45 CFR § 180 compliance
A · 100
This hospital published most 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: assessment threshold met
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
1,454
Insurances with rates
4
CPT / HCPCS codes
0
Most expensive procedures (gross)
5017
$2,398
Peri Vascular Lab
Gross
$2,398
255944
$1,583
Conj Estrogen 25mg Im/i
Gross
$1,583
405051
$1,395
Duplex Scan Unilat Extr
Gross
$1,395
5018
$1,280
Tte W/doppler Complete
Gross
$1,280
450115
$1,263
Critical Care Cont Care
Gross
$1,263
5019
$1,248
Duplex Venous Ext Unila
Gross
$1,248
450023
$1,166
Sim Repr Fa/ea/no/20.1-
Gross
$1,166
450041
$1,151
Rpr Cplx Fhead/chn 2.6-
Gross
$1,151
450082
$1,057
Larynscp Dir W/fb Remov
Gross
$1,057
450111
$999
Throm Coro Iv Infusion
Gross
$999
450084
$970
Tube Throacost W/wo Wa
Gross
$970
450060
$872
Clo Tx Hip Dis Trauma W
Gross
$872
450039
$779
Repr Cplx Scalp/2.6-7.5
Gross
$779
450035
$758
Lay Clo Fa/ea/lip 7.6-1
Gross
$758
450046
$736
Remov Fb Mus/t She Deep
Gross
$736
405004
$700
Ultrasound pelvis through vagina
Gross
$700
405005
$700
U/s Transvag Pregnant
Gross
$700
470007
$700
Speciality Care Transpo
Gross
$700
455009
$677
Emergency Department Vi
Gross
$677
450108
$647
Cariopul Resuscitation
Gross
$647
255613
$630
Glucagon Recomb 1mg
Gross
$630
5004
$600
Venous Doppler Extrem B
Gross
$600
450031
$599
Lay Clo Nek/ha/ft12.6-2
Gross
$599
450040
$594
Repr Cplx Fhead/chn1.1-
Gross
$594
405008
$586
Ultrasound of abdomen
Gross
$586
450022
$585
Simp Repr Face/er/12.6-
Gross
$585
450083
$584
Thoracente W/insrt Tube
Gross
$584
450034
$582
Lay Clo Fa/ea/lip 5.1-7
Gross
$582
450061
$576
Clo Tx Knee Disloc Wo A
Gross
$576
450037
$576
Repr Complx Trunk 2.6-7
Gross
$576
450012
$571
Repair Nail Bed
Gross
$571
5007
$560
Carotid Doppler
Gross
$560
5008
$560
Tcd Complete
Gross
$560
455030
$550
Clo Dislo Shoulder Fx W
Gross
$550
450054
$549
Tx Clo Elbow Disloc Wo
Gross
$549
450110
$539
Card Ele Conver Arrhy E
Gross
$539
450053
$538
Clo Tx Shoul Disloc W/m
Gross
$538
450027
$537
Lay Clo Sclp/ax/12.6-20
Gross
$537
450078
$535
Contl Nasal Hem Post W/
Gross
$535
450038
$509
Repr Cplx Scp/1.-2.5
Gross
$509
450079
$501
Nas Hem Post W/pack Sub
Gross
$501
5005
$500
Venous Doppler Unilater
Gross
$500
80050
$500
General Health Panel
Gross
$500
405039
$483
Abdomial ultrasound of pregnant uterus
Gross
$483
450021
$474
Simp Repr Face/ea 7.6-1
Gross
$474
450063
$472
Clo Tx Ank Disloc Wo An
Gross
$472
405022
$458
U/s Pelvic
Gross
$458
450030
$458
Lay Clo Nck/ha/ft 7.6-1
Gross
$458
450005
$457
Incs & Remov Fb Subq Co
Gross
$457
450085
$454
Pericardiocentesis Init
Gross
$454
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 5017 | Peri Vascular Lab | $2,398 | $2,398 | $293 | $1,918 | 4 |
| 255944 | Conj Estrogen 25mg Im/i | $1,583 | $1,583 | $997 | $1,266 | 3 |
| 405051 | Duplex Scan Unilat Extr | $1,395 | $1,395 | $128 | $1,116 | 4 |
| 5018 | Tte W/doppler Complete | $1,280 | $1,280 | $671 | $1,024 | 4 |
| 450115 | Critical Care Cont Care | $1,263 | $1,263 | $796 | $1,014 | 4 |
| 5019 | Duplex Venous Ext Unila | $1,248 | $1,248 | $128 | $998 | 4 |
