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
540
Insurances with rates
2
CPT / HCPCS codes
0
Most expensive procedures (gross)
13316431
—
HISTOPLASMA ABS,QN,DID
Gross
$54,362
13325712
—
HIRSUTISM COMPREHENSIVE
Gross
$2,070
13325711
—
HEPATITIS A B C
Gross
$1,520
13351131
—
AMPLICHIP P4502D6/2C19
Gross
$1,225
13348046
—
BCR-ABL TRANSLOCATION FOR ALL
Gross
$1,090
13311798
—
LUPUS ANTICOAGULANT COMP.
Gross
$1,080
13495819
—
EEG - AWAKE AND ASLEEP
Gross
$951
13348047
—
BCR-ABL TRANSLOCATION FOR CML
Gross
$940
13309691
—
T&B LYMPHOCYTE DIFF. PROFILE
Gross
$900
13495816
—
EEG - AWAKE AND DROWSY
Gross
$810
13327221
—
EXECUTIVE I- MALE
Gross
$790
99000101
—
ROOM AND BED CHARGE
Gross
$750
13304207
—
ANEMIA PROFILE B
Gross
$750
13300346
—
IFE/PROTEIN ELECTRO 24HR URINE
Gross
$740
13495822
—
EEG - SLEEP ONLY
Gross
$715
13332274
—
HEPATITIS PANEL (4)
Gross
$700
13355014
—
HCV RNA,PCR,01(QUANT RFLX)
Gross
$660
13355040
—
HCV RNA, PCR, QUALITATIVE
Gross
$660
13316195
—
ANTICARDIOLIP AB,IGA/IGG/IGM
Gross
$640
13304655
—
ANTIDIURETIC HORMONE PROFILE
Gross
$620
13304882
—
CMP12+LP+TP+TSH+6AC+CBC/D/PLT
Gross
$570
13351115
—
FACTOR V LEIDEN MUTATION
Gross
$560
13300857
—
VIRAL CULTURE, GENERAL
Gross
$530
13306244
—
ALLERGEN PROFILE, MOID
Gross
$530
13308590
—
ACETYLCHOLINE RECEPTOR ABS
Gross
$530
14599223
—
INITIAL HOSPITAL CARE (70 MIN)
Gross
$501
13305856
—
HEPATITIS DIAGNOSTIC (PROF I)
Gross
$500
13314140
—
HEPATITIS C VIRUS AB RIBA 3.0
Gross
$500
13351123
—
CYTOCHROME P450 2D6 GENOTYPING
Gross
$490
13302851
—
T4+T3+TSH
Gross
$480
13305849
—
MEASLES/MUMPS/RUBELLA IMMU.
Gross
$480
13307154
—
ALUMINUM, PLASMA/SERUM
Gross
$480
13311555
—
MIXING STUDY
Gross
$480
13300423
—
METANEPHRINES,FRAC,QN,24HR
Gross
$450
13334114
—
CELIAC DISEASE COMPLETE PANEL
Gross
$441
13308417
—
LUPUS ANTICOAGULANT
Gross
$440
13300666
—
ANTI-SMOOTH MUSCLE/MITOCHOND
Gross
$420
14599235
—
OBS/IP INCL ADM/DISCH (50 MIN)
Gross
$419
13312170
—
HEMOGLOBINOPATHY PROFILE
Gross
$390
13322457
—
TSH + FREE T4
Gross
$390
13301038
—
T3,FREE
Gross
$380
13370699
—
HOMOCYST(E)INE, PLASMA/SERUM
Gross
$380
13314063
—
HCV. QUANTITATIVE
Gross
$380
13355047
—
HCV GENOTYPING NON REFLEX
Gross
$368
13301270
—
SJOGREN'S AB, ANTI-SS-A/-SS-B
Gross
$360
13316254
—
VIRAL LOAD
Gross
$360
14590792
—
PSYCHIATRIC EVALUATION
Gross
$358
13302848
—
FSH & LH
Gross
$350
13312180
—
METANEPHRINES, FRACTIONATED,
Gross
$343
13380675
—
HEPATITIS E
Gross
$342
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 13316431 | HISTOPLASMA ABS,QN,DID | $54,362 | — | — | — | 0 |
| 13325712 | HIRSUTISM COMPREHENSIVE | $2,070 | — | — | — | 0 |
| 13325711 | HEPATITIS A B C | $1,520 | — | — | — | 0 |
| 13351131 | AMPLICHIP P4502D6/2C19 | $1,225 | — | — | — | 0 |
| 13348046 | BCR-ABL TRANSLOCATION FOR ALL | $1,090 | — | — | — | 0 |
