45 CFR § 180 compliance
F · 55
This hospital published little 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
7,314
Insurances with rates
9
CPT / HCPCS codes
5,166
Source MRF
Most expensive procedures (gross)
C1721
$43,632
Defibrillator ICD Mri Cobalt Xt Dr Df4 DDPA2D4
Gross
$67,127
C1722
$42,314
Pacemaker Generator Gallant Vr CDVRA500Q
Gross
$65,098
C1785
$22,407
Pacemaker Generator Accolade Mri Dr L311
Gross
$34,473
Q4116
$17,248
Alloderm Select Con Lg Perf-Med .2-2.0
Gross
$26,535
C1786
$16,902
Pacemaker Generator Assurity MRI PM1272
Gross
$26,003
J9281
$15,991
MITOMYCIN 40 MG X 2 INPY KIT
Gross
$24,602
C1763
$12,409
Bear Implant Bridge Enhanced Acl Restoration 1000
Gross
$19,091
33210
$9,944
TEMP TRANSV PACEMKR INSERT+CF
Gross
$15,299
C1900
$9,394
Lead Tachy MRI for ICD Quartet 1458Q/86
Gross
$14,453
A2007
$8,655
Restrata 7.5cmx7.5cm Rwm1-3x3
Gross
$13,316
C1762
$8,248
AM100 ActiveMatrix Placental Tissue Allograft Lrg
Gross
$12,689
Q4133
$7,734
Stravix Meshed Umbilical Tissue 3cm x 6cm PS60036
Gross
$11,898
C1748
$7,643
M00542420 Duodenoscope Exalt
Gross
$11,758
J9022
$7,500
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) IV SOLN
Gross
$11,538
J9119
$7,104
CEMIPLIMAB-RWLC 50 MG/ML IV SOLN
Gross
$10,930
J9144
$6,906
DARATUMUMAB-HYALURONIDASE-FIHJ 1,800 MG-30,000 UNIT/15 ML SUBCUTANEOUS SOLN
Gross
$10,625
J1930
$6,821
LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYR
Gross
$10,494
J9316
$6,302
PERTUZUMAB-TRASTUZUMAB-HY-ZZXF 600 MG-600 MG- 20000 UNIT/10ML SUBCUTANEOUS SOLN
Gross
$9,695
J3380
$6,239
VEDOLIZUMAB 300 MG IV RECON.SOLN.
Gross
$9,599
J9228
$6,152
IPILIMUMAB 50 MG/10 ML (5 MG/ML) IV SOLN
Gross
$9,464
J9301
$5,963
OBINUTUZUMAB 1000 MG/40 ML IV SOLN
Gross
$9,174
J2323
$5,942
NATALIZUMAB 300 MG/15 ML IV SOLN
Gross
$9,141
J3101
$5,546
TENECTEPLASE 50 MG IV RECON.SOLN.
Gross
$8,532
C1789
$5,243
3548212 Breast Tissue Expander CPX 4 Med Mentor
Gross
$8,066
J9306
$4,848
PERTUZUMAB 420 MG/14 ML (30 MG/ML) IV SOLN
Gross
$7,459
12037
$4,792
SUTURE INTER-SCALP+-OVER 30.0
Gross
$7,372
J2506
$4,777
PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYIN
Gross
$7,350
32408
$4,593
CORE NDL BX LNG/MED PERQ
Gross
$7,066
C1768
$4,585
Graft Vasc Gore Propaten Stnd Wall 6mmX60cm H060060A
Gross
$7,054
23655
$4,558
TREAT SHOULDER DISLOCATION
Gross
$7,013
36558
$4,540
INS TUNNELED CVAD WO PORT/PUMP >5Y
Gross
$6,985
A9572
$4,524
OCTREOSCAN (6MCI)
Gross
$6,960
47490
$4,505
PERC CHOLESYSTOSTOMY
Gross
$6,931
36573
$4,485
INSJ PICC RS&I 5 YR+
Gross
$6,900
C1747
$4,389
LithoVue Disp Digital Flex Ureterscope 791360
