45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
14,620
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
92221086
$79,663
PALIPERIDONE PALMIT 819MG SUSP
Gross
$79,663
92221093
$53,110
PALIPERIDONE PALMIT 150MG SUSP
Gross
$53,110
92220143
$52,558
INTERFERON BETA-1A30MCG/0.5ML
Gross
$52,558
92221111
$43,218
ARIPIPRAZOLE 960MG/3.2ML SYR
Gross
$43,218
92218149
$39,432
SIMULECT 20MG INJ
Gross
$39,432
92215273
$37,309
ETHACRYNATE NA 50MG INJ
Gross
$37,309
92221112
$32,413
ARIPIPRAZOLE 720MG/2.4ML SYR
Gross
$32,413
92217325
$31,917
TERIPARATIDE 600MCG/2.4ML SOL
Gross
$31,917
92221078
$31,917
TERIPARATIDE 250MCG/ML PEN
Gross
$31,917
92220328
$31,711
FIDAXOMICIN 40 MG/ML SUS
Gross
$31,711
92218596
$29,338
TRASTUZUMAB 440 MG SOL
Gross
$29,338
11604990
$25,275
AMPUTATION (AKA)
Gross
$25,275
11600701
$22,380
DEBRIDEMENT-SKIN
Gross
$22,380
92220600
$21,763
DANTOLENE 250 MG PDR
Gross
$21,763
92221114
$21,609
ARIPIPRAZOLE 400 MG SYR
Gross
$21,609
92218511
$21,092
GAMUNEX-C 1 GM/10 ML INJ
Gross
$21,092
11604971
$19,416
INSERTION OF GROSHONG
Gross
$19,416
92221113
$16,207
ARIPIPRAZOLE 300 MG SYR
Gross
$16,207
61010236
$15,600
PERITONL DRAIN CATH TRNREC/VGN
Gross
$15,600
11600190
$15,491
EGD
Gross
$15,491
92211086
$15,208
LEUPROLIDE ACET 30MG KIT PI4
Gross
$15,208
11600120
$15,148
TRACHEOSTOMY
Gross
$15,148
92219434
$14,698
VASOPRESSIN 20 UNITS/ML SOL
Gross
$14,698
92215649
$13,504
GOSERELIN ACET 10.8MG INJ
Gross
$13,504
92211207
$13,435
CALCITONIN 200U/ML INJ
Gross
$13,435
11600161
$13,282
BRONCHOSCOPY PRO
Gross
$13,282
92219340
$13,223
CLINDAMYCIN PHOS 1% GEL
Gross
$13,223
11600512
$13,205
EGD W/ PEG TUBE INSERTION
Gross
$13,205
92218906
$12,199
ALBUMIN HUMAN 5% SOL 50ML
Gross
$12,199
92218343
$11,926
VELCADE 3.5 MG VIAL
Gross
$11,926
61010204
$11,619
INSERT VENA CAVA FILTER
Gross
$11,619
74075940
$11,619
INSERT VENA CAVA FILTER
Gross
$11,619
74001021
$11,189
ANGIO RENAL SELECT BIL
Gross
$11,189
92216052
$11,101
ETANERCEPT 50MG/ML SOL
Gross
$11,101
92220508
$10,959
BRIVARACETAM 10 MG/ML IVS
Gross
$10,959
92217874
$10,827
INTERFERON BETA-1A KIT
Gross
$10,827
61010104
$10,774
REVISION TRACHEOSTOMY SCAR
Gross
$10,774
61010222
$10,624
INSERT TESIO CATHETER
Gross
$10,624
92215387
$10,622
DROTRECOGIN ALFA 20MG PDS
Gross
$10,622
92215588
$10,536
OMALIZUMAB 150MG PDS
Gross
$10,536
11600130
$10,529
WOUND DEBRIDEMENT, CLOSUR
Gross
$10,529
92211646
$10,507
CYTOGAM 2.5GM INJ
Gross
$10,507
92218510
$10,213
AVONEX 30 MCG/0.5 ML INJ
Gross
$10,213
11600528
$10,205
EXC LESION-TRNK/EXT 1.1-2.0CM
Gross
$10,205
61010228
$9,672
REMV IMPLT/HARDWARE DEEP
Gross
$9,672
92217475
$9,284
LEUPROLIDE ACET 22.5MG KIT PI3
Gross
$9,284
61010314
$9,246
TRACHEOSTOMY
Gross
$9,246
11600032
$9,005
J-TUBE PLACEMENT
Gross
$9,005
76080032
$8,880
PET TUMOR W/CT WHOLE BODY
Gross
$8,880
11600100
$8,735
THORACENTESIS
Gross
$8,735
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 92221086 | PALIPERIDONE PALMIT 819MG SUSP | $79,663 | $79,663 | — | — | 0 |
| 92221093 | PALIPERIDONE PALMIT 150MG SUSP | $53,110 | $53,110 | — | — | 0 |
| 92220143 | INTERFERON BETA-1A30MCG/0.5ML | $52,558 | $52,558 | — | — | 0 |
| 92221111 | ARIPIPRAZOLE 960MG/3.2ML SYR | $43,218 | $43,218 | — | — | 0 |
| 92218149 | SIMULECT 20MG INJ | $39,432 | $39,432 | — | — | 0 |
