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
737
Insurances with rates
7
CPT / HCPCS codes
723
Source MRF
Most expensive procedures (gross)
C9363
$103,109
Mesh 500sqcm INTEGLifscMWM8101
Gross
$158,629
C1788
$99,684
Cath guide triclip tsgc0203res
Gross
$153,360
C1820
$92,630
Neuro stim percpt rc v1 b35300
Gross
$142,508
L8699
$87,224
PROSTHETIC IMPLANT NOS
Gross
$134,190
624
$83,070
Valve Lotus h749ltvr3cl230 res
Gross
$127,800
C2624
$78,917
Cordella pulm sensor 10030305
Gross
$121,410
C1816
$61,472
Neuro stim ipg rec kit s8sp1us
Gross
$94,572
C1882
$53,021
AICD, OTHER THAN SING/DUAL
Gross
$81,570
Q4130
$51,284
Skin sub stratti16x20cm1620002
Gross
$78,899
C1721
$46,486
AICD, DUAL CHAMBER
Gross
$71,517
C1884
$44,658
EMBOLIZATION PROTECT SYST
Gross
$68,705
L8614
$44,526
Cochlear impl nucleus ci622
Gross
$68,501
C1722
$43,163
AICD, SINGLE CHAMBER
Gross
$66,405
Q4142
$41,834
Allogrt bio xcm hdrt 20x20cm
Gross
$64,360
C1874
$37,647
STENT, COATED/COV W/DEL SYS
Gross
$57,919
C1813
$36,602
PROSTHESIS, PENILE, INFLATAB
Gross
$56,310
C1767
$35,887
GENERATOR, NEURO NON-RECHARG
Gross
$55,210
Q4116
$31,846
ALLODERM
Gross
$48,994
C1768
$30,710
GRAFT, VASCULAR
Gross
$47,246
Q4100
$27,227
Skin sub perf 200sqcm cxl1097p
Gross
$41,888
Q4195
$25,043
Puraply matrx puraplycomp6x9cm
Gross
$38,528
C1817
$23,832
Occluder septal 15mm gsx0015a
Gross
$36,664
J0225
$23,480
Vutrisiran 1mg sub inj
Gross
$36,123
C2621
$23,300
Pmkr not sngl dl c4tr0 MED
Gross
$35,846
J0480
$22,423
Basiliximab 20mg IV
Gross
$34,497
C1761
$21,799
CATH, TRANS INTRA LITHO/CORO
Gross
$33,537
C1764
$21,567
Recordr loop monitor dm5300
Gross
$33,180
C1815
$21,150
Uro sphinctr cuff 800 72404131
Gross
$32,538
A2026
$20,425
Restrata wnd 1000mg rmini1000
Gross
$31,423
C1062
$17,965
INTRAVERTEBRAL FX AUG IMPL
Gross
$27,639
C2642
$17,883
Gammatile gt10
Gross
$27,513
C1895
$17,282
Lead ICD Dual Coil RV 7170Q58
Gross
$26,587
J0801
$17,232
Corticotropin 40unit inj
Gross
$26,510
Q4107
$16,457
Graftjacket Now8x16cm 86308x16
Gross
$25,318
C1777
$16,342
Lead ICD sng quattro 693565cm
Gross
$25,141
99183
$16,245
HBO lvl 6 per ses medicare dive
Gross
$24,993
C1885
$16,134
Cath wire turbo 2x150cm 420050
Gross
$24,822
C1786
$15,529
Pmkr sngl Zephy xl5626 STJM
Gross
$23,891
Q4160
$15,001
Allogrt 36sqcm Organg no1660
Gross
$23,078
C1889
$14,772
IMPLANT/INSERT DEVICE, NOC
Gross
$22,726
Q4125
$13,683
Allogrt Acell12.25sqcmaflex200
Gross
$21,051
Q4104
$13,486
Skin sub Int Bil25sqcm bmw2021
Gross
$20,747
C1781
$12,986
MESH (IMPLANTABLE)
Gross
$19,978
Q4238
$12,972
Allogrt 4x8cm Royal Bio mdrm48
Gross
$19,957
C1724
$12,903
CATH, TRANS ATHEREC,ROTATION
Gross
$19,851
V2785
$12,662
V2785 impl corneal tiss 5751-6500
Gross
$19,480
C1776
$11,664
JOINT DEVICE (IMPLANTABLE)
Gross
$17,945
C1759
$11,107
CATH, INTRA ECHOCARDIOGRAPHY
Gross
$17,087
Q4118
$10,941
Skin sub Matrist pwd 1000mg
Gross
$16,833
C9352
$10,928
Collagen nerveguide 1x3 png130
Gross
$16,813
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C9363 | Mesh 500sqcm INTEGLifscMWM8101 | $158,629 | $103,109 | — | — | 47 |
| C1788 | Cath guide triclip tsgc0203res | $153,360 | $99,684 | — | — | 47 |
| C1820 | Neuro stim percpt rc v1 b35300 | $142,508 | $92,630 | — | — | 47 |
| L8699 | PROSTHETIC IMPLANT NOS | $134,190 | $87,224 | — | — | 47 |
| 624 | Valve Lotus h749ltvr3cl230 res | $127,800 | $83,070 | — | — | 47 |
