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
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 275 | ATLAS VR, CARDIO-DEF | $24,375 | — | — | — | 0 |
| 790 | FRAGMENTING KID STNE | $6,837 | — | — | — | 0 |
| 51759096010 | RISPERIDONE | $6,785 | — | — | — | 0 |
| 51759085010 | RISPERIDONE | $5,430 | — | — | — | 0 |
| 59148010280 | ARIPIPRAZOLE | $4,309 | — | — | — | 0 |
| 65757040403 | ARIPIPRAZOLE LAUROXI | $3,833 | — | — | — | 0 |
| 360 | ABDOMINAL SURGERY | $3,811 | — | — | — | 0 |
| 59148007280 | ARIPIPRAZOLE | $3,388 | — | — | — | 0 |
| 51759063010 | RISPERIDONE | $3,350 | — | — | — | 0 |
| 65757040303 | ARIPIPRAZOLE LAUROXI | $3,178 | — | — | — | 0 |
| 51759052010 | RISPERIDONE | $2,680 | — | — | — | 0 |
| 59148004580 | ARIPIPRAZOLE | $2,577 | — | — | — | 0 |
| 12496012001 | RISPERIDONE | $2,500 | — | — | — | 0 |
| 65757050003 | ARIPIPRAZOLE LAUROXI | $2,434 | — | — | — | 0 |
| 124 | ROOM AND BOARD BHU PSYCH SEMI P | $2,400 | $950 | — | — | 17 |
| 126 | ROOM AND BOARD BHU DETOX SEMI P | $2,400 | $950 | — | — | 17 |
| 65757040203 | ARIPIPRAZOLE LAUROXI | $2,388 | — | — | — | 0 |
| 42367054032 | RYANODEX INJ 250MG 5 | $2,345 | — | — | — | 0 |
| 65757030001 | NALTREXONE MICROSPHE | $2,188 | — | — | — | 0 |
| 50458056301 | INVEGA SUSTENNA 156M | $2,169 | — | — | — | 0 |
| 50458056401 | INVEGA SUSTENNA 234M | $2,169 | — | — | — | 0 |
| 276 | AMNIOTIC MEMBRANE0.5 | $2,080 | — | — | — | 0 |
| 202 | R&B-ICU-MEDICAL | $2,000 | — | — | — | 0 |
| 206 | R&B-PROGRESSIVE CARE | $2,000 | — | — | — | 0 |
| 12496009001 | RISPERIDONE | $2,000 | — | — | — | 0 |
| 341 | ABSCESS LOC LTD | $1,908 | — | — | — | 0 |
| 821 | HEMODIALYSIS OUTPT | $1,657 | — | — | — | 0 |
| 65757040103 | ARIPIPRAZOLE LAUROXI | $1,595 | — | — | — | 0 |
| 50458030811 | RISPERIDONE MICROSPH | $1,503 | — | — | — | 0 |
| 50458056101 | PALIPERIDONE PALMITA | $1,418 | — | — | — | 0 |
| 480 | CARDIOVERSION | $1,270 | — | — | — | 0 |
| 901 | ELECTROCONVULSIVE | $1,205 | — | — | — | 0 |
| 611 | BRAIN W | $1,153 | — | — | — | 0 |
| 58406045504 | ETANERCEPT | $1,145 | — | — | — | 0 |
| 483 | ECHO-2D/M-MODE | $1,141 | — | — | — | 0 |
| 912 | MH PARTIAL HOSPITAL PROGRAM HALF DAY | $1,100 | $250 | — | — | 24 |
| 913 | MH PARTIAL HOSPITAL PROGRAM FULL DAY | $1,100 | $250 | — | — | 24 |
| 343 | GALLIUM PER MCI | $1,027 | — | — | — | 0 |
| 74055402 | ADALIMUMAB | $981 | — | — | — | 0 |
| 340 | LIVER IMAGING W FLOW | $866 | — | — | — | 0 |
| 391 | BLD BANK ADMIN | $803 | — | — | — | 0 |
| 905 | INTENSIVE OUTPATIENT | $800 | $150 | — | — | 26 |
| 906 | SA INTENSIVE OUTPATIENT PROGRAM | $800 | $150 | — | — | 23 |
| 50458030611 | RISPERIDONE MICROSPH | $780 | — | — | — | 0 |
| 610 | ABDOMEN, MRA | $773 | — | — | — | 0 |
| 612 | CERVICAL W/O | $773 | — | — | — | 0 |
| 351 | CT-A NECK OR CAROTID | $761 | — | — | — | 0 |
| 64896066930 | MEBENDAZOLE | $750 | — | — | — | 0 |
| 50458056001 | PALIPERIDONE PALMITA | $744 | — | — | — | 0 |
| 60793070204 | PENICILLIN G BENZATH | $735 | — | — | — | 0 |
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.