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
6,166
Insurances with rates
14
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
51759096010
—
RISPERIDONE
Gross
$6,785
51759085010
—
RISPERIDONE
Gross
$5,430
118
$1,350
R&B REHAB (P)-M/S
Gross
$3,996
65757040403
—
ARIPIPRAZOLE LAUROXI
Gross
$3,833
51759063010
—
RISPERIDONE
Gross
$3,350
50458056201
—
PALIPERIDONE PALMITA
Gross
$3,331
65757040303
—
ARIPIPRAZOLE LAUROXI
Gross
$3,178
124
$900
R&B ADU - DOWN (SP)
Gross
$2,700
126
$900
R&B DETOX (SP) - M/S
Gross
$2,700
51759052010
—
RISPERIDONE
Gross
$2,680
12496012001
—
RISPERIDONE
Gross
$2,500
65757050003
—
ARIPIPRAZOLE LAUROXI
Gross
$2,434
65757040203
—
ARIPIPRAZOLE LAUROXI
Gross
$2,388
42367054032
—
RYANODEX INJ 250MG 5
Gross
$2,345
611
—
MR Brain w Contrast
Gross
$2,245
614
—
MR Shoulder w dye
Gross
$2,245
65757030001
—
NALTREXONE MICROSPHE
Gross
$2,188
50458056301
—
INVEGA SUSTENNA 156M
Gross
$2,169
50458056401
—
INVEGA SUSTENNA 234M
Gross
$2,169
12496009001
—
RISPERIDONE
Gross
$2,000
801
—
HEMODIALYSIS RPTD
Gross
$1,750
351
—
CT Face Bone wo/w dy
Gross
$1,717
901
$750
ECT - INPATIENT ANC
Gross
$1,700
901
$750
ECT - OUTPATIENT
Gross
$1,700
50458030811
—
RISPERIDONE MICROSPH
Gross
$1,503
50458056101
—
PALIPERIDONE PALMITA
Gross
$1,418
65757040103
—
ARIPIPRAZOLE LAUROXI
Gross
$1,226
58406045504
—
ETANERCEPT
Gross
$1,145
761
—
FOLEY CATHETER
Gross
$1,125
402
—
PICC w US Guidance
Gross
$1,050
352
—
CT Abd Pelv w/wo Dye
Gross
$996
74055402
—
ADALIMUMAB
Gross
$981
55513092491
—
FILGRASTIM
Gross
$973
57962042028
—
IBRUTINIB
Gross
$907
912
$375
PHP PSYCH ADOL PROG
Gross
$900
85412027383
—
VIAL-MATE ADP HSP 2B
Gross
$865
615
—
MRI HEAD W/ CONTRAST
Gross
$795
750
—
EGD
Gross
$788
50458030611
—
RISPERIDONE MICROSPH
Gross
$780
2150680
—
TIRZEPATIDE
Gross
$756
64896066930
—
MEBENDAZOLE
Gross
$750
50458056001
—
PALIPERIDONE PALMITA
Gross
$744
60793070204
—
PENICILLIN G BENZATH
Gross
$735
444
—
SPEECH LANGUAGE EVAL
Gross
$715
42494041603
—
PHENOBARBITAL SODIUM
Gross
$620
72124000202
—
ACLIDINIUM BROMIDE
Gross
$597
85138300317
—
VASHE WOUND INSTILL
Gross
$572
59310081206
—
FLUTICASONE PROPION/
Gross
$563
187065920
—
DIAZEPAM
Gross
$554
81284052201
—
PENICILLIN G BENZATH
Gross
$518
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 51759096010 | RISPERIDONE | $6,785 | — | — | — | 0 |
| 51759085010 | RISPERIDONE | $5,430 | — | — | — | 0 |
| 118 | R&B REHAB (P)-M/S | $3,996 | $1,350 | — | — | 12 |
| 65757040403 | ARIPIPRAZOLE LAUROXI | $3,833 | — | — | — | 0 |
| 51759063010 | RISPERIDONE | $3,350 | — | — | — | 0 |
| 50458056201 | PALIPERIDONE PALMITA | $3,331 | — | — | — | 0 |
