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
14,365
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
92221086
$60,390
PALIPERIDONE PALMIT 819MG SUSP
Gross
$60,390
92221093
$40,261
PALIPERIDONE PALMIT 150MG SUSP
Gross
$40,261
92220143
$39,843
INTERFERON BETA-1A30MCG/0.5ML
Gross
$39,843
92221111
$32,762
ARIPIPRAZOLE 960MG/3.2ML SYR
Gross
$32,762
92218149
$30,903
SIMULECT 20MG INJ
Gross
$30,903
92215273
$28,283
ETHACRYNATE NA 50MG INJ
Gross
$28,283
92221112
$24,572
ARIPIPRAZOLE 720MG/2.4ML SYR
Gross
$24,572
74001011
$24,277
ANGIO SPINAL SELECTIVE
Gross
$24,277
92217325
$24,195
TERIPARATIDE 600MCG/2.4ML SOL
Gross
$24,195
92221078
$24,195
TERIPARATIDE 250MCG/ML PEN
Gross
$24,195
92220328
$24,039
FIDAXOMICIN 40 MG/ML SUS
Gross
$24,039
92218596
$22,240
TRASTUZUMAB 440 MG SOL
Gross
$22,240
76080037
$19,453
PET MYOCARD PERF MULT STUDY
Gross
$19,453
92220600
$16,498
DANTOLENE 250 MG PDR
Gross
$16,498
92221114
$16,381
ARIPIPRAZOLE 400 MG SYR
Gross
$16,381
61010204
$16,145
INSERT VENA CAVA FILTER
Gross
$16,145
74075940
$16,145
INSERT VENA CAVA FILTER
Gross
$16,145
92218511
$15,989
GAMUNEX-C 1 GM/10 ML INJ
Gross
$15,989
76080030
$14,341
PET TUMOR W/CT LIMITED AREA
Gross
$14,341
92221113
$12,286
ARIPIPRAZOLE 300 MG SYR
Gross
$12,286
76080031
$12,181
PET TUMOR W/CT SKULL-MIDTHIGH
Gross
$12,181
74001023
$11,889
ANGIO VISCERAL SELECT
Gross
$11,889
74001018
$11,726
ANGIO PELVIC SELECTIVE
Gross
$11,726
74001052
$11,711
AORTOGRAM THORACIC W/SERIAL
Gross
$11,711
92211086
$11,529
LEUPROLIDE ACET 30MG KIT PI4
Gross
$11,529
76080032
$11,342
PET TUMOR W/CT WHOLE BODY
Gross
$11,342
92219434
$11,143
VASOPRESSIN 20 UNITS/ML SOL
Gross
$11,143
74001021
$10,880
ANGIO RENAL SELECT BIL
Gross
$10,880
73700210
$10,798
POLYSOMNOGRAPHY/C-PAP
Gross
$10,798
61010228
$10,557
REMV IMPLT/HARDWARE DEEP
Gross
$10,557
73700200
$10,403
POLYSOMNOGRAPHY
Gross
$10,403
33106961
$10,254
MESH VICRYL KNITTED 12x12
Gross
$10,254
92215649
$10,237
GOSERELIN ACET 10.8MG INJ
Gross
$10,237
92211207
$10,185
CALCITONIN 200U/ML INJ
Gross
$10,185
92219340
$10,024
CLINDAMYCIN PHOS 1% GEL
Gross
$10,024
76020005
$10,014
TC-99M CERETEC <25 MCI
Gross
$10,014
74001025
$9,952
AORTOGRAM ABD&BIL FEMORAL EXT
Gross
$9,952
61010232
$9,851
INSERT INTRAPERI CATH TUN PERC
Gross
$9,851
74001016
$9,832
ANGIO EXTREMITY BILATERAL
Gross
$9,832
61010099
$9,477
BRONCHOSCOPY W/FB REMOVAL
Gross
$9,477
61010017
$9,354
AMPUTATION METATARSAL W/TOE
Gross
$9,354
92218906
$9,247
ALBUMIN HUMAN 5% SOL 50ML
Gross
$9,247
33114968
$9,242
SEALANT TISEEL FIBRIN
Gross
$9,242
76080027
$9,149
PET TUMOR IMAG LIMITED AREA
Gross
$9,149
76080033
$9,140
PET BRAIN METABOLIC EVAL
Gross
$9,140
92218343
$9,041
VELCADE 3.5 MG VIAL
Gross
$9,041
61010342
$8,945
CYSTOSTOMY W DRAINAGE
Gross
$8,945
74010041
$8,762
ANGIO EXTREMITY RT
Gross
$8,762
74010042
$8,762
ANGIO EXTREMITY LT
Gross
$8,762
76080038
$8,547
MYOCARD PERF MULTI SPEC
Gross
$8,547
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 92221086 | PALIPERIDONE PALMIT 819MG SUSP | $60,390 | $60,390 | — | — | 0 |
| 92221093 | PALIPERIDONE PALMIT 150MG SUSP | $40,261 | $40,261 | — | — | 0 |
| 92220143 | INTERFERON BETA-1A30MCG/0.5ML | $39,843 | $39,843 | — | — | 0 |
| 92221111 | ARIPIPRAZOLE 960MG/3.2ML SYR | $32,762 | $32,762 | — | — | 0 |
| 92218149 | SIMULECT 20MG INJ | $30,903 | $30,903 | — | — | 0 |
