45 CFR § 180 compliance
C · 70
This hospital published part 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: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
658
Insurances with rates
47
CPT / HCPCS codes
0
Most expensive procedures (gross)
41783427
—
paliperidone 234 mg/1.5 mL Sus
Gross
$24,351
41793450
—
risperiDONE 120 mg SubQ inj (C
Gross
$20,292
41783429
—
ARIPiprazole 400 mg Inj (Charg
Gross
$19,739
41783428
—
paliperidone 156 mg/mL Susp-ER
Gross
$16,235
41793449
—
risperiDONE 90 mg SubQ inj (Ch
Gross
$15,219
41793446
—
paliperidone 117 mg/mL Susp-ER
Gross
$12,176
41782007
—
risperiDONE 50 mg/2 weeks IM I
Gross
$8,605
41793441
—
ARIPiprazole INITIO 675 mg/2.4
Gross
$6,896
41793444
—
ARIPiprazole 662 mg/2.4 mL IM
Gross
$6,763
41793443
—
ARIPiprazole 882 mg/3.2 mL IM
Gross
$6,758
41781752
—
risperiDONE 25 mg/2 weeks IM I
Gross
$4,302
30330064
—
ROOM/BED: Adult Psych
Gross
$2,300
30330024
—
ROOM/BED: Detox PHX
Gross
$2,200
30330010
—
ROOM/BED: Child Psych
Gross
$2,100
41765678
—
fluPHENAZine decanoate 25 mg/m
Gross
$1,457
41756503
—
acyclovir Top 5% Oint
Gross
$924
41765108
—
fluticasone-salmeterol 250 mcg
Gross
$834
41783066
—
budesonide-formoterol 160 mcg-
Gross
$823
41775112
—
SUMAtriptan 6 mg/0.5 mL SubQ S
Gross
$774
41764804
—
fluticasone-salmeterol 100 mcg
Gross
$725
41420209
—
XR Abdomen 2 View
Gross
$670
43010070
—
Intensive Outpatient- MM
Gross
$660
43010073
—
IOP Group Therapy- HMO
Gross
$660
43010075
—
IOP Group Therapy- MA PD
Gross
$660
43010071
—
Partial Hospitalization- MM
Gross
$660
43010083
—
PHP Group Therapy- HMO
Gross
$660
41793442
—
haloperidol decanoate 100 mg/m
Gross
$560
41741000
—
enoxaparin 60 mg/0.6 mL SC Sol
Gross
$545
41421207
—
XR Chest 2 Views
Gross
$531
41783468
—
formoterol-mometasone 5 mcg-20
Gross
$520
41783456
—
formoterol-mometasone 5 mcg-50
Gross
$520
40610770
—
Comprehensive Metabolic Panel
Gross
$475
40612555
—
PHX Comprehensive Metabolic Pa
Gross
$475
41795087
—
ciprofloxacin Opth 0.3% Oint
Gross
$436
41783395
—
ciprofloxacin-dexamethasone ot
Gross
$405
41783466
—
valbenazine 40 mg Cap (Non-For
Gross
$400
41420308
—
XR Ng Tube To Check Placement
Gross
$394
41723390
—
haloperidol decanoate 50 mg/mL
Gross
$387
41781808
—
moxifloxacin 0.5% Opth Sol
Gross
$387
40610315
—
Basic Metabolic Panel
Gross
$375
41421157
—
XR Chest Portable
Gross
$365
40611430
—
Hepatic Function Panel
Gross
$320
41780701
—
ziprasidone 20 mg IM Inj
Gross
$318
41795288
—
mupirocin Top 2% Oint
Gross
$315
41709890
—
polymyxin B-trimethoprim Opth
Gross
$312
40610297
—
Beta Human Chorionic Gonadotro
Gross
$300
41700138
—
bismuth subsalicylate 524 mg/3
Gross
$300
41783274
—
bictegravir/emtricitabine/teno
Gross
$275
41750902
—
fluticasone CFC free 220 mcg/i
Gross
$267
41700188
—
prednisoLONE Opth acetate 1% S
Gross
$264
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 41783427 | paliperidone 234 mg/1.5 mL Sus | $24,351 | — | — | — | 9 |
| 41793450 | risperiDONE 120 mg SubQ inj (C | $20,292 | — | — | — | 3 |
| 41783429 | ARIPiprazole 400 mg Inj (Charg | $19,739 | — | — | — | 4 |
| 41783428 | paliperidone 156 mg/mL Susp-ER | $16,235 | — | — | — | 8 |
