761
$1,477
XR ANKLE 3 + V
Gross
$1,477
803922
$1,459
VITAMIN D3 25-OH
Gross
$1,459
234332
$1,374
US JOINT COMP
Gross
$1,374
76705
$1,373
US ABDOMEN LTD
Gross
$1,373
198839
$1,344
US SCROTUM AND CNTS
Gross
$1,344
181980
$1,303
NEG PRESSURE > 50 CM PT
Gross
$1,303
109554
$1,238
EVAL ORAL/PHARYNG SWL OT
Gross
$1,238
803212
$1,151
PREALBUMIN
Gross
$1,151
700829
$1,122
US RETROPERITONEAL COM
Gross
$1,122
181979
$1,107
NEG PRESSURE > 50 CM PT
Gross
$1,107
181976
$1,107
NEG PRESSRE 50CM OR < PT
Gross
$1,107
236324
$1,098
EVAL OT HIGH COMPLEX
Gross
$1,098
181945
$1,085
DEBRD WD EA AD 20SQCM OT
Gross
$1,085
104997
$1,075
HUMULIN R 10ML INJ
Gross
$1,075
271286
$1,056
BIMATOPROST 0.01% OPHTH
Gross
$1,056
206765
$1,049
DUP VEIN UNI/LTD
Gross
$1,049
249133
$1,046
VAXNEUVANCE VAC IM
Gross
$1,046
236333
$1,046
EVAL PT HIGH COMPLEX
Gross
$1,046
181975
$1,043
NEG PRESSRE 50CM OR < PT
Gross
$1,043
4315
$1,037
PEN G BEN 1200000 U INJ
Gross
$1,037
103576
$1,030
COLISTIN/NEO/THO/HC OTIC
Gross
$1,030
803665
$990
T3 TOTAL
Gross
$990
159115
$984
XR ANKLE 2 VIEWS BI
Gross
$984
109553
$931
EVAL ORAL/PHARYNG SWL OT
Gross
$931
181937
$918
DEBRIDE WND IN 20SQC OT
Gross
$918
181944
$918
DEBRD WD EA AD 20SQCM OT
Gross
$918
3638
$874
BENZTROPINE 2 MG INJ
Gross
$874
236322
$825
EVAL OT MOD COMPLEX
Gross
$825
159411
$815
XR L-SPINE 2/3 VIEWS
Gross
$815
181978
$815
NEG PRESSURE > 50 CM PT
Gross
$815
181974
$815
NEG PRESSRE 50CM OR < PT
Gross
$815
109592
$804
REM DEVITLIZD TISS NS OT
Gross
$804
181981
$804
NEG PRESSRE 50CM OR < OT
Gross
$804
219026
$793
XR HAND 3 + V RT
Gross
$793
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 197133 | ARIPIPRAZOL ER 400 MG IM | $16,445 | $16,445 | — | — | 7 |
| 216956 | RIG HYPERRAB 1500 U IMSQ | $12,835 | $12,835 | — | — | 7 |
| 250369 | ECHO2D COMP W CF DOP | $4,795 | $4,795 | — | — | 7 |
| 264140 | PSYCHIATRIC | $2,776 | $2,776 | — | — | 0 |
| 263516 | PSYCHIATRIC | $2,776 | $2,776 | — | — | 0 |
| 264138 | PSYCHIATRIC | $2,776 | $2,776 | — | — | 0 |
| 159110 | ECHO STRESS | $2,628 | $2,628 | — | — | 7 |
| 407001 | ECT WITH MONITORING | $2,509 | $2,509 | — | — | 6 |
| 159109 | ECHO2D COMP W/O CF DOP | $2,398 | $2,398 | — | — | 7 |
| 195414 | DUP VEIN BIL | $2,097 | $2,097 | — | — | 7 |
| 159112 | STRESS TEST | $2,079 | $2,079 | — | — | 7 |
| 198843 | US ABDOMEN COMPLETE | $1,592 | $1,592 | — | — | 7 |
| 181986 | NEG PRESSURE > 50 CM OT | $1,538 | $1,538 | — | — | 7 |
