45 CFR § 180 compliance
F · 50
This hospital published little 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
6,111
Insurances with rates
24
CPT / HCPCS codes
8
Most expensive procedures (gross)
51759096010
—
RISPERIDONE
Gross
$6,785
51759085010
—
RISPERIDONE
Gross
$5,430
65757040403
—
ARIPIPRAZOLE LAUROXI
Gross
$3,833
51759063010
—
RISPERIDONE
Gross
$3,350
50458056201
—
PALIPERIDONE PALMITA
Gross
$3,331
65757040303
—
ARIPIPRAZOLE LAUROXI
Gross
$3,178
51759052010
—
RISPERIDONE
Gross
$2,680
12496012001
—
RISPERIDONE
Gross
$2,500
65757050003
—
ARIPIPRAZOLE LAUROXI
Gross
$2,434
65757040203
—
ARIPIPRAZOLE LAUROXI
Gross
$2,388
42367054032
—
RYANODEX INJ 250MG 5
Gross
$2,345
65757030001
—
NALTREXONE MICROSPHE
Gross
$2,188
50458056301
—
INVEGA SUSTENNA 156M
Gross
$2,169
50458056401
—
INVEGA SUSTENNA 234M
Gross
$2,169
12496009001
—
RISPERIDONE
Gross
$2,000
124
$600
ROOM AND BOARD ADOLESCENT ACUTE
Gross
$1,860
126
$600
ROOM AND BOARD ADULT DETOX
Gross
$1,860
50458030811
—
RISPERIDONE MICROSPH
Gross
$1,503
50458056101
—
PALIPERIDONE PALMITA
Gross
$1,418
65757040103
—
ARIPIPRAZOLE LAUROXI
Gross
$1,226
58406045504
—
ETANERCEPT
Gross
$1,145
74055402
—
ADALIMUMAB
Gross
$981
55513092491
—
FILGRASTIM
Gross
$973
57962042028
—
IBRUTINIB
Gross
$907
85412027383
—
VIAL-MATE ADP HSP 2B
Gross
$865
50458030611
—
RISPERIDONE MICROSPH
Gross
$780
2150680
—
TIRZEPATIDE
Gross
$756
64896066930
—
MEBENDAZOLE
Gross
$750
50458056001
—
PALIPERIDONE PALMITA
Gross
$744
60793070204
—
PENICILLIN G BENZATH
Gross
$735
42494041603
—
PHENOBARBITAL SODIUM
Gross
$620
72124000202
—
ACLIDINIUM BROMIDE
Gross
$597
85138300317
—
VASHE WOUND INSTILL
Gross
$572
59310081206
—
FLUTICASONE PROPION/
Gross
$563
187065920
—
DIAZEPAM
Gross
$554
81284052201
—
PENICILLIN G BENZATH
Gross
$518
50632001001
—
RABIES VACCINE (PCEC
Gross
$500
905
$200
INTENSIVE OUTPATIENT PROGRAM
Gross
$480
58160096412
—
RABIES VACCINE (PCEC
Gross
$465
169418113
—
SEMAGLUTIDE
Gross
$459
50484049200
—
BENZETHONIUM CHLORID
Gross
$455
378806790
—
GLUCAGON
Gross
$420
72511075001
—
EVOLOCUMAB
Gross
$410
85461005
—
MOMETASONE/FORMOTERO
Gross
$408
85720607
—
MOMETASONE/FORMOTERO
Gross
$408
50458030911
—
RISPERIDONE MICROSPH
Gross
$380
597026010
—
GLUCAGON,HUMAN RECOM
Gross
$380
43528000305
—
HEPATITIS B VACCINE/
Gross
$376
45802096126
—
CLOBETASOL PROPIONAT
Gross
$370
68682065220
—
DIAZEPAM
Gross
$353
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 51759096010 | RISPERIDONE | $6,785 | — | — | — | 0 |
| 51759085010 | RISPERIDONE | $5,430 | — | — | — | 0 |
| 65757040403 | ARIPIPRAZOLE LAUROXI | $3,833 | — | — | — | 0 |
| 51759063010 | RISPERIDONE | $3,350 | — | — | — | 0 |
| 50458056201 | PALIPERIDONE PALMITA | $3,331 | — | — | — | 0 |