Gross
$6,753
36556
$4,355
INSERT NON-TUNNL CVP>5YO
Gross
$6,700
35207
$4,355
REPAIR BLOOD VESSEL,DIRECT,HAND,FINGER
Gross
$6,700
26951
$4,352
AMPUTATION OF FINGER OR THUMB
Gross
$6,695
27532
$4,352
CLSD TX TIB FX PROX W TRAC
Gross
$6,695
48102
$4,331
PERC BX PANCREAS
Gross
$6,663
J9271
$4,218
PEMBROLIZUMAB 25 MG/ML IV SOLN
Gross
$6,490
C1713
$4,215
02.107.302S Plate VALCP 2.7/3.5mm Olecranon 2H LT 90mm
Gross
$6,485
C1876
$4,105
Stent Self Expanding Innova 6mmX20mmX75cm H74939293060270
Gross
$6,316
35206
$4,066
REPAIR BLOOD VESSEL DIR UP EXT
Gross
$6,255
77295
$4,018
3-D RADIOTHERAPY PLAN
Gross
$6,181
77301
$4,018
IMRT PLAN
Gross
$6,181
78803
$4,000
SPECT SINGLE DAY/AREA
Gross
$6,154
J1950
$3,951
LEUPROLIDE (3 MONTH) 11.25 MG IM SYKT
Gross
$6,078
59812
$3,860
TX INCOMPL AB COMPL SURGICALLY
Gross
$5,938
C1889
$3,798
Total Knee Psn Canary Tibial Ext 14mmx58mm 43-5570-058-14
Gross
$5,843
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1721 | Defibrillator ICD Mri Cobalt Xt Dr Df4 DDPA2D4 | $67,127 | $43,632 | — | — | 1 |
| C1722 | Pacemaker Generator Gallant Vr CDVRA500Q | $65,098 | $42,314 | — | — | 1 |
| C1785 | Pacemaker Generator Accolade Mri Dr L311 | $34,473 | $22,407 | — | — | 1 |
| Q4116 | Alloderm Select Con Lg Perf-Med .2-2.0 | $26,535 | $17,248 | — | — | 1 |
| C1786 | Pacemaker Generator Assurity MRI PM1272 | $26,003 | $16,902 | — | — | 1 |
| J9281 | MITOMYCIN 40 MG X 2 INPY KIT | $24,602 | $15,991 | — | — | 11 |
| C1763 | Bear Implant Bridge Enhanced Acl Restoration 1000 | $19,091 | $12,409 | — | — | 1 |
| 33210 | TEMP TRANSV PACEMKR INSERT+CF | $15,299 | $9,944 | — | — | 8 |
| C1900 | Lead Tachy MRI for ICD Quartet 1458Q/86 | $14,453 | $9,394 | — | — | 1 |
| A2007 | Restrata 7.5cmx7.5cm Rwm1-3x3 | $13,316 | $8,655 | — | — | 0 |
| C1762 | AM100 ActiveMatrix Placental Tissue Allograft Lrg | $12,689 | $8,248 | — | — | 1 |
| Q4133 | Stravix Meshed Umbilical Tissue 3cm x 6cm PS60036 | $11,898 | $7,734 | — | — | 2 |
| C1748 | M00542420 Duodenoscope Exalt | $11,758 | $7,643 | — | — | 0 |
| J9022 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) IV SOLN | $11,538 | $7,500 | — | — | 11 |
| J9119 | CEMIPLIMAB-RWLC 50 MG/ML IV SOLN | $10,930 | $7,104 | — | — | 11 |
| J9144 | DARATUMUMAB-HYALURONIDASE-FIHJ 1,800 MG-30,000 UNIT/15 ML SUBCUTANEOUS SOLN | $10,625 | $6,906 | — | — | 11 |
| J1930 | LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYR | $10,494 | $6,821 | — | — | 11 |
| J9316 | PERTUZUMAB-TRASTUZUMAB-HY-ZZXF 600 MG-600 MG- 20000 UNIT/10ML SUBCUTANEOUS SOLN | $9,695 | $6,302 | — | — | 11 |
