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
15,496
Insurances with rates
1
CPT / HCPCS codes
662
Most expensive procedures (gross)
92221086
$64,245
PALIPERIDONE PALMIT 819MG SUSP
Gross
$64,245
92221093
$42,831
PALIPERIDONE PALMIT 150MG SUSP
Gross
$42,831
92220143
$42,386
INTERFERON BETA-1A30MCG/0.5ML
Gross
$42,386
92221111
$34,853
ARIPIPRAZOLE 960MG/3.2ML SYR
Gross
$34,853
92218149
$32,757
SIMULECT 20MG INJ
Gross
$32,757
92215273
$30,088
ETHACRYNATE NA 50MG INJ
Gross
$30,088
92221112
$26,140
ARIPIPRAZOLE 720MG/2.4ML SYR
Gross
$26,140
92217325
$25,739
TERIPARATIDE 600MCG/2.4ML SOL
Gross
$25,739
92221078
$25,739
TERIPARATIDE 250MCG/ML PEN
Gross
$25,739
92220328
$25,573
FIDAXOMICIN 40 MG/ML SUS
Gross
$25,573
92218596
$23,660
TRASTUZUMAB 440 MG SOL
Gross
$23,660
92220600
$17,551
DANTOLENE 250 MG PDR
Gross
$17,551
92221114
$17,427
ARIPIPRAZOLE 400 MG SYR
Gross
$17,427
92218511
$17,010
GAMUNEX-C 1 GM/10 ML INJ
Gross
$17,010
61010204
$15,718
INSERT VENA CAVA FILTER
Gross
$15,718
74075940
$15,718
INSERT VENA CAVA FILTER
Gross
$15,718
61010228
$13,072
REMV IMPLT/HARDWARE DEEP
Gross
$13,072
92221113
$13,070
ARIPIPRAZOLE 300 MG SYR
Gross
$13,070
61010236
$13,050
PERITONL DRAIN CATH TRNREC/VGN
Gross
$13,050
76080027
$12,624
PET TUMOR IMAG LIMITED AREA
Gross
$12,624
61010017
$12,404
AMPUTATION METATARSAL W/TOE
Gross
$12,404
74001011
$12,398
ANGIO SPINAL SELECTIVE
Gross
$12,398
76080028
$12,381
PET TUMOR IMAG SKULL-MIDTHIGH
Gross
$12,381
92211086
$12,265
LEUPROLIDE ACET 30MG KIT PI4
Gross
$12,265
92219434
$11,854
VASOPRESSIN 20 UNITS/ML SOL
Gross
$11,854
74001021
$11,747
ANGIO RENAL SELECT BIL
Gross
$11,747
61010230
$11,492
REMOVE TUNNELED IP CATH
Gross
$11,492
76080032
$11,449
PET TUMOR W/CT WHOLE BODY
Gross
$11,449
76080031
$11,283
PET TUMOR W/CT SKULL-MIDTHIGH
Gross
$11,283
61010232
$11,280
INSERT INTRAPERI CATH TUN PERC
Gross
$11,280
74000055
$11,261
ANGIO RENAL UNILATERAL RT
Gross
$11,261
74001022
$11,261
ANGIO RENAL UNILATERAL LT
Gross
$11,261
76080033
$11,036
PET BRAIN METABOLIC EVAL
Gross
$11,036
61010222
$10,921
INSERT TESIO CATHETER
Gross
$10,921
92215649
$10,890
GOSERELIN ACET 10.8MG INJ
Gross
$10,890
92211207
$10,834
CALCITONIN 200U/ML INJ
Gross
$10,834
11100018
$10,820
ICU
Gross
$10,820
61010028
$10,737
AMUPTATION TOE INTPHALANG JNT
Gross
$10,737
61010332
$10,709
EXC SFT TIS BACK LES SC <3CM
Gross
$10,709
92219340
$10,664
CLINDAMYCIN PHOS 1% GEL
Gross
$10,664
10600300
$10,309
INTERMEDIATE ICU ROOM
Gross
$10,309
33106961
$10,254
MESH VICRYL KNITTED 12x12
Gross
$10,254
74001051
$10,108
AORTOGRAM THORACIC W/O SERIAL
Gross
$10,108
61010238
$10,029
INSERT PLEURX CATHETER W CUFF
Gross
$10,029
61010201
$9,927
INSERT CENT VEN CATH TUNNELED
Gross
$9,927
61010212
$9,927
INSERT HICKMAN CATH
Gross
$9,927
61010231
$9,927
INSERT PERMACATH
Gross
$9,927
61010208
$9,913
INSERT PLEURAL CATHETER W CUFF
Gross
$9,913
74001023
$9,912
ANGIO VISCERAL SELECT
Gross
$9,912
74001052
$9,891
AORTOGRAM THORACIC W/SERIAL
Gross
$9,891
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 92221086 | PALIPERIDONE PALMIT 819MG SUSP | $64,245 | $64,245 | — | — | 0 |
| 92221093 | PALIPERIDONE PALMIT 150MG SUSP | $42,831 | $42,831 | — | — | 0 |
| 92220143 | INTERFERON BETA-1A30MCG/0.5ML | $42,386 | $42,386 | — | — | 0 |
| 92221111 | ARIPIPRAZOLE 960MG/3.2ML SYR | $34,853 | $34,853 | — | — | 0 |
| 92218149 | SIMULECT 20MG INJ | $32,757 | $32,757 | — | — | 0 |
