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
21,944
Insurances with rates
21
CPT / HCPCS codes
13,548
Source MRF
Most expensive procedures (gross)
69296
$946,770
Injection, nusinersen, 0.1 mg
Gross
$946,770
765348
$386,598
Injection, factor xiii a-subunit, (recombinant), per iu
Gross
$386,598
62777
$333,407
Histrelin implant (supprelin la), 50 mg
Gross
$333,407
573195
$323,600
KIT CATH RT HEART
Gross
$323,600
64678
$287,240
Injection, glucarpidase, 10 units
Gross
$287,240
44183
$278,296
KIT BLD PMP 31FR CANN
Gross
$278,296
558756
$278,296
KIT PMP OXYG EXTRCPL 29F
Gross
$278,296
558757
$278,296
KIT PMP OXYG EXTRCPL 31F
Gross
$278,296
558209
$252,408
KIT BLD PMP CANN 31FR
Gross
$252,408
778692
$224,279
TAGRAXF-ERZS 1000MCG INJ
Gross
$224,279
118517
$192,916
Injection, calaspargase pegol-mknl, 10 units
Gross
$192,916
6964
$178,159
Injection, pegaspargase, per single dose vial
Gross
$178,159
779338
$168,272
CANNULA INTROD 29FX46CM
Gross
$168,272
779721
$168,272
KIT PRFSN BYPASS TUBE
Gross
$168,272
6472
$162,107
Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg
Gross
$162,107
115569
$159,130
Injection, ravulizumab-cwvz, 10 mg
Gross
$159,130
787134
$158,898
Injection, inotuzumab ozogamicin, 0.1 mg
Gross
$158,898
867974
$150,241
CANNULA W DILATR 20D ANG
Gross
$150,241
38464
$146,306
CAS W/O PROTECT DEVICE
Gross
$146,306
480251
$145,864
NEUROSTM VNS DEMIPUL 106
Gross
$145,864
775844
$143,845
VALVE HEART TRNSCTH 23MM
Gross
$143,845
777390
$143,845
VALVE AOR W/ INTRO 27MM
Gross
$143,845
294902
$143,845
VALVE 29MM THV
Gross
$143,845
777386
$143,845
VALVE AOR W/ INTRO 25MM
Gross
$143,845
90294
$143,845
VALVE 23MM THV
Gross
$143,845
772862
$143,845
VALVE AOR 15F W/23MM
Gross
$143,845
777384
$143,845
VALVE AOR W/ INTRO 23MM
Gross
$143,845
784849
$143,845
VALVE HRT W/CERT SYS 23A
Gross
$143,845
69004
$137,139
OCRELIZUMAB 300 MG INJ
Gross
$137,139
780879
$132,780
VALVE TAVOR AOR 23MM
Gross
$132,780
780882
$132,780
VALVE TAVOR AOR 34MM
Gross
$132,780
575010
$132,780
VALVE TAVR SIZE 34MM
Gross
$132,780
43695
$132,780
VALVE TRANSCTH AOR 26MM
Gross
$132,780
43728
$132,780
VALVE AOR 26MM EVOLUTPRO
Gross
$132,780
575013
$132,780
VALVE TAVR SZ 23MM
Gross
$132,780
43729
$132,780
VALVE AOR 29MM EVOLUTPRO
Gross
$132,780
780880
$132,780
VALVE TAVOR AOR 26MM
Gross
$132,780
575011
$132,780
VALVE TAVR SZ 29MM
Gross
$132,780
944877
$126,402
Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg
Gross
$126,402
63709
$123,891
TIPS REVISION
Gross
$123,891
66762
$116,707
Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani
Gross
$116,707
67090
$111,816
INS/RPL SQ ICD W/LEAD
Gross
$111,816
646375
$109,377
CATH EP ABL PFA 35MM
Gross
$109,377
588900
$109,377
CATH ABL PRTL VN 35MM
Gross
$109,377
788898
$104,667
INSRT PERM PCMKR LDLESS
Gross
$104,667
122541
$102,798
INS LEADLESS PPM ATRIAL
Gross
$102,798
122896
$102,798
INS LEADLESS PPM DUAL
Gross
$102,798
60693
$101,907
Injection, pralatrexate, 1 mg
Gross
$101,907
605585
$99,151
KIT CATH ASP TB 6F 132CM
Gross
$99,151
67108
$98,374
INSERT PPM GEN MULT
Gross
$98,374
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 69296 | Injection, nusinersen, 0.1 mg | $946,770 | $946,770 | $1,184 | $1,480 | 6 |
| 765348 | Injection, factor xiii a-subunit, (recombinant), per iu | $386,598 | $386,598 | $17.34 | $21.34 | 7 |
| 62777 | Histrelin implant (supprelin la), 50 mg | $333,407 | $333,407 | $43,185 | $55,802 | 7 |
| 573195 | KIT CATH RT HEART | $323,600 | $323,600 | $46,598 | $291,240 | 24 |
| 64678 | Injection, glucarpidase, 10 units | $287,240 | $287,240 | $385 | $500 | 6 |
| 44183 | KIT BLD PMP 31FR CANN | $278,296 | $278,296 | $40,075 | $250,466 | 24 |
| 558756 | KIT PMP OXYG EXTRCPL 29F | $278,296 | $278,296 | $40,075 | $250,466 | 24 |
