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
3,629
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
RX-41193
$29,831
FLUOCINOLONE ACETONIDE 0.59 MG IZ IMPL
Gross
$30,440
RX-159218
$9,564
RISPERIDONE ER 200 MG/0.56ML SC SUSY
Gross
$9,759
RX-159219
$8,695
RISPERIDONE ER 250 MG/0.7ML SC SUSY
Gross
$8,872
RX-159216
$7,969
RISPERIDONE ER 125 MG/0.35ML SC SUSY
Gross
$8,131
PX-L428499917
$7,239
R Unlisted Chemistry Test
Gross
$7,387
RX-142263
$6,977
PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY
Gross
$7,119
PX-L428151950
$6,733
Oncology Breast MRNA GENE EXPRESSION 21 GENES
Gross
$6,871
RX-136173
$6,730
ARIPIPRAZOLE LAUROXIL ER 1064 MG/3.9ML IM PRSY
Gross
$6,868
RX-159215
$6,375
RISPERIDONE ER 100 MG/0.28ML SC SUSY
Gross
$6,505
PX-L428145500
$5,876
Targeted Genomic Seq Analys
Gross
$5,996
RX-129016
$5,579
ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2ML IM PRSY
Gross
$5,693
RX-138591
$4,759
RABIES IMMUNE GLOBULIN 1500 UNIT/10ML IJ SOLN
Gross
$4,856
PX-L428145650
$4,651
Tgsap So/Hl 51/< Rna Alys
Gross
$4,746
RX-142262
$4,561
PALIPERIDONE PALMITATE ER 156 MG/ML IM SUSY
Gross
$4,654
RX-139872
$4,270
ARIPIPRAZOLE LAUROXIL ER 675 MG/2.4ML IM PRSY
Gross
$4,357
PX-L428122001
$4,241
R Cftr Gene Anlys Com Var
Gross
$4,328
RX-129015
$4,188
ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4ML IM PRSY
Gross
$4,273
PX-L428116200
$3,593
Brca1&2 Seq & Full Dup/Del
Gross
$3,667
PX-L428116250
$3,593
Brca1&2 Seq & Full Dup/Del
Gross
$3,667
PX-L428145050
$3,498
Targeted Genomic Seq Analys
Gross
$3,569
PX-L428143550
$3,476
Hereditary Colon Ca Dsordrs
Gross
$3,547
PX-L428142000
$3,423
Braf Gene
Gross
$3,493
PX-L428142050
$3,423
Braf Gene
Gross
$3,493
RX-142261
$3,420
PALIPERIDONE PALMITATE ER 117 MG/0.75ML IM SUSY
Gross
$3,490
PX-L428145001
$3,245
Targeted Genomic Seq Analys
Gross
$3,311
RX-159213
$3,187
RISPERIDONE ER 50 MG/0.14ML SC SUSY
Gross
$3,252
PX-L428147911
$3,027
Brain Tumor NGS Profile performed at NeoGenomics
Gross
$3,088
PX-L428147952
$3,027
Brain Tumor NGS Profile performed at NeoGenomics
Gross
$3,088
PX-L428122350
$2,959
Cftr Gene Full Sequence
Gross
$3,019
RX-129014
$2,790
ARIPIPRAZOLE LAUROXIL ER 441 MG/1.6ML IM PRSY
Gross
$2,846
RX-144078
$2,789
MEASLES, MUMPS & RUBELLA VAC IJ SOLR
Gross
$2,846
PX-HC449595606
$2,691
Monitor Cerebr Seizure 16 Ch Eeg, Attended, Reduced
Gross
$2,746
PX-HC449595605
$2,691
Monitor Cerebr Seizure 16 Ch Eeg, Ea 24 Hrs, Attended
Gross
$2,746
PX-L428144550
$2,603
Gen Seq Analys Solid Organ Neoplasm 5-50 Gene
Gross
$2,657
PX-L428123501
$2,566
Egfr Gene Com Variants
Gross
$2,619
PX-L428123551
$2,566
Egfr Gene Com Variants
Gross
$2,619
PX-HC457425105
