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
14,331
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
92221086
$79,278
PALIPERIDONE PALMIT 819MG SUSP
Gross
$79,278
92221093
$52,853
PALIPERIDONE PALMIT 150MG SUSP
Gross
$52,853
92220143
$52,304
INTERFERON BETA-1A30MCG/0.5ML
Gross
$52,304
92221111
$43,009
ARIPIPRAZOLE 960MG/3.2ML SYR
Gross
$43,009
92204042
$42,317
IV ADMIXTURE 42
Gross
$42,317
92218149
$38,134
SIMULECT 20MG INJ
Gross
$38,134
92215273
$37,129
ETHACRYNATE NA 50MG INJ
Gross
$37,129
92221112
$32,257
ARIPIPRAZOLE 720MG/2.4ML SYR
Gross
$32,257
92217325
$31,763
TERIPARATIDE 600MCG/2.4ML SOL
Gross
$31,763
92221078
$31,763
TERIPARATIDE 250MCG/ML PEN
Gross
$31,763
92220328
$31,558
FIDAXOMICIN 40 MG/ML SUS
Gross
$31,558
92218596
$29,196
TRASTUZUMAB 440 MG SOL
Gross
$29,196
92204048
$24,181
IV ADMIXTURE 48
Gross
$24,181
92220600
$21,658
DANTOLENE 250 MG PDR
Gross
$21,658
92221114
$21,505
ARIPIPRAZOLE 400 MG SYR
Gross
$21,505
92218511
$20,990
GAMUNEX-C 1 GM/10 ML INJ
Gross
$20,990
92221113
$16,129
ARIPIPRAZOLE 300 MG SYR
Gross
$16,129
74001052
$15,744
AORTOGRAM THORACIC W/SERIAL
Gross
$15,744
74000055
$15,712
ANGIO RENAL UNILATERAL RT
Gross
$15,712
74001022
$15,712
ANGIO RENAL UNILATERAL LT
Gross
$15,712
74001051
$15,358
AORTOGRAM THORACIC W/O SERIAL
Gross
$15,358
92211086
$15,134
LEUPROLIDE ACET 30MG KIT PI4
Gross
$15,134
74001021
$14,995
ANGIO RENAL SELECT BIL
Gross
$14,995
92219434
$14,628
VASOPRESSIN 20 UNITS/ML SOL
Gross
$14,628
61010204
$14,368
INSERT VENA CAVA FILTER
Gross
$14,368
74075940
$14,368
INSERT VENA CAVA FILTER
Gross
$14,368
61010104
$13,643
REVISION TRACHEOSTOMY SCAR
Gross
$13,643
92215649
$13,439
GOSERELIN ACET 10.8MG INJ
Gross
$13,439
92211207
$13,370
CALCITONIN 200U/ML INJ
Gross
$13,370
92219340
$13,159
CLINDAMYCIN PHOS 1% GEL
Gross
$13,159
74001023
$13,134
ANGIO VISCERAL SELECT
Gross
$13,134
92218906
$12,139
ALBUMIN HUMAN 5% SOL 50ML
Gross
$12,139
74001018
$12,113
ANGIO PELVIC SELECTIVE
Gross
$12,113
92218343
$11,869
VELCADE 3.5 MG VIAL
Gross
$11,869
61010228
$11,626
REMV IMPLT/HARDWARE DEEP
Gross
$11,626
74001019
$11,062
ANGIO PULMONARY SELECT BIL
Gross
$11,062
92216052
$11,047
ETANERCEPT 50MG/ML SOL
Gross
$11,047
92220508
$10,906
BRIVARACETAM 10 MG/ML IVS
Gross
$10,906
92217874
$10,775
INTERFERON BETA-1A KIT
Gross
$10,775
92215588
$10,485
OMALIZUMAB 150MG PDS
Gross
$10,485
92211646
$10,456
CYTOGAM 2.5GM INJ
Gross
$10,456
92215387
$10,272
DROTRECOGIN ALFA 20MG PDS
Gross
$10,272
74001011
$9,891
ANGIO SPINAL SELECTIVE
Gross
$9,891
92218510
$9,877
AVONEX 30 MCG/0.5 ML INJ
Gross
$9,877
61010310
$9,784
INSERT DUOD/JTUBE PERC FLUORO
Gross
$9,784
61010015
$9,637
SKINSPLT AGRFT T/A/L 1ST 100CM
Gross
$9,637
74001016
$9,361
ANGIO EXTREMITY BILATERAL
Gross
$9,361
61010232
$9,355
INSERT INTRAPERI CATH TUN PERC
Gross
$9,355
92217475
$9,239
LEUPROLIDE ACET 22.5MG KIT PI3
Gross
$9,239
61010225
$9,016
BIOPSY/EXCISION LYMPHNODES OPN
Gross
$9,016
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 92221086 | PALIPERIDONE PALMIT 819MG SUSP | $79,278 | $79,278 | — | — | 0 |
| 92221093 | PALIPERIDONE PALMIT 150MG SUSP | $52,853 | $52,853 | — | — | 0 |
| 92220143 | INTERFERON BETA-1A30MCG/0.5ML | $52,304 | $52,304 | — | — | 0 |
| 92221111 | ARIPIPRAZOLE 960MG/3.2ML SYR | $43,009 | $43,009 | — | — | 0 |
| 92204042 | IV ADMIXTURE 42 | $42,317 | $42,317 | — | — | 0 |
