45 CFR § 180 compliance
B · 85
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
18,612
Insurances with rates
12
CPT / HCPCS codes
691
Source MRF
Most expensive procedures (gross)
104037
$122,208
GENERATOR, LIVANOVA SENTIVA
Gross
$152,760
30705
$118,650
Volume 8cc, Sentiva Generator, Model 1000, Single Pin Receptacle
Gross
$148,312
102236
$105,059
DEFIB, CARD CLARIA MRI QDPL
Gross
$131,324
104034
$100,150
GENERATOR, DEMIPULSE DUO, MODEL 104
Gross
$125,188
8220759
$98,653
CV Insert or replace implantable defibrillator w/ transvenous lead, single or dual chamber 33249
Gross
$123,316
8220764
$98,653
CV Replacement of implantable defibrillator pulse generator; multiple lead system 33264
Gross
$123,316
417004632
$94,557
ipilimumab 5 mg/mL IV Soln 40 mL
Gross
$118,196
5205839
$92,173
Cochlear device implantation, with or without mastoidectomy 69930
Gross
$115,217
161663
$91,622
ASPIRESR VNS THERAPY GENERATOR MODEL 106
Gross
$114,528
8220750
$88,688
CV Insertion or replacement of permanent subcutaneous implantable defibrillator system 33270
Gross
$110,860
8220766
$84,612
CV Insertion of implantable defibrillator pulse generator only; with existing multiple leads 33231
Gross
$105,765
100957
$80,000
SPECTRA, WAVEWRITER IPG KIT
Gross
$100,000
102215
$75,283
PRIMO, DR MRI SYSTEM
Gross
$94,104
471005026
$71,650
loncastuximab tesirine 10 mg IV Inj
Gross
$89,562
103692
$70,224
DEVICE, DBS PERCEPT PC
Gross
$87,780
471005214
$69,059
ravulizumab-cwvz 100 mg/mL Sol [1100 mg/11 mL] SDPF
Gross
$86,323
161328
$68,515
CYBERONICS VNS THERAPY GENERATOR, MODEL
Gross
$85,644
31104
$68,160
MOMENTUM EL ICD DR
Gross
$85,200
102570
$67,200
KIT, PRECISION MONTAGE MRI IPG STERILE
Gross
$84,000
101918
$65,683
DEFIB, CARD .99CM 5.37X8.08CM DYNAGEN EASYVIEW RT ATR RV LV
Gross
$82,104
102156
$63,565
DEFIB, CARD 13MM 57SQ CM 51X68MM EVERA MRI XTRME DR SURESCAN
Gross
$79,456
104041
$61,440
GENERATOR, INFINITY 7 IMPLANTABLE PULSE
Gross
$76,800
104036
$61,440
INFINITY, 7
Gross
$76,800
8220760
$60,710
CV Insertion of implantable defibrillator pulse generator only; with existing dual leads 33230
Gross
$75,888
8220761
$60,710
CV Insertion of implantable defibrillator pulse generator only; with existing single lead 33240
Gross
$75,888
8220763
$60,710
CV Replacement of implantable defibrillator pulse generator; dual lead system 33263
Gross
$75,888
8220765
$60,710
CV Replacement of implantable defibrillator pulse generator; single lead system 33262
Gross
$75,888
102157
$59,664
DEFIB, CARD PRIMO MRI PHYSIOCURVE SURESCAN SQ 2 CHMBR CARDVR
Gross
$74,580
102190
$59,184
STENT, GRAFT VAL NAV CS
Gross
$73,980
30485
$57,600
SurgiMend, 25cm x 40cm 3.0 Soft Tissue Reconstruction Matrix
Gross
$72,000
8952044
$54,758
IR Atherec, Fem/Pop Revascularization
Gross
$68,447
8952047
$54,758
IR Atherec, Tib/Peroneal Revasc-1st Vsl
Gross
$68,447
8952053
$54,758
IR Atherec/Stent Plcmt, Fem/Pop Revasc
Gross
$68,447
8050798
$54,758
IR Stent Tib/Per Revasc 1st Vessel
Gross
$68,447
8003213
$54,758
IR Thrombectomy Mech Art Body
Gross
$68,447
8305757
$54,758
PRIM ART MECH THROMBECTOMY 1ST VESSEL
Gross
