673045 prices — Hospital Ledger

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

2,324

Insurances with rates

CPT / HCPCS codes

1,442

Source MRF

json ↗

File last updated: 2026-08-10 (per the hospital's file)

Retrieved: 2026-10-28

Most expensive procedures (gross)

0118

—

Room & Board - Private (One Bed) - Rehabilitation

Gross

—

0128

—

Room & Board - Semi-private (Two Beds) - Rehabilitation

Gross

—

0138

—

Room & Board - Three and Four Beds - Rehabilitation

Gross

—

0148

—

Room & Board - Deluxe Private - Rehabilitation

Gross

—

0158

—

Room & Board - Ward - Rehabilitation

Gross

—

B0401

—

Traumatic spinal cord injury M >=56.50- Tier Tier 1

Gross

—

C0401

—

Traumatic spinal cord injury M >=56.50- Tier Tier 2

Gross

—

D0401

—

Traumatic spinal cord injury M >=56.50- 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

—

C0105

—

Stroke M <41.50 and A >=84.50- Tier Tier 2

Gross

—

D0105

—

Stroke M <41.50 and A >=84.50- Tier Tier 3

Gross

—

A0106

—

Stroke M <41.50 and A <84.50- Tier None

Gross

—

B0106

—

Stroke M <41.50 and A <84.50- Tier Tier 1

Gross

—

C0106

—

Stroke M <41.50 and A <84.50- Tier Tier 2

Gross

—

D0106

—

Stroke M <41.50 and A <84.50- Tier Tier 3

Gross

—

A0201

—

Traumatic brain injury M >=73.50- Tier None

Gross

—

B0201

—

Traumatic brain injury M >=73.50- Tier Tier 1

Gross

—

C0201

—

Traumatic brain injury M >=73.50- Tier Tier 2

Gross

—

D0201

—

Traumatic brain injury M >=73.50- Tier Tier 3

Gross

—

A0202

—

Traumatic brain injury M >=61.50 and M <73.50- Tier None

Gross

—

B0202

—

Traumatic brain injury M >=61.50 and M <73.50- Tier Tier 1

Gross

—

C0202

—

Traumatic brain injury M >=61.50 and M <73.50- Tier Tier 2

Gross

—

D0202

—

Traumatic brain injury M >=61.50 and M <73.50- Tier Tier 3

Gross

—

A0203

—

Traumatic brain injury M >=49.50 and M <61.50- Tier None

Gross

—

B0203

—

Traumatic brain injury M >=49.50 and M <61.50- Tier Tier 1

Gross

—

C0203

—

Traumatic brain injury M >=49.50 and M <61.50- Tier Tier 2

Gross

—

D0203

—

Traumatic brain injury M >=49.50 and M <61.50- Tier Tier 3

Gross

—

A0204

—

Traumatic brain injury M >=35.50 and M <49.50- Tier None

Gross

—

B0204

—

Traumatic brain injury M >=35.50 and M <49.50- Tier Tier 1

Gross

—

C0204

—

Traumatic brain injury M >=35.50 and M <49.50- Tier Tier 2

Gross

—

D0204

—

Traumatic brain injury M >=35.50 and M <49.50- Tier Tier 3

Gross

—

A0205

—

Traumatic brain injury M <35.50- Tier None

Gross

—

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
0118	Room & Board - Private (One Bed) - Rehabilitation	—	—	$500	$2,450	50
0128	Room & Board - Semi-private (Two Beds) - Rehabilitation	—	—	$876	$2,450	47
0138	Room & Board - Three and Four Beds - Rehabilitation	—	—	$876	$2,450	47
0148	Room & Board - Deluxe Private - Rehabilitation	—	—	$876	$2,450	39
0158	Room & Board - Ward - Rehabilitation	—	—	$775	$2,450	42
B0401	Traumatic spinal cord injury M >=56.50- Tier Tier 1	—	—	—	—	26