$2,419
X-Ray Xm Sm Int 2cntrst Std
Gross
$2,468
PX-HC449595107
$2,265
Monitor Cerebr Seizure 16/> Ch Eeg, Ea 24 Hrs
Gross
$2,311
PX-HC449595108
$2,265
Monitor Cerebr Seizure 16/> Ch Eeg, Reduced
Gross
$2,311
PX-L428144250
$2,185
Noonam Spetrum Disorders
Gross
$2,229
PX-L428140601
$2,154
Mopath Procedure Level 7
Gross
$2,198
PX-L428140650
$2,154
Mopath Procedure Level 7
Gross
$2,198
PX-L428147953
$2,063
Unlisted Molecular Pathology
Gross
$2,105
RX-9120
$2,003
APRACLONIDINE HCL 1 % OP SOLN
Gross
$2,044
PX-L428122901
$1,982
Cytogen M Array Copy No&Snp
Gross
$2,023
PX-HC449578305
$1,898
Polysom W/4+ Param & Cpap, <6 Yrs, Attended
Gross
$1,937
PX-HC449578306
$1,898
Polysom W/4+ Param & Cpap, <6 Yrs, Attended, <7 Hrs
Gross
$1,937
PX-L428122950
$1,853
Cytogen M Array Copy No&Snp
Gross
$1,891
PX-L428122900
$1,853
Tissue Microarray Testing
Gross
$1,891
PX-L428838050
$1,786
Microdissection Laser
Gross
$1,822
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-41193 | FLUOCINOLONE ACETONIDE 0.59 MG IZ IMPL | $30,440 | $29,831 | — | — | 0 |
| RX-159218 | RISPERIDONE ER 200 MG/0.56ML SC SUSY | $9,759 | $9,564 | — | — | 0 |
| RX-159219 | RISPERIDONE ER 250 MG/0.7ML SC SUSY | $8,872 | $8,695 | — | — | 0 |
| RX-159216 | RISPERIDONE ER 125 MG/0.35ML SC SUSY | $8,131 | $7,969 | — | — | 0 |
| PX-L428499917 | R Unlisted Chemistry Test | $7,387 | $7,239 | — | — | 0 |
| RX-142263 | PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY | $7,119 | $6,977 | — | — | 0 |
| PX-L428151950 | Oncology Breast MRNA GENE EXPRESSION 21 GENES | $6,871 | $6,733 | — | — | 0 |
| RX-136173 | ARIPIPRAZOLE LAUROXIL ER 1064 MG/3.9ML IM PRSY | $6,868 | $6,730 | — | — | 0 |
| RX-159215 | RISPERIDONE ER 100 MG/0.28ML SC SUSY | $6,505 | $6,375 | — | — | 0 |
| PX-L428145500 | Targeted Genomic Seq Analys | $5,996 | $5,876 | — | — | 0 |
| RX-129016 | ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2ML IM PRSY | $5,693 | $5,579 | — | — | 0 |
| RX-138591 | RABIES IMMUNE GLOBULIN 1500 UNIT/10ML IJ SOLN | $4,856 | $4,759 | — | — | 0 |
| PX-L428145650 | Tgsap So/Hl 51/< Rna Alys | $4,746 | $4,651 | — | — | 0 |
| RX-142262 | PALIPERIDONE PALMITATE ER 156 MG/ML IM SUSY | $4,654 | $4,561 | — | — | 0 |
| RX-139872 | ARIPIPRAZOLE LAUROXIL ER 675 MG/2.4ML IM PRSY | $4,357 | $4,270 | — | — | 0 |
| PX-L428122001 | R Cftr Gene Anlys Com Var | $4,328 | $4,241 | — | — | 0 |
| RX-129015 | ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4ML IM PRSY | $4,273 | $4,188 | — | — | 0 |
| PX-L428116200 | Brca1&2 Seq & Full Dup/Del | $3,667 | $3,593 | — | — | 0 |
| PX-L428116250 | Brca1&2 Seq & Full Dup/Del | $3,667 | $3,593 | — | — | 0 |
