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
106
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
360
—
INSERT ANTERIOR AQUEOUS DRAIN
Gross
$11,584
369
—
FAC.EXC.ABD WALL.TUMOR: 3 CM >
Gross
$7,810
341
—
NM MYOCRD SPECT RS MULTI - PUR
Gross
$6,083
740
—
POLYSOMNOGRAPHY-4 OR MORE PARA
Gross
$3,055
611
—
MRI BRAIN W/O CONTRAST
Gross
$3,026
612
—
MRI SPINE CERV W/O CONTRAST
Gross
$3,026
610
—
MRI CHEST W/O CONTRAST
Gross
$2,693
361
—
COLONOSCOPY SCREENING MEDICA
Gross
$2,525
614
—
MRI TEMPOROMANDIBUAL JOINT(S)
Gross
$2,270
615
—
MRA HEAD W/O CONTRAST
Gross
$2,270
121
—
1:1 NURSING
Gross
$2,141
164
—
IP ISOLATION
Gross
$2,017
350
—
CT SHOULDER W/WO CONT-RT
Gross
$1,980
483
—
ECHO 2D W COLOR & DOPPLER
Gross
$1,952
120
—
SWING EOL
Gross
$1,814
391
—
BLOOD ADMIN or MONITOR
Gross
$1,717
450
—
EMERG DEPT LEVEL 5
Gross
$1,550
352
—
CT UPPER EXT W/O CONTRAST
Gross
$1,324
920
—
SLEEP TEST HOME
Gross
$1,320
351
—
CT FACIAL BONES W/O CONTRAST
Gross
$1,190
250
—
MIRENA 20MCG/24HR IUD 3 YEAR
Gross
$973
921
—
VL CAROTID BILATERAL
Gross
$932
981
—
PRO FEE LAYER CLOSE SCAL
Gross
$834
410
—
VENTILATOR
Gross
$727
975
—
SURGN COLORECTAL SCREEN MEDICA
Gross
$705
320
—
GI TR WO AIR AND KUB
Gross
$685
761
—
FAC NASAL HEMORRHAGE POST/PACK
Gross
$672
403
—
MG 2 DIG SCREENING BIL
Gross
$663
310
—
HLA B27 DISEASE ASSOCIATION 00
Gross
$657
370
—
SPINAL ANESTHESIA SIMPL
Gross
$652
401
—
MG 2 DIG DIAGNOSTIC UNIL-RT
Gross
$627
636
—
EPINEPHRINE EPI-PEN JR 0.15
Gross
$564
424
—
PT INITIAL EVAL LOW COMPLEXITY
Gross
$505
434
—
OT EVALUATION LOW COMPLEXITY
Gross
$489
271
—
CAST WRIST-FIBERGLASS-ADULT
Gross
$466
392
—
FFP PROCESSING/STORAGE
Gross
$396
731
—
EVENT HOLTER MONITOR RECORDING
Gross
$344
402
—
BLADDER SCAN
Gross
$317
912
—
PSYCH DX EVALUATION W/MED SERV
Gross
$314
291
—
HOME 02 5 TO 15 DAYS RA
Gross
$293
973
—
PF TAP BLOCK TRANSVERSE ABDOM
Gross
$290
155
—
HOSPICE CARE
Gross
$275
430
—
OT APPLY LONG LEG SPLINT
Gross
$275
655
—
RESPITE CARE
Gross
$275
444
—
SP SPEECH EVAL
Gross
$268
324
—
CHEST 2 VIEWS PA and LAT
Gross
$242
943
—
PHASE II CARDIAC REHAB
Gross
$236
260
—
THERAPEUTIC PROPHYLACTIC DIAG
Gross
$232
636
—
HAEMOPHILUS INFLUENZA TYPE B-A
Gross
$226
412
—
NEBULIZER TX - INITIAL
Gross
$224
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 360 | INSERT ANTERIOR AQUEOUS DRAIN | $11,584 | — | — | — | 0 |
| 369 | FAC.EXC.ABD WALL.TUMOR: 3 CM > | $7,810 | — | — | — | 0 |
| 341 | NM MYOCRD SPECT RS MULTI - PUR | $6,083 | — | — | — | 0 |
| 740 | POLYSOMNOGRAPHY-4 OR MORE PARA | $3,055 | — | — | — | 0 |
| 611 | MRI BRAIN W/O CONTRAST | $3,026 | — | — | — | 0 |
| 612 | MRI SPINE CERV W/O CONTRAST | $3,026 | — | — | — | 0 |
