45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published
●Gross / standard charges
●Discounted cash price
○Payer-specific negotiated rates
○Min / max negotiated charges
●Free, public, no login required
Procedures listed
35
Insurances with rates
30
CPT / HCPCS codes
8
Source MRF
Most expensive procedures (gross)
H0011
$1,570
DTX
Gross
$1,570
126
$1,570
DTX
Gross
$1,570
128
$1,570
IR
Gross
$1,570
1002
$1,570
RTC
Gross
$1,570
100
$1,570
IR
Gross
$1,570
912
$469
PHP 912
Gross
$469
913
$469
PHP 913
Gross
$469
762
$469
OBS
Gross
$469
916
$410
FAMILY COUNSELING W PT
Gross
$410
944
$410
OP DETOX
Gross
$410
90847
$410
FAMILY COUNSELING W PT IOP
Gross
$410
90846
$410
FAMILY COUNSELING W/O PT WITH IOP
Gross
$410
9084795
$410
FAMILY COUNSELING W PT IOP TELEHEALTH
Gross
$410
9084695
$410
TH FAMILY COUNSELING W/O PT WITH IOP
Gross
$410
914
$349
INITIAL ASSESSMENT
Gross
$349
918
$340
MMPI
Gross
$340
T2022
$331
REACH CASE MANAGEMENT
Gross
$331
90834
$268
OP IND COUNSELING WITH IOP
Gross
$268
90834HO95
$268
REASSESSMENT OP (IP) TELEHEALTH
Gross
$268
513
$244
BRIDGE SESSION
Gross
$244
90832
$218
1/2 IND COUNSEL WITH IOP
Gross
$218
9083295
$218
1/2 IND COUNSEL WITH IOP TELEHEALTH
Gross
$218
H0031
$193
COMPREHENSIVE ASSESSMENT
Gross
$193
906
$188
OP
Gross
$188
910
$188
OP
Gross
$188
915
$188
(2) HR GROUP TELEHEALTH
Gross
$188
90853
$169
(1.5)HR GROUP WITH IOP
Gross
$169
988
$116
PODIATRY CONSULT
Gross
$116
961
$116
PSYCHOPHARMACOLOGICAL CONSULTATION
Gross
$116
514
$116
OBSTRETIC CONSULT
Gross
$116
H0023HH
$110
BEHAVIORAL HEALTH OUTREACH SERVICE
Gross
$110
300
$29
ALCOHOL SCREEN TEST
Gross
$29
300
$1
FINGERSTICK (GLUCOSE)
Gross
$1
260
$1
IV NS + 20MEQ KCL
Gross
$1
250
$0.06
Pantoprazole (PROTONIX) 40MG TAB - FORM
Gross
$0.06
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| H0011 | DTX | $1,570 | $1,570 | — | — | 1 |
| 126 | DTX | $1,570 | $1,570 | — | — | 17 |
| 128 | IR | $1,570 | $1,570 | — | — | 12 |
| 1002 | RTC | $1,570 | $1,570 | — | — | 9 |
| 100 | IR | $1,570 | $1,570 | — | — | 1 |
| 912 | PHP 912 | $469 | $469 | — | — | 12 |
| 913 | PHP 913 | $469 | $469 | — | — | 8 |
| 762 | OBS | $469 | $469 | — | — | 1 |
| 916 | FAMILY COUNSELING W PT | $410 | $410 | — | — | 0 |
| 944 | OP DETOX | $410 | $410 | — | — | 0 |
| 90847 | FAMILY COUNSELING W PT IOP | $410 | $410 | — | — | 0 |
| 90846 | FAMILY COUNSELING W/O PT WITH IOP | $410 | $410 | — | — | 0 |
| 9084795 | FAMILY COUNSELING W PT IOP TELEHEALTH | $410 | $410 | — | — | 0 |
| 9084695 | TH FAMILY COUNSELING W/O PT WITH IOP | $410 | $410 | — | — | 0 |
| 914 | INITIAL ASSESSMENT | $349 | $349 | — | — | 0 |
| 918 | MMPI | $340 | $340 | — | — | 0 |
| T2022 | REACH CASE MANAGEMENT | $331 | $331 | — | — | 0 |
| 90834 | OP IND COUNSELING WITH IOP | $268 | $268 | — | — | 0 |
| 90834HO95 | REASSESSMENT OP (IP) TELEHEALTH | $268 | $268 | — | — | 0 |
| 513 | BRIDGE SESSION | $244 | $244 | — | — | 0 |
| 90832 | 1/2 IND COUNSEL WITH IOP | $218 | $218 | — | — | 0 |
| 9083295 | 1/2 IND COUNSEL WITH IOP TELEHEALTH | $218 | $218 | — | — | 0 |
| H0031 | COMPREHENSIVE ASSESSMENT | $193 | $193 | — | — | 0 |
| 906 | OP | $188 | $188 | — | — | 15 |
| 910 | OP | $188 | $188 | — | — | 1 |
| 915 | (2) HR GROUP TELEHEALTH | $188 | $188 | — | — | 0 |
| 90853 | (1.5)HR GROUP WITH IOP | $169 | $169 | — | — | 0 |
| 988 | PODIATRY CONSULT | $116 | $116 | — | — | 0 |
| 961 | PSYCHOPHARMACOLOGICAL CONSULTATION | $116 | $116 | — | — | 0 |
| 514 | OBSTRETIC CONSULT | $116 | $116 | — | — | 0 |
| H0023HH | BEHAVIORAL HEALTH OUTREACH SERVICE | $110 | $110 | — | — | 0 |
| 300 | ALCOHOL SCREEN TEST | $29 | $29 | — | — | 0 |
| 300 | FINGERSTICK (GLUCOSE) | $1 | $1 | — | — | 0 |
| 260 | IV NS + 20MEQ KCL | $1 | $1 | — | — | 0 |
| 250 | Pantoprazole (PROTONIX) 40MG TAB - FORM | $0.06 | $0.06 | — | — | 0 |
Showing top 35 of 35 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.