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
14,596
Insurances with rates
0
CPT / HCPCS codes
0
Most expensive procedures (gross)
92221086
$64,245
PALIPERIDONE PALMIT 819MG SUSP
Gross
$64,245
92221093
$42,831
PALIPERIDONE PALMIT 150MG SUSP
Gross
$42,831
92220143
$42,386
INTERFERON BETA-1A30MCG/0.5ML
Gross
$42,386
92221111
$34,853
ARIPIPRAZOLE 960MG/3.2ML SYR
Gross
$34,853
92215273
$30,088
ETHACRYNATE NA 50MG INJ
Gross
$30,088
92218149
$28,431
SIMULECT 20MG INJ
Gross
$28,431
92221112
$26,140
ARIPIPRAZOLE 720MG/2.4ML SYR
Gross
$26,140
92217325
$25,739
TERIPARATIDE 600MCG/2.4ML SOL
Gross
$25,739
92221078
$25,739
TERIPARATIDE 250MCG/ML PEN
Gross
$25,739
92220328
$25,573
FIDAXOMICIN 40 MG/ML SUS
Gross
$25,573
92218596
$23,660
TRASTUZUMAB 440 MG SOL
Gross
$23,660
92220600
$17,551
DANTOLENE 250 MG PDR
Gross
$17,551
92221114
$17,427
ARIPIPRAZOLE 400 MG SYR
Gross
$17,427
92218511
$17,010
GAMUNEX-C 1 GM/10 ML INJ
Gross
$17,010
92221113
$13,070
ARIPIPRAZOLE 300 MG SYR
Gross
$13,070
92203014
$12,732
ORALS 14
Gross
$12,732
92211086
$12,265
LEUPROLIDE ACET 30MG KIT PI4
Gross
$12,265
92219434
$11,854
VASOPRESSIN 20 UNITS/ML SOL
Gross
$11,854
61010204
$10,980
INSERT VENA CAVA FILTER
Gross
$10,980
74075940
$10,980
INSERT VENA CAVA FILTER
Gross
$10,980
92215649
$10,890
GOSERELIN ACET 10.8MG INJ
Gross
$10,890
92211207
$10,834
CALCITONIN 200U/ML INJ
Gross
$10,834
92219340
$10,664
CLINDAMYCIN PHOS 1% GEL
Gross
$10,664
74001021
$10,309
ANGIO RENAL SELECT BIL
Gross
$10,309
61010228
$10,298
REMV IMPLT/HARDWARE DEEP
Gross
$10,298
61010230
$9,994
REMOVE TUNNELED IP CATH
Gross
$9,994
92218906
$9,838
ALBUMIN HUMAN 5% SOL 50ML
Gross
$9,838
61010314
$9,835
TRACHEOSTOMY
Gross
$9,835
61010222
$9,720
INSERT TESIO CATHETER
Gross
$9,720
92218343
$9,618
VELCADE 3.5 MG VIAL
Gross
$9,618
61010225
$9,483
BIOPSY/EXCISION LYMPHNODES OPN
Gross
$9,483
61010017
$9,409
AMPUTATION METATARSAL W/TOE
Gross
$9,409
92216052
$8,952
ETANERCEPT 50MG/ML SOL
Gross
$8,952
61010232
$8,906
INSERT INTRAPERI CATH TUN PERC
Gross
$8,906
92220508
$8,838
BRIVARACETAM 10 MG/ML IVS
Gross
$8,838
74000055
$8,732
ANGIO RENAL UNILATERAL RT
Gross
$8,732
74001022
$8,732
ANGIO RENAL UNILATERAL LT
Gross
$8,732
92217874
$8,732
INTERFERON BETA-1A KIT
Gross
$8,732
61010015
$8,716
SKINSPLT AGRFT T/A/L 1ST 100CM
Gross
$8,716
92215588
$8,497
OMALIZUMAB 150MG PDS
Gross
$8,497
92211646
$8,473
CYTOGAM 2.5GM INJ
Gross
$8,473
76080030
$8,347
PET TUMOR W/CT LIMITED AREA
Gross
$8,347
74001019
$8,112
ANGIO PULMONARY SELECT BIL
Gross
$8,112
76080033
$7,881
PET BRAIN METABOLIC EVAL
Gross
$7,881
92215387
$7,658
DROTRECOGIN ALFA 20MG PDS
Gross
$7,658
61010028
$7,547
AMUPTATION TOE INTPHALANG JNT
Gross
$7,547
76080032
$7,499
PET TUMOR W/CT WHOLE BODY
Gross
$7,499
92217475
$7,487
LEUPROLIDE ACET 22.5MG KIT PI3
Gross
$7,487
73510003
$7,398
EEG W/VIDEO EA 12-26 HRS
Gross
$7,398
11100018
$7,389
ICU
Gross
$7,389
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 92221086 | PALIPERIDONE PALMIT 819MG SUSP | $64,245 | $64,245 | — | — | 0 |
| 92221093 | PALIPERIDONE PALMIT 150MG SUSP | $42,831 | $42,831 | — | — | 0 |
| 92220143 | INTERFERON BETA-1A30MCG/0.5ML | $42,386 | $42,386 | — | — | 0 |
| 92221111 | ARIPIPRAZOLE 960MG/3.2ML SYR | $34,853 | $34,853 | — | — | 0 |