| 65757040303 | ARIPIPRAZOLE LAUROXI | $3,178 | — | — | — | 0 |
| 124 | R&B ADU - DOWN (SP) | $2,700 | $900 | — | — | 28 |
| 126 | R&B DETOX (SP) - M/S | $2,700 | $900 | — | — | 26 |
| 51759052010 | RISPERIDONE | $2,680 | — | — | — | 0 |
| 12496012001 | RISPERIDONE | $2,500 | — | — | — | 0 |
| 65757050003 | ARIPIPRAZOLE LAUROXI | $2,434 | — | — | — | 0 |
| 65757040203 | ARIPIPRAZOLE LAUROXI | $2,388 | — | — | — | 0 |
| 42367054032 | RYANODEX INJ 250MG 5 | $2,345 | — | — | — | 0 |
| 611 | MR Brain w Contrast | $2,245 | — | — | — | 0 |
| 614 | MR Shoulder w dye | $2,245 | — | — | — | 0 |
| 65757030001 | NALTREXONE MICROSPHE | $2,188 | — | — | — | 0 |
| 50458056301 | INVEGA SUSTENNA 156M | $2,169 | — | — | — | 0 |
| 50458056401 | INVEGA SUSTENNA 234M | $2,169 | — | — | — | 0 |
| 12496009001 | RISPERIDONE | $2,000 | — | — | — | 0 |
| 801 | HEMODIALYSIS RPTD | $1,750 | — | — | — | 0 |
| 351 | CT Face Bone wo/w dy | $1,717 | — | — | — | 0 |
| 901 | ECT - INPATIENT ANC | $1,700 | $750 | — | — | 29 |
| 901 | ECT - OUTPATIENT | $1,700 | $750 | — | — | 29 |
| 50458030811 | RISPERIDONE MICROSPH | $1,503 | — | — | — | 0 |
| 50458056101 | PALIPERIDONE PALMITA | $1,418 | — | — | — | 0 |
| 65757040103 | ARIPIPRAZOLE LAUROXI | $1,226 | — | — | — | 0 |
| 58406045504 | ETANERCEPT | $1,145 | — | — | — | 0 |
| 761 | FOLEY CATHETER | $1,125 | — | — | — | 0 |
| 402 | PICC w US Guidance | $1,050 | — | — | — | 0 |
| 352 | CT Abd Pelv w/wo Dye | $996 | — | — | — | 0 |
| 74055402 | ADALIMUMAB | $981 | — | — | — | 0 |
| 55513092491 | FILGRASTIM | $973 | — | — | — | 0 |
| 57962042028 | IBRUTINIB | $907 | — | — | — | 0 |
| 912 | PHP PSYCH ADOL PROG | $900 | $375 | — | — | 23 |
| 85412027383 | VIAL-MATE ADP HSP 2B | $865 | — | — | — | 0 |
| 615 | MRI HEAD W/ CONTRAST | $795 | — | — | — | 0 |
| 750 | EGD | $788 | — | — | — | 0 |
| 50458030611 | RISPERIDONE MICROSPH | $780 | — | — | — | 0 |
| 2150680 | TIRZEPATIDE | $756 | — | — | — | 0 |
| 64896066930 | MEBENDAZOLE | $750 | — | — | — | 0 |
| 50458056001 | PALIPERIDONE PALMITA | $744 | — | — | — | 0 |
| 60793070204 | PENICILLIN G BENZATH | $735 | — | — | — | 0 |
| 444 | SPEECH LANGUAGE EVAL | $715 | — | — | — | 0 |
| 42494041603 | PHENOBARBITAL SODIUM | $620 | — | — | — | 0 |
| 72124000202 | ACLIDINIUM BROMIDE | $597 | — | — | — | 0 |
| 85138300317 | VASHE WOUND INSTILL | $572 | — | — | — | 0 |
| 59310081206 | FLUTICASONE PROPION/ | $563 | — | — | — | 0 |
| 187065920 | DIAZEPAM | $554 | — | — | — | 0 |
| 81284052201 | PENICILLIN G BENZATH | $518 | — | — | — | 0 |
Showing top 50 of 6,166 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.