45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
12,950
Insurances with rates
15
CPT / HCPCS codes
10,176
Most expensive procedures (gross)
713941
$18,576
INVEGA SUSTEN 234 MG INJ
Gross
$18,576
344755
$18,406
LVL 5 BEDSIDE PROC
Gross
$18,406
713946
$14,860
ABILIFY MAINT 400 MG INJ
Gross
$14,860
713942
$12,384
INVEGA SUSTEN 156 MG INJ
Gross
$12,384
714041
$11,251
ARISTADA INITIO 675MGINJ
Gross
$11,251
713945
$11,145
ABILIFY MAINT 400 MG INJ
Gross
$11,145
713943
$9,288
INVEGA SUSTEN 117 MG INJ
Gross
$9,288
8001
$7,615
APS SEMI PRIVATE
Gross
$7,615
8002
$7,615
APS DETOX SEMI PRIVATE
Gross
$7,615
713944
$6,192
INVEGA SUSTEN 78 MG INJ
Gross
$6,192
344752
$6,111
LVL 4 BEDSIDE PROC
Gross
$6,111
100518
$5,713
RISPERD CONSTA 50 MG INJ
Gross
$5,713
100519
$4,285
RISPER CONSTA 37.5MG INJ
Gross
$4,285
736043
$2,986
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes rever
Gross
$2,986
100520
$2,857
RISPERD CONSTA 25 MG INJ
Gross
$2,857
502921
$2,625
DESMOPRES 0.01% NASAL
Gross
$2,625
677583
$2,508
DEF DRUG BENZODIAZ 1-12
Gross
$2,508
344751
$2,411
LVL 3 BEDSIDE PROC
Gross
$2,411
677654
$2,398
Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instr
Gross
$2,398
736139
$2,379
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse tra
Gross
$2,379
713935
$2,223
IPRAT/ALBUT 20/100MCG 4G
Gross
$2,223
100553
$2,144
IPRATROPIUM 17MCG 12.9G
Gross
$2,144
736038
$1,842
Homocysteine
Gross
$1,842
712818
$1,728
LEVOFLOX 750MG/30ML INJ
Gross
$1,728
10473
$1,686
Testosterone; free
Gross
$1,686
714030
$1,683
EPI NOS 0.3 MG INJ
Gross
$1,683
714027
$1,530
FLUTI100/UM62.5/V25INH14
Gross
$1,530
33031
$1,518
Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (8224
Gross
$1,518
22310
$1,464
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification
Gross
$1,464
100517
$1,428
RISPER CONSTA 12.5MG INJ
Gross
$1,428
736044
$1,392
Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, tota
Gross
$1,392
677616
$1,374
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use
Gross
$1,374
677580
$1,328
DEF DRUG ANTIPSYCHOT 1-3
Gross
$1,328
336504
$1,304
INDIV SESSION 60MIN
Gross
$1,304
336523
$1,304
INDIV SESSION 60MIN
Gross
$1,304
677608
$1,291
ASMANEX HFA 200MCG INH
Gross
$1,291
712136
$1,289
XALATAN 0.005%
Gross
$1,289
677574
$1,286
DEF DRUG ALCOHOLS
Gross
$1,286
677577
$1,240
NICOTINE URINE
Gross
$1,240
712882
$1,226
PIMECROLIMUS 1% TOPICAL
Gross
$1,226
10721
$1,212
MEXILETINE MEXITIL QN
Gross
$1,212
33104
$1,208
Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)
Gross
$1,208
736080
$1,196
Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) C
Gross
$1,196
502499
$1,181
COLLAGENASE TOPICAL
Gross
$1,181
33759
$1,167
T cells; absolute CD4 and CD8 count, including ratio
Gross
$1,167
712668
$1,154
METROGEL 0.75% 70 GM
Gross
$1,154
33410
$1,139
Gonadotropin, chorionic (hCG); quantitative
Gross
$1,139
677607
$1,100
ASMANEX HFA 100MCG INH
Gross
$1,100
33317
$1,088
Cyanocobalamin (Vitamin B-12);
Gross
$1,088
677673
$1,075
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drug
Gross
$1,075
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 713941 | INVEGA SUSTEN 234 MG INJ | $18,576 | $18,576 | $11,145 | $15,232 | 4 |
| 344755 | LVL 5 BEDSIDE PROC | $18,406 | $18,406 | $2,761 | $15,093 | 11 |
| 713946 | ABILIFY MAINT 400 MG INJ | $14,860 | $14,860 | $8,916 | $12,185 | 4 |
| 713942 | INVEGA SUSTEN 156 MG INJ | $12,384 | $12,384 | $7,430 | $10,155 | 4 |
| 714041 | ARISTADA INITIO 675MGINJ | $11,251 | $11,251 | $6,751 | $9,226 | 4 |
| 713945 | ABILIFY MAINT 400 MG INJ | $11,145 | $11,145 | $6,687 | $9,139 | 4 |
| 713943 | INVEGA SUSTEN 117 MG INJ | $9,288 | $9,288 | $5,573 | $7,616 | 4 |