| 450023 | Sim Repr Fa/ea/no/20.1- | $1,166 | $1,166 | $499 | $933 | 4 |
| 450041 | Rpr Cplx Fhead/chn 2.6- | $1,151 | $1,151 | $499 | $921 | 4 |
| 450082 | Larynscp Dir W/fb Remov | $1,057 | $1,057 | $666 | $2,185 | 4 |
| 450111 | Throm Coro Iv Infusion | $999 | $999 | $629 | $799 | 3 |
| 450084 | Tube Throacost W/wo Wa | $970 | $970 | $611 | $776 | 3 |
| 450060 | Clo Tx Hip Dis Trauma W | $872 | $872 | $303 | $698 | 4 |
| 450039 | Repr Cplx Scalp/2.6-7.5 | $779 | $779 | $491 | $623 | 4 |
| 450035 | Lay Clo Fa/ea/lip 7.6-1 | $758 | $758 | $478 | $606 | 4 |
| 450046 | Remov Fb Mus/t She Deep | $736 | $736 | $464 | $3,566 | 4 |
| 405004 | Ultrasound pelvis through vagina | $700 | $700 | $128 | $560 | 4 |
| 405005 | U/s Transvag Pregnant | $700 | $700 | $128 | $560 | 4 |
| 470007 | Speciality Care Transpo | $700 | $700 | $441 | $560 | 3 |
| 455009 | Emergency Department Vi | $677 | $677 | $427 | $731 | 4 |
| 450108 | Cariopul Resuscitation | $647 | $647 | $265 | $518 | 4 |
| 255613 | Glucagon Recomb 1mg | $630 | $630 | $397 | $504 | 3 |
| 5004 | Venous Doppler Extrem B | $600 | $600 | $293 | $480 | 4 |
| 450031 | Lay Clo Nek/ha/ft12.6-2 | $599 | $599 | $377 | $907 | 4 |
| 450040 | Repr Cplx Fhead/chn1.1- | $594 | $594 | $374 | $499 | 4 |
| 405008 | Ultrasound of abdomen | $586 | $586 | $128 | $469 | 4 |
| 450022 | Simp Repr Face/er/12.6- | $585 | $585 | $369 | $499 | 4 |
| 450083 | Thoracente W/insrt Tube | $584 | $584 | $368 | $467 | 3 |
| 450034 | Lay Clo Fa/ea/lip 5.1-7 | $582 | $582 | $367 | $499 | 4 |
| 450061 | Clo Tx Knee Disloc Wo A | $576 | $576 | $303 | $461 | 4 |
| 450037 | Repr Complx Trunk 2.6-7 | $576 | $576 | $363 | $907 | 4 |
| 450012 | Repair Nail Bed | $571 | $571 | $360 | $907 | 4 |
| 5007 | Carotid Doppler | $560 | $560 | $293 | $448 | 4 |
| 5008 | Tcd Complete | $560 | $560 | $293 | $448 | 4 |
| 455030 | Clo Dislo Shoulder Fx W | $550 | $550 | $347 | $1,974 | 4 |
| 450054 | Tx Clo Elbow Disloc Wo | $549 | $549 | $303 | $439 | 4 |
| 450110 | Card Ele Conver Arrhy E | $539 | $539 | $340 | $811 | 4 |
| 450053 | Clo Tx Shoul Disloc W/m | $538 | $538 | $303 | $430 | 4 |
| 450027 | Lay Clo Sclp/ax/12.6-20 | $537 | $537 | $338 | $499 | 4 |
| 450078 | Contl Nasal Hem Post W/ | $535 | $535 | $163 | $428 | 4 |
| 450038 | Repr Cplx Scp/1.-2.5 | $509 | $509 | $321 | $499 | 4 |
| 450079 | Nas Hem Post W/pack Sub | $501 | $501 | $291 | $401 | 4 |
| 5005 | Venous Doppler Unilater | $500 | $500 | $128 | $400 | 4 |
| 80050 | General Health Panel | $500 | $500 | $315 | $400 | 3 |
| 405039 | Abdomial ultrasound of pregnant uterus | $483 | $483 | $128 | $386 | 4 |
| 450021 | Simp Repr Face/ea 7.6-1 | $474 | $474 | $246 | $379 | 4 |
| 450063 | Clo Tx Ank Disloc Wo An | $472 | $472 | $297 | $378 | 4 |
| 405022 | U/s Pelvic | $458 | $458 | $128 | $366 | 4 |
| 450030 | Lay Clo Nck/ha/ft 7.6-1 | $458 | $458 | $289 | $907 | 4 |
| 450005 | Incs & Remov Fb Subq Co | $457 | $457 | $288 | $2,028 | 4 |
| 450085 | Pericardiocentesis Init | $454 | $454 | $286 | $363 | 3 |
Showing top 50 of 1,454 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.