DELTA SPECIALTY HOSPITAL

CCN 440159

45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published
●Gross / standard charges
○Discounted cash price
○Payer-specific negotiated rates
○Min / max negotiated charges
●Free, public, no login required
Procedures listed
4,225
Insurances with rates
12
CPT / HCPCS codes
6
Source MRF

Most expensive procedures (gross)

275
—
ATLAS VR, CARDIO-DEF
Gross
$24,375
790
—
FRAGMENTING KID STNE
Gross
$6,837
51759096010
—
RISPERIDONE
Gross
$6,785
51759085010
—
RISPERIDONE
Gross
$5,430
59148010280
—
ARIPIPRAZOLE
Gross
$4,309
65757040403
—
ARIPIPRAZOLE LAUROXI
Gross
$3,833
360
—
ABDOMINAL SURGERY
Gross
$3,811
59148007280
—
ARIPIPRAZOLE
Gross
$3,388
51759063010
—
RISPERIDONE
Gross
$3,350
65757040303
—
ARIPIPRAZOLE LAUROXI
Gross
$3,178
51759052010
—
RISPERIDONE
Gross
$2,680
59148004580
—
ARIPIPRAZOLE
Gross
$2,577
12496012001
—
RISPERIDONE
Gross
$2,500
65757050003
—
ARIPIPRAZOLE LAUROXI
Gross
$2,434
124
$950
ROOM AND BOARD BHU PSYCH SEMI P
Gross
$2,400
126
$950
ROOM AND BOARD BHU DETOX SEMI P
Gross
$2,400
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
276
—
AMNIOTIC MEMBRANE0.5
Gross
$2,080
202
—
R&B-ICU-MEDICAL
Gross
$2,000
206
—
R&B-PROGRESSIVE CARE
Gross
$2,000
12496009001
—
RISPERIDONE
Gross
$2,000
341
—
ABSCESS LOC LTD
Gross
$1,908
821
—
HEMODIALYSIS OUTPT
Gross
$1,657
65757040103
—
ARIPIPRAZOLE LAUROXI
Gross
$1,595
50458030811
—
RISPERIDONE MICROSPH
Gross
$1,503
50458056101
—
PALIPERIDONE PALMITA
Gross
$1,418
480
—
CARDIOVERSION
Gross
$1,270
901
—
ELECTROCONVULSIVE
Gross
$1,205
611
—
BRAIN W
Gross
$1,153
58406045504
—
ETANERCEPT
Gross
$1,145
483
—
ECHO-2D/M-MODE
Gross
$1,141
912
$250
MH PARTIAL HOSPITAL PROGRAM HALF DAY
Gross
$1,100
913
$250
MH PARTIAL HOSPITAL PROGRAM FULL DAY
Gross
$1,100
343
—
GALLIUM PER MCI
Gross
$1,027
74055402
—
ADALIMUMAB
Gross
$981
340
—
LIVER IMAGING W FLOW
Gross
$866
391
—
BLD BANK ADMIN
Gross
$803
905
$150
INTENSIVE OUTPATIENT
Gross
$800
906
$150
SA INTENSIVE OUTPATIENT PROGRAM
Gross
$800
50458030611
—
RISPERIDONE MICROSPH
Gross
$780
610
—
ABDOMEN, MRA
Gross
$773
612
—
CERVICAL W/O
Gross
$773
351
—
CT-A NECK OR CAROTID
Gross
$761
64896066930
—
MEBENDAZOLE
Gross
$750
50458056001
—
PALIPERIDONE PALMITA
Gross
$744
60793070204
—
PENICILLIN G BENZATH
Gross
$735
Showing top 50 of 4,225 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.