45 CFR § 180 compliance
F · 55
This hospital published little 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
20,697
Insurances with rates
6
CPT / HCPCS codes
19,411
Source MRF
Most expensive procedures (gross)
IP120
$5,783
ACUTE/INPATIENT ROOM CHARGE
Gross
$5,783
SBI12
$5,443
SWING BED DAILY ROOM - SNF
Gross
$5,443
J0878
$2,193
DAPTOMYCIN 500 MG VIAL
Gross
$2,193
LABT001
$1,761
BLOOD TRANSFUSION ADMINISTRATION 2 UNITS
Gross
$1,761
LABT005
$1,761
TRANSFUSION, BLOOD OR BLOOD COMPONENTS
Gross
$1,761
G0390
$1,675
TRAUMA TEAM ACTIVATION
Gross
$1,675
36430
$1,631
TRANSFUSION, BLOOD OR BLOOD COMPONENTS
Gross
$1,631
PHM0359
$1,421
NITROPRESS 50MG/2ML
Gross
$1,421
G0378
$1,419
OBSERVATION 1ST 180 MIN (3HRS)
Gross
$1,419
P9016
$1,351
BLOOD TRANSFUSION ADMINISTRATION 2 UNITS
Gross
$1,351
99291
$1,145
CRITICAL CARE FIRST 30-74 MIN
Gross
$1,145
87633
$1,041
RESPIRATORY PANEL
Gross
$1,041
99285
$927
EMERGENCY ROOM LEVEL #5
Gross
$927
81271
$856
HUNTINGTON DISEASE ANALYSIS (MAYO HAD)
Gross
$856
99284
$763
EMERGENCY ROOM LEVEL 4
Gross
$763
92950
$701
CPR
Gross
$701
99292
$671
CRITICAL CARE EACH ADDTNL 30 MIN PROFESSIONAL FEE
Gross
$671
99282
$639
CRTCL CARE EACH ADDTNL 30 MIN
Gross
$639
32551
$547
TUBE THORACOSTOMY WITH OR W O WATER SEAL
Gross
$547
J1610
$470
GLUCAGEN HYPOKIT
Gross
$470
72052
$459
CSPINE COMP. W/ FLEX & EXT
Gross
$459
M0247
$450
INTRAVENOUS INFUSION, SOTROVIMAB, INCLUDES INFUSION AND POST ADMINISTRATION MONITORING
Gross
$450
99283
$445
EMERGENCY ROOM LEVEL #3
Gross
$445
12004,ER
$405
REPAIR, SIMPLE OF SUPERFICIAL WOUNDS OF SCALP, NECK AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREM
Gross
$405
12013,ER
$380
SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE LIPS &/OR MUCOUS MEMBRANES; 2.6 CM
Gross
$380
72110
$380
L-SPINE COMPLETE 4+ VIEWS
Gross
$380
86255
$378
RFX DSDNA AB BY CRITHIDIA, IFA, IGG, S (MAYO)
Gross
$378
M0239
$375
INTRAVENOUS INFUSION, BAMLANIVIMAB-XXXX, INCLUDES INFUSION AND POST ADMINISTRATION MONITORING
Gross
$375
72050
$364
C-SPINE COMP. W/ OBL.
