45 CFR § 180 compliance
A · 100
This hospital published most 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
4,566
Insurances with rates
14
CPT / HCPCS codes
2,164
Source MRF
Most expensive procedures (gross)
C1767
$68,488
GENERATOR NEUROSTIMULATOR FOR VNS THERAPY SENTIVA
Gross
$136,976
J9043
$64,487
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [105644]
Gross
$128,975
L8699
$53,092
CAGE CNTR PC OBELISC 20X53-87MM EXP CS2920-53
Gross
$106,184
C1882
$38,950
QUADRA ASSURA MP CRT-D
Gross
$77,900
C1721
$34,500
DEFIB CARD 31CC W5.37XH7.68CM D0.99CM 71.4GM 2 CHMBR RA IS-1 RV DF-4 CONN VIGILANT EXT
Gross
$69,000
C1722
$33,750
DEFIB CARD 29.5CC W5.37XH7.36CM D0.99CM 68.9GM SGL CHMBR RV DF-4 CONN VIGILANT EXT
Gross
$67,500
33249
$32,921
HC INSERT/RPLCMT DEFIB W/LEAD(S)
Gross
$65,841
33264
$32,921
HC RMVL & RPLCMT DFB GEN MLT LD
Gross
$65,841
33262
$23,509
HC RMVL& REPLC PULSE GEN 1 LEAD
Gross
$47,018
33263
$23,509
HC RMVL & RPLCMT DFB GEN 2 LEAD
Gross
$47,018
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [
$23,461
SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [128147]
Gross
$46,921
PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION
$20,682
PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION [18232]
Gross
$41,365
C1772
$20,600
PUMP - INFUSION SYNCHHROMED II - BACLOFEN
Gross
$41,200
93460
$17,896
HC R&L HRT ART/VENTRICLE ANGIO
Gross
$35,792
37229
$17,397
HC REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL
Gross
$34,794
37227
$17,396
HC REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL
Gross
$34,792
92928
$17,164
HC PRQ CARD STENT W/ANGIO 1 VSL
Gross
$34,328
36906
$17,034
HC OR THRMBC/NFS DIALYSIS CIRCUIT
Gross
$34,067
J3357
$16,412
USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE [126168]
Gross
$32,824
COAL TAR 0.5 % SHAMPOO [27670]
$15,938
COAL TAR 0.5 % SHAMPOO [27670]
Gross
$31,877
COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG)
$15,938
COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION [92855]
Gross
$31,877
A9582
$15,768
IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION [3961]
Gross
$31,535
L8680
$15,666
PERENNIAFLEX LEAD LVN 2MM COIL
Gross
$31,332
58573
$15,303
HC OR TREAT FX RAD EXTRA-ARTICUL
Gross
$30,606
93456
$14,934
HC R HRT CORONARY ARTERY ANGIO
Gross
$29,867
93458
$14,934
HC L HRT ARTERY/VENTRICLE ANGIO
Gross
$29,867
37242
$14,722
HC VASC EMBOLIZE/OCCLUDE ARTERY
Gross
$29,443
93459
$14,445
HC LEFT HRT ART/GRFT ANGIO
Gross
$28,889
HC TRAUMA ACTIVATION WO PRE-ED NOTIFICATION LEVE
$14,369
HC TRAUMA ACTIVATION WO PRE-ED NOTIFICATION LEVEL 1
Gross
$28,739
33285
$13,900
HC OR INSJ SUBQ CAR RHYTHM MNTR
Gross
$27,800
93452
$13,346
HC LEFT HRT CATH W/VENTRCLGRPHY
Gross
$26,692
92920
$13,121
HC PRQ CARDIAC ANGIOPLAST 1 ART
Gross
$26,241
J9022
$13,100
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [132613]
Gross
$26,200
24430
$12,988
HC OR REPAIR HUMERUS MALUNION WO GRAFT
Gross
$25,976
27827
$12,988
HC OR OPEN TX FRACTURE DISTAL TIBIA ONLY
Gross
$25,976
28725
$12,988
HC OR SUBTALAR ARTHRODESIS
Gross
$25,976
HC ROOM RATE -INTENSIVE CARE - TRAUMA
$12,768
HC ROOM RATE -INTENSIVE CARE - TRAUMA
Gross
$25,536
J2997
$12,514
ALTEPLASE 50 MG INTRAVENOUS SOLUTION [9003]
Gross
$25,028
58290
$12,194
HC OR VAG HYST COMPLEX >250 GM
Gross
$24,387
Q4186
$11,442
GRAFT VASCULAR L40CM ID8MM STANDARD WALLED GORE-TEX
Gross
$22,884
Q4125
$11,278
GRAFT SKIN WXL65CM HUMAN AMNION CHORION MEMBRANE MULTILAYER DEHYDRATED NONVIABLE EPIFIX
Gross
$22,556
36905
$11,175
HC OR PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP
Gross
$22,350
37236
$11,175
HC OPEN/PERQ PLACE STENT 1ST
Gross
$22,350
27766
$10,881
HC OR OPTX MEDIAL ANKLE FX
Gross
$21,762
61626
$10,814
HC TC EMBOLIZ - HEMOST TUMOR NOT CNS
Gross
$21,628
37225
$10,611
HC OR FEM/POPL REVAS W/ATHER
Gross
$21,223
92929
$10,607
HC PRQ CARD STENT W/ANGIO ADDL
Gross
$21,213
37243
$10,551
HC VASC EMBOLIZE/OCCLUDE ORGAN
Gross
$21,101
93455
$10,410
HC CORONARY ART/GRFT ANGIO S&I
Gross
$20,819
33208
$10,365
HC INSRT HEART PM ATRIAL & VENT
Gross
$20,729
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1767 | GENERATOR NEUROSTIMULATOR FOR VNS THERAPY SENTIVA | $136,976 | $68,488 | $49,311 | $102,732 | 4 |
| J9043 | CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION [105644] | $128,975 | $64,487 | $51,590 | $51,590 | 1 |
| L8699 | CAGE CNTR PC OBELISC 20X53-87MM EXP CS2920-53 | $106,184 | $53,092 | $38,226 | $79,638 | 4 |
| C1882 | QUADRA ASSURA MP CRT-D | $77,900 | $38,950 | $28,044 | $58,425 | 3 |
| C1721 | DEFIB CARD 31CC W5.37XH7.68CM D0.99CM 71.4GM 2 CHMBR RA IS-1 RV DF-4 CONN VIGILANT EXT | $69,000 | $34,500 | $24,840 | $51,750 | 4 |
| C1722 | DEFIB CARD 29.5CC W5.37XH7.36CM D0.99CM 68.9GM SGL CHMBR RV DF-4 CONN VIGILANT EXT | $67,500 | $33,750 | $24,300 | $50,625 | 4 |
| 33249 | HC INSERT/RPLCMT DEFIB W/LEAD(S) | $65,841 | $32,921 | $26,336 | $49,381 | 4 |
| 33264 | HC RMVL & RPLCMT DFB GEN MLT LD | $65,841 | $32,921 | $26,336 | $49,381 | 4 |
| 33262 | HC RMVL& REPLC PULSE GEN 1 LEAD | $47,018 | $23,509 | $18,807 | $35,264 | 4 |
| 33263 | HC RMVL & RPLCMT DFB GEN 2 LEAD | $47,018 | $23,509 | $18,807 | $35,264 | 4 |
| SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [ | SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH [128147] | $46,921 | $23,461 | $18,768 | $35,191 | 4 |
| PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION | PEG-ELECTROLYTE SOLUTION 420 GRAM ORAL SOLUTION [18232] | $41,365 | $20,682 | $16,546 | $31,024 | 4 |
| C1772 | PUMP - INFUSION SYNCHHROMED II - BACLOFEN | $41,200 | $20,600 | $14,832 | $30,900 | 3 |
| 93460 | HC R&L HRT ART/VENTRICLE ANGIO | $35,792 | $17,896 | $14,317 | $26,844 | 4 |
| 37229 | HC REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL | $34,794 | $17,397 | $13,918 | $26,095 | 4 |
| 37227 | HC REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL | $34,792 | $17,396 | $13,917 | $26,094 | 4 |
| 92928 | HC PRQ CARD STENT W/ANGIO 1 VSL | $34,328 | $17,164 | $13,731 | $25,746 | 4 |
| 36906 | HC OR THRMBC/NFS DIALYSIS CIRCUIT | $34,067 | $17,034 | $13,627 | $25,550 | 5 |
| J3357 | USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE [126168] | $32,824 | $16,412 | $13,130 | $24,618 | 4 |
| COAL TAR 0.5 % SHAMPOO [27670] | COAL TAR 0.5 % SHAMPOO [27670] | $31,877 | $15,938 | $12,751 | $23,907 | 4 |
| COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) | COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION [92855] | $31,877 | $15,938 | $11,476 | $23,907 | 4 |
| A9582 | IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION [3961] | $31,535 | $15,768 | $12,614 | $23,651 | 4 |
| L8680 | PERENNIAFLEX LEAD LVN 2MM COIL | $31,332 | $15,666 | $11,280 | $23,499 | 3 |
| 58573 | HC OR TREAT FX RAD EXTRA-ARTICUL | $30,606 | $15,303 | $12,242 | $22,955 | 6 |
| 93456 | HC R HRT CORONARY ARTERY ANGIO | $29,867 | $14,934 | $11,947 | $22,400 | 4 |
| 93458 | HC L HRT ARTERY/VENTRICLE ANGIO | $29,867 | $14,934 | $11,947 | $22,400 | 4 |
| 37242 | HC VASC EMBOLIZE/OCCLUDE ARTERY | $29,443 | $14,722 | $11,777 | $22,082 | 4 |
| 93459 | HC LEFT HRT ART/GRFT ANGIO | $28,889 | $14,445 | $11,556 | $21,667 | 4 |
| HC TRAUMA ACTIVATION WO PRE-ED NOTIFICATION LEVE | HC TRAUMA ACTIVATION WO PRE-ED NOTIFICATION LEVEL 1 | $28,739 | $14,369 | $14,369 | $21,554 | 5 |
| 33285 | HC OR INSJ SUBQ CAR RHYTHM MNTR | $27,800 | $13,900 | $11,120 | $20,850 | 4 |
| 93452 | HC LEFT HRT CATH W/VENTRCLGRPHY | $26,692 | $13,346 | $10,677 | $20,019 | 4 |
| 92920 | HC PRQ CARDIAC ANGIOPLAST 1 ART | $26,241 | $13,121 | $10,496 | $19,681 | 4 |
| J9022 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION [132613] | $26,200 | $13,100 | $10,480 | $10,480 | 1 |
| 24430 | HC OR REPAIR HUMERUS MALUNION WO GRAFT | $25,976 | $12,988 | $10,390 | $19,482 | 4 |
| 27827 | HC OR OPEN TX FRACTURE DISTAL TIBIA ONLY | $25,976 | $12,988 | $10,390 | $19,482 | 4 |
| 28725 | HC OR SUBTALAR ARTHRODESIS | $25,976 | $12,988 | $10,390 | $19,482 | 4 |
| HC ROOM RATE -INTENSIVE CARE - TRAUMA | HC ROOM RATE -INTENSIVE CARE - TRAUMA | $25,536 | $12,768 | $7,535 | $24,259 | 5 |
| J2997 | ALTEPLASE 50 MG INTRAVENOUS SOLUTION [9003] | $25,028 | $12,514 | $10,011 | $18,771 | 4 |
| 58290 | HC OR VAG HYST COMPLEX >250 GM | $24,387 | $12,194 | $9,755 | $18,290 | 4 |
| Q4186 | GRAFT VASCULAR L40CM ID8MM STANDARD WALLED GORE-TEX | $22,884 | $11,442 | $8,238 | $17,163 | 4 |
| Q4125 | GRAFT SKIN WXL65CM HUMAN AMNION CHORION MEMBRANE MULTILAYER DEHYDRATED NONVIABLE EPIFIX | $22,556 | $11,278 | $8,120 | $16,917 | 4 |
| 36905 | HC OR PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP | $22,350 | $11,175 | $8,940 | $16,763 | 5 |
| 37236 | HC OPEN/PERQ PLACE STENT 1ST | $22,350 | $11,175 | $8,940 | $16,763 | 4 |
| 27766 | HC OR OPTX MEDIAL ANKLE FX | $21,762 | $10,881 | $8,705 | $16,321 | 5 |
| 61626 | HC TC EMBOLIZ - HEMOST TUMOR NOT CNS | $21,628 | $10,814 | $8,651 | $16,221 | 4 |
| 37225 | HC OR FEM/POPL REVAS W/ATHER | $21,223 | $10,611 | $8,489 | $15,917 | 5 |
| 92929 | HC PRQ CARD STENT W/ANGIO ADDL | $21,213 | $10,607 | $8,485 | $15,910 | 4 |
| 37243 | HC VASC EMBOLIZE/OCCLUDE ORGAN | $21,101 | $10,551 | $8,440 | $15,826 | 4 |
| 93455 | HC CORONARY ART/GRFT ANGIO S&I | $20,819 | $10,410 | $8,328 | $15,614 | 4 |
| 33208 | HC INSRT HEART PM ATRIAL & VENT | $20,729 | $10,365 | $8,292 | $15,547 | 4 |
Showing top 50 of 4,566 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.