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
1,270
Insurances with rates
9
CPT / HCPCS codes
9
Most expensive procedures (gross)
PH004913
$29,912
ARIPiprazole injection
Gross
$29,912
PH004910
$22,434
ARIPiprazole 720 mg injection
Gross
$22,434
PH002294
$18,758
Aripiprazole Lauroxil
Gross
$18,758
PH002198
$17,043
Paliperidone Palmitate
Gross
$17,043
PH002128
$15,549
Aripiprazole Lauroxil
Gross
$15,549
PH004749
$14,517
risperiDONE ER injection
Gross
$14,517
PH002114
$13,137
ARIPiprazole
Gross
$13,137
PH002367
$13,137
ARIPiprazole
Gross
$13,137
PH002148
$11,900
Aripiprazole Lauroxil,submicr.
Gross
$11,900
PH000972
$11,362
Paliperidone Palmitate
Gross
$11,362
PH004166
$11,217
ARIPiprazole
Gross
$11,217
PH004748
$10,887
risperiDONE ER injection
Gross
$10,887
PH002352
$8,085
Paliperidone Palmitate
Gross
$8,085
PH002359
$8,085
Paliperidone Palmitate
Gross
$8,085
PH002323
$7,784
Naltrexone Microspheres
Gross
$7,784
PH002291
$6,150
Risperidone Microspheres
Gross
$6,150
PH004774
$3,410
Fluticasone/Umeclidin/Vilanter
Gross
$3,410
PH002290
$3,075
Risperidone Microspheres
Gross
$3,075
PH002214
$2,439
Ipratropium/Albuterol Sulfate
Gross
$2,439
PH001654
$1,544
Glucagon,human Recombinant
Gross
$1,544
PH004675
$1,526
Risperidone Microspheres
Gross
$1,526
PH000976
$1,437
Collagenase Clostridium Hist.
Gross
$1,437
30083914
$1,416
Mutation Ident Ola/Sbce/Aspe
Gross
$1,416
1202001
$1,400
Room Board Private
Gross
$1,400
PH002333
$1,375
Budesonide/Formoterol Fumarate
Gross
$1,375
PH002123
$1,359
Cholecalciferol (Vitamin D3)
Gross
$1,359
PH002247
$1,328
Cholecalciferol (Vitamin D3)
Gross
$1,328
1201001
$1,200
Room Board Semi
Gross
$1,200
PH000136
$1,179
Ciprofloxacin Opth
Gross
$1,179
30088184
$1,026
Leukemia/Lymphoma Eval
Gross
$1,026
30088185
$1,026
Leuk/Lymph 21 Addtl Mkrs
Gross
$1,026
30083912
$1,024
Molecular Diagnostics Genetic
Gross
$1,024
30083891
$1,000
Molecular Isolate Nucleic
Gross
$1,000
PH004867
$979
Fluticasone Hfa inh
Gross
$979
PH002134
$938
Glucagon HCL (Emergency)
Gross
$938
32036569
$938
Insert Picc Cath
Gross
$938
30083892
$883
Molecular Diagnostics
Gross
$883
40293970
$859
US Venous Doppler BILATERAL
Gross
$859
30083909
$851
Nucleic Acid High Resolute
Gross
$851
PH001233
$843
Brimonidine Tartrate
Gross
$843
PH004725
$839
metroNIDAZOLE Cream
Gross
$839
PH000345
$835
Fluticasone Propion/Salmeterol
Gross
$835
30083898
$816
Molecule Nucleic Ampli Each
Gross
$816
PH002224
$790
Fluticasone/Vilanterol
Gross
$790
PH002331
$790
Fluticasone/Vilanterol
Gross
$790
30087901
$701
Genotype Dna Hiv Reverse T
Gross
$701
30088309
$647
Pathology
Gross
$647
3401000
$625
Ultrasound
Gross
$625
40293965
$615
Dop, Dupl Extr Vein, Compl Bil
Gross
$615
PH001661
$579
Pneumococcal 23-Val P-Sac Vac
Gross
$579
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| PH004913 | ARIPiprazole injection | $29,912 | $29,912 | — | — | 0 |
| PH004910 | ARIPiprazole 720 mg injection | $22,434 | $22,434 | — | — | 0 |
| PH002294 | Aripiprazole Lauroxil | $18,758 | $18,758 | — | — | 0 |
| PH002198 | Paliperidone Palmitate | $17,043 | $17,043 | — | — | 0 |
| PH002128 | Aripiprazole Lauroxil | $15,549 | $15,549 | — | — | 0 |