Gross
$364
12002
$362
SIMPLE REPAIR 2.6 CM - 7.5 CM
Gross
$362
12004
$357
REPAIR, SIMPLE OF SUPERFICIAL WOUNDS OF SCALP, NECK AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREM
Gross
$357
12011,ER
$345
REPAIR RECENT WOUND, SUPERFICIAL, <2.5 CM
Gross
$345
74022
$345
ACUTE ABDOMEN SERIES
Gross
$345
72074
$337
THORACIC SPINE COMPLETE
Gross
$337
OT0001
$330
OCCUPATION THERAPY EVALUATION
Gross
$330
70330
$324
TM JOINT BILATERAL
Gross
$324
12013
$322
SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE LIPS &/OR MUCOUS MEMBRANES; 2.6 CM
Gross
$322
85598
$320
STACLOT LA, P
Gross
$320
80050
$319
GENERAL LAB PROFILE 80053/85025/84443
Gross
$319
70260
$318
SKULL COMPLETE 4+ VIEWS
Gross
$318
PHM00005197105
$316
PREVNAR 13 - PNUEMOVAX
Gross
$316
70150
$314
FACIAL BONES 3+ VIEWS
Gross
$314
86003
$306
SGIRAST ALLERGEN
Gross
$306
71130
$305
STERNOCLAVICULAR JOINT(S) 3 + VIEWS
Gross
$305
ST00001
$305
EVALUATION OF ORAL AND PHARYNGEAL SWALLOWING FUNCTION
Gross
$305
72120
$305
L-SPINE BENDING ONLY 2-3 VIEWS
Gross
$305
70100
$305
MANDIBLE COMPLETE < 4
Gross
$305
12011
$304
REPAIR RECENT WOUND, SUPERFICIAL, <2.5 CM
Gross
$304
71101
$297
RIBS - UNI. W/PA CHEST* 3+ VIEWS
Gross
$297
73502
$295
HIP (COMPLETE)*
Gross
$295
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| IP120 | ACUTE/INPATIENT ROOM CHARGE | $5,783 | $5,783 | — | — | 0 |
| SBI12 | SWING BED DAILY ROOM - SNF | $5,443 | $5,443 | — | — | 0 |
| J0878 | DAPTOMYCIN 500 MG VIAL | $2,193 | $2,193 | $1,842 | $2,632 | 39 |
| LABT001 | BLOOD TRANSFUSION ADMINISTRATION 2 UNITS | $1,761 | $1,761 | — | — | 0 |
| LABT005 | TRANSFUSION, BLOOD OR BLOOD COMPONENTS | $1,761 | $1,761 | — | — | 0 |
| G0390 | TRAUMA TEAM ACTIVATION | $1,675 | $1,675 | $1,407 | $2,010 | 39 |
| 36430 | TRANSFUSION, BLOOD OR BLOOD COMPONENTS | $1,631 | $1,631 | $1,370 | $1,957 | 39 |
| PHM0359 | NITROPRESS 50MG/2ML | $1,421 | $1,421 | — | — | 0 |
| G0378 | OBSERVATION 1ST 180 MIN (3HRS) | $1,419 | $1,419 | $1,192 | $1,702 | 39 |
| P9016 | BLOOD TRANSFUSION ADMINISTRATION 2 UNITS | $1,351 | $1,351 | $1,135 | $1,622 | 39 |
| 99291 | CRITICAL CARE FIRST 30-74 MIN | $1,145 | $1,145 | $961 | $1,373 | 39 |
| 87633 | RESPIRATORY PANEL | $1,041 | $1,041 | $874 | $1,249 | 39 |
| 99285 | EMERGENCY ROOM LEVEL #5 | $927 | $927 | $778 | $1,112 | 39 |
| 81271 | HUNTINGTON DISEASE ANALYSIS (MAYO HAD) | $856 | $856 | $719 | $1,027 | 39 |
| 99284 | EMERGENCY ROOM LEVEL 4 | $763 | $763 | $641 | $916 | 39 |
| 92950 | CPR | $701 | $701 | $589 | $841 | 39 |
| 99292 | CRITICAL CARE EACH ADDTNL 30 MIN PROFESSIONAL FEE | $671 | $671 | $564 | $805 | 39 |
| 99282 | CRTCL CARE EACH ADDTNL 30 MIN | $639 | $639 | $537 | $767 | 39 |
| 32551 | TUBE THORACOSTOMY WITH OR W O WATER SEAL | $547 | $547 | $459 | $656 | 39 |