$68,447
103649
$54,400
NEUROSTIMULATOR, IMPLANTABLE CHRONIC PAIN RS2
Gross
$68,000
471004698
$53,560
pegloticase 8 mg/mL IV Soln 1 mL
Gross
$66,950
101738
$52,830
DEFIB, CARD THK14MM 40J 40X71MM FORTIFY ASR 2 CHMBR DF4 IS-1
Gross
$66,038
8003027
$52,582
IR Dialysis Thromb w Stent Peripheral
Gross
$65,727
8003060
$52,582
IR Embolization Arterial Nonhemorr Body
Gross
$65,727
31525
$49,376
3.50mm x 16mm Pipeline Flex Embolization Device
Gross
$61,720
8220756
$48,794
CV Insertion of pacemaker pulse generator only; with existing multiple leads 33221
Gross
$60,993
8220780
$48,794
CV Remove and replace pacemaker pulse generator; multiple lead system 33229
Gross
$60,993
471004998
$46,356
polatuzumab vedotin-piiq 140 mg Pow
Gross
$57,945
471005192
$46,348
efgartigimod alfa-hyaluronidase qvfc 180 mg-2000 units/mL Sol [5.6 mL]
Gross
$57,934
102155
$46,032
DEVICE, EMBL 35MM 5MM PIPELINE FLX NRVSC 48 STRN BRD MSH
Gross
$57,540
102172
$46,032
DEVICE, EMBL 30MM 3.75MM PIPELINE FLX 75% COCR 25% PLTN TUNG
Gross
$57,540
8593989
$46,022
PF Arthrodesis; pantalar 28705
Gross
$57,527
8952050
$45,712
IR Atherec/Stent Plc Tib/Per Rev-1st Vsl
Gross
$57,140
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 104037 | GENERATOR, LIVANOVA SENTIVA | $152,760 | $122,208 | — | — | 14 |
| 30705 | Volume 8cc, Sentiva Generator, Model 1000, Single Pin Receptacle | $148,312 | $118,650 | — | — | 14 |
| 102236 | DEFIB, CARD CLARIA MRI QDPL | $131,324 | $105,059 | — | — | 14 |
| 104034 | GENERATOR, DEMIPULSE DUO, MODEL 104 | $125,188 | $100,150 | — | — | 14 |
| 8220759 | CV Insert or replace implantable defibrillator w/ transvenous lead, single or dual chamber 33249 | $123,316 | $98,653 | — | — | 14 |
| 8220764 | CV Replacement of implantable defibrillator pulse generator; multiple lead system 33264 | $123,316 | $98,653 | — | — | 14 |
| 417004632 | ipilimumab 5 mg/mL IV Soln 40 mL | $118,196 | $94,557 | — | — | 14 |
| 5205839 | Cochlear device implantation, with or without mastoidectomy 69930 | $115,217 | $92,173 | — | — | 14 |
| 161663 | ASPIRESR VNS THERAPY GENERATOR MODEL 106 | $114,528 | $91,622 | — | — | 14 |
| 8220750 | CV Insertion or replacement of permanent subcutaneous implantable defibrillator system 33270 | $110,860 | $88,688 | — | — | 14 |
| 8220766 | CV Insertion of implantable defibrillator pulse generator only; with existing multiple leads 33231 | $105,765 | $84,612 | — | — | 14 |
| 100957 | SPECTRA, WAVEWRITER IPG KIT | $100,000 | $80,000 | — | — | 14 |
| 102215 | PRIMO, DR MRI SYSTEM | $94,104 | $75,283 | — | — | 14 |
| 471005026 | loncastuximab tesirine 10 mg IV Inj | $89,562 | $71,650 | — | — | 14 |
| 103692 | DEVICE, DBS PERCEPT PC | $87,780 | $70,224 | — | — | 14 |
| 471005214 | ravulizumab-cwvz 100 mg/mL Sol [1100 mg/11 mL] SDPF | $86,323 | $69,059 | — | — | 14 |
| 161328 | CYBERONICS VNS THERAPY GENERATOR, MODEL | $85,644 | $68,515 | — | — | 14 |
| 31104 | MOMENTUM EL ICD DR | $85,200 | $68,160 | — | — | 14 |
| 102570 | KIT, PRECISION MONTAGE MRI IPG STERILE | $84,000 | $67,200 | — | — | 14 |
| 101918 | DEFIB, CARD .99CM 5.37X8.08CM DYNAGEN EASYVIEW RT ATR RV LV | $82,104 | $65,683 | — | — | 14 |
