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
15,359
Insurances with rates
1
CPT / HCPCS codes
738
Most expensive procedures (gross)
92221086
$74,524
PALIPERIDONE PALMIT 819MG SUSP
Gross
$74,524
92221093
$49,684
PALIPERIDONE PALMIT 150MG SUSP
Gross
$49,684
92220143
$49,167
INTERFERON BETA-1A30MCG/0.5ML
Gross
$49,167
92221111
$40,430
ARIPIPRAZOLE 960MG/3.2ML SYR
Gross
$40,430
92218149
$37,702
SIMULECT 20MG INJ
Gross
$37,702
92215273
$34,902
ETHACRYNATE NA 50MG INJ
Gross
$34,902
92221112
$30,323
ARIPIPRAZOLE 720MG/2.4ML SYR
Gross
$30,323
92217325
$29,858
TERIPARATIDE 600MCG/2.4ML SOL
Gross
$29,858
92221078
$29,858
TERIPARATIDE 250MCG/ML PEN
Gross
$29,858
92220328
$29,665
FIDAXOMICIN 40 MG/ML SUS
Gross
$29,665
92218596
$27,445
TRASTUZUMAB 440 MG SOL
Gross
$27,445
61010104
$24,274
REVISION TRACHEOSTOMY SCAR
Gross
$24,274
92220600
$20,359
DANTOLENE 250 MG PDR
Gross
$20,359
92221114
$20,215
ARIPIPRAZOLE 400 MG SYR
Gross
$20,215
92218511
$19,732
GAMUNEX-C 1 GM/10 ML INJ
Gross
$19,732
76080037
$17,689
PET MYOCARD PERF MULT STUDY
Gross
$17,689
76000360
$17,501
NM LIVER IMAGING SPECT
Gross
$17,501
61010222
$16,811
INSERT TESIO CATHETER
Gross
$16,811
92221113
$15,161
ARIPIPRAZOLE 300 MG SYR
Gross
$15,161
74001011
$14,703
ANGIO SPINAL SELECTIVE
Gross
$14,703
76080029
$14,391
PET TUMOR IMAG WHOLE BODY
Gross
$14,391
76080027
$14,250
PET TUMOR IMAG LIMITED AREA
Gross
$14,250
92211086
$14,227
LEUPROLIDE ACET 30MG KIT PI4
Gross
$14,227
11600206
$14,040
PERMACATH
Gross
$14,040
61010314
$13,830
TRACHEOSTOMY
Gross
$13,830
74001023
$13,826
ANGIO VISCERAL SELECT
Gross
$13,826
74001019
$13,761
ANGIO PULMONARY SELECT BIL
Gross
$13,761
92219434
$13,750
VASOPRESSIN 20 UNITS/ML SOL
Gross
$13,750
74001018
$13,536
ANGIO PELVIC SELECTIVE
Gross
$13,536
92215649
$12,633
GOSERELIN ACET 10.8MG INJ
Gross
$12,633
92211207
$12,568
CALCITONIN 200U/ML INJ
Gross
$12,568
61010204
$12,491
INSERT VENA CAVA FILTER
Gross
$12,491
74075940
$12,491
INSERT VENA CAVA FILTER
Gross
$12,491
92219340
$12,370
CLINDAMYCIN PHOS 1% GEL
Gross
$12,370
33106961
$11,844
MESH VICRYL KNITTED 12x12
Gross
$11,844
61010232
$11,771
INSERT INTRAPERI CATH TUN PERC
Gross
$11,771
76080030
$11,504
PET TUMOR W/CT LIMITED AREA
Gross
$11,504
92218906
$11,412
ALBUMIN HUMAN 5% SOL 50ML
Gross
$11,412
92218343
$11,157
VELCADE 3.5 MG VIAL
Gross
$11,157
76080032
$10,771
PET TUMOR W/CT WHOLE BODY
Gross
$10,771
76080028
$10,770
PET TUMOR IMAG SKULL-MIDTHIGH
Gross
$10,770
74000055
$10,752
ANGIO RENAL UNILATERAL RT
Gross
$10,752
74001022
$10,752
ANGIO RENAL UNILATERAL LT
Gross
$10,752
33114968
$10,675
SEALANT TISEEL FIBRIN
Gross
$10,675
76080031
$10,669
PET TUMOR W/CT SKULL-MIDTHIGH
Gross
$10,669
92216052
$10,385
ETANERCEPT 50MG/ML SOL
Gross
$10,385
92220508
$10,252
BRIVARACETAM 10 MG/ML IVS
Gross
$10,252
92215387
$10,156
DROTRECOGIN ALFA 20MG PDS
Gross
$10,156
92217874
$10,129
INTERFERON BETA-1A KIT
Gross
$10,129
74001021
$10,004
ANGIO RENAL SELECT BIL
Gross
$10,004
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 92221086 | PALIPERIDONE PALMIT 819MG SUSP | $74,524 | $74,524 | — | — | 0 |
| 92221093 | PALIPERIDONE PALMIT 150MG SUSP | $49,684 | $49,684 | — | — | 0 |
| 92220143 | INTERFERON BETA-1A30MCG/0.5ML | $49,167 | $49,167 | — | — | 0 |
| 92221111 | ARIPIPRAZOLE 960MG/3.2ML SYR | $40,430 | $40,430 | — | — | 0 |
| 92218149 | SIMULECT 20MG INJ | $37,702 | $37,702 | — | — | 0 |
| 92215273 | ETHACRYNATE NA 50MG INJ | $34,902 | $34,902 | — | — | 0 |
| 92221112 | ARIPIPRAZOLE 720MG/2.4ML SYR | $30,323 | $30,323 | — | — | 0 |
| 92217325 | TERIPARATIDE 600MCG/2.4ML SOL | $29,858 | $29,858 | — | — | 0 |
| 92221078 | TERIPARATIDE 250MCG/ML PEN | $29,858 | $29,858 | — | — | 0 |
| 92220328 | FIDAXOMICIN 40 MG/ML SUS | $29,665 | $29,665 | — | — | 0 |
| 92218596 | TRASTUZUMAB 440 MG SOL | $27,445 | $27,445 | — | — | 0 |
| 61010104 | REVISION TRACHEOSTOMY SCAR | $24,274 | $24,274 | — | — | 0 |
| 92220600 | DANTOLENE 250 MG PDR | $20,359 | $20,359 | — | — | 0 |
| 92221114 | ARIPIPRAZOLE 400 MG SYR | $20,215 | $20,215 | — | — | 0 |
| 92218511 | GAMUNEX-C 1 GM/10 ML INJ | $19,732 | $19,732 | — | — | 0 |
| 76080037 | PET MYOCARD PERF MULT STUDY | $17,689 | $17,689 | — | — | 0 |
| 76000360 | NM LIVER IMAGING SPECT | $17,501 | $17,501 | — | — | 0 |
| 61010222 | INSERT TESIO CATHETER | $16,811 | $16,811 | — | — | 0 |
| 92221113 | ARIPIPRAZOLE 300 MG SYR | $15,161 | $15,161 | — | — | 0 |
| 74001011 | ANGIO SPINAL SELECTIVE | $14,703 | $14,703 | — | — | 0 |
| 76080029 | PET TUMOR IMAG WHOLE BODY | $14,391 | $14,391 | — | — | 0 |
| 76080027 | PET TUMOR IMAG LIMITED AREA | $14,250 | $14,250 | — | — | 0 |
| 92211086 | LEUPROLIDE ACET 30MG KIT PI4 | $14,227 | $14,227 | — | — | 0 |
| 11600206 | PERMACATH | $14,040 | $14,040 | — | — | 0 |
| 61010314 | TRACHEOSTOMY | $13,830 | $13,830 | — | — | 0 |
| 74001023 | ANGIO VISCERAL SELECT | $13,826 | $13,826 | — | — | 0 |
| 74001019 | ANGIO PULMONARY SELECT BIL | $13,761 | $13,761 | — | — | 0 |
| 92219434 | VASOPRESSIN 20 UNITS/ML SOL | $13,750 | $13,750 | — | — | 0 |
| 74001018 | ANGIO PELVIC SELECTIVE | $13,536 | $13,536 | — | — | 0 |
| 92215649 | GOSERELIN ACET 10.8MG INJ | $12,633 | $12,633 | — | — | 0 |
| 92211207 | CALCITONIN 200U/ML INJ | $12,568 | $12,568 | — | — | 0 |
| 61010204 | INSERT VENA CAVA FILTER | $12,491 | $12,491 | — | — | 0 |
| 74075940 | INSERT VENA CAVA FILTER | $12,491 | $12,491 | — | — | 0 |
| 92219340 | CLINDAMYCIN PHOS 1% GEL | $12,370 | $12,370 | — | — | 0 |
| 33106961 | MESH VICRYL KNITTED 12x12 | $11,844 | $11,844 | — | — | 0 |
| 61010232 | INSERT INTRAPERI CATH TUN PERC | $11,771 | $11,771 | — | — | 0 |
| 76080030 | PET TUMOR W/CT LIMITED AREA | $11,504 | $11,504 | — | — | 0 |
| 92218906 | ALBUMIN HUMAN 5% SOL 50ML | $11,412 | $11,412 | — | — | 0 |
| 92218343 | VELCADE 3.5 MG VIAL | $11,157 | $11,157 | — | — | 0 |
| 76080032 | PET TUMOR W/CT WHOLE BODY | $10,771 | $10,771 | — | — | 0 |
| 76080028 | PET TUMOR IMAG SKULL-MIDTHIGH | $10,770 | $10,770 | — | — | 0 |
| 74000055 | ANGIO RENAL UNILATERAL RT | $10,752 | $10,752 | — | — | 0 |
| 74001022 | ANGIO RENAL UNILATERAL LT | $10,752 | $10,752 | — | — | 0 |
| 33114968 | SEALANT TISEEL FIBRIN | $10,675 | $10,675 | — | — | 0 |
| 76080031 | PET TUMOR W/CT SKULL-MIDTHIGH | $10,669 | $10,669 | — | — | 0 |
| 92216052 | ETANERCEPT 50MG/ML SOL | $10,385 | $10,385 | — | — | 0 |
| 92220508 | BRIVARACETAM 10 MG/ML IVS | $10,252 | $10,252 | — | — | 0 |
| 92215387 | DROTRECOGIN ALFA 20MG PDS | $10,156 | $10,156 | — | — | 0 |
| 92217874 | INTERFERON BETA-1A KIT | $10,129 | $10,129 | — | — | 0 |
| 74001021 | ANGIO RENAL SELECT BIL | $10,004 | $10,004 | — | — | 0 |
Showing top 50 of 15,359 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.