| 558757 | KIT PMP OXYG EXTRCPL 31F | $278,296 | $278,296 | $40,075 | $250,466 | 24 |
| 558209 | KIT BLD PMP CANN 31FR | $252,408 | $252,408 | $36,347 | $227,167 | 24 |
| 778692 | TAGRAXF-ERZS 1000MCG INJ | $224,279 | $224,279 | $33,866 | $201,851 | 13 |
| 118517 | Injection, calaspargase pegol-mknl, 10 units | $192,916 | $192,916 | $76.53 | $94.16 | 3 |
| 6964 | Injection, pegaspargase, per single dose vial | $178,159 | $178,159 | $27,071 | $33,309 | 7 |
| 779338 | CANNULA INTROD 29FX46CM | $168,272 | $168,272 | $24,231 | $151,445 | 24 |
| 779721 | KIT PRFSN BYPASS TUBE | $168,272 | $168,272 | $24,231 | $151,445 | 24 |
| 6472 | Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg | $162,107 | $162,107 | $4,376 | $5,603 | 3 |
| 115569 | Injection, ravulizumab-cwvz, 10 mg | $159,130 | $159,130 | $220 | $274 | 7 |
| 787134 | Injection, inotuzumab ozogamicin, 0.1 mg | $158,898 | $158,898 | $2,658 | $3,271 | 7 |
| 867974 | CANNULA W DILATR 20D ANG | $150,241 | $150,241 | $21,635 | $135,217 | 24 |
| 38464 | CAS W/O PROTECT DEVICE | $146,306 | $146,306 | $21,068 | $131,675 | 20 |
| 480251 | NEUROSTM VNS DEMIPUL 106 | $145,864 | $145,864 | $22,025 | $131,278 | 15 |
| 775844 | VALVE HEART TRNSCTH 23MM | $143,845 | $143,845 | $21,721 | $129,461 | 15 |
| 777390 | VALVE AOR W/ INTRO 27MM | $143,845 | $143,845 | $20,714 | $129,461 | 24 |
| 294902 | VALVE 29MM THV | $143,845 | $143,845 | $21,721 | $129,461 | 15 |
| 777386 | VALVE AOR W/ INTRO 25MM | $143,845 | $143,845 | $20,714 | $129,461 | 24 |
| 90294 | VALVE 23MM THV | $143,845 | $143,845 | $21,721 | $129,461 | 15 |
| 772862 | VALVE AOR 15F W/23MM | $143,845 | $143,845 | $21,721 | $129,461 | 15 |
| 777384 | VALVE AOR W/ INTRO 23MM | $143,845 | $143,845 | $21,721 | $129,461 | 15 |
| 784849 | VALVE HRT W/CERT SYS 23A | $143,845 | $143,845 | $21,721 | $129,461 | 15 |
| 69004 | OCRELIZUMAB 300 MG INJ | $137,139 | $137,139 | $20,708 | $123,425 | 13 |
| 780879 | VALVE TAVOR AOR 23MM | $132,780 | $132,780 | $20,050 | $119,502 | 15 |
| 780882 | VALVE TAVOR AOR 34MM | $132,780 | $132,780 | $20,050 | $119,502 | 15 |
| 575010 | VALVE TAVR SIZE 34MM | $132,780 | $132,780 | $20,050 | $119,502 | 15 |
| 43695 | VALVE TRANSCTH AOR 26MM | $132,780 | $132,780 | $20,050 | $119,502 | 15 |
| 43728 | VALVE AOR 26MM EVOLUTPRO | $132,780 | $132,780 | $20,050 | $119,502 | 15 |
| 575013 | VALVE TAVR SZ 23MM | $132,780 | $132,780 | $20,050 | $119,502 | 15 |
| 43729 | VALVE AOR 29MM EVOLUTPRO | $132,780 | $132,780 | $20,050 | $119,502 | 15 |
| 780880 | VALVE TAVOR AOR 26MM | $132,780 | $132,780 | $20,050 | $119,502 | 15 |
| 575011 | VALVE TAVR SZ 29MM | $132,780 | $132,780 | $20,050 | $119,502 | 15 |
| 944877 | Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg | $126,402 | $126,402 | $339 | $418 | 7 |
| 63709 | TIPS REVISION | $123,891 | $123,891 | $17,840 | $111,502 | 20 |
| 66762 | Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani | $116,707 | $116,707 | $1,707 | $50,864 | 14 |
| 67090 | INS/RPL SQ ICD W/LEAD | $111,816 | $111,816 | $16,102 | $100,634 | 20 |
| 646375 | CATH EP ABL PFA 35MM | $109,377 | $109,377 | $15,750 | $98,439 | 24 |
| 588900 | CATH ABL PRTL VN 35MM | $109,377 | $109,377 | $15,750 | $98,439 | 24 |
| 788898 | INSRT PERM PCMKR LDLESS | $104,667 | $104,667 | $15,072 | $94,200 | 20 |
| 122541 | INS LEADLESS PPM ATRIAL | $102,798 | $102,798 | $14,803 | $92,518 | 20 |
| 122896 | INS LEADLESS PPM DUAL | $102,798 | $102,798 | $14,803 | $92,518 | 20 |
| 60693 | Injection, pralatrexate, 1 mg | $101,907 | $101,907 | $374 | $460 | 7 |
| 605585 | KIT CATH ASP TB 6F 132CM | $99,151 | $99,151 | $14,278 | $89,236 | 24 |
| 67108 | INSERT PPM GEN MULT | $98,374 | $98,374 | $14,166 | $88,537 | 20 |
Showing top 50 of 21,944 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.