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
6,126
Insurances with rates
48
CPT / HCPCS codes
13
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
124
$1,000
ROOM AND BOARD PSYCH ADULT
Gross
$2,450
126
$1,000
ROOM AND BOARD DETOX ADULT
Gross
$2,450
128
$1,000
ROOM AND BOARD REHAB
Gross
$2,450
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
901
$582
ELECTOCONVULSIVE THERAPY INPATIENT
Gross
$1,927
901
$582
ELECTOCONVULSIVE THERAPY OUTPATIENT
Gross
$1,927
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
1001
$600
ROOM AND BOARD RTC PSYCH
Gross
$933
1002
$600
ROOM AND BOARD RTC CD
Gross
$933
57962042028
—
IBRUTINIB
Gross
$907
85412027383
—
VIAL-MATE ADP HSP 2B
Gross
$865
912
$225
ADOLESCENT PARTIAL HOSPITAL PROGRAM W/BOARDING
Gross
$816
913
$225
ADULT CD PARTIAL HOSPITAL PROGRAM W/BOARD
Gross
$816
50458030611
—
RISPERIDONE MICROSPH
Gross
$780
2150680
—
TIRZEPATIDE
Gross
$756
64896066930
—
MEBENDAZOLE
Gross
$750
50458056001
—
PALIPERIDONE PALMITA
Gross
$744
60793070204
—
PENICILLIN G BENZATH
Gross
$735
900
$525
TRANSCRANIAL MAGNETIC STIMULATION-INITIAL TREATMNT
Gross
$700
42494041603
—
PHENOBARBITAL SODIUM
Gross
$620
905
$175
INTENSIVE OUTPATIENT PROGRAM PSYCH ADULT-CPH
Gross
$612
906
$175
INTENSIVE OUTPATIENT PROGRAM CD ADU - SC EV V
Gross
$612
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
58160096412
—
RABIES VACCINE (PCEC
Gross
$465
169418113
—
SEMAGLUTIDE
Gross
$459
50484049200
—
BENZETHONIUM CHLORID
Gross
$455
| 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 |
| 124 | ROOM AND BOARD PSYCH ADULT | $2,450 | $1,000 | — | — | 60 |
| 126 | ROOM AND BOARD DETOX ADULT | $2,450 | $1,000 | — | — | 60 |
| 128 | ROOM AND BOARD REHAB | $2,450 | $1,000 | — | — | 41 |
| 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 |
| 901 | ELECTOCONVULSIVE THERAPY INPATIENT | $1,927 | $582 | — | — | 66 |
| 901 | ELECTOCONVULSIVE THERAPY OUTPATIENT | $1,927 | $582 | — | — | 67 |
| 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 |
| 1001 | ROOM AND BOARD RTC PSYCH | $933 | $600 | — | — | 41 |
| 1002 | ROOM AND BOARD RTC CD | $933 | $600 | — | — | 41 |
| 57962042028 | IBRUTINIB | $907 | — | — | — | 0 |
| 85412027383 | VIAL-MATE ADP HSP 2B | $865 | — | — | — | 0 |
| 912 | ADOLESCENT PARTIAL HOSPITAL PROGRAM W/BOARDING | $816 | $225 | — | — | 61 |
| 913 | ADULT CD PARTIAL HOSPITAL PROGRAM W/BOARD | $816 | $225 | — | — | 70 |
| 50458030611 | RISPERIDONE MICROSPH | $780 | — | — | — | 0 |
| 2150680 | TIRZEPATIDE | $756 | — | — | — | 0 |
| 64896066930 | MEBENDAZOLE | $750 | — | — | — | 0 |
| 50458056001 | PALIPERIDONE PALMITA | $744 | — | — | — | 0 |
| 60793070204 | PENICILLIN G BENZATH | $735 | — | — | — | 0 |
| 900 | TRANSCRANIAL MAGNETIC STIMULATION-INITIAL TREATMNT | $700 | $525 | — | — | 57 |
| 42494041603 | PHENOBARBITAL SODIUM | $620 | — | — | — | 0 |
| 905 | INTENSIVE OUTPATIENT PROGRAM PSYCH ADULT-CPH | $612 | $175 | — | — | 64 |
| 906 | INTENSIVE OUTPATIENT PROGRAM CD ADU - SC EV V | $612 | $175 | — | — | 64 |
| 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 |
| 58160096412 | RABIES VACCINE (PCEC | $465 | — | — | — | 0 |
| 169418113 | SEMAGLUTIDE | $459 | — | — | — | 0 |
| 50484049200 | BENZETHONIUM CHLORID | $455 | — | — | — | 0 |
Showing top 50 of 6,126 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.