| 92218149 | SIMULECT 20MG INJ | $38,134 | $38,134 | — | — | 0 |
| 92215273 | ETHACRYNATE NA 50MG INJ | $37,129 | $37,129 | — | — | 0 |
| 92221112 | ARIPIPRAZOLE 720MG/2.4ML SYR | $32,257 | $32,257 | — | — | 0 |
| 92217325 | TERIPARATIDE 600MCG/2.4ML SOL | $31,763 | $31,763 | — | — | 0 |
| 92221078 | TERIPARATIDE 250MCG/ML PEN | $31,763 | $31,763 | — | — | 0 |
| 92220328 | FIDAXOMICIN 40 MG/ML SUS | $31,558 | $31,558 | — | — | 0 |
| 92218596 | TRASTUZUMAB 440 MG SOL | $29,196 | $29,196 | — | — | 0 |
| 92204048 | IV ADMIXTURE 48 | $24,181 | $24,181 | — | — | 0 |
| 92220600 | DANTOLENE 250 MG PDR | $21,658 | $21,658 | — | — | 0 |
| 92221114 | ARIPIPRAZOLE 400 MG SYR | $21,505 | $21,505 | — | — | 0 |
| 92218511 | GAMUNEX-C 1 GM/10 ML INJ | $20,990 | $20,990 | — | — | 0 |
| 92221113 | ARIPIPRAZOLE 300 MG SYR | $16,129 | $16,129 | — | — | 0 |
| 74001052 | AORTOGRAM THORACIC W/SERIAL | $15,744 | $15,744 | — | — | 0 |
| 74000055 | ANGIO RENAL UNILATERAL RT | $15,712 | $15,712 | — | — | 0 |
| 74001022 | ANGIO RENAL UNILATERAL LT | $15,712 | $15,712 | — | — | 0 |
| 74001051 | AORTOGRAM THORACIC W/O SERIAL | $15,358 | $15,358 | — | — | 0 |
| 92211086 | LEUPROLIDE ACET 30MG KIT PI4 | $15,134 | $15,134 | — | — | 0 |
| 74001021 | ANGIO RENAL SELECT BIL | $14,995 | $14,995 | — | — | 0 |
| 92219434 | VASOPRESSIN 20 UNITS/ML SOL | $14,628 | $14,628 | — | — | 0 |
| 61010204 | INSERT VENA CAVA FILTER | $14,368 | $14,368 | — | — | 0 |
| 74075940 | INSERT VENA CAVA FILTER | $14,368 | $14,368 | — | — | 0 |
| 61010104 | REVISION TRACHEOSTOMY SCAR | $13,643 | $13,643 | — | — | 0 |
| 92215649 | GOSERELIN ACET 10.8MG INJ | $13,439 | $13,439 | — | — | 0 |
| 92211207 | CALCITONIN 200U/ML INJ | $13,370 | $13,370 | — | — | 0 |
| 92219340 | CLINDAMYCIN PHOS 1% GEL | $13,159 | $13,159 | — | — | 0 |
| 74001023 | ANGIO VISCERAL SELECT | $13,134 | $13,134 | — | — | 0 |
| 92218906 | ALBUMIN HUMAN 5% SOL 50ML | $12,139 | $12,139 | — | — | 0 |
| 74001018 | ANGIO PELVIC SELECTIVE | $12,113 | $12,113 | — | — | 0 |
| 92218343 | VELCADE 3.5 MG VIAL | $11,869 | $11,869 | — | — | 0 |
| 61010228 | REMV IMPLT/HARDWARE DEEP | $11,626 | $11,626 | — | — | 0 |
| 74001019 | ANGIO PULMONARY SELECT BIL | $11,062 | $11,062 | — | — | 0 |
| 92216052 | ETANERCEPT 50MG/ML SOL | $11,047 | $11,047 | — | — | 0 |
| 92220508 | BRIVARACETAM 10 MG/ML IVS | $10,906 | $10,906 | — | — | 0 |
| 92217874 | INTERFERON BETA-1A KIT | $10,775 | $10,775 | — | — | 0 |
| 92215588 | OMALIZUMAB 150MG PDS | $10,485 | $10,485 | — | — | 0 |
| 92211646 | CYTOGAM 2.5GM INJ | $10,456 | $10,456 | — | — | 0 |
| 92215387 | DROTRECOGIN ALFA 20MG PDS | $10,272 | $10,272 | — | — | 0 |
| 74001011 | ANGIO SPINAL SELECTIVE | $9,891 | $9,891 | — | — | 0 |
| 92218510 | AVONEX 30 MCG/0.5 ML INJ | $9,877 | $9,877 | — | — | 0 |
| 61010310 | INSERT DUOD/JTUBE PERC FLUORO | $9,784 | $9,784 | — | — | 0 |
| 61010015 | SKINSPLT AGRFT T/A/L 1ST 100CM | $9,637 | $9,637 | — | — | 0 |
| 74001016 | ANGIO EXTREMITY BILATERAL | $9,361 | $9,361 | — | — | 0 |
| 61010232 | INSERT INTRAPERI CATH TUN PERC | $9,355 | $9,355 | — | — | 0 |
| 92217475 | LEUPROLIDE ACET 22.5MG KIT PI3 | $9,239 | $9,239 | — | — | 0 |
| 61010225 | BIOPSY/EXCISION LYMPHNODES OPN | $9,016 | $9,016 | — | — | 0 |
Showing top 50 of 14,331 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.