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
14,493
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
92221086
$72,982
PALIPERIDONE PALMIT 819MG SUSP
Gross
$72,982
92221093
$48,656
PALIPERIDONE PALMIT 150MG SUSP
Gross
$48,656
92220143
$48,150
INTERFERON BETA-1A30MCG/0.5ML
Gross
$48,150
92221111
$39,593
ARIPIPRAZOLE 960MG/3.2ML SYR
Gross
$39,593
92218149
$35,786
SIMULECT 20MG INJ
Gross
$35,786
92215273
$34,180
ETHACRYNATE NA 50MG INJ
Gross
$34,180
92221112
$29,695
ARIPIPRAZOLE 720MG/2.4ML SYR
Gross
$29,695
92217325
$29,240
TERIPARATIDE 600MCG/2.4ML SOL
Gross
$29,240
92221078
$29,240
TERIPARATIDE 250MCG/ML PEN
Gross
$29,240
92220328
$29,051
FIDAXOMICIN 40 MG/ML SUS
Gross
$29,051
92218596
$26,877
TRASTUZUMAB 440 MG SOL
Gross
$26,877
92220600
$19,938
DANTOLENE 250 MG PDR
Gross
$19,938
92221114
$19,797
ARIPIPRAZOLE 400 MG SYR
Gross
$19,797
92218511
$19,323
GAMUNEX-C 1 GM/10 ML INJ
Gross
$19,323
74000055
$18,326
ANGIO RENAL UNILATERAL RT
Gross
$18,326
74001022
$18,326
ANGIO RENAL UNILATERAL LT
Gross
$18,326
92221113
$14,848
ARIPIPRAZOLE 300 MG SYR
Gross
$14,848
76020002
$14,828
IN-111 OXYQUINOLINE PER.5MCI
Gross
$14,828
74001021
$13,957
ANGIO RENAL SELECT BIL
Gross
$13,957
92211086
$13,933
LEUPROLIDE ACET 30MG KIT PI4
Gross
$13,933
61010222
$13,594
INSERT TESIO CATHETER
Gross
$13,594
92219434
$13,466
VASOPRESSIN 20 UNITS/ML SOL
Gross
$13,466
92215649
$12,371
GOSERELIN ACET 10.8MG INJ
Gross
$12,371
92211207
$12,308
CALCITONIN 200U/ML INJ
Gross
$12,308
92219340
$12,114
CLINDAMYCIN PHOS 1% GEL
Gross
$12,114
33106961
$11,998
MESH VICRYL KNITTED 12x12
Gross
$11,998
61010204
$11,787
INSERT VENA CAVA FILTER
Gross
$11,787
74075940
$11,787
INSERT VENA CAVA FILTER
Gross
$11,787
92218906
$11,175
ALBUMIN HUMAN 5% SOL 50ML
Gross
$11,175
92218343
$10,926
VELCADE 3.5 MG VIAL
Gross
$10,926
33114968
$10,814
SEALANT TISEEL FIBRIN
Gross
$10,814
76080027
$10,594
PET TUMOR IMAG LIMITED AREA
Gross
$10,594
76020003
$10,549
IN-111 PENTETATE PER .5 MCI
Gross
$10,549
74001023
$10,454
ANGIO VISCERAL SELECT
Gross
$10,454
61010230
$10,313
REMOVE TUNNELED IP CATH
Gross
$10,313
61010228
$10,219
REMV IMPLT/HARDWARE DEEP
Gross
$10,219
92216052
$10,170
ETANERCEPT 50MG/ML SOL
Gross
$10,170
11600103
$10,108
MAJOR OR 0-60 MINS
Gross
$10,108
61010104
$10,107
REVISION TRACHEOSTOMY SCAR
Gross
$10,107
92220508
$10,040
BRIVARACETAM 10 MG/ML IVS
Gross
$10,040
92217874
$9,919
INTERFERON BETA-1A KIT
Gross
$9,919
33114971
$9,891
SEALANT SPINE DURASEAL 5ML
Gross
$9,891
33189565
$9,799
KIT VENA CAVA JUGLR SUBCLAVIAN
Gross
$9,799
92215588
$9,652
OMALIZUMAB 150MG PDS
Gross
$9,652
92215387
$9,640
DROTRECOGIN ALFA 20MG PDS
Gross
$9,640
92211646
$9,626
CYTOGAM 2.5GM INJ
Gross
$9,626
61010232
$9,549
INSERT INTRAPERI CATH TUN PERC
Gross
$9,549
61010329
$9,468
EGD W/STENT PLACEMENT
Gross
$9,468
61010015
$9,375
SKINSPLT AGRFT T/A/L 1ST 100CM
Gross
$9,375
92218510
$9,269
AVONEX 30 MCG/0.5 ML INJ
Gross
$9,269
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 92221086 | PALIPERIDONE PALMIT 819MG SUSP | $72,982 | $72,982 | — | — | 0 |
| 92221093 | PALIPERIDONE PALMIT 150MG SUSP | $48,656 | $48,656 | — | — | 0 |
| 92220143 | INTERFERON BETA-1A30MCG/0.5ML | $48,150 | $48,150 | — | — | 0 |
| 92221111 | ARIPIPRAZOLE 960MG/3.2ML SYR | $39,593 | $39,593 | — | — | 0 |
| 92218149 | SIMULECT 20MG INJ | $35,786 | $35,786 | — | — | 0 |