| 92215273 | ETHACRYNATE NA 50MG INJ | $30,088 | $30,088 | — | — | 0 |
| 92221112 | ARIPIPRAZOLE 720MG/2.4ML SYR | $26,140 | $26,140 | — | — | 0 |
| 92217325 | TERIPARATIDE 600MCG/2.4ML SOL | $25,739 | $25,739 | — | — | 0 |
| 92221078 | TERIPARATIDE 250MCG/ML PEN | $25,739 | $25,739 | — | — | 0 |
| 92220328 | FIDAXOMICIN 40 MG/ML SUS | $25,573 | $25,573 | — | — | 0 |
| 92218596 | TRASTUZUMAB 440 MG SOL | $23,660 | $23,660 | — | — | 0 |
| 92220600 | DANTOLENE 250 MG PDR | $17,551 | $17,551 | — | — | 0 |
| 92221114 | ARIPIPRAZOLE 400 MG SYR | $17,427 | $17,427 | — | — | 0 |
| 92218511 | GAMUNEX-C 1 GM/10 ML INJ | $17,010 | $17,010 | — | — | 0 |
| 61010204 | INSERT VENA CAVA FILTER | $15,718 | $15,718 | — | — | 0 |
| 74075940 | INSERT VENA CAVA FILTER | $15,718 | $15,718 | — | — | 0 |
| 61010228 | REMV IMPLT/HARDWARE DEEP | $13,072 | $13,072 | — | — | 0 |
| 92221113 | ARIPIPRAZOLE 300 MG SYR | $13,070 | $13,070 | — | — | 0 |
| 61010236 | PERITONL DRAIN CATH TRNREC/VGN | $13,050 | $13,050 | — | — | 0 |
| 76080027 | PET TUMOR IMAG LIMITED AREA | $12,624 | $12,624 | — | — | 0 |
| 61010017 | AMPUTATION METATARSAL W/TOE | $12,404 | $12,404 | — | — | 0 |
| 74001011 | ANGIO SPINAL SELECTIVE | $12,398 | $12,398 | — | — | 0 |
| 76080028 | PET TUMOR IMAG SKULL-MIDTHIGH | $12,381 | $12,381 | — | — | 0 |
| 92211086 | LEUPROLIDE ACET 30MG KIT PI4 | $12,265 | $12,265 | — | — | 0 |
| 92219434 | VASOPRESSIN 20 UNITS/ML SOL | $11,854 | $11,854 | — | — | 0 |
| 74001021 | ANGIO RENAL SELECT BIL | $11,747 | $11,747 | — | — | 0 |
| 61010230 | REMOVE TUNNELED IP CATH | $11,492 | $11,492 | — | — | 0 |
| 76080032 | PET TUMOR W/CT WHOLE BODY | $11,449 | $11,449 | — | — | 0 |
| 76080031 | PET TUMOR W/CT SKULL-MIDTHIGH | $11,283 | $11,283 | — | — | 0 |
| 61010232 | INSERT INTRAPERI CATH TUN PERC | $11,280 | $11,280 | — | — | 0 |
| 74000055 | ANGIO RENAL UNILATERAL RT | $11,261 | $11,261 | — | — | 0 |
| 74001022 | ANGIO RENAL UNILATERAL LT | $11,261 | $11,261 | — | — | 0 |
| 76080033 | PET BRAIN METABOLIC EVAL | $11,036 | $11,036 | — | — | 0 |
| 61010222 | INSERT TESIO CATHETER | $10,921 | $10,921 | — | — | 0 |
| 92215649 | GOSERELIN ACET 10.8MG INJ | $10,890 | $10,890 | — | — | 0 |
| 92211207 | CALCITONIN 200U/ML INJ | $10,834 | $10,834 | — | — | 0 |
| 11100018 | ICU | $10,820 | $10,820 | — | — | 0 |
| 61010028 | AMUPTATION TOE INTPHALANG JNT | $10,737 | $10,737 | — | — | 0 |
| 61010332 | EXC SFT TIS BACK LES SC <3CM | $10,709 | $10,709 | — | — | 0 |
| 92219340 | CLINDAMYCIN PHOS 1% GEL | $10,664 | $10,664 | — | — | 0 |
| 10600300 | INTERMEDIATE ICU ROOM | $10,309 | $10,309 | — | — | 0 |
| 33106961 | MESH VICRYL KNITTED 12x12 | $10,254 | $10,254 | — | — | 0 |
| 74001051 | AORTOGRAM THORACIC W/O SERIAL | $10,108 | $10,108 | — | — | 0 |
| 61010238 | INSERT PLEURX CATHETER W CUFF | $10,029 | $10,029 | — | — | 0 |
| 61010201 | INSERT CENT VEN CATH TUNNELED | $9,927 | $9,927 | — | — | 0 |
| 61010212 | INSERT HICKMAN CATH | $9,927 | $9,927 | — | — | 0 |
| 61010231 | INSERT PERMACATH | $9,927 | $9,927 | — | — | 0 |
| 61010208 | INSERT PLEURAL CATHETER W CUFF | $9,913 | $9,913 | — | — | 0 |
| 74001023 | ANGIO VISCERAL SELECT | $9,912 | $9,912 | — | — | 0 |
| 74001052 | AORTOGRAM THORACIC W/SERIAL | $9,891 | $9,891 | — | — | 0 |
Showing top 50 of 15,496 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.