| 92215273 | ETHACRYNATE NA 50MG INJ | $28,283 | $28,283 | — | — | 0 |
| 92221112 | ARIPIPRAZOLE 720MG/2.4ML SYR | $24,572 | $24,572 | — | — | 0 |
| 74001011 | ANGIO SPINAL SELECTIVE | $24,277 | $24,277 | — | — | 0 |
| 92217325 | TERIPARATIDE 600MCG/2.4ML SOL | $24,195 | $24,195 | — | — | 0 |
| 92221078 | TERIPARATIDE 250MCG/ML PEN | $24,195 | $24,195 | — | — | 0 |
| 92220328 | FIDAXOMICIN 40 MG/ML SUS | $24,039 | $24,039 | — | — | 0 |
| 92218596 | TRASTUZUMAB 440 MG SOL | $22,240 | $22,240 | — | — | 0 |
| 76080037 | PET MYOCARD PERF MULT STUDY | $19,453 | $19,453 | — | — | 0 |
| 92220600 | DANTOLENE 250 MG PDR | $16,498 | $16,498 | — | — | 0 |
| 92221114 | ARIPIPRAZOLE 400 MG SYR | $16,381 | $16,381 | — | — | 0 |
| 61010204 | INSERT VENA CAVA FILTER | $16,145 | $16,145 | — | — | 0 |
| 74075940 | INSERT VENA CAVA FILTER | $16,145 | $16,145 | — | — | 0 |
| 92218511 | GAMUNEX-C 1 GM/10 ML INJ | $15,989 | $15,989 | — | — | 0 |
| 76080030 | PET TUMOR W/CT LIMITED AREA | $14,341 | $14,341 | — | — | 0 |
| 92221113 | ARIPIPRAZOLE 300 MG SYR | $12,286 | $12,286 | — | — | 0 |
| 76080031 | PET TUMOR W/CT SKULL-MIDTHIGH | $12,181 | $12,181 | — | — | 0 |
| 74001023 | ANGIO VISCERAL SELECT | $11,889 | $11,889 | — | — | 0 |
| 74001018 | ANGIO PELVIC SELECTIVE | $11,726 | $11,726 | — | — | 0 |
| 74001052 | AORTOGRAM THORACIC W/SERIAL | $11,711 | $11,711 | — | — | 0 |
| 92211086 | LEUPROLIDE ACET 30MG KIT PI4 | $11,529 | $11,529 | — | — | 0 |
| 76080032 | PET TUMOR W/CT WHOLE BODY | $11,342 | $11,342 | — | — | 0 |
| 92219434 | VASOPRESSIN 20 UNITS/ML SOL | $11,143 | $11,143 | — | — | 0 |
| 74001021 | ANGIO RENAL SELECT BIL | $10,880 | $10,880 | — | — | 0 |
| 73700210 | POLYSOMNOGRAPHY/C-PAP | $10,798 | $10,798 | — | — | 0 |
| 61010228 | REMV IMPLT/HARDWARE DEEP | $10,557 | $10,557 | — | — | 0 |
| 73700200 | POLYSOMNOGRAPHY | $10,403 | $10,403 | — | — | 0 |
| 33106961 | MESH VICRYL KNITTED 12x12 | $10,254 | $10,254 | — | — | 0 |
| 92215649 | GOSERELIN ACET 10.8MG INJ | $10,237 | $10,237 | — | — | 0 |
| 92211207 | CALCITONIN 200U/ML INJ | $10,185 | $10,185 | — | — | 0 |
| 92219340 | CLINDAMYCIN PHOS 1% GEL | $10,024 | $10,024 | — | — | 0 |
| 76020005 | TC-99M CERETEC <25 MCI | $10,014 | $10,014 | — | — | 0 |
| 74001025 | AORTOGRAM ABD&BIL FEMORAL EXT | $9,952 | $9,952 | — | — | 0 |
| 61010232 | INSERT INTRAPERI CATH TUN PERC | $9,851 | $9,851 | — | — | 0 |
| 74001016 | ANGIO EXTREMITY BILATERAL | $9,832 | $9,832 | — | — | 0 |
| 61010099 | BRONCHOSCOPY W/FB REMOVAL | $9,477 | $9,477 | — | — | 0 |
| 61010017 | AMPUTATION METATARSAL W/TOE | $9,354 | $9,354 | — | — | 0 |
| 92218906 | ALBUMIN HUMAN 5% SOL 50ML | $9,247 | $9,247 | — | — | 0 |
| 33114968 | SEALANT TISEEL FIBRIN | $9,242 | $9,242 | — | — | 0 |
| 76080027 | PET TUMOR IMAG LIMITED AREA | $9,149 | $9,149 | — | — | 0 |
| 76080033 | PET BRAIN METABOLIC EVAL | $9,140 | $9,140 | — | — | 0 |
| 92218343 | VELCADE 3.5 MG VIAL | $9,041 | $9,041 | — | — | 0 |
| 61010342 | CYSTOSTOMY W DRAINAGE | $8,945 | $8,945 | — | — | 0 |
| 74010041 | ANGIO EXTREMITY RT | $8,762 | $8,762 | — | — | 0 |
| 74010042 | ANGIO EXTREMITY LT | $8,762 | $8,762 | — | — | 0 |
| 76080038 | MYOCARD PERF MULTI SPEC | $8,547 | $8,547 | — | — | 0 |
Showing top 50 of 14,365 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.