| 92215273 | ETHACRYNATE NA 50MG INJ | $34,180 | $34,180 | — | — | 0 |
| 92221112 | ARIPIPRAZOLE 720MG/2.4ML SYR | $29,695 | $29,695 | — | — | 0 |
| 92217325 | TERIPARATIDE 600MCG/2.4ML SOL | $29,240 | $29,240 | — | — | 0 |
| 92221078 | TERIPARATIDE 250MCG/ML PEN | $29,240 | $29,240 | — | — | 0 |
| 92220328 | FIDAXOMICIN 40 MG/ML SUS | $29,051 | $29,051 | — | — | 0 |
| 92218596 | TRASTUZUMAB 440 MG SOL | $26,877 | $26,877 | — | — | 0 |
| 92220600 | DANTOLENE 250 MG PDR | $19,938 | $19,938 | — | — | 0 |
| 92221114 | ARIPIPRAZOLE 400 MG SYR | $19,797 | $19,797 | — | — | 0 |
| 92218511 | GAMUNEX-C 1 GM/10 ML INJ | $19,323 | $19,323 | — | — | 0 |
| 74000055 | ANGIO RENAL UNILATERAL RT | $18,326 | $18,326 | — | — | 0 |
| 74001022 | ANGIO RENAL UNILATERAL LT | $18,326 | $18,326 | — | — | 0 |
| 92221113 | ARIPIPRAZOLE 300 MG SYR | $14,848 | $14,848 | — | — | 0 |
| 76020002 | IN-111 OXYQUINOLINE PER.5MCI | $14,828 | $14,828 | — | — | 0 |
| 74001021 | ANGIO RENAL SELECT BIL | $13,957 | $13,957 | — | — | 0 |
| 92211086 | LEUPROLIDE ACET 30MG KIT PI4 | $13,933 | $13,933 | — | — | 0 |
| 61010222 | INSERT TESIO CATHETER | $13,594 | $13,594 | — | — | 0 |
| 92219434 | VASOPRESSIN 20 UNITS/ML SOL | $13,466 | $13,466 | — | — | 0 |
| 92215649 | GOSERELIN ACET 10.8MG INJ | $12,371 | $12,371 | — | — | 0 |
| 92211207 | CALCITONIN 200U/ML INJ | $12,308 | $12,308 | — | — | 0 |
| 92219340 | CLINDAMYCIN PHOS 1% GEL | $12,114 | $12,114 | — | — | 0 |
| 33106961 | MESH VICRYL KNITTED 12x12 | $11,998 | $11,998 | — | — | 0 |
| 61010204 | INSERT VENA CAVA FILTER | $11,787 | $11,787 | — | — | 0 |
| 74075940 | INSERT VENA CAVA FILTER | $11,787 | $11,787 | — | — | 0 |
| 92218906 | ALBUMIN HUMAN 5% SOL 50ML | $11,175 | $11,175 | — | — | 0 |
| 92218343 | VELCADE 3.5 MG VIAL | $10,926 | $10,926 | — | — | 0 |
| 33114968 | SEALANT TISEEL FIBRIN | $10,814 | $10,814 | — | — | 0 |
| 76080027 | PET TUMOR IMAG LIMITED AREA | $10,594 | $10,594 | — | — | 0 |
| 76020003 | IN-111 PENTETATE PER .5 MCI | $10,549 | $10,549 | — | — | 0 |
| 74001023 | ANGIO VISCERAL SELECT | $10,454 | $10,454 | — | — | 0 |
| 61010230 | REMOVE TUNNELED IP CATH | $10,313 | $10,313 | — | — | 0 |
| 61010228 | REMV IMPLT/HARDWARE DEEP | $10,219 | $10,219 | — | — | 0 |
| 92216052 | ETANERCEPT 50MG/ML SOL | $10,170 | $10,170 | — | — | 0 |
| 11600103 | MAJOR OR 0-60 MINS | $10,108 | $10,108 | — | — | 0 |
| 61010104 | REVISION TRACHEOSTOMY SCAR | $10,107 | $10,107 | — | — | 0 |
| 92220508 | BRIVARACETAM 10 MG/ML IVS | $10,040 | $10,040 | — | — | 0 |
| 92217874 | INTERFERON BETA-1A KIT | $9,919 | $9,919 | — | — | 0 |
| 33114971 | SEALANT SPINE DURASEAL 5ML | $9,891 | $9,891 | — | — | 0 |
| 33189565 | KIT VENA CAVA JUGLR SUBCLAVIAN | $9,799 | $9,799 | — | — | 0 |
| 92215588 | OMALIZUMAB 150MG PDS | $9,652 | $9,652 | — | — | 0 |
| 92215387 | DROTRECOGIN ALFA 20MG PDS | $9,640 | $9,640 | — | — | 0 |
| 92211646 | CYTOGAM 2.5GM INJ | $9,626 | $9,626 | — | — | 0 |
| 61010232 | INSERT INTRAPERI CATH TUN PERC | $9,549 | $9,549 | — | — | 0 |
| 61010329 | EGD W/STENT PLACEMENT | $9,468 | $9,468 | — | — | 0 |
| 61010015 | SKINSPLT AGRFT T/A/L 1ST 100CM | $9,375 | $9,375 | — | — | 0 |
| 92218510 | AVONEX 30 MCG/0.5 ML INJ | $9,269 | $9,269 | — | — | 0 |
Showing top 50 of 14,493 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.