| 13311798 | LUPUS ANTICOAGULANT COMP. | $1,080 | — | — | — | 0 |
| 13495819 | EEG - AWAKE AND ASLEEP | $951 | — | — | — | 0 |
| 13348047 | BCR-ABL TRANSLOCATION FOR CML | $940 | — | — | — | 0 |
| 13309691 | T&B LYMPHOCYTE DIFF. PROFILE | $900 | — | — | — | 0 |
| 13495816 | EEG - AWAKE AND DROWSY | $810 | — | — | — | 0 |
| 13327221 | EXECUTIVE I- MALE | $790 | — | — | — | 0 |
| 99000101 | ROOM AND BED CHARGE | $750 | — | — | — | 2 |
| 13304207 | ANEMIA PROFILE B | $750 | — | — | — | 0 |
| 13300346 | IFE/PROTEIN ELECTRO 24HR URINE | $740 | — | — | — | 0 |
| 13495822 | EEG - SLEEP ONLY | $715 | — | — | — | 0 |
| 13332274 | HEPATITIS PANEL (4) | $700 | — | — | — | 0 |
| 13355014 | HCV RNA,PCR,01(QUANT RFLX) | $660 | — | — | — | 0 |
| 13355040 | HCV RNA, PCR, QUALITATIVE | $660 | — | — | — | 0 |
| 13316195 | ANTICARDIOLIP AB,IGA/IGG/IGM | $640 | — | — | — | 0 |
| 13304655 | ANTIDIURETIC HORMONE PROFILE | $620 | — | — | — | 0 |
| 13304882 | CMP12+LP+TP+TSH+6AC+CBC/D/PLT | $570 | — | — | — | 0 |
| 13351115 | FACTOR V LEIDEN MUTATION | $560 | — | — | — | 0 |
| 13300857 | VIRAL CULTURE, GENERAL | $530 | — | — | — | 0 |
| 13306244 | ALLERGEN PROFILE, MOID | $530 | — | — | — | 0 |
| 13308590 | ACETYLCHOLINE RECEPTOR ABS | $530 | — | — | — | 0 |
| 14599223 | INITIAL HOSPITAL CARE (70 MIN) | $501 | — | — | — | 0 |
| 13305856 | HEPATITIS DIAGNOSTIC (PROF I) | $500 | — | — | — | 0 |
| 13314140 | HEPATITIS C VIRUS AB RIBA 3.0 | $500 | — | — | — | 0 |
| 13351123 | CYTOCHROME P450 2D6 GENOTYPING | $490 | — | — | — | 0 |
| 13302851 | T4+T3+TSH | $480 | — | — | — | 0 |
| 13305849 | MEASLES/MUMPS/RUBELLA IMMU. | $480 | — | — | — | 0 |
| 13307154 | ALUMINUM, PLASMA/SERUM | $480 | — | — | — | 0 |
| 13311555 | MIXING STUDY | $480 | — | — | — | 0 |
| 13300423 | METANEPHRINES,FRAC,QN,24HR | $450 | — | — | — | 0 |
| 13334114 | CELIAC DISEASE COMPLETE PANEL | $441 | — | — | — | 0 |
| 13308417 | LUPUS ANTICOAGULANT | $440 | — | — | — | 0 |
| 13300666 | ANTI-SMOOTH MUSCLE/MITOCHOND | $420 | — | — | — | 0 |
| 14599235 | OBS/IP INCL ADM/DISCH (50 MIN) | $419 | — | — | — | 0 |
| 13312170 | HEMOGLOBINOPATHY PROFILE | $390 | — | — | — | 0 |
| 13322457 | TSH + FREE T4 | $390 | — | — | — | 0 |
| 13301038 | T3,FREE | $380 | — | — | — | 0 |
| 13370699 | HOMOCYST(E)INE, PLASMA/SERUM | $380 | — | — | — | 0 |
| 13314063 | HCV. QUANTITATIVE | $380 | — | — | — | 0 |
| 13355047 | HCV GENOTYPING NON REFLEX | $368 | — | — | — | 0 |
| 13301270 | SJOGREN'S AB, ANTI-SS-A/-SS-B | $360 | — | — | — | 0 |
| 13316254 | VIRAL LOAD | $360 | — | — | — | 0 |
| 14590792 | PSYCHIATRIC EVALUATION | $358 | — | — | — | 0 |
| 13302848 | FSH & LH | $350 | — | — | — | 0 |
| 13312180 | METANEPHRINES, FRACTIONATED, | $343 | — | — | — | 0 |
| 13380675 | HEPATITIS E | $342 | — | — | — | 0 |
Showing top 50 of 540 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.