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
1,032
Insurances with rates
12
CPT / HCPCS codes
1,002
Source MRF
Most expensive procedures (gross)
Q4130
$160,261
Skin sub stratti25x40cm2540002
Gross
$246,555
C1831
$126,266
Cage fusion level 3 aprevo3
Gross
$194,256
J9266
$109,681
Pegaspargase 750unit/ml 5ml vl
Gross
$168,740
61715
$98,997
MR image guided hi-intensityUS
Gross
$152,303
C1827
$98,023
Vivistim generatr nerve vivipg
Gross
$150,804
35656
$90,719
Bypass femoro-popliteal bil
Gross
$139,568
L8614
$86,725
Cochlear imp nucleus z60988
Gross
$133,423
0408T
$75,978
Ins/rplc cardiac modul sys
Gross
$116,889
0515T
$64,992
Insj wcs lv compl sys
Gross
$99,987
C1820
$62,678
Neuro stim gener prodg ipg3772
Gross
$96,427
J9999
$61,628
Dinutuximab 17.5 mg/5 ml
Gross
$94,813
37226
$56,203
Fempop artery stent w/wo PTA bil
Gross
$86,466
0823T
$53,780
Ins tcat sgl cbr pacer leadless
Gross
$82,739
0797T
$53,724
Ins PM leadls rt vnt dl sys
Gross
$82,652
0795T
$53,724
Ins PM leadls dl cham comp sys
Gross
$82,652
37229
$53,611
Tibper athrec wwo PTA inital bil
Gross
$82,479
C9775
$52,478
Revas lith-sten-ath tib/per
Gross
$80,736
27279
$51,383
Arthrodesis sacroiliac jnt
Gross
$79,051
C1882
$48,287
ICD not sng dl hm monitr401662
Gross
$74,288
C1877
$46,877
STENT, NON-COAT/COV W/O DEL
Gross
$72,119
35671
$45,360
Bypass popliteal-tibial or per
Gross
$69,784
J7355
$43,524
Eye idose 75mcg idosetr
Gross
$66,960
C1721
$43,492
ICD ever dul xt dr mri ddmb1d4
Gross
$66,910
37223
$42,200
Iliac a stent w/wo PTA addl bil
Gross
$64,923
C1786
$40,538
Pmkr leadless micraav2 system
Gross
$62,366
37231
$40,385
Tibper stnt athr wwo PTA intl
Gross
$62,130
C1767
$38,657
GENERATOR, NEURO NON-RECHARG
Gross
$59,473
C1813
$34,858
PROSTHESIS, PENILE, INFLATAB
Gross
$53,628
34842
$34,796
Fenestrat endogrft 2 viscerals
Gross
$53,533
Q4142
$33,467
Allogrt bio xcm hdrt 16x20cm
Gross
$51,488
C1817
$33,211
SEPTAL DEFECT IMP SYS
Gross
$51,094
92933
$32,326
PRQ TRLML C ATHRC ST ANGIOP1
Gross
$49,733
92943
$32,326
PRQ TRLUML REVSC CH OCC ANT
Gross
$49,733
92937
$32,326
PRQ TRLUML REVSC CAB GRF 1
Gross
$49,733
Q4116
$32,202
ALLODERM
Gross
$49,542
37237
$31,728
Stent vasc open-perc addl art bil
Gross
$48,813
C1821
$31,567
INTERSPINOUS IMPLANT
Gross
$48,564
35565
$30,446
Bypas ws aph vein gft ilio-fem
Gross
$46,840
33270
$29,780
Insert/replace ICD-s w lead
Gross
$45,815
93654
$29,766
Compre EP eval WVT ablation
Gross
$45,794
34421
$29,322
Embo/thromb vc-fempop-ili vein bil
Gross
$45,111
37221
$28,798
Iliac art stent wwo PTA initl
Gross
$44,304
33340
$28,776
Closure atrial app w implant
Gross
$44,270
Q4128
$27,769
Allogrt flexhd 12x20cm hp1220
Gross
$42,722
C2622
$27,715
PROSTHESIS, PENILE, NON-INF
Gross
$42,639
0410T
$26,633
Ins/rplc car modul atr elt
Gross
$40,974
93583
$25,456
Septal reduction therapy
Gross
$39,163
Q4114
$24,596
Integra 3cc matrx wreed fwd301
Gross
$37,840
37241
$24,104
Embolization vasc venous
Gross
$37,083
C1773
$23,311
RET DEV, INSERTABLE
Gross
$35,863
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q4130 | Skin sub stratti25x40cm2540002 | $246,555 | $160,261 | — | — | 46 |
| C1831 | Cage fusion level 3 aprevo3 | $194,256 | $126,266 | — | — | 33 |
| J9266 | Pegaspargase 750unit/ml 5ml vl | $168,740 | $109,681 | — | — | 56 |
| 61715 | MR image guided hi-intensityUS | $152,303 | $98,997 | — | — | 46 |
| C1827 | Vivistim generatr nerve vivipg | $150,804 | $98,023 | — | — | 33 |