| J1610 | GLUCAGEN HYPOKIT | $470 | $470 | $395 | $564 | 39 |
| 72052 | CSPINE COMP. W/ FLEX & EXT | $459 | $459 | $386 | $551 | 39 |
| M0247 | INTRAVENOUS INFUSION, SOTROVIMAB, INCLUDES INFUSION AND POST ADMINISTRATION MONITORING | $450 | $450 | $378 | $540 | 39 |
| 99283 | EMERGENCY ROOM LEVEL #3 | $445 | $445 | $374 | $534 | 39 |
| 12004,ER | REPAIR, SIMPLE OF SUPERFICIAL WOUNDS OF SCALP, NECK AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREM | $405 | $405 | — | — | 0 |
| 12013,ER | SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE LIPS &/OR MUCOUS MEMBRANES; 2.6 CM | $380 | $380 | — | — | 0 |
| 72110 | L-SPINE COMPLETE 4+ VIEWS | $380 | $380 | $319 | $456 | 39 |
| 86255 | RFX DSDNA AB BY CRITHIDIA, IFA, IGG, S (MAYO) | $378 | $378 | $318 | $454 | 39 |
| M0239 | INTRAVENOUS INFUSION, BAMLANIVIMAB-XXXX, INCLUDES INFUSION AND POST ADMINISTRATION MONITORING | $375 | $375 | — | — | 0 |
| 72050 | C-SPINE COMP. W/ OBL. | $364 | $364 | $306 | $437 | 39 |
| 12002 | SIMPLE REPAIR 2.6 CM - 7.5 CM | $362 | $362 | $304 | $434 | 39 |
| 12004 | REPAIR, SIMPLE OF SUPERFICIAL WOUNDS OF SCALP, NECK AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREM | $357 | $357 | $300 | $429 | 39 |
| 12011,ER | REPAIR RECENT WOUND, SUPERFICIAL, <2.5 CM | $345 | $345 | — | — | 0 |
| 74022 | ACUTE ABDOMEN SERIES | $345 | $345 | $289 | $413 | 39 |
| 72074 | THORACIC SPINE COMPLETE | $337 | $337 | $283 | $405 | 39 |
| OT0001 | OCCUPATION THERAPY EVALUATION | $330 | $330 | — | — | 0 |
| 70330 | TM JOINT BILATERAL | $324 | $324 | $273 | $389 | 39 |
| 12013 | SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE LIPS &/OR MUCOUS MEMBRANES; 2.6 CM | $322 | $322 | $271 | $387 | 39 |
| 85598 | STACLOT LA, P | $320 | $320 | $269 | $384 | 39 |
| 80050 | GENERAL LAB PROFILE 80053/85025/84443 | $319 | $319 | $268 | $383 | 39 |
| 70260 | SKULL COMPLETE 4+ VIEWS | $318 | $318 | $267 | $382 | 39 |
| PHM00005197105 | PREVNAR 13 - PNUEMOVAX | $316 | $316 | — | — | 0 |
| 70150 | FACIAL BONES 3+ VIEWS | $314 | $314 | $264 | $377 | 39 |
| 86003 | SGIRAST ALLERGEN | $306 | $306 | $257 | $367 | 39 |
| 71130 | STERNOCLAVICULAR JOINT(S) 3 + VIEWS | $305 | $305 | $256 | $366 | 39 |
| ST00001 | EVALUATION OF ORAL AND PHARYNGEAL SWALLOWING FUNCTION | $305 | $305 | — | — | 0 |
| 72120 | L-SPINE BENDING ONLY 2-3 VIEWS | $305 | $305 | $256 | $365 | 39 |
| 70100 | MANDIBLE COMPLETE < 4 | $305 | $305 | $256 | $365 | 39 |
| 12011 | REPAIR RECENT WOUND, SUPERFICIAL, <2.5 CM | $304 | $304 | $255 | $365 | 39 |
| 71101 | RIBS - UNI. W/PA CHEST* 3+ VIEWS | $297 | $297 | $250 | $357 | 39 |
| 73502 | HIP (COMPLETE)* | $295 | $295 | $247 | $353 | 39 |
Showing top 50 of 20,697 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.