| PX-L428145050 | Targeted Genomic Seq Analys | $3,569 | $3,498 | — | — | 0 |
| PX-L428143550 | Hereditary Colon Ca Dsordrs | $3,547 | $3,476 | — | — | 0 |
| PX-L428142000 | Braf Gene | $3,493 | $3,423 | — | — | 0 |
| PX-L428142050 | Braf Gene | $3,493 | $3,423 | — | — | 0 |
| RX-142261 | PALIPERIDONE PALMITATE ER 117 MG/0.75ML IM SUSY | $3,490 | $3,420 | — | — | 0 |
| PX-L428145001 | Targeted Genomic Seq Analys | $3,311 | $3,245 | — | — | 0 |
| RX-159213 | RISPERIDONE ER 50 MG/0.14ML SC SUSY | $3,252 | $3,187 | — | — | 0 |
| PX-L428147911 | Brain Tumor NGS Profile performed at NeoGenomics | $3,088 | $3,027 | — | — | 0 |
| PX-L428147952 | Brain Tumor NGS Profile performed at NeoGenomics | $3,088 | $3,027 | — | — | 0 |
| PX-L428122350 | Cftr Gene Full Sequence | $3,019 | $2,959 | — | — | 0 |
| RX-129014 | ARIPIPRAZOLE LAUROXIL ER 441 MG/1.6ML IM PRSY | $2,846 | $2,790 | — | — | 0 |
| RX-144078 | MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $2,846 | $2,789 | — | — | 0 |
| PX-HC449595606 | Monitor Cerebr Seizure 16 Ch Eeg, Attended, Reduced | $2,746 | $2,691 | — | — | 0 |
| PX-HC449595605 | Monitor Cerebr Seizure 16 Ch Eeg, Ea 24 Hrs, Attended | $2,746 | $2,691 | — | — | 0 |
| PX-L428144550 | Gen Seq Analys Solid Organ Neoplasm 5-50 Gene | $2,657 | $2,603 | — | — | 0 |
| PX-L428123501 | Egfr Gene Com Variants | $2,619 | $2,566 | — | — | 0 |
| PX-L428123551 | Egfr Gene Com Variants | $2,619 | $2,566 | — | — | 0 |
| PX-HC457425105 | X-Ray Xm Sm Int 2cntrst Std | $2,468 | $2,419 | — | — | 0 |
| PX-HC449595107 | Monitor Cerebr Seizure 16/> Ch Eeg, Ea 24 Hrs | $2,311 | $2,265 | — | — | 0 |
| PX-HC449595108 | Monitor Cerebr Seizure 16/> Ch Eeg, Reduced | $2,311 | $2,265 | — | — | 0 |
| PX-L428144250 | Noonam Spetrum Disorders | $2,229 | $2,185 | — | — | 0 |
| PX-L428140601 | Mopath Procedure Level 7 | $2,198 | $2,154 | — | — | 0 |
| PX-L428140650 | Mopath Procedure Level 7 | $2,198 | $2,154 | — | — | 0 |
| PX-L428147953 | Unlisted Molecular Pathology | $2,105 | $2,063 | — | — | 0 |
| RX-9120 | APRACLONIDINE HCL 1 % OP SOLN | $2,044 | $2,003 | — | — | 0 |
| PX-L428122901 | Cytogen M Array Copy No&Snp | $2,023 | $1,982 | — | — | 0 |
| PX-HC449578305 | Polysom W/4+ Param & Cpap, <6 Yrs, Attended | $1,937 | $1,898 | — | — | 0 |
| PX-HC449578306 | Polysom W/4+ Param & Cpap, <6 Yrs, Attended, <7 Hrs | $1,937 | $1,898 | — | — | 0 |
| PX-L428122950 | Cytogen M Array Copy No&Snp | $1,891 | $1,853 | — | — | 0 |
| PX-L428122900 | Tissue Microarray Testing | $1,891 | $1,853 | — | — | 0 |
| PX-L428838050 | Microdissection Laser | $1,822 | $1,786 | — | — | 0 |
Showing top 50 of 3,629 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.