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
16,549
Insurances with rates
2
CPT / HCPCS codes
8,443
Source MRF
Most expensive procedures (gross)
A9513
$177,806
lutetium Lu 177 dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each VIAL
Gross
$209,183
A9607
$135,702
lutetium Lu-177 vipivotide tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each VIAL
Gross
$159,650
68875010201
$124,364
teduglutide 5 mg Kit 1 Each KIT
Gross
$146,310
187001050
$121,096
sodium benzoate-sod phenylacet 10-10 % Soln 50 mL VIAL
Gross
$142,466
34847
$98,464
VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS
Gross
$115,840
34846
$92,435
VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS
Gross
$108,747
34844
$89,690
ENDOVASC VISCER AORTA REPR FENEST 4+ ENDOGRAFT
Gross
$105,518
33305
$83,662
REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS
Gross
$98,426
34845
$82,172
VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS
Gross
$96,673
34843
$81,053
ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT
Gross
$95,357
33231
$80,688
INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS
Gross
$94,927
33249
$80,688
INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR
Gross
$94,927
33264
$80,688
RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD
Gross
$94,927
33270
$80,688
INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD
Gross
$94,927
G0448
$77,404
INS/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE
Gross
$91,063
34842
$73,873
ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT
Gross
$86,909
33858
$70,588
AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION
Gross
$83,045
33871
$67,472
TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA
Gross
$79,379
34841
$67,472
ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT
Gross
$79,379
187000714
$66,201
ribavirin 6 gram Recon soln 4 Each VIAL
Gross
$77,884
J7174
$65,860
fitusiran 20 mg/0.2 mL Soln 0.2 mL VIAL
Gross
$77,482
33430
$65,169
REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP
Gross
$76,669
33406
$64,626
RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND
Gross
$76,030
0483T
$64,254
TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
Gross
$75,593
33425
$61,917
VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS
Gross
$72,843
0569T
$58,564
TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS
Gross
$68,899
33230
$57,811
INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS
Gross
$68,013
33240
$57,811
INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD
Gross
$68,013
33262
$57,811
RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD
Gross
$68,013
33263
$57,811
RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD
Gross
$68,013
35216
$57,208
RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS
Gross
$67,304
93653
$56,554
COMPRE EP EVAL ABLTJ 3D MAPG TX SVT
Gross
$66,534
93654
$55,879
COMPRE EP EVAL ABLTJ 3D MAPG TX VT
Gross
$65,740
33426
$55,515
VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING
Gross
$65,312
33859
$52,704
AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ
Gross
$62,005
90288
$48,714
botulism immune globulin (human) 100 mg Recon soln 1 Each VIAL
Gross
$57,310
61711
$48,435
ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES
Gross
$56,982
33221
$47,790
INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS
Gross
$56,223
33229
$47,790
REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD
Gross
$56,223
33274
$45,844
TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG
Gross
$53,934
33533
$44,846
CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT
Gross
$52,760
33418
$44,609
TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS
Gross
$52,481
61680
$44,306
INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL
Gross
$52,125
C9293
$44,106
glucarpidase 1,000 unit Recon soln 1 Each VIAL
Gross
$51,890
61700
$43,016
SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION
Gross
$50,607
36906
$43,007
PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT
Gross
$50,596
37184
$43,007
PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST
Gross
$50,596
37242
$43,007
VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I
Gross
$50,596
C9602
$43,007
PC TL COR ATHERECT W/RX ELUT IC STENT; 1 MCA/BR
Gross
$50,596
C9607
$43,007
PC TL REV CHRN TOT OCCL CA CA BR/CABG; 1 VES
Gross
$50,596
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| A9513 | lutetium Lu 177 dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each VIAL | $209,183 | $177,806 | — | — | 3 |
| A9607 | lutetium Lu-177 vipivotide tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each VIAL | $159,650 | $135,702 | — | — | 3 |
| 68875010201 | teduglutide 5 mg Kit 1 Each KIT | $146,310 | $124,364 | — | — | 3 |