C0401	Traumatic spinal cord injury M >=56.50- Tier Tier 2	—	—	—	—	26
D0401	Traumatic spinal cord injury M >=56.50- Tier Tier 3	—	—	—	—	26
0024	Health Insurance Prospective Payment System (HIPPS) - Inpatient Rehabilitation Facility	—	—	—	—	26
A0101	Stroke M >=72.50- Tier None	—	—	—	—	26
B0101	Stroke M >=72.50- Tier Tier 1	—	—	—	—	26
C0101	Stroke M >=72.50- Tier Tier 2	—	—	—	—	26
D0101	Stroke M >=72.50- Tier Tier 3	—	—	—	—	26
A0102	Stroke M >=63.50 and M <72.50- Tier None	—	—	—	—	26
B0102	Stroke M >=63.50 and M <72.50- Tier Tier 1	—	—	—	—	26
C0102	Stroke M >=63.50 and M <72.50- Tier Tier 2	—	—	—	—	26
D0102	Stroke M >=63.50 and M <72.50- Tier Tier 3	—	—	—	—	26
A0103	Stroke M >=50.50 and M <63.50- Tier None	—	—	—	—	26
B0103	Stroke M >=50.50 and M <63.50- Tier Tier 1	—	—	—	—	26
C0103	Stroke M >=50.50 and M <63.50- Tier Tier 2	—	—	—	—	26
D0103	Stroke M >=50.50 and M <63.50- Tier Tier 3	—	—	$23,404	$23,404	26
A0104	Stroke M >=41.50 and M <50.50- Tier None	—	—	$13,498	$28,465	26
B0104	Stroke M >=41.50 and M <50.50- Tier Tier 1	—	—	—	—	26
C0104	Stroke M >=41.50 and M <50.50- Tier Tier 2	—	—	—	—	26
D0104	Stroke M >=41.50 and M <50.50- Tier Tier 3	—	—	$27,539	$29,868	26
A0105	Stroke M <41.50 and A >=84.50- Tier None	—	—	—	—	26
B0105	Stroke M <41.50 and A >=84.50- Tier Tier 1	—	—	—	—	26
C0105	Stroke M <41.50 and A >=84.50- Tier Tier 2	—	—	—	—	26
D0105	Stroke M <41.50 and A >=84.50- Tier Tier 3	—	—	$35,540	$37,349	26
A0106	Stroke M <41.50 and A <84.50- Tier None	—	—	$30,510	$40,484	26
B0106	Stroke M <41.50 and A <84.50- Tier Tier 1	—	—	$53,762	$53,762	26
C0106	Stroke M <41.50 and A <84.50- Tier Tier 2	—	—	$45,029	$46,487	26
D0106	Stroke M <41.50 and A <84.50- Tier Tier 3	—	—	$35,705	$42,481	26
A0201	Traumatic brain injury M >=73.50- Tier None	—	—	—	—	26
B0201	Traumatic brain injury M >=73.50- Tier Tier 1	—	—	—	—	26
C0201	Traumatic brain injury M >=73.50- Tier Tier 2	—	—	—	—	26
D0201	Traumatic brain injury M >=73.50- Tier Tier 3	—	—	—	—	26
A0202	Traumatic brain injury M >=61.50 and M <73.50- Tier None	—	—	—	—	26
B0202	Traumatic brain injury M >=61.50 and M <73.50- Tier Tier 1	—	—	—	—	26
C0202	Traumatic brain injury M >=61.50 and M <73.50- Tier Tier 2	—	—	—	—	26
D0202	Traumatic brain injury M >=61.50 and M <73.50- Tier Tier 3	—	—	—	—	26
A0203	Traumatic brain injury M >=49.50 and M <61.50- Tier None	—	—	—	—	26
B0203	Traumatic brain injury M >=49.50 and M <61.50- Tier Tier 1	—	—	—	—	26
C0203	Traumatic brain injury M >=49.50 and M <61.50- Tier Tier 2	—	—	—	—	26
D0203	Traumatic brain injury M >=49.50 and M <61.50- Tier Tier 3	—	—	—	—	26
A0204	Traumatic brain injury M >=35.50 and M <49.50- Tier None	—	—	$26,757	$26,757	26
B0204	Traumatic brain injury M >=35.50 and M <49.50- Tier Tier 1	—	—	—	—	26
C0204	Traumatic brain injury M >=35.50 and M <49.50- Tier Tier 2	—	—	$32,052	$32,052	26
D0204	Traumatic brain injury M >=35.50 and M <49.50- Tier Tier 3	—	—	$28,419	$28,419	26
A0205	Traumatic brain injury M <35.50- Tier None	—	—	$2,447	$34,272	26

Showing top 50 of 2,324 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.