| J3380 | VEDOLIZUMAB 300 MG IV RECON.SOLN. | $9,599 | $6,239 | — | — | 11 |
| J9228 | IPILIMUMAB 50 MG/10 ML (5 MG/ML) IV SOLN | $9,464 | $6,152 | — | — | 11 |
| J9301 | OBINUTUZUMAB 1000 MG/40 ML IV SOLN | $9,174 | $5,963 | — | — | 11 |
| J2323 | NATALIZUMAB 300 MG/15 ML IV SOLN | $9,141 | $5,942 | — | — | 11 |
| J3101 | TENECTEPLASE 50 MG IV RECON.SOLN. | $8,532 | $5,546 | — | — | 22 |
| C1789 | 3548212 Breast Tissue Expander CPX 4 Med Mentor | $8,066 | $5,243 | — | — | 1 |
| J9306 | PERTUZUMAB 420 MG/14 ML (30 MG/ML) IV SOLN | $7,459 | $4,848 | — | — | 11 |
| 12037 | SUTURE INTER-SCALP+-OVER 30.0 | $7,372 | $4,792 | — | — | 8 |
| J2506 | PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYIN | $7,350 | $4,777 | — | — | 11 |
| 32408 | CORE NDL BX LNG/MED PERQ | $7,066 | $4,593 | — | — | 10 |
| C1768 | Graft Vasc Gore Propaten Stnd Wall 6mmX60cm H060060A | $7,054 | $4,585 | — | — | 1 |
| 23655 | TREAT SHOULDER DISLOCATION | $7,013 | $4,558 | — | — | 9 |
| 36558 | INS TUNNELED CVAD WO PORT/PUMP >5Y | $6,985 | $4,540 | — | — | 8 |
| A9572 | OCTREOSCAN (6MCI) | $6,960 | $4,524 | — | — | 0 |
| 47490 | PERC CHOLESYSTOSTOMY | $6,931 | $4,505 | — | — | 9 |
| 36573 | INSJ PICC RS&I 5 YR+ | $6,900 | $4,485 | — | — | 10 |
| C1747 | LithoVue Disp Digital Flex Ureterscope 791360 | $6,753 | $4,389 | — | — | 0 |
| 36556 | INSERT NON-TUNNL CVP>5YO | $6,700 | $4,355 | — | — | 8 |
| 35207 | REPAIR BLOOD VESSEL,DIRECT,HAND,FINGER | $6,700 | $4,355 | — | — | 8 |
| 26951 | AMPUTATION OF FINGER OR THUMB | $6,695 | $4,352 | — | — | 8 |
| 27532 | CLSD TX TIB FX PROX W TRAC | $6,695 | $4,352 | — | — | 8 |
| 48102 | PERC BX PANCREAS | $6,663 | $4,331 | — | — | 10 |
| J9271 | PEMBROLIZUMAB 25 MG/ML IV SOLN | $6,490 | $4,218 | — | — | 11 |
| C1713 | 02.107.302S Plate VALCP 2.7/3.5mm Olecranon 2H LT 90mm | $6,485 | $4,215 | — | — | 1 |
| C1876 | Stent Self Expanding Innova 6mmX20mmX75cm H74939293060270 | $6,316 | $4,105 | — | — | 1 |
| 35206 | REPAIR BLOOD VESSEL DIR UP EXT | $6,255 | $4,066 | — | — | 8 |
| 77295 | 3-D RADIOTHERAPY PLAN | $6,181 | $4,018 | — | — | 15 |
| 77301 | IMRT PLAN | $6,181 | $4,018 | — | — | 15 |
| 78803 | SPECT SINGLE DAY/AREA | $6,154 | $4,000 | — | — | 15 |
| J1950 | LEUPROLIDE (3 MONTH) 11.25 MG IM SYKT | $6,078 | $3,951 | — | — | 11 |
| 59812 | TX INCOMPL AB COMPL SURGICALLY | $5,938 | $3,860 | — | — | 8 |
| C1889 | Total Knee Psn Canary Tibial Ext 14mmx58mm 43-5570-058-14 | $5,843 | $3,798 | — | — | 0 |
Showing top 50 of 7,314 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.