| 41793449 | risperiDONE 90 mg SubQ inj (Ch | $15,219 | — | — | — | 1 |
| 41793446 | paliperidone 117 mg/mL Susp-ER | $12,176 | — | — | — | 4 |
| 41782007 | risperiDONE 50 mg/2 weeks IM I | $8,605 | — | — | — | 1 |
| 41793441 | ARIPiprazole INITIO 675 mg/2.4 | $6,896 | — | — | — | 1 |
| 41793444 | ARIPiprazole 662 mg/2.4 mL IM | $6,763 | — | — | — | 1 |
| 41793443 | ARIPiprazole 882 mg/3.2 mL IM | $6,758 | — | — | — | 4 |
| 41781752 | risperiDONE 25 mg/2 weeks IM I | $4,302 | — | — | — | 1 |
| 30330064 | ROOM/BED: Adult Psych | $2,300 | — | — | — | 48 |
| 30330024 | ROOM/BED: Detox PHX | $2,200 | — | — | — | 31 |
| 30330010 | ROOM/BED: Child Psych | $2,100 | — | — | — | 12 |
| 41765678 | fluPHENAZine decanoate 25 mg/m | $1,457 | — | — | — | 11 |
| 41756503 | acyclovir Top 5% Oint | $924 | — | — | — | 1 |
| 41765108 | fluticasone-salmeterol 250 mcg | $834 | — | — | — | 1 |
| 41783066 | budesonide-formoterol 160 mcg- | $823 | — | — | — | 1 |
| 41775112 | SUMAtriptan 6 mg/0.5 mL SubQ S | $774 | — | — | — | 2 |
| 41764804 | fluticasone-salmeterol 100 mcg | $725 | — | — | — | 1 |
| 41420209 | XR Abdomen 2 View | $670 | — | — | — | 1 |
| 43010070 | Intensive Outpatient- MM | $660 | — | — | — | 9 |
| 43010073 | IOP Group Therapy- HMO | $660 | — | — | — | 2 |
| 43010075 | IOP Group Therapy- MA PD | $660 | — | — | — | 1 |
| 43010071 | Partial Hospitalization- MM | $660 | — | — | — | 1 |
| 43010083 | PHP Group Therapy- HMO | $660 | — | — | — | 1 |
| 41793442 | haloperidol decanoate 100 mg/m | $560 | — | — | — | 15 |
| 41741000 | enoxaparin 60 mg/0.6 mL SC Sol | $545 | — | — | — | 1 |
| 41421207 | XR Chest 2 Views | $531 | — | — | — | 1 |
| 41783468 | formoterol-mometasone 5 mcg-20 | $520 | — | — | — | 13 |
| 41783456 | formoterol-mometasone 5 mcg-50 | $520 | — | — | — | 1 |
| 40610770 | Comprehensive Metabolic Panel | $475 | — | — | — | 27 |
| 40612555 | PHX Comprehensive Metabolic Pa | $475 | — | — | — | 50 |
| 41795087 | ciprofloxacin Opth 0.3% Oint | $436 | — | — | — | 1 |
| 41783395 | ciprofloxacin-dexamethasone ot | $405 | — | — | — | 2 |
| 41783466 | valbenazine 40 mg Cap (Non-For | $400 | — | — | — | 2 |
| 41420308 | XR Ng Tube To Check Placement | $394 | — | — | — | 1 |
| 41723390 | haloperidol decanoate 50 mg/mL | $387 | — | — | — | 5 |
| 41781808 | moxifloxacin 0.5% Opth Sol | $387 | — | — | — | 1 |
| 40610315 | Basic Metabolic Panel | $375 | — | — | — | 6 |
| 41421157 | XR Chest Portable | $365 | — | — | — | 1 |
| 40611430 | Hepatic Function Panel | $320 | — | — | — | 4 |
| 41780701 | ziprasidone 20 mg IM Inj | $318 | — | — | — | 13 |
| 41795288 | mupirocin Top 2% Oint | $315 | — | — | — | 3 |
| 41709890 | polymyxin B-trimethoprim Opth | $312 | — | — | — | 2 |
| 40610297 | Beta Human Chorionic Gonadotro | $300 | — | — | — | 2 |
| 41700138 | bismuth subsalicylate 524 mg/3 | $300 | — | — | — | 2 |
| 41783274 | bictegravir/emtricitabine/teno | $275 | — | — | — | 13 |
| 41750902 | fluticasone CFC free 220 mcg/i | $267 | — | — | — | 2 |
| 41700188 | prednisoLONE Opth acetate 1% S | $264 | — | — | — | 1 |
Showing top 50 of 658 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.