45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
110
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
220
$99,999
OUT SERVICE/TRANSPORT WC
Gross
$99,999
790
$3,673
LITHOTRIPSY UNILATERAL
Gross
$3,673
206
$558
ROOM & BOARD HIGH OBSERVATION
Gross
$3,465
200
$3,465
ROOM & BOARD INTENSIVE CARE
Gross
$3,465
202
$3,150
R&B ICU MEDICAL
Gross
$3,150
272
$3,102
CATH TRIALYSIS 13FRX15CM
Gross
$3,102
350
$2,498
CT Abd & Pelvis w/ Contrast
Gross
$2,498
820
$2,475
INP HEMODIALYSIS 1 EVAL
Gross
$2,475
160
$2,415
ROOM & BOARD TELEMETRY
Gross
$2,415
110
$1,253
ROOM & BOARD PRIVATE
Gross
$2,363
164
$2,205
ROOM & BOARD ISOLATION
Gross
$2,205
636
$2,191
APLIGRAF
Gross
$2,191
340
$2,082
ABCESS IMAGING WHOLE BODY
Gross
$2,082
120
$1,995
ROOM & BOARD SEMI PRIVATE
Gross
$1,995
616
$1,910
MRA Lower Ext w/wo Contrast
Gross
$1,910
111
$1,812
ROOM & BOARD PRIVATE MED/SURG
Gross
$1,812
615
$1,793
MRA HEAD W/O CONTRAST
Gross
$1,793
614
$1,775
CARDIAC FOR MORPHOLOGY W/O CON
Gross
$1,775
618
$1,760
MRA ABD WO/W CONTRAST
Gross
$1,760
802
$1,600
INP PERITONEAL DIALYSIS
Gross
$1,600
341
$1,436
CYSTERNOGRAM
Gross
$1,436
610
$1,404
BX BREAST 1ST LESION MR IMAG
Gross
$1,404
940
$1,350
AUTOL PRP FOR WOUND/ULCER
Gross
$1,350
901
$1,305
ELECTROCONVULSIVE THERAPY
Gross
$1,305
384
$1,296
PLATE LEUKOCYTES REDUC
Gross
$1,296
351
$1,200
CT MASTOIDS W/CONTRAST
Gross
$1,200
352
$1,175
CT Thoracic Spine w/ Contrast
Gross
$1,175
611
$1,153
INTRACRANIAL VESSELS W/O CONT
Gross
$1,153
612
$1,146
CT Cervical Spine w/ Contrast
Gross
$1,146
419
$975
VENTILATOR MGMT EACH ADDL DAY
Gross
$975
360
$958
ACCESS AV DIAL GRFT FOR EVAL
Gross
$958
402
$912
Abdominal Ultrasound, Complete
Gross
$912
471
$900
AUDITORY EVOKE POTENT
Gross
$900
750
$864
ANORECTAL MANOMETRY
Gross
$864
801
$807
Hemodialysis
Gross
$807
278
$743
CATH ANGIOPLASTY TRANSLUMINAL
Gross
$743
710
$720
PACU 1ST HR
Gross
$720
482
$715
ECHO STRESS TEST
Gross
$715
322
$553
ARTHROGRAM TMJ
Gross
$553
740
$499
CEREBRAL DEATH EEG
Gross
$499
542
$476
AMBULANCE ALS 1
Gross
$476
230
$450
TELEMETRY PER DAY
Gross
$450
762
$406
OBSEV/HOSPITAL SAME DATE HIGH
Gross
$406
260
$395
HYDRATION IV INF 31MIN-1HR
Gross
$395
434
$385
OT EVAL HIGH COMPLEXITY 60 MIN
Gross
$385
424
$385
PT EVAL HIGH COMPLEXITY 45 MIN
Gross
$385
912
$380
ADHC REGULAR DAY
Gross
$380
276
$375
MED SUPPLY-INTRAOCULAR LENS
Gross
$375
410
$356
BIPAP/CPAP INTIAL
Gross
$356
444
$325
ST EVAL AUGMENTATIVE COMM
Gross
$325
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 220 | OUT SERVICE/TRANSPORT WC | $99,999 | $99,999 | — | — | 0 |
| 790 | LITHOTRIPSY UNILATERAL | $3,673 | $3,673 | — | — | 0 |
| 206 | ROOM & BOARD HIGH OBSERVATION | $3,465 | $558 | $3,465 | $3,465 | 0 |
| 200 | ROOM & BOARD INTENSIVE CARE | $3,465 | $3,465 | $1,700 | $1,700 | 0 |
| 202 | R&B ICU MEDICAL | $3,150 | $3,150 | — | — | 0 |
| 272 | CATH TRIALYSIS 13FRX15CM | $3,102 | $3,102 | — | — | 0 |
| 350 | CT Abd & Pelvis w/ Contrast | $2,498 | $2,498 | $2,498 | $2,498 | 0 |
| 820 | INP HEMODIALYSIS 1 EVAL | $2,475 | $2,475 | — | — | 0 |
| 160 | ROOM & BOARD TELEMETRY | $2,415 | $2,415 | — | — | 0 |
| 110 | ROOM & BOARD PRIVATE | $2,363 | $1,253 | $1,000 | $2,363 | 0 |
| 164 | ROOM & BOARD ISOLATION | $2,205 | $2,205 | — | — | 0 |
| 636 | APLIGRAF | $2,191 | $2,191 | — | — | 0 |
| 340 | ABCESS IMAGING WHOLE BODY | $2,082 | $2,082 | — | — | 0 |
| 120 | ROOM & BOARD SEMI PRIVATE | $1,995 | $1,995 | — | — | 0 |
| 616 | MRA Lower Ext w/wo Contrast | $1,910 | $1,910 | — | — | 0 |
| 111 | ROOM & BOARD PRIVATE MED/SURG | $1,812 | $1,812 | — | — | 0 |
| 615 | MRA HEAD W/O CONTRAST | $1,793 | $1,793 | — | — | 0 |
| 614 | CARDIAC FOR MORPHOLOGY W/O CON | $1,775 | $1,775 | — | — | 0 |
| 618 | MRA ABD WO/W CONTRAST | $1,760 | $1,760 | — | — | 0 |
| 802 | INP PERITONEAL DIALYSIS | $1,600 | $1,600 | — | — | 0 |
| 341 | CYSTERNOGRAM | $1,436 | $1,436 | — | — | 0 |
| 610 | BX BREAST 1ST LESION MR IMAG | $1,404 | $1,404 | — | — | 0 |
| 940 | AUTOL PRP FOR WOUND/ULCER | $1,350 | $1,350 | — | — | 0 |
| 901 | ELECTROCONVULSIVE THERAPY | $1,305 | $1,305 | — | — | 0 |
| 384 | PLATE LEUKOCYTES REDUC | $1,296 | $1,296 | — | — | 0 |
| 351 | CT MASTOIDS W/CONTRAST | $1,200 | $1,200 | — | — | 0 |
| 352 | CT Thoracic Spine w/ Contrast | $1,175 | $1,175 | — | — | 0 |
| 611 | INTRACRANIAL VESSELS W/O CONT | $1,153 | $1,153 | — | — | 0 |
| 612 | CT Cervical Spine w/ Contrast | $1,146 | $1,146 | — | — | 0 |
| 419 | VENTILATOR MGMT EACH ADDL DAY | $975 | $975 | $975 | $975 | 0 |
| 360 | ACCESS AV DIAL GRFT FOR EVAL | $958 | $958 | — | — | 0 |
| 402 | Abdominal Ultrasound, Complete | $912 | $912 | — | — | 0 |
| 471 | AUDITORY EVOKE POTENT | $900 | $900 | — | — | 0 |
| 750 | ANORECTAL MANOMETRY | $864 | $864 | — | — | 0 |
| 801 | Hemodialysis | $807 | $807 | $450 | $450 | 0 |
| 278 | CATH ANGIOPLASTY TRANSLUMINAL | $743 | $743 | — | — | 0 |
| 710 | PACU 1ST HR | $720 | $720 | — | — | 0 |
| 482 | ECHO STRESS TEST | $715 | $715 | — | — | 0 |
| 322 | ARTHROGRAM TMJ | $553 | $553 | — | — | 0 |
| 740 | CEREBRAL DEATH EEG | $499 | $499 | — | — | 0 |
| 542 | AMBULANCE ALS 1 | $476 | $476 | — | — | 0 |
| 230 | TELEMETRY PER DAY | $450 | $450 | $450 | $1,500 | 0 |
| 762 | OBSEV/HOSPITAL SAME DATE HIGH | $406 | $406 | — | — | 0 |
| 260 | HYDRATION IV INF 31MIN-1HR | $395 | $395 | — | — | 0 |
| 434 | OT EVAL HIGH COMPLEXITY 60 MIN | $385 | $385 | $385 | $385 | 0 |
| 424 | PT EVAL HIGH COMPLEXITY 45 MIN | $385 | $385 | $385 | $385 | 0 |
| 912 | ADHC REGULAR DAY | $380 | $380 | — | — | 0 |
| 276 | MED SUPPLY-INTRAOCULAR LENS | $375 | $375 | — | — | 0 |
| 410 | BIPAP/CPAP INTIAL | $356 | $356 | $356 | $356 | 0 |
| 444 | ST EVAL AUGMENTATIVE COMM | $325 | $325 | — | — | 0 |
Showing top 50 of 110 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.