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
21,382
Insurances with rates
5
CPT / HCPCS codes
10,549
Source MRF
Most expensive procedures (gross)
J7186
$3,307,905
ANTIHEMOPHILIC FACTOR-VWF 1,500 (600 VWF) UNIT/10 ML IV SOLR
Gross
$6,615,809
2351415
$140,000
Hc Custom Hip Right Trabeculink
Gross
$280,000
2351011
$112,500
Hc Impella Pump Set
Gross
$225,000
2350164
$107,075
Hc Custom Hip Implant
Gross
$214,150
Q2043
$103,303
SIPULEUCEL-T-LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSP
Gross
$206,607
J9347
$99,476
TREMELIMUMAB-ACTL 20 MG/ML IV SOLN
Gross
$198,952
J9999
$96,907
CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR
Gross
$193,813
2351365
$87,500
Hc Custom Implant - Left Trabeculink
Gross
$175,000
2349194
$84,738
Hc Sentiva Neurostimulator
Gross
$169,475
2351083
$83,200
Hc Hip Pelvis Custom Implant
Gross
$166,400
2347054
$81,250
Hc Valve Transcath Sapien W/Deliv System
Gross
$162,500
J9269
$80,399
TAGRAXOFUSP-ERZS 1000 MCG/10 ML IV DILUTION
Gross
$160,797
2351448
$80,000
Hc Stent Graft Thoracic
Gross
$160,000
2351311
$75,520
Hc Custom Pelvis Triflange
Gross
$151,040
2349637
$75,000
Hc Mitraclip
Gross
$150,000
2350464
$68,750
Hc Pulse Nerve Stimulator
Gross
$137,500
J9359
$67,584
LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR
Gross
$135,168
2350789
$67,500
Hc Senza Omnia Ipg
Gross
$135,000
2351673
$66,033
Hc Custom Pelvis
Gross
$132,066
J9118
$64,489
CALASPARGASE PEGOL-MKNL 750 UNITS/ML IV SOLN
Gross
$128,977
2350292
$63,750
Hc Pulse Generator Phrenic Remede
Gross
$127,500
J9229
$62,655
INOTUZUMAB OZOGAMICIN 0.9 MG (0.25 MG/ML INITIAL) IV SOLR
Gross
$125,310
2349198
$62,500
Hc Impella Pump Set
Gross
$125,000
2351416
$62,500
Hc Mandible Reconstruction Guide
Gross
$125,000
A9607
$62,355
LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN
Gross
$124,709
J7352
$60,749
AFAMELANOTIDE 16 MG SUBQ IMPL
Gross
$121,499
2350994
$60,000
Hc Opra Implant Fixture
Gross
$120,000
J1303
$58,729
RAVULIZUMAB-CWVZ 100 MG/ML IV SOLN
Gross
$117,459
00187-0007-14
$58,364
RIBAVIRIN 6 G INHL SOLR
Gross
$116,727
J0223
$57,955
GIVOSIRAN 189 MG/ML SUBQ SOLN
Gross
$115,910
C9293
$57,674
GLUCARPIDASE (VORAXAZE) IV SYRINGE
Gross
$115,347
2349154
$57,500
Hc Prclaim Elite 5 Nerve Stimulator
Gross
$115,000
2351247
$55,015
Hc Nail
Gross
$110,030
J9281
$53,466
MITOMYCIN (JELMYTO) URETERAL GEL CNR
Gross
$106,932
2350477
$51,188
Hc Stent Graft Thoracic
Gross
$102,375
2351324
$50,000
Hc Inceptiv Pulse Generator Kit
Gross
$100,000
J2350
$49,312
OCRELIZUMAB 30 MG/ML IV SOLN
Gross
$98,624
2350294
$48,925
Hc Femoral Confyle Hemi
Gross
$97,850
2349412
$48,699
Hc Ear Implant Hires Ultra 3D
Gross
$97,397
J9350
$45,927
MOSUNETUZUMAB-AXGB 1 MG/ML IV SOLN
Gross
$91,854
2347870
$45,784
Hc Graft Endovascular Zenith
Gross
$91,567
2346040
$45,750
Hc Spectra Pulse Generator Kit
Gross
$91,500
J9309
$45,245
POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR
Gross
$90,489
2351782
$44,850
Hc Cage Llif Patient Specific
Gross
$89,700
2351728
$44,084
Hc Totak Knee System
Gross
$88,168
2351738
$44,084
Hc Custom Total Knee
Gross
$88,168
2348352
$43,699
Hc Cochlear Implant System
Gross
$87,397
2349322
$43,250
Hc Pulse Generator Kit Implantable
Gross
$86,500
J3241
$42,570
TEPROTUMUMAB-TRBW 500 MG IV SOLR
Gross
$85,140
2348391
$42,500
Hc Watchman Laa Closure Device
Gross
$85,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J7186 | ANTIHEMOPHILIC FACTOR-VWF 1,500 (600 VWF) UNIT/10 ML IV SOLR | $6,615,809 | $3,307,905 | — | — | 0 |
| 2351415 | Hc Custom Hip Right Trabeculink | $280,000 | $140,000 | — | — | 0 |
| 2351011 | Hc Impella Pump Set | $225,000 | $112,500 | — | — | 0 |
| 2350164 | Hc Custom Hip Implant | $214,150 | $107,075 | — | — | 0 |