| 610 | MRI CHEST W/O CONTRAST | $2,693 | — | — | — | 0 |
| 361 | COLONOSCOPY SCREENING MEDICA | $2,525 | — | — | — | 0 |
| 614 | MRI TEMPOROMANDIBUAL JOINT(S) | $2,270 | — | — | — | 0 |
| 615 | MRA HEAD W/O CONTRAST | $2,270 | — | — | — | 0 |
| 121 | 1:1 NURSING | $2,141 | — | — | — | 0 |
| 164 | IP ISOLATION | $2,017 | — | — | — | 0 |
| 350 | CT SHOULDER W/WO CONT-RT | $1,980 | — | — | — | 0 |
| 483 | ECHO 2D W COLOR & DOPPLER | $1,952 | — | — | — | 0 |
| 120 | SWING EOL | $1,814 | — | — | — | 0 |
| 391 | BLOOD ADMIN or MONITOR | $1,717 | — | — | — | 0 |
| 450 | EMERG DEPT LEVEL 5 | $1,550 | — | — | — | 0 |
| 352 | CT UPPER EXT W/O CONTRAST | $1,324 | — | — | — | 0 |
| 920 | SLEEP TEST HOME | $1,320 | — | — | — | 0 |
| 351 | CT FACIAL BONES W/O CONTRAST | $1,190 | — | — | — | 0 |
| 250 | MIRENA 20MCG/24HR IUD 3 YEAR | $973 | — | — | — | 0 |
| 921 | VL CAROTID BILATERAL | $932 | — | — | — | 0 |
| 981 | PRO FEE LAYER CLOSE SCAL | $834 | — | — | — | 0 |
| 410 | VENTILATOR | $727 | — | — | — | 0 |
| 975 | SURGN COLORECTAL SCREEN MEDICA | $705 | — | — | — | 0 |
| 320 | GI TR WO AIR AND KUB | $685 | — | — | — | 0 |
| 761 | FAC NASAL HEMORRHAGE POST/PACK | $672 | — | — | — | 0 |
| 403 | MG 2 DIG SCREENING BIL | $663 | — | — | — | 0 |
| 310 | HLA B27 DISEASE ASSOCIATION 00 | $657 | — | — | — | 0 |
| 370 | SPINAL ANESTHESIA SIMPL | $652 | — | — | — | 0 |
| 401 | MG 2 DIG DIAGNOSTIC UNIL-RT | $627 | — | — | — | 0 |
| 636 | EPINEPHRINE EPI-PEN JR 0.15 | $564 | — | — | — | 0 |
| 424 | PT INITIAL EVAL LOW COMPLEXITY | $505 | — | — | — | 0 |
| 434 | OT EVALUATION LOW COMPLEXITY | $489 | — | — | — | 0 |
| 271 | CAST WRIST-FIBERGLASS-ADULT | $466 | — | — | — | 0 |
| 392 | FFP PROCESSING/STORAGE | $396 | — | — | — | 0 |
| 731 | EVENT HOLTER MONITOR RECORDING | $344 | — | — | — | 0 |
| 402 | BLADDER SCAN | $317 | — | — | — | 0 |
| 912 | PSYCH DX EVALUATION W/MED SERV | $314 | — | — | — | 0 |
| 291 | HOME 02 5 TO 15 DAYS RA | $293 | — | — | — | 0 |
| 973 | PF TAP BLOCK TRANSVERSE ABDOM | $290 | — | — | — | 0 |
| 155 | HOSPICE CARE | $275 | — | — | — | 0 |
| 430 | OT APPLY LONG LEG SPLINT | $275 | — | — | — | 0 |
| 655 | RESPITE CARE | $275 | — | — | — | 0 |
| 444 | SP SPEECH EVAL | $268 | — | — | — | 0 |
| 324 | CHEST 2 VIEWS PA and LAT | $242 | — | — | — | 0 |
| 943 | PHASE II CARDIAC REHAB | $236 | — | — | — | 0 |
| 260 | THERAPEUTIC PROPHYLACTIC DIAG | $232 | — | — | — | 0 |
| 636 | HAEMOPHILUS INFLUENZA TYPE B-A | $226 | — | — | — | 0 |
| 412 | NEBULIZER TX - INITIAL | $224 | — | — | — | 0 |
Showing top 50 of 106 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.