| 92215273 | ETHACRYNATE NA 50MG INJ | $37,309 | $37,309 | — | — | 0 |
| 92221112 | ARIPIPRAZOLE 720MG/2.4ML SYR | $32,413 | $32,413 | — | — | 0 |
| 92217325 | TERIPARATIDE 600MCG/2.4ML SOL | $31,917 | $31,917 | — | — | 0 |
| 92221078 | TERIPARATIDE 250MCG/ML PEN | $31,917 | $31,917 | — | — | 0 |
| 92220328 | FIDAXOMICIN 40 MG/ML SUS | $31,711 | $31,711 | — | — | 0 |
| 92218596 | TRASTUZUMAB 440 MG SOL | $29,338 | $29,338 | — | — | 0 |
| 11604990 | AMPUTATION (AKA) | $25,275 | $25,275 | — | — | 0 |
| 11600701 | DEBRIDEMENT-SKIN | $22,380 | $22,380 | — | — | 0 |
| 92220600 | DANTOLENE 250 MG PDR | $21,763 | $21,763 | — | — | 0 |
| 92221114 | ARIPIPRAZOLE 400 MG SYR | $21,609 | $21,609 | — | — | 0 |
| 92218511 | GAMUNEX-C 1 GM/10 ML INJ | $21,092 | $21,092 | — | — | 0 |
| 11604971 | INSERTION OF GROSHONG | $19,416 | $19,416 | — | — | 0 |
| 92221113 | ARIPIPRAZOLE 300 MG SYR | $16,207 | $16,207 | — | — | 0 |
| 61010236 | PERITONL DRAIN CATH TRNREC/VGN | $15,600 | $15,600 | — | — | 0 |
| 11600190 | EGD | $15,491 | $15,491 | — | — | 0 |
| 92211086 | LEUPROLIDE ACET 30MG KIT PI4 | $15,208 | $15,208 | — | — | 0 |
| 11600120 | TRACHEOSTOMY | $15,148 | $15,148 | — | — | 0 |
| 92219434 | VASOPRESSIN 20 UNITS/ML SOL | $14,698 | $14,698 | — | — | 0 |
| 92215649 | GOSERELIN ACET 10.8MG INJ | $13,504 | $13,504 | — | — | 0 |
| 92211207 | CALCITONIN 200U/ML INJ | $13,435 | $13,435 | — | — | 0 |
| 11600161 | BRONCHOSCOPY PRO | $13,282 | $13,282 | — | — | 0 |
| 92219340 | CLINDAMYCIN PHOS 1% GEL | $13,223 | $13,223 | — | — | 0 |
| 11600512 | EGD W/ PEG TUBE INSERTION | $13,205 | $13,205 | — | — | 0 |
| 92218906 | ALBUMIN HUMAN 5% SOL 50ML | $12,199 | $12,199 | — | — | 0 |
| 92218343 | VELCADE 3.5 MG VIAL | $11,926 | $11,926 | — | — | 0 |
| 61010204 | INSERT VENA CAVA FILTER | $11,619 | $11,619 | — | — | 0 |
| 74075940 | INSERT VENA CAVA FILTER | $11,619 | $11,619 | — | — | 0 |
| 74001021 | ANGIO RENAL SELECT BIL | $11,189 | $11,189 | — | — | 0 |
| 92216052 | ETANERCEPT 50MG/ML SOL | $11,101 | $11,101 | — | — | 0 |
| 92220508 | BRIVARACETAM 10 MG/ML IVS | $10,959 | $10,959 | — | — | 0 |
| 92217874 | INTERFERON BETA-1A KIT | $10,827 | $10,827 | — | — | 0 |
| 61010104 | REVISION TRACHEOSTOMY SCAR | $10,774 | $10,774 | — | — | 0 |
| 61010222 | INSERT TESIO CATHETER | $10,624 | $10,624 | — | — | 0 |
| 92215387 | DROTRECOGIN ALFA 20MG PDS | $10,622 | $10,622 | — | — | 0 |
| 92215588 | OMALIZUMAB 150MG PDS | $10,536 | $10,536 | — | — | 0 |
| 11600130 | WOUND DEBRIDEMENT, CLOSUR | $10,529 | $10,529 | — | — | 0 |
| 92211646 | CYTOGAM 2.5GM INJ | $10,507 | $10,507 | — | — | 0 |
| 92218510 | AVONEX 30 MCG/0.5 ML INJ | $10,213 | $10,213 | — | — | 0 |
| 11600528 | EXC LESION-TRNK/EXT 1.1-2.0CM | $10,205 | $10,205 | — | — | 0 |
| 61010228 | REMV IMPLT/HARDWARE DEEP | $9,672 | $9,672 | — | — | 0 |
| 92217475 | LEUPROLIDE ACET 22.5MG KIT PI3 | $9,284 | $9,284 | — | — | 0 |
| 61010314 | TRACHEOSTOMY | $9,246 | $9,246 | — | — | 0 |
| 11600032 | J-TUBE PLACEMENT | $9,005 | $9,005 | — | — | 0 |
| 76080032 | PET TUMOR W/CT WHOLE BODY | $8,880 | $8,880 | — | — | 0 |
| 11600100 | THORACENTESIS | $8,735 | $8,735 | — | — | 0 |
Showing top 50 of 14,620 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.