| Q2043 | SIPULEUCEL-T-LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSP | $206,607 | $103,303 | — | — | 0 |
| J9347 | TREMELIMUMAB-ACTL 20 MG/ML IV SOLN | $198,952 | $99,476 | — | — | 0 |
| J9999 | CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR | $193,813 | $96,907 | — | — | 0 |
| 2351365 | Hc Custom Implant - Left Trabeculink | $175,000 | $87,500 | — | — | 0 |
| 2349194 | Hc Sentiva Neurostimulator | $169,475 | $84,738 | — | — | 0 |
| 2351083 | Hc Hip Pelvis Custom Implant | $166,400 | $83,200 | — | — | 0 |
| 2347054 | Hc Valve Transcath Sapien W/Deliv System | $162,500 | $81,250 | — | — | 0 |
| J9269 | TAGRAXOFUSP-ERZS 1000 MCG/10 ML IV DILUTION | $160,797 | $80,399 | — | — | 0 |
| 2351448 | Hc Stent Graft Thoracic | $160,000 | $80,000 | — | — | 0 |
| 2351311 | Hc Custom Pelvis Triflange | $151,040 | $75,520 | — | — | 0 |
| 2349637 | Hc Mitraclip | $150,000 | $75,000 | — | — | 0 |
| 2350464 | Hc Pulse Nerve Stimulator | $137,500 | $68,750 | — | — | 0 |
| J9359 | LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR | $135,168 | $67,584 | — | — | 0 |
| 2350789 | Hc Senza Omnia Ipg | $135,000 | $67,500 | — | — | 0 |
| 2351673 | Hc Custom Pelvis | $132,066 | $66,033 | — | — | 0 |
| J9118 | CALASPARGASE PEGOL-MKNL 750 UNITS/ML IV SOLN | $128,977 | $64,489 | — | — | 0 |
| 2350292 | Hc Pulse Generator Phrenic Remede | $127,500 | $63,750 | — | — | 0 |
| J9229 | INOTUZUMAB OZOGAMICIN 0.9 MG (0.25 MG/ML INITIAL) IV SOLR | $125,310 | $62,655 | — | — | 0 |
| 2349198 | Hc Impella Pump Set | $125,000 | $62,500 | — | — | 0 |
| 2351416 | Hc Mandible Reconstruction Guide | $125,000 | $62,500 | — | — | 0 |
| A9607 | LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN | $124,709 | $62,355 | — | — | 0 |
| J7352 | AFAMELANOTIDE 16 MG SUBQ IMPL | $121,499 | $60,749 | — | — | 0 |
| 2350994 | Hc Opra Implant Fixture | $120,000 | $60,000 | — | — | 0 |
| J1303 | RAVULIZUMAB-CWVZ 100 MG/ML IV SOLN | $117,459 | $58,729 | — | — | 0 |
| 00187-0007-14 | RIBAVIRIN 6 G INHL SOLR | $116,727 | $58,364 | — | — | 0 |
| J0223 | GIVOSIRAN 189 MG/ML SUBQ SOLN | $115,910 | $57,955 | — | — | 0 |
| C9293 | GLUCARPIDASE (VORAXAZE) IV SYRINGE | $115,347 | $57,674 | — | — | 0 |
| 2349154 | Hc Prclaim Elite 5 Nerve Stimulator | $115,000 | $57,500 | — | — | 0 |
| 2351247 | Hc Nail | $110,030 | $55,015 | — | — | 0 |
| J9281 | MITOMYCIN (JELMYTO) URETERAL GEL CNR | $106,932 | $53,466 | — | — | 0 |
| 2350477 | Hc Stent Graft Thoracic | $102,375 | $51,188 | — | — | 0 |
| 2351324 | Hc Inceptiv Pulse Generator Kit | $100,000 | $50,000 | — | — | 0 |
| J2350 | OCRELIZUMAB 30 MG/ML IV SOLN | $98,624 | $49,312 | — | — | 0 |
| 2350294 | Hc Femoral Confyle Hemi | $97,850 | $48,925 | — | — | 0 |
| 2349412 | Hc Ear Implant Hires Ultra 3D | $97,397 | $48,699 | — | — | 0 |
| J9350 | MOSUNETUZUMAB-AXGB 1 MG/ML IV SOLN | $91,854 | $45,927 | — | — | 0 |
| 2347870 | Hc Graft Endovascular Zenith | $91,567 | $45,784 | — | — | 0 |
| 2346040 | Hc Spectra Pulse Generator Kit | $91,500 | $45,750 | — | — | 0 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR | $90,489 | $45,245 | — | — | 0 |
| 2351782 | Hc Cage Llif Patient Specific | $89,700 | $44,850 | — | — | 0 |
| 2351728 | Hc Totak Knee System | $88,168 | $44,084 | — | — | 0 |
| 2351738 | Hc Custom Total Knee | $88,168 | $44,084 | — | — | 0 |
| 2348352 | Hc Cochlear Implant System | $87,397 | $43,699 | — | — | 0 |
| 2349322 | Hc Pulse Generator Kit Implantable | $86,500 | $43,250 | — | — | 0 |
| J3241 | TEPROTUMUMAB-TRBW 500 MG IV SOLR | $85,140 | $42,570 | — | — | 0 |
| 2348391 | Hc Watchman Laa Closure Device | $85,000 | $42,500 | — | — | 0 |
Showing top 50 of 21,382 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.