| 8001 | APS SEMI PRIVATE | $7,615 | $7,615 | — | — | 0 |
| 8002 | APS DETOX SEMI PRIVATE | $7,615 | $7,615 | — | — | 0 |
| 713944 | INVEGA SUSTEN 78 MG INJ | $6,192 | $6,192 | $3,715 | $5,077 | 4 |
| 344752 | LVL 4 BEDSIDE PROC | $6,111 | $6,111 | $917 | $5,011 | 11 |
| 100518 | RISPERD CONSTA 50 MG INJ | $5,713 | $5,713 | $3,428 | $4,685 | 4 |
| 100519 | RISPER CONSTA 37.5MG INJ | $4,285 | $4,285 | $2,571 | $3,514 | 4 |
| 736043 | Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes rever | $2,986 | $2,986 | $34.06 | $61.69 | 13 |
| 100520 | RISPERD CONSTA 25 MG INJ | $2,857 | $2,857 | $1,714 | $2,342 | 4 |
| 502921 | DESMOPRES 0.01% NASAL | $2,625 | $2,625 | $394 | $2,152 | 8 |
| 677583 | DEF DRUG BENZODIAZ 1-12 | $2,508 | $2,508 | $376 | $2,056 | 11 |
| 344751 | LVL 3 BEDSIDE PROC | $2,411 | $2,411 | $362 | $1,977 | 11 |
| 677654 | Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instr | $2,398 | $2,398 | $49.41 | $89.48 | 13 |
| 736139 | Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse tra | $2,379 | $2,379 | $67.66 | $123 | 13 |
| 713935 | IPRAT/ALBUT 20/100MCG 4G | $2,223 | $2,223 | $333 | $1,823 | 7 |
| 100553 | IPRATROPIUM 17MCG 12.9G | $2,144 | $2,144 | $322 | $1,758 | 7 |
| 736038 | Homocysteine | $1,842 | $1,842 | $14.25 | $25.8 | 13 |
| 712818 | LEVOFLOX 750MG/30ML INJ | $1,728 | $1,728 | $259 | $1,417 | 7 |
| 10473 | Testosterone; free | $1,686 | $1,686 | $20.25 | $36.68 | 13 |
| 714030 | EPI NOS 0.3 MG INJ | $1,683 | $1,683 | $252 | $1,380 | 7 |
| 714027 | FLUTI100/UM62.5/V25INH14 | $1,530 | $1,530 | $229 | $1,254 | 7 |
| 33031 | Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (8224 | $1,518 | $1,518 | $6.5 | $11.76 | 13 |
| 22310 | Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification | $1,464 | $1,464 | $34.06 | $61.69 | 13 |
| 100517 | RISPER CONSTA 12.5MG INJ | $1,428 | $1,428 | $857 | $1,171 | 4 |
| 736044 | Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, tota | $1,392 | $1,392 | $8.4 | $15.21 | 13 |
| 677616 | Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use | $1,374 | $1,374 | — | — | 9 |
| 677580 | DEF DRUG ANTIPSYCHOT 1-3 | $1,328 | $1,328 | $199 | $1,089 | 11 |
| 336504 | INDIV SESSION 60MIN | $1,304 | $1,304 | $222 | $1,069 | 8 |
| 336523 | INDIV SESSION 60MIN | $1,304 | $1,304 | $222 | $1,069 | 6 |
| 677608 | ASMANEX HFA 200MCG INH | $1,291 | $1,291 | $194 | $1,058 | 13 |
| 712136 | XALATAN 0.005% | $1,289 | $1,289 | $193 | $1,057 | 13 |
| 677574 | DEF DRUG ALCOHOLS | $1,286 | $1,286 | $193 | $1,055 | 11 |
| 677577 | NICOTINE URINE | $1,240 | $1,240 | $186 | $1,017 | 11 |
| 712882 | PIMECROLIMUS 1% TOPICAL | $1,226 | $1,226 | $184 | $1,005 | 8 |
| 10721 | MEXILETINE MEXITIL QN | $1,212 | $1,212 | $606 | $994 | 6 |
| 33104 | Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) | $1,208 | $1,208 | $10.23 | $18.53 | 13 |
| 736080 | Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) C | $1,196 | $1,196 | $6.9 | $12.5 | 13 |
| 502499 | COLLAGENASE TOPICAL | $1,181 | $1,181 | $177 | $968 | 7 |
| 33759 | T cells; absolute CD4 and CD8 count, including ratio | $1,167 | $1,167 | $37.35 | $67.65 | 13 |
| 712668 | METROGEL 0.75% 70 GM | $1,154 | $1,154 | $173 | $947 | 11 |
| 33410 | Gonadotropin, chorionic (hCG); quantitative | $1,139 | $1,139 | $11.97 | $21.67 | 13 |
| 677607 | ASMANEX HFA 100MCG INH | $1,100 | $1,100 | $165 | $902 | 13 |
| 33317 | Cyanocobalamin (Vitamin B-12); | $1,088 | $1,088 | $11.99 | $21.72 | 13 |
| 677673 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drug | $1,075 | $1,075 | $90.97 | $165 | 13 |
Showing top 50 of 12,950 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.