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
22,989
Insurances with rates
25
CPT / HCPCS codes
17,430
Source MRF
Most expensive procedures (gross)
6069
$249,632
INTVASC LITHOTRIP ATH/ST
Gross
$249,632
283605
$192,519
Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including
Gross
$192,519
108524
$172,720
VALVE TAVR 20MM
Gross
$172,720
480251
$167,417
GEN NRSTM 52X52X6.9MM
Gross
$167,417
717803
$165,100
KIT AOR VLV 14FR 23MM
Gross
$165,100
589099
$154,356
GEN NRSTM 45X39X6.9MM
Gross
$154,356
800346
$152,400
VALVE TAVR 34MM
Gross
$152,400
283616
$140,400
Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when perfor
Gross
$140,400
639092
$128,928
BRACHYTX NS YTTRIUM 90
Gross
$128,928
535855
$126,492
ICD 1.5CM 7X6.1CM CNTK
Gross
$126,492
130502
$126,343
Injection, glucarpidase, 10 units
Gross
$126,343
283608
$125,971
IMP WRLS P-ART PRES SNSR
Gross
$125,971
639090
$110,302
Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries
Gross
$110,302
283747
$108,276
REVSC FM/POP W STN/AT BI
Gross
$108,276
688361
$106,680
DEFIB CARD 51X73MM INS
Gross
$106,680
462083
$106,008
Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit
Gross
$106,008
462081
$106,008
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$106,008
800167
$106,008
EP REPOS ELE VT 3D MAP
Gross
$106,008
286213
$93,030
SYSTEM MNTR 2X15MM 4.5CM
Gross
$93,030
108329
$91,440
ICD-S 12.7MM 83.1X69.1MM
Gross
$91,440
674755
$87,884
KIT GENERATOR NRSTM IPG
Gross
$87,884
275571
$86,360
DEVICE CLSR 31MM
Gross
$86,360
283727
$82,509
REVSC ILIAC W STNT IN BI
Gross
$82,509
101895
$79,868
CRT-D VOLUME 36MM
Gross
$79,868
283603
$79,407
Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneo
Gross
$79,407
673942
$78,740
GRFT EVAS 117X40X35-36MM
Gross
$78,740
92941
$71,176
CRT-D CRD 7.95X6.17X0.99
Gross
$71,176
283591
$70,004
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual l
Gross
$70,004
460205
$69,170
PTCA SINGLE VESSEL
Gross
$69,170
283812
$69,170
PTCA SINGLE VESSEL RC
Gross
$69,170
283774
$66,893
REVSC TB/PR ST/ATH AD BI
Gross
$66,893
283738
$65,003
REVSC FEM/POP ANGIOP RT
Gross
$65,003
462010
$64,316
CTH PLC/INJ R&LHC/GRAFTS
Gross
$64,316
6623
$59,824
Botulism immune globulin, human, for intravenous use
Gross
$59,824
752011
$58,827
GRAFT STNT 28X20X110MM
Gross
$58,827
788927
$58,827
GRAFT STNT 28X16X100MM
Gross
$58,827
17791
$57,984
NEURO 2 / 1ST 30 MIN
Gross
$57,984
689550
$56,795
ICD VVED 36.5MM
Gross
$56,795
100422
$54,610
GRAFT EVAS 31X14.5M 17CM
Gross
$54,610
950469
$53,975
DEFIB CARD 51X64MM
Gross
$53,975
900858
$53,340
GRAFT EVAS 26X12MM 16CM
Gross
$53,340
462008
$51,896
CTH PLC/INJ LHC W GRAFT
Gross
$51,896
800137
$50,775
GRAFT EVAS 23X14.5M14CM
Gross
$50,775
107961
$50,775
OCCLUDER CV 9F 18MM
Gross
$50,775
190669
$50,775
GRAFT EVAS 23X12MM 16CM
Gross
$50,775
194491
$50,496
ICD CRD 2.43X2.69-2.89
Gross
$50,496
194490
$50,496
ICD CRD 2.43X2.69-2.89
Gross
$50,496
100547
$50,292
PUMP INFS PAIN 20ML
Gross
$50,292
330673
$48,982
ICD DYNAGEN D150
Gross
$48,982
54983
$48,982
ICD DEFIB 5.23X7.03 D022
Gross
$48,982
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 6069 | INTVASC LITHOTRIP ATH/ST | $249,632 | $249,632 | $37,445 | $202,202 | 22 |
| 283605 | Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including