| 216955 | RABIES VAC IM | $1,510 | $1,510 | — | — | 7 |
| 19155 | EPIPEN 0.3MG/0.3ML SYR | $1,478 | $1,478 | — | — | 7 |
| 201077 | EPINEPHRINE 0.3 MG SYR | $1,478 | $1,478 | — | — | 7 |
| 206761 | XR ANKLE 3 + V | $1,477 | $1,477 | — | — | 7 |
| 803922 | VITAMIN D3 25-OH | $1,459 | $1,459 | — | — | 7 |
| 234332 | US JOINT COMP | $1,374 | $1,374 | — | — | 7 |
| 76705 | US ABDOMEN LTD | $1,373 | $1,373 | — | — | 7 |
| 198839 | US SCROTUM AND CNTS | $1,344 | $1,344 | — | — | 7 |
| 181980 | NEG PRESSURE > 50 CM PT | $1,303 | $1,303 | — | — | 7 |
| 109554 | EVAL ORAL/PHARYNG SWL OT | $1,238 | $1,238 | — | — | 7 |
| 803212 | PREALBUMIN | $1,151 | $1,151 | — | — | 7 |
| 700829 | US RETROPERITONEAL COM | $1,122 | $1,122 | — | — | 7 |
| 181979 | NEG PRESSURE > 50 CM PT | $1,107 | $1,107 | — | — | 7 |
| 181976 | NEG PRESSRE 50CM OR < PT | $1,107 | $1,107 | — | — | 7 |
| 236324 | EVAL OT HIGH COMPLEX | $1,098 | $1,098 | — | — | 7 |
| 181945 | DEBRD WD EA AD 20SQCM OT | $1,085 | $1,085 | — | — | 7 |
| 104997 | HUMULIN R 10ML INJ | $1,075 | $1,075 | — | — | 7 |
| 271286 | BIMATOPROST 0.01% OPHTH | $1,056 | $1,056 | — | — | 7 |
| 206765 | DUP VEIN UNI/LTD | $1,049 | $1,049 | — | — | 7 |
| 249133 | VAXNEUVANCE VAC IM | $1,046 | $1,046 | — | — | 7 |
| 236333 | EVAL PT HIGH COMPLEX | $1,046 | $1,046 | — | — | 7 |
| 181975 | NEG PRESSRE 50CM OR < PT | $1,043 | $1,043 | — | — | 7 |
| 4315 | PEN G BEN 1200000 U INJ | $1,037 | $1,037 | — | — | 7 |
| 103576 | COLISTIN/NEO/THO/HC OTIC | $1,030 | $1,030 | — | — | 7 |
| 803665 | T3 TOTAL | $990 | $990 | — | — | 7 |
| 159115 | XR ANKLE 2 VIEWS BI | $984 | $984 | — | — | 7 |
| 109553 | EVAL ORAL/PHARYNG SWL OT | $931 | $931 | — | — | 7 |
| 181937 | DEBRIDE WND IN 20SQC OT | $918 | $918 | — | — | 7 |
| 181944 | DEBRD WD EA AD 20SQCM OT | $918 | $918 | — | — | 7 |
| 3638 | BENZTROPINE 2 MG INJ | $874 | $874 | — | — | 7 |
| 236322 | EVAL OT MOD COMPLEX | $825 | $825 | — | — | 7 |
| 159411 | XR L-SPINE 2/3 VIEWS | $815 | $815 | — | — | 7 |
| 181978 | NEG PRESSURE > 50 CM PT | $815 | $815 | — | — | 7 |
| 181974 | NEG PRESSRE 50CM OR < PT | $815 | $815 | — | — | 7 |
| 109592 | REM DEVITLIZD TISS NS OT | $804 | $804 | — | — | 7 |
| 181981 | NEG PRESSRE 50CM OR < OT | $804 | $804 | — | — | 7 |
| 219026 | XR HAND 3 + V RT | $793 | $793 | — | — | 7 |
Showing top 50 of 4,172 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.