| 35656 | Bypass femoro-popliteal bil | $139,568 | $90,719 | — | — | 43 |
| L8614 | Cochlear imp nucleus z60988 | $133,423 | $86,725 | — | — | 33 |
| 0408T | Ins/rplc cardiac modul sys | $116,889 | $75,978 | — | — | 56 |
| 0515T | Insj wcs lv compl sys | $99,987 | $64,992 | — | — | 55 |
| C1820 | Neuro stim gener prodg ipg3772 | $96,427 | $62,678 | — | — | 33 |
| J9999 | Dinutuximab 17.5 mg/5 ml | $94,813 | $61,628 | — | — | 33 |
| 37226 | Fempop artery stent w/wo PTA bil | $86,466 | $56,203 | — | — | 43 |
| 0823T | Ins tcat sgl cbr pacer leadless | $82,739 | $53,780 | — | — | 56 |
| 0797T | Ins PM leadls rt vnt dl sys | $82,652 | $53,724 | — | — | 56 |
| 0795T | Ins PM leadls dl cham comp sys | $82,652 | $53,724 | — | — | 56 |
| 37229 | Tibper athrec wwo PTA inital bil | $82,479 | $53,611 | — | — | 43 |
| C9775 | Revas lith-sten-ath tib/per | $80,736 | $52,478 | — | — | 56 |
| 27279 | Arthrodesis sacroiliac jnt | $79,051 | $51,383 | — | — | 56 |
| C1882 | ICD not sng dl hm monitr401662 | $74,288 | $48,287 | — | — | 33 |
| C1877 | STENT, NON-COAT/COV W/O DEL | $72,119 | $46,877 | — | — | 66 |
| 35671 | Bypass popliteal-tibial or per | $69,784 | $45,360 | — | — | 43 |
| J7355 | Eye idose 75mcg idosetr | $66,960 | $43,524 | — | — | 46 |
| C1721 | ICD ever dul xt dr mri ddmb1d4 | $66,910 | $43,492 | — | — | 33 |
| 37223 | Iliac a stent w/wo PTA addl bil | $64,923 | $42,200 | — | — | 43 |
| C1786 | Pmkr leadless micraav2 system | $62,366 | $40,538 | — | — | 33 |
| 37231 | Tibper stnt athr wwo PTA intl | $62,130 | $40,385 | — | — | 43 |
| C1767 | GENERATOR, NEURO NON-RECHARG | $59,473 | $38,657 | — | — | 33 |
| C1813 | PROSTHESIS, PENILE, INFLATAB | $53,628 | $34,858 | — | — | 66 |
| 34842 | Fenestrat endogrft 2 viscerals | $53,533 | $34,796 | — | — | 43 |
| Q4142 | Allogrt bio xcm hdrt 16x20cm | $51,488 | $33,467 | — | — | 46 |
| C1817 | SEPTAL DEFECT IMP SYS | $51,094 | $33,211 | — | — | 99 |
| 92933 | PRQ TRLML C ATHRC ST ANGIOP1 | $49,733 | $32,326 | — | — | 56 |
| 92943 | PRQ TRLUML REVSC CH OCC ANT | $49,733 | $32,326 | — | — | 56 |
| 92937 | PRQ TRLUML REVSC CAB GRF 1 | $49,733 | $32,326 | — | — | 56 |
| Q4116 | ALLODERM | $49,542 | $32,202 | — | — | 138 |
| 37237 | Stent vasc open-perc addl art bil | $48,813 | $31,728 | — | — | 43 |
| C1821 | INTERSPINOUS IMPLANT | $48,564 | $31,567 | — | — | 33 |
| 35565 | Bypas ws aph vein gft ilio-fem | $46,840 | $30,446 | — | — | 43 |
| 33270 | Insert/replace ICD-s w lead | $45,815 | $29,780 | — | — | 56 |
| 93654 | Compre EP eval WVT ablation | $45,794 | $29,766 | — | — | 56 |
| 34421 | Embo/thromb vc-fempop-ili vein bil | $45,111 | $29,322 | — | — | 56 |
| 37221 | Iliac art stent wwo PTA initl | $44,304 | $28,798 | — | — | 43 |
| 33340 | Closure atrial app w implant | $44,270 | $28,776 | — | — | 43 |
| Q4128 | Allogrt flexhd 12x20cm hp1220 | $42,722 | $27,769 | — | — | 46 |
| C2622 | PROSTHESIS, PENILE, NON-INF | $42,639 | $27,715 | — | — | 33 |
| 0410T | Ins/rplc car modul atr elt | $40,974 | $26,633 | — | — | 56 |
| 93583 | Septal reduction therapy | $39,163 | $25,456 | — | — | 43 |
| Q4114 | Integra 3cc matrx wreed fwd301 | $37,840 | $24,596 | — | — | 33 |
| 37241 | Embolization vasc venous | $37,083 | $24,104 | — | — | 56 |
| C1773 | RET DEV, INSERTABLE | $35,863 | $23,311 | — | — | 66 |
Showing top 50 of 1,032 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.