45 CFR § 180 compliance
C · 70
This hospital published part 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
12,210
Insurances with rates
14
CPT / HCPCS codes
10,030
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J7330 | MACI IMP 56051X-61656 | $293,093 | $131,892 | $234,474 | $249,129 | 3 |
| J7330 | MACI IMP 56051X-61656 | $293,093 | $131,892 | $79,081 | $293,093 | 23 |
| C1825 | NRSTM CRSN BR26149X-28764 | $136,736 | $61,531 | $76,572 | $136,736 | 15 |
| C1825 | NRSTM CRSN BR26149X-28764 | $136,736 | $61,531 | $30,082 | $125,797 | 18 |
| J2351 | OCR-OCSQ920-23KU/23MLJWTB | $123,846 | $55,731 | $99,077 | $105,269 | 3 |
| J2351 | OCR-OCSQ920-23KU/23MLJWTB | $123,846 | $55,731 | $35,915 | $123,846 | 12 |
| J9347 | TRE-ACTL300MG/15MLSDVJWTB | $117,000 | $52,650 | $93,600 | $99,450 | 3 |
| J9347 | TRE-ACTL300MG/15MLSDVJWTB | $117,000 | $52,650 | $33,930 | $117,000 | 12 |
| J9999 | CARMUSTINE/POLIFEPROSN 20 | $96,080 | $43,236 | $76,864 | $81,668 | 3 |
| J9999 | CARMUSTINE/POLIFEPROSN 20 | $96,080 | $43,236 | $57,648 | $96,080 | 11 |
| 0571T | INS/RPL ICD SBSTRNL ELECS | $95,760 | $43,092 | $76,608 | $81,396 | 3 |
| 0571T | INS/RPL ICD SBSTRNL ELECS | $95,760 | $43,092 | $1,932 | $137,871 | 23 |
| J9228 | IPILIMUM200MG/40MLSDVJWTB | $90,000 | $40,500 | $72,000 | $76,500 | 3 |
| J9228 | IPILIMUM200MG/40MLSDVJWTB | $90,000 | $40,500 | $151 | $76,500 | 32 |
| 2020991 | INST/SUPP STE16237X-17861 | $84,905 | $38,207 | $67,924 | $72,169 | 3 |
| 2020991 | INST/SUPP STE16237X-17861 | $84,905 | $38,207 | $55,188 | $84,905 | 9 |
| C2616 | NM BRACHY SORC YTTRIUM-90 | $84,660 | $38,097 | $47,410 | $84,660 | 15 |
| C2616 | NM BRACHY SORC YTTRIUM-90 | $84,660 | $38,097 | $18,625 | $77,887 | 24 |
| J9301 | OBINUTUZUMAB 1GM SDV JWTB | $82,683 | $37,207 | $66,146 | $70,281 | 3 |
| J9301 | OBINUTUZUMAB 1GM SDV JWTB | $82,683 | $37,207 | $62.63 | $70,281 | 32 |
| 37229 | REVAS TIB PERON ATHER INI | $75,897 | $34,154 | $60,718 | $64,512 | 3 |
| 37229 | REVAS TIB PERON ATHER INI | $75,897 | $34,154 | $613 | $77,217 | 31 |
| 36906 | THROMB DIALY CIRC IVAS ST | $72,228 | $32,503 | $57,782 | $61,394 | 3 |
| 36906 | THROMB DIALY CIRC IVAS ST | $72,228 | $32,503 | $6,260 | $77,217 | 31 |
| J1303 | RAVU-CWVZ1.1G/11MLSDVJWTB | $70,444 | $31,700 | $56,355 | $59,877 | 3 |
| J1303 | RAVU-CWVZ1.1G/11MLSDVJWTB | $70,444 | $31,700 | $220 | $59,877 | 32 |
| 2020982 | CLOSURE IMPL 13419X-14761 | $70,169 | $31,576 | $39,295 | $70,169 | 15 |
| 2020982 | CLOSURE IMPL 13419X-14761 | $70,169 | $31,576 | $15,437 | $64,555 | 18 |
| 2063026 | INST/SUPP STE13419X-14761 | $70,169 | $31,576 | $56,135 | $59,644 | 3 |
| 2063026 | INST/SUPP STE13419X-14761 | $70,169 | $31,576 | $45,610 | $70,169 | 9 |
| 36836 | IR PERC AVF CREAT UPP SNG | $65,695 | $29,563 | $52,556 | $55,841 | 3 |
| 36836 | IR PERC AVF CREAT UPP SNG | $65,695 | $29,563 | $1,932 | $65,695 | 10 |
| C9774 | REVASC TBL/PNL IVL ATHER | $65,231 | $29,354 | $52,185 | $55,446 | 3 |
| C9774 | REVASC TBL/PNL IVL ATHER | $65,231 | $29,354 | $11,908 | $77,217 | 22 |
| J9281 | MITOM 80MGGEL INS KITJWTB | $64,128 | $28,858 | $51,302 | $54,509 | 3 |
| J9281 | MITOM 80MGGEL INS KITJWTB | $64,128 | $28,858 | $313 | $54,509 | 33 |
| 4020141 | KIT/PACK DISP12199X-13419 | $63,789 | $28,705 | $51,031 | $54,221 | 3 |
| 4020141 | KIT/PACK DISP12199X-13419 | $63,789 | $28,705 | $41,463 | $63,789 | 9 |
| J2350 | OCRELIZ 300MG/10MLSDVJWTB | $61,923 | $27,865 | $49,538 | $52,634 | 3 |
| J2350 | OCRELIZ 300MG/10MLSDVJWTB | $61,923 | $27,865 | $57.34 | $52,634 | 32 |
| C9773 | REVASC TBL/PNL IVL STENT | $61,316 | $27,592 | $49,053 | $52,119 | 3 |
| C9773 | REVASC TBL/PNL IVL STENT | $61,316 | $27,592 | $11,908 | $77,217 | 22 |
| C9775 | REVASC TBL/PNL IVL ST ATH | $61,316 | $27,592 | $49,053 | $52,119 | 3 |
| C9775 | REVASC TBL/PNL IVL ST ATH | $61,316 | $27,592 | $11,908 | $77,217 | 22 |
| 2020264 | INST/SUPP STE11090X-12199 | $57,993 | $26,097 | $46,394 | $49,294 | 3 |
| 2020264 | INST/SUPP STE11090X-12199 | $57,993 | $26,097 | $37,695 | $57,993 | 9 |
| C1772 | INF PUMP PRG 11090X-12199 | $57,993 | $26,097 | $32,476 | $57,993 | 15 |
| C1772 | INF PUMP PRG 11090X-12199 | $57,993 | $26,097 | $12,758 | $53,354 | 18 |
| C1781 | MESH IMP 11090X-12199 | $57,993 | $26,097 | $32,476 | $57,993 | 15 |
| C1781 | MESH IMP 11090X-12199 | $57,993 | $26,097 | $12,758 | $53,354 | 18 |
Showing top 50 of 12,210 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.