| 65757040303 | ARIPIPRAZOLE LAUROXI | $3,178 | — | — | — | 0 |
| 51759052010 | RISPERIDONE | $2,680 | — | — | — | 0 |
| 12496012001 | RISPERIDONE | $2,500 | — | — | — | 0 |
| 65757050003 | ARIPIPRAZOLE LAUROXI | $2,434 | — | — | — | 0 |
| 65757040203 | ARIPIPRAZOLE LAUROXI | $2,388 | — | — | — | 0 |
| 42367054032 | RYANODEX INJ 250MG 5 | $2,345 | — | — | — | 0 |
| 65757030001 | NALTREXONE MICROSPHE | $2,188 | — | — | — | 0 |
| 50458056301 | INVEGA SUSTENNA 156M | $2,169 | — | — | — | 0 |
| 50458056401 | INVEGA SUSTENNA 234M | $2,169 | — | — | — | 0 |
| 12496009001 | RISPERIDONE | $2,000 | — | — | — | 0 |
| 124 | ROOM AND BOARD ADOLESCENT ACUTE | $1,860 | $600 | — | — | 60 |
| 126 | ROOM AND BOARD ADULT DETOX | $1,860 | $600 | — | — | 34 |
| 50458030811 | RISPERIDONE MICROSPH | $1,503 | — | — | — | 0 |
| 50458056101 | PALIPERIDONE PALMITA | $1,418 | — | — | — | 0 |
| 65757040103 | ARIPIPRAZOLE LAUROXI | $1,226 | — | — | — | 0 |
| 58406045504 | ETANERCEPT | $1,145 | — | — | — | 0 |
| 74055402 | ADALIMUMAB | $981 | — | — | — | 0 |
| 55513092491 | FILGRASTIM | $973 | — | — | — | 0 |
| 57962042028 | IBRUTINIB | $907 | — | — | — | 0 |
| 85412027383 | VIAL-MATE ADP HSP 2B | $865 | — | — | — | 0 |
| 50458030611 | RISPERIDONE MICROSPH | $780 | — | — | — | 0 |
| 2150680 | TIRZEPATIDE | $756 | — | — | — | 0 |
| 64896066930 | MEBENDAZOLE | $750 | — | — | — | 0 |
| 50458056001 | PALIPERIDONE PALMITA | $744 | — | — | — | 0 |
| 60793070204 | PENICILLIN G BENZATH | $735 | — | — | — | 0 |
| 42494041603 | PHENOBARBITAL SODIUM | $620 | — | — | — | 0 |
| 72124000202 | ACLIDINIUM BROMIDE | $597 | — | — | — | 0 |
| 85138300317 | VASHE WOUND INSTILL | $572 | — | — | — | 0 |
| 59310081206 | FLUTICASONE PROPION/ | $563 | — | — | — | 0 |
| 187065920 | DIAZEPAM | $554 | — | — | — | 0 |
| 81284052201 | PENICILLIN G BENZATH | $518 | — | — | — | 0 |
| 50632001001 | RABIES VACCINE (PCEC | $500 | — | — | — | 0 |
| 905 | INTENSIVE OUTPATIENT PROGRAM | $480 | $200 | — | — | 32 |
| 58160096412 | RABIES VACCINE (PCEC | $465 | — | — | — | 0 |
| 169418113 | SEMAGLUTIDE | $459 | — | — | — | 0 |
| 50484049200 | BENZETHONIUM CHLORID | $455 | — | — | — | 0 |
| 378806790 | GLUCAGON | $420 | — | — | — | 0 |
| 72511075001 | EVOLOCUMAB | $410 | — | — | — | 0 |
| 85461005 | MOMETASONE/FORMOTERO | $408 | — | — | — | 0 |
| 85720607 | MOMETASONE/FORMOTERO | $408 | — | — | — | 0 |
| 50458030911 | RISPERIDONE MICROSPH | $380 | — | — | — | 0 |
| 597026010 | GLUCAGON,HUMAN RECOM | $380 | — | — | — | 0 |
| 43528000305 | HEPATITIS B VACCINE/ | $376 | — | — | — | 0 |
| 45802096126 | CLOBETASOL PROPIONAT | $370 | — | — | — | 0 |
| 68682065220 | DIAZEPAM | $353 | — | — | — | 0 |
Showing top 50 of 6,111 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.