| 92215273 | ETHACRYNATE NA 50MG INJ | $30,088 | $30,088 | — | — | 0 |
| 92218149 | SIMULECT 20MG INJ | $28,431 | $28,431 | — | — | 0 |
| 92221112 | ARIPIPRAZOLE 720MG/2.4ML SYR | $26,140 | $26,140 | — | — | 0 |
| 92217325 | TERIPARATIDE 600MCG/2.4ML SOL | $25,739 | $25,739 | — | — | 0 |
| 92221078 | TERIPARATIDE 250MCG/ML PEN | $25,739 | $25,739 | — | — | 0 |
| 92220328 | FIDAXOMICIN 40 MG/ML SUS | $25,573 | $25,573 | — | — | 0 |
| 92218596 | TRASTUZUMAB 440 MG SOL | $23,660 | $23,660 | — | — | 0 |
| 92220600 | DANTOLENE 250 MG PDR | $17,551 | $17,551 | — | — | 0 |
| 92221114 | ARIPIPRAZOLE 400 MG SYR | $17,427 | $17,427 | — | — | 0 |
| 92218511 | GAMUNEX-C 1 GM/10 ML INJ | $17,010 | $17,010 | — | — | 0 |
| 92221113 | ARIPIPRAZOLE 300 MG SYR | $13,070 | $13,070 | — | — | 0 |
| 92203014 | ORALS 14 | $12,732 | $12,732 | — | — | 0 |
| 92211086 | LEUPROLIDE ACET 30MG KIT PI4 | $12,265 | $12,265 | — | — | 0 |
| 92219434 | VASOPRESSIN 20 UNITS/ML SOL | $11,854 | $11,854 | — | — | 0 |
| 61010204 | INSERT VENA CAVA FILTER | $10,980 | $10,980 | — | — | 0 |
| 74075940 | INSERT VENA CAVA FILTER | $10,980 | $10,980 | — | — | 0 |
| 92215649 | GOSERELIN ACET 10.8MG INJ | $10,890 | $10,890 | — | — | 0 |
| 92211207 | CALCITONIN 200U/ML INJ | $10,834 | $10,834 | — | — | 0 |
| 92219340 | CLINDAMYCIN PHOS 1% GEL | $10,664 | $10,664 | — | — | 0 |
| 74001021 | ANGIO RENAL SELECT BIL | $10,309 | $10,309 | — | — | 0 |
| 61010228 | REMV IMPLT/HARDWARE DEEP | $10,298 | $10,298 | — | — | 0 |
| 61010230 | REMOVE TUNNELED IP CATH | $9,994 | $9,994 | — | — | 0 |
| 92218906 | ALBUMIN HUMAN 5% SOL 50ML | $9,838 | $9,838 | — | — | 0 |
| 61010314 | TRACHEOSTOMY | $9,835 | $9,835 | — | — | 0 |
| 61010222 | INSERT TESIO CATHETER | $9,720 | $9,720 | — | — | 0 |
| 92218343 | VELCADE 3.5 MG VIAL | $9,618 | $9,618 | — | — | 0 |
| 61010225 | BIOPSY/EXCISION LYMPHNODES OPN | $9,483 | $9,483 | — | — | 0 |
| 61010017 | AMPUTATION METATARSAL W/TOE | $9,409 | $9,409 | — | — | 0 |
| 92216052 | ETANERCEPT 50MG/ML SOL | $8,952 | $8,952 | — | — | 0 |
| 61010232 | INSERT INTRAPERI CATH TUN PERC | $8,906 | $8,906 | — | — | 0 |
| 92220508 | BRIVARACETAM 10 MG/ML IVS | $8,838 | $8,838 | — | — | 0 |
| 74000055 | ANGIO RENAL UNILATERAL RT | $8,732 | $8,732 | — | — | 0 |
| 74001022 | ANGIO RENAL UNILATERAL LT | $8,732 | $8,732 | — | — | 0 |
| 92217874 | INTERFERON BETA-1A KIT | $8,732 | $8,732 | — | — | 0 |
| 61010015 | SKINSPLT AGRFT T/A/L 1ST 100CM | $8,716 | $8,716 | — | — | 0 |
| 92215588 | OMALIZUMAB 150MG PDS | $8,497 | $8,497 | — | — | 0 |
| 92211646 | CYTOGAM 2.5GM INJ | $8,473 | $8,473 | — | — | 0 |
| 76080030 | PET TUMOR W/CT LIMITED AREA | $8,347 | $8,347 | — | — | 0 |
| 74001019 | ANGIO PULMONARY SELECT BIL | $8,112 | $8,112 | — | — | 0 |
| 76080033 | PET BRAIN METABOLIC EVAL | $7,881 | $7,881 | — | — | 0 |
| 92215387 | DROTRECOGIN ALFA 20MG PDS | $7,658 | $7,658 | — | — | 0 |
| 61010028 | AMUPTATION TOE INTPHALANG JNT | $7,547 | $7,547 | — | — | 0 |
| 76080032 | PET TUMOR W/CT WHOLE BODY | $7,499 | $7,499 | — | — | 0 |
| 92217475 | LEUPROLIDE ACET 22.5MG KIT PI3 | $7,487 | $7,487 | — | — | 0 |
| 73510003 | EEG W/VIDEO EA 12-26 HRS | $7,398 | $7,398 | — | — | 0 |
| 11100018 | ICU | $7,389 | $7,389 | — | — | 0 |
Showing top 50 of 14,596 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.