| 102156 | DEFIB, CARD 13MM 57SQ CM 51X68MM EVERA MRI XTRME DR SURESCAN | $79,456 | $63,565 | — | — | 14 |
| 104041 | GENERATOR, INFINITY 7 IMPLANTABLE PULSE | $76,800 | $61,440 | — | — | 14 |
| 104036 | INFINITY, 7 | $76,800 | $61,440 | — | — | 14 |
| 8220760 | CV Insertion of implantable defibrillator pulse generator only; with existing dual leads 33230 | $75,888 | $60,710 | — | — | 14 |
| 8220761 | CV Insertion of implantable defibrillator pulse generator only; with existing single lead 33240 | $75,888 | $60,710 | — | — | 14 |
| 8220763 | CV Replacement of implantable defibrillator pulse generator; dual lead system 33263 | $75,888 | $60,710 | — | — | 14 |
| 8220765 | CV Replacement of implantable defibrillator pulse generator; single lead system 33262 | $75,888 | $60,710 | — | — | 14 |
| 102157 | DEFIB, CARD PRIMO MRI PHYSIOCURVE SURESCAN SQ 2 CHMBR CARDVR | $74,580 | $59,664 | — | — | 14 |
| 102190 | STENT, GRAFT VAL NAV CS | $73,980 | $59,184 | — | — | 14 |
| 30485 | SurgiMend, 25cm x 40cm 3.0 Soft Tissue Reconstruction Matrix | $72,000 | $57,600 | — | — | 14 |
| 8952044 | IR Atherec, Fem/Pop Revascularization | $68,447 | $54,758 | — | — | 14 |
| 8952047 | IR Atherec, Tib/Peroneal Revasc-1st Vsl | $68,447 | $54,758 | — | — | 14 |
| 8952053 | IR Atherec/Stent Plcmt, Fem/Pop Revasc | $68,447 | $54,758 | — | — | 14 |
| 8050798 | IR Stent Tib/Per Revasc 1st Vessel | $68,447 | $54,758 | — | — | 14 |
| 8003213 | IR Thrombectomy Mech Art Body | $68,447 | $54,758 | — | — | 14 |
| 8305757 | PRIM ART MECH THROMBECTOMY 1ST VESSEL | $68,447 | $54,758 | — | — | 14 |
| 103649 | NEUROSTIMULATOR, IMPLANTABLE CHRONIC PAIN RS2 | $68,000 | $54,400 | — | — | 14 |
| 471004698 | pegloticase 8 mg/mL IV Soln 1 mL | $66,950 | $53,560 | — | — | 14 |
| 101738 | DEFIB, CARD THK14MM 40J 40X71MM FORTIFY ASR 2 CHMBR DF4 IS-1 | $66,038 | $52,830 | — | — | 14 |
| 8003027 | IR Dialysis Thromb w Stent Peripheral | $65,727 | $52,582 | — | — | 14 |
| 8003060 | IR Embolization Arterial Nonhemorr Body | $65,727 | $52,582 | — | — | 14 |
| 31525 | 3.50mm x 16mm Pipeline Flex Embolization Device | $61,720 | $49,376 | — | — | 14 |
| 8220756 | CV Insertion of pacemaker pulse generator only; with existing multiple leads 33221 | $60,993 | $48,794 | — | — | 14 |
| 8220780 | CV Remove and replace pacemaker pulse generator; multiple lead system 33229 | $60,993 | $48,794 | — | — | 14 |
| 471004998 | polatuzumab vedotin-piiq 140 mg Pow | $57,945 | $46,356 | — | — | 14 |
| 471005192 | efgartigimod alfa-hyaluronidase qvfc 180 mg-2000 units/mL Sol [5.6 mL] | $57,934 | $46,348 | — | — | 14 |
| 102155 | DEVICE, EMBL 35MM 5MM PIPELINE FLX NRVSC 48 STRN BRD MSH | $57,540 | $46,032 | — | — | 14 |
| 102172 | DEVICE, EMBL 30MM 3.75MM PIPELINE FLX 75% COCR 25% PLTN TUNG | $57,540 | $46,032 | — | — | 14 |
| 8593989 | PF Arthrodesis; pantalar 28705 | $57,527 | $46,022 | — | — | 7 |
| 8952050 | IR Atherec/Stent Plc Tib/Per Rev-1st Vsl | $57,140 | $45,712 | — | — | 14 |
Showing top 50 of 18,612 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.