| 187001050 | sodium benzoate-sod phenylacet 10-10 % Soln 50 mL VIAL | $142,466 | $121,096 | — | — | 3 |
| 34847 | VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS | $115,840 | $98,464 | — | — | 3 |
| 34846 | VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS | $108,747 | $92,435 | — | — | 3 |
| 34844 | ENDOVASC VISCER AORTA REPR FENEST 4+ ENDOGRAFT | $105,518 | $89,690 | — | — | 3 |
| 33305 | REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS | $98,426 | $83,662 | — | — | 3 |
| 34845 | VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS | $96,673 | $82,172 | — | — | 3 |
| 34843 | ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT | $95,357 | $81,053 | — | — | 3 |
| 33231 | INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS | $94,927 | $80,688 | — | — | 3 |
| 33249 | INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR | $94,927 | $80,688 | — | — | 3 |
| 33264 | RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD | $94,927 | $80,688 | — | — | 3 |
| 33270 | INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD | $94,927 | $80,688 | — | — | 3 |
| G0448 | INS/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE | $91,063 | $77,404 | — | — | 3 |
| 34842 | ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT | $86,909 | $73,873 | — | — | 3 |
| 33858 | AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION | $83,045 | $70,588 | — | — | 3 |
| 33871 | TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA | $79,379 | $67,472 | — | — | 3 |
| 34841 | ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT | $79,379 | $67,472 | — | — | 3 |
| 187000714 | ribavirin 6 gram Recon soln 4 Each VIAL | $77,884 | $66,201 | — | — | 3 |
| J7174 | fitusiran 20 mg/0.2 mL Soln 0.2 mL VIAL | $77,482 | $65,860 | — | — | 0 |
| 33430 | REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP | $76,669 | $65,169 | — | — | 3 |
| 33406 | RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND | $76,030 | $64,626 | — | — | 3 |
| 0483T | TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH | $75,593 | $64,254 | — | — | 3 |
| 33425 | VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS | $72,843 | $61,917 | — | — | 3 |
| 0569T | TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS | $68,899 | $58,564 | — | — | 3 |
| 33230 | INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS | $68,013 | $57,811 | — | — | 3 |
| 33240 | INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD | $68,013 | $57,811 | — | — | 3 |
| 33262 | RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD | $68,013 | $57,811 | — | — | 3 |
| 33263 | RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD | $68,013 | $57,811 | — | — | 3 |
| 35216 | RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS | $67,304 | $57,208 | — | — | 3 |
| 93653 | COMPRE EP EVAL ABLTJ 3D MAPG TX SVT | $66,534 | $56,554 | — | — | 3 |
| 93654 | COMPRE EP EVAL ABLTJ 3D MAPG TX VT | $65,740 | $55,879 | — | — | 3 |
| 33426 | VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING | $65,312 | $55,515 | — | — | 3 |
| 33859 | AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ | $62,005 | $52,704 | — | — | 3 |
| 90288 | botulism immune globulin (human) 100 mg Recon soln 1 Each VIAL | $57,310 | $48,714 | — | — | 3 |
| 61711 | ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES | $56,982 | $48,435 | — | — | 3 |
| 33221 | INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS | $56,223 | $47,790 | — | — | 3 |
| 33229 | REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD | $56,223 | $47,790 | — | — | 3 |
| 33274 | TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG | $53,934 | $45,844 | — | — | 3 |
| 33533 | CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT | $52,760 | $44,846 | — | — | 3 |
| 33418 | TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS | $52,481 | $44,609 | — | — | 3 |
| 61680 | INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL | $52,125 | $44,306 | — | — | 3 |
| C9293 | glucarpidase 1,000 unit Recon soln 1 Each VIAL | $51,890 | $44,106 | — | — | 3 |
| 61700 | SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION | $50,607 | $43,016 | — | — | 3 |
| 36906 | PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT | $50,596 | $43,007 | — | — | 3 |
| 37184 | PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST | $50,596 | $43,007 | — | — | 3 |
| 37242 | VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I | $50,596 | $43,007 | — | — | 3 |
| C9602 | PC TL COR ATHERECT W/RX ELUT IC STENT; 1 MCA/BR | $50,596 | $43,007 | — | — | 3 |
| C9607 | PC TL REV CHRN TOT OCCL CA CA BR/CABG; 1 VES | $50,596 | $43,007 | — | — | 3 |
Showing top 50 of 16,549 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.