| C2624 | Cordella pulm sensor 10030305 | $121,410 | $78,917 | — | — | 47 |
| C1816 | Neuro stim ipg rec kit s8sp1us | $94,572 | $61,472 | — | — | 47 |
| C1882 | AICD, OTHER THAN SING/DUAL | $81,570 | $53,021 | — | — | 188 |
| Q4130 | Skin sub stratti16x20cm1620002 | $78,899 | $51,284 | — | — | 47 |
| C1721 | AICD, DUAL CHAMBER | $71,517 | $46,486 | — | — | 141 |
| C1884 | EMBOLIZATION PROTECT SYST | $68,705 | $44,658 | — | — | 188 |
| L8614 | Cochlear impl nucleus ci622 | $68,501 | $44,526 | — | — | 47 |
| C1722 | AICD, SINGLE CHAMBER | $66,405 | $43,163 | — | — | 90 |
| Q4142 | Allogrt bio xcm hdrt 20x20cm | $64,360 | $41,834 | — | — | 47 |
| C1874 | STENT, COATED/COV W/DEL SYS | $57,919 | $37,647 | — | — | 842 |
| C1813 | PROSTHESIS, PENILE, INFLATAB | $56,310 | $36,602 | — | — | 94 |
| C1767 | GENERATOR, NEURO NON-RECHARG | $55,210 | $35,887 | — | — | 47 |
| Q4116 | ALLODERM | $48,994 | $31,846 | — | — | 94 |
| C1768 | GRAFT, VASCULAR | $47,246 | $30,710 | — | — | 611 |
| Q4100 | Skin sub perf 200sqcm cxl1097p | $41,888 | $27,227 | — | — | 47 |
| Q4195 | Puraply matrx puraplycomp6x9cm | $38,528 | $25,043 | — | — | 47 |
| C1817 | Occluder septal 15mm gsx0015a | $36,664 | $23,832 | — | — | 47 |
| J0225 | Vutrisiran 1mg sub inj | $36,123 | $23,480 | — | — | 57 |
| C2621 | Pmkr not sngl dl c4tr0 MED | $35,846 | $23,300 | — | — | 47 |
| J0480 | Basiliximab 20mg IV | $34,497 | $22,423 | — | — | 57 |
| C1761 | CATH, TRANS INTRA LITHO/CORO | $33,537 | $21,799 | — | — | 47 |
| C1764 | Recordr loop monitor dm5300 | $33,180 | $21,567 | — | — | 47 |
| C1815 | Uro sphinctr cuff 800 72404131 | $32,538 | $21,150 | — | — | 47 |
| A2026 | Restrata wnd 1000mg rmini1000 | $31,423 | $20,425 | — | — | 47 |
| C1062 | INTRAVERTEBRAL FX AUG IMPL | $27,639 | $17,965 | — | — | 47 |
| C2642 | Gammatile gt10 | $27,513 | $17,883 | — | — | 57 |
| C1895 | Lead ICD Dual Coil RV 7170Q58 | $26,587 | $17,282 | — | — | 47 |
| J0801 | Corticotropin 40unit inj | $26,510 | $17,232 | — | — | 57 |
| Q4107 | Graftjacket Now8x16cm 86308x16 | $25,318 | $16,457 | — | — | 47 |
| C1777 | Lead ICD sng quattro 693565cm | $25,141 | $16,342 | — | — | 47 |
| 99183 | HBO lvl 6 per ses medicare dive | $24,993 | $16,245 | — | — | 47 |
| C1885 | Cath wire turbo 2x150cm 420050 | $24,822 | $16,134 | — | — | 47 |
| C1786 | Pmkr sngl Zephy xl5626 STJM | $23,891 | $15,529 | — | — | 47 |
| Q4160 | Allogrt 36sqcm Organg no1660 | $23,078 | $15,001 | — | — | 47 |
| C1889 | IMPLANT/INSERT DEVICE, NOC | $22,726 | $14,772 | — | — | 11518 |
| Q4125 | Allogrt Acell12.25sqcmaflex200 | $21,051 | $13,683 | — | — | 47 |
| Q4104 | Skin sub Int Bil25sqcm bmw2021 | $20,747 | $13,486 | — | — | 47 |
| C1781 | MESH (IMPLANTABLE) | $19,978 | $12,986 | — | — | 274 |
| Q4238 | Allogrt 4x8cm Royal Bio mdrm48 | $19,957 | $12,972 | — | — | 47 |
| C1724 | CATH, TRANS ATHEREC,ROTATION | $19,851 | $12,903 | — | — | 47 |
| V2785 | V2785 impl corneal tiss 5751-6500 | $19,480 | $12,662 | — | — | 57 |
| C1776 | JOINT DEVICE (IMPLANTABLE) | $17,945 | $11,664 | — | — | 9768 |
| C1759 | CATH, INTRA ECHOCARDIOGRAPHY | $17,087 | $11,107 | — | — | 47 |
| Q4118 | Skin sub Matrist pwd 1000mg | $16,833 | $10,941 | — | — | 47 |
| C9352 | Collagen nerveguide 1x3 png130 | $16,813 | $10,928 | — | — | 47 |
Showing top 50 of 737 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.