| PH004749 | risperiDONE ER injection | $14,517 | $14,517 | — | — | 0 |
| PH002114 | ARIPiprazole | $13,137 | $13,137 | — | — | 0 |
| PH002367 | ARIPiprazole | $13,137 | $13,137 | — | — | 0 |
| PH002148 | Aripiprazole Lauroxil,submicr. | $11,900 | $11,900 | — | — | 0 |
| PH000972 | Paliperidone Palmitate | $11,362 | $11,362 | — | — | 0 |
| PH004166 | ARIPiprazole | $11,217 | $11,217 | — | — | 0 |
| PH004748 | risperiDONE ER injection | $10,887 | $10,887 | — | — | 0 |
| PH002352 | Paliperidone Palmitate | $8,085 | $8,085 | — | — | 0 |
| PH002359 | Paliperidone Palmitate | $8,085 | $8,085 | — | — | 0 |
| PH002323 | Naltrexone Microspheres | $7,784 | $7,784 | — | — | 0 |
| PH002291 | Risperidone Microspheres | $6,150 | $6,150 | — | — | 0 |
| PH004774 | Fluticasone/Umeclidin/Vilanter | $3,410 | $3,410 | — | — | 0 |
| PH002290 | Risperidone Microspheres | $3,075 | $3,075 | — | — | 0 |
| PH002214 | Ipratropium/Albuterol Sulfate | $2,439 | $2,439 | — | — | 0 |
| PH001654 | Glucagon,human Recombinant | $1,544 | $1,544 | — | — | 0 |
| PH004675 | Risperidone Microspheres | $1,526 | $1,526 | — | — | 0 |
| PH000976 | Collagenase Clostridium Hist. | $1,437 | $1,437 | — | — | 0 |
| 30083914 | Mutation Ident Ola/Sbce/Aspe | $1,416 | $1,416 | — | — | 0 |
| 1202001 | Room Board Private | $1,400 | $1,400 | — | — | 0 |
| PH002333 | Budesonide/Formoterol Fumarate | $1,375 | $1,375 | — | — | 0 |
| PH002123 | Cholecalciferol (Vitamin D3) | $1,359 | $1,359 | — | — | 0 |
| PH002247 | Cholecalciferol (Vitamin D3) | $1,328 | $1,328 | — | — | 0 |
| 1201001 | Room Board Semi | $1,200 | $1,200 | — | — | 0 |
| PH000136 | Ciprofloxacin Opth | $1,179 | $1,179 | — | — | 0 |
| 30088184 | Leukemia/Lymphoma Eval | $1,026 | $1,026 | — | — | 0 |
| 30088185 | Leuk/Lymph 21 Addtl Mkrs | $1,026 | $1,026 | — | — | 0 |
| 30083912 | Molecular Diagnostics Genetic | $1,024 | $1,024 | — | — | 0 |
| 30083891 | Molecular Isolate Nucleic | $1,000 | $1,000 | — | — | 0 |
| PH004867 | Fluticasone Hfa inh | $979 | $979 | — | — | 0 |
| PH002134 | Glucagon HCL (Emergency) | $938 | $938 | — | — | 0 |
| 32036569 | Insert Picc Cath | $938 | $938 | — | — | 0 |
| 30083892 | Molecular Diagnostics | $883 | $883 | — | — | 0 |
| 40293970 | US Venous Doppler BILATERAL | $859 | $859 | — | — | 0 |
| 30083909 | Nucleic Acid High Resolute | $851 | $851 | — | — | 0 |
| PH001233 | Brimonidine Tartrate | $843 | $843 | — | — | 0 |
| PH004725 | metroNIDAZOLE Cream | $839 | $839 | — | — | 0 |
| PH000345 | Fluticasone Propion/Salmeterol | $835 | $835 | — | — | 0 |
| 30083898 | Molecule Nucleic Ampli Each | $816 | $816 | — | — | 0 |
| PH002224 | Fluticasone/Vilanterol | $790 | $790 | — | — | 0 |
| PH002331 | Fluticasone/Vilanterol | $790 | $790 | — | — | 0 |
| 30087901 | Genotype Dna Hiv Reverse T | $701 | $701 | — | — | 0 |
| 30088309 | Pathology | $647 | $647 | — | — | 0 |
| 3401000 | Ultrasound | $625 | $625 | — | — | 0 |
| 40293965 | Dop, Dupl Extr Vein, Compl Bil | $615 | $615 | — | — | 0 |
| PH001661 | Pneumococcal 23-Val P-Sac Vac | $579 | $579 | — | — | 0 |
Showing top 50 of 1,270 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.