45 CFR § 180 compliance
F · 55
This hospital published little 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: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
1,162
Insurances with rates
7
CPT / HCPCS codes
671
Most expensive procedures (gross)
0128
—
Room & Board - Semi-private (Two Beds) - Rehabilitation
Gross
—
0138
—
Room & Board - Three and Four Beds - Rehabilitation
Gross
—
99291
—
Critical care first hour
Gross
—
99292
—
Critical care addl 30 min
Gross
—
99468
—
Neonate crit care initial
Gross
—
99469
—
Neonate crit care subsq
Gross
—
99471
—
Ped critical care initial
Gross
—
0118
—
Room & Board - Private (One Bed) - Rehabilitation
Gross
—
0801
—
Inpatient Renal Dialysis - Hemodialysis
Gross
—
0802
—
Inpatient Renal Dialysis - Peritoneal Dialysis (Non-CAPD)
Gross
—
0148
—
Room & Board - Deluxe Private - Rehabilitation
Gross
—
0300
—
Laboratory - General Classification
Gross
—
B1001
—
Amputation lower extremity M >=64.50- Tier Tier 1
Gross
—
C1001
—
Amputation lower extremity M >=64.50- Tier Tier 2
Gross
—
D1001
—
Amputation lower extremity M >=64.50- Tier Tier 3
Gross
—
A1002
—
Amputation lower extremity M >=55.50 and M <64.50- Tier None
Gross
—
B1002
—
Amputation lower extremity M >=55.50 and M <64.50- Tier Tier 1
Gross
—
C1002
—
Amputation lower extremity M >=55.50 and M <64.50- Tier Tier 2
Gross
—
D1002
—
Amputation lower extremity M >=55.50 and M <64.50- Tier Tier 3
Gross
—
A1003
—
Amputation lower extremity M >=47.50 and M <55.50- Tier None
Gross
—
B1003
—
Amputation lower extremity M >=47.50 and M <55.50- Tier Tier 1
Gross
—
C1003
—
Amputation lower extremity M >=47.50 and M <55.50- Tier Tier 2
Gross
—
D1003
—
Amputation lower extremity M >=47.50 and M <55.50- Tier Tier 3
Gross
—
A1004
—
Amputation lower extremity M <47.50- Tier None
Gross
—
B1004
—
Amputation lower extremity M <47.50- Tier Tier 1
Gross
—
C1004
—
Amputation lower extremity M <47.50- Tier Tier 2
Gross
—
D1004
—
Amputation lower extremity M <47.50- Tier Tier 3
Gross
—
A1101
—
Amputation non-lower extremity M >=58.50- Tier None
Gross
—
B1101
—
Amputation non-lower extremity M >=58.50- Tier Tier 1
Gross
—
C1101
—
Amputation non-lower extremity M >=58.50- Tier Tier 2
Gross
—
D1101
—
Amputation non-lower extremity M >=58.50- Tier Tier 3
Gross
—
0024
—
Health Insurance Prospective Payment System (HIPPS) - Inpatient Rehabilitation Facility
Gross
—
A0101
—
Stroke M >=72.50- Tier None
Gross
—
B0101
—
Stroke M >=72.50- Tier Tier 1
Gross
—
C0101
—
Stroke M >=72.50- Tier Tier 2
Gross
—
D0101
—
Stroke M >=72.50- Tier Tier 3
Gross
—
A0102
—
Stroke M >=63.50 and M <72.50- Tier None
Gross
—
B0102
—
Stroke M >=63.50 and M <72.50- Tier Tier 1
Gross
—
C0102
—
Stroke M >=63.50 and M <72.50- Tier Tier 2
Gross
—
D0102
—
Stroke M >=63.50 and M <72.50- Tier Tier 3
Gross
—
A0103
—
Stroke M >=50.50 and M <63.50- Tier None
Gross
—
B0103
—
Stroke M >=50.50 and M <63.50- Tier Tier 1
Gross
—
C0103
—
Stroke M >=50.50 and M <63.50- Tier Tier 2
Gross
—
D0103
—
Stroke M >=50.50 and M <63.50- Tier Tier 3
Gross
—
A0104
—
Stroke M >=41.50 and M <50.50- Tier None
Gross
—
B0104
—
Stroke M >=41.50 and M <50.50- Tier Tier 1
Gross
—
C0104
—
Stroke M >=41.50 and M <50.50- Tier Tier 2
Gross
—
D0104
—
Stroke M >=41.50 and M <50.50- Tier Tier 3
Gross
—
A0105
—
Stroke M <41.50 and A >=84.50- Tier None
Gross
—
B0105
—
Stroke M <41.50 and A >=84.50- Tier Tier 1
Gross
—
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0128 | Room & Board - Semi-private (Two Beds) - Rehabilitation | — | — | $660 | $1,600 | 27 |
| 0138 | Room & Board - Three and Four Beds - Rehabilitation | — | — | $832 | $1,600 | 26 |
| 99291 | Critical care first hour | — | — | — | — | 2 |
| 99292 | Critical care addl 30 min | — | — | — | — | 2 |
| 99468 | Neonate crit care initial | — | — | — | — | 2 |
| 99469 | Neonate crit care subsq | — | — | — | — | 2 |
| 99471 | Ped critical care initial | — | — | — | — | 2 |
| 0118 | Room & Board - Private (One Bed) - Rehabilitation | — | — | $832 | $1,600 | 26 |
| 0801 | Inpatient Renal Dialysis - Hemodialysis | — | — | $364 | $550 | 12 |
| 0802 | Inpatient Renal Dialysis - Peritoneal Dialysis (Non-CAPD) | — | — | $350 | $464 | 12 |
| 0148 | Room & Board - Deluxe Private - Rehabilitation | — | — | $832 | $1,600 | 24 |
| 0300 | Laboratory - General Classification | — | — | — | — | 33 |
| B1001 | Amputation lower extremity M >=64.50- Tier Tier 1 | — | — | — | — | 17 |
| C1001 | Amputation lower extremity M >=64.50- Tier Tier 2 | — | — | — | — | 17 |
| D1001 | Amputation lower extremity M >=64.50- Tier Tier 3 | — | — | — | — | 17 |
| A1002 | Amputation lower extremity M >=55.50 and M <64.50- Tier None | — | — | — | — | 17 |
| B1002 | Amputation lower extremity M >=55.50 and M <64.50- Tier Tier 1 | — | — | — | — | 17 |
| C1002 | Amputation lower extremity M >=55.50 and M <64.50- Tier Tier 2 | — | — | — | — | 17 |
| D1002 | Amputation lower extremity M >=55.50 and M <64.50- Tier Tier 3 | — | — | — | — | 17 |
| A1003 | Amputation lower extremity M >=47.50 and M <55.50- Tier None | — | — | — | — | 17 |
| B1003 | Amputation lower extremity M >=47.50 and M <55.50- Tier Tier 1 | — | — | — | — | 17 |
| C1003 | Amputation lower extremity M >=47.50 and M <55.50- Tier Tier 2 | — | — | — | — | 17 |
| D1003 | Amputation lower extremity M >=47.50 and M <55.50- Tier Tier 3 | — | — | — | — | 17 |
| A1004 | Amputation lower extremity M <47.50- Tier None | — | — | — | — | 17 |
| B1004 | Amputation lower extremity M <47.50- Tier Tier 1 | — | — | $40,820 | $40,820 | 17 |
| C1004 | Amputation lower extremity M <47.50- Tier Tier 2 | — | — | $33,760 | $33,760 | 17 |
| D1004 | Amputation lower extremity M <47.50- Tier Tier 3 | — | — | $30,222 | $30,838 | 17 |
| A1101 | Amputation non-lower extremity M >=58.50- Tier None | — | — | — | — | 17 |
| B1101 | Amputation non-lower extremity M >=58.50- Tier Tier 1 | — | — | — | — | 17 |
| C1101 | Amputation non-lower extremity M >=58.50- Tier Tier 2 | — | — | — | — | 17 |
| D1101 | Amputation non-lower extremity M >=58.50- Tier Tier 3 | — | — | — | — | 17 |
| 0024 | Health Insurance Prospective Payment System (HIPPS) - Inpatient Rehabilitation Facility | — | — | — | — | 17 |
| A0101 | Stroke M >=72.50- Tier None | — | — | — | — | 17 |
| B0101 | Stroke M >=72.50- Tier Tier 1 | — | — | — | — | 17 |
| C0101 | Stroke M >=72.50- Tier Tier 2 | — | — | — | — | 17 |
| D0101 | Stroke M >=72.50- Tier Tier 3 | — | — | — | — | 17 |
| A0102 | Stroke M >=63.50 and M <72.50- Tier None | — | — | — | — | 17 |
| B0102 | Stroke M >=63.50 and M <72.50- Tier Tier 1 | — | — | — | — | 17 |
| C0102 | Stroke M >=63.50 and M <72.50- Tier Tier 2 | — | — | — | — | 17 |
| D0102 | Stroke M >=63.50 and M <72.50- Tier Tier 3 | — | — | — | — | 17 |
| A0103 | Stroke M >=50.50 and M <63.50- Tier None | — | — | $21,452 | $21,452 | 17 |
| B0103 | Stroke M >=50.50 and M <63.50- Tier Tier 1 | — | — | — | — | 17 |
| C0103 | Stroke M >=50.50 and M <63.50- Tier Tier 2 | — | — | — | — | 17 |
| D0103 | Stroke M >=50.50 and M <63.50- Tier Tier 3 | — | — | $22,511 | $22,511 | 17 |
| A0104 | Stroke M >=41.50 and M <50.50- Tier None | — | — | $27,379 | $27,379 | 17 |
| B0104 | Stroke M >=41.50 and M <50.50- Tier Tier 1 | — | — | — | — | 17 |
| C0104 | Stroke M >=41.50 and M <50.50- Tier Tier 2 | — | — | — | — | 17 |
| D0104 | Stroke M >=41.50 and M <50.50- Tier Tier 3 | — | — | $28,729 | $28,729 | 17 |
| A0105 | Stroke M <41.50 and A >=84.50- Tier None | — | — | $34,237 | $34,237 | 17 |
| B0105 | Stroke M <41.50 and A >=84.50- Tier Tier 1 | — | — | — | — | 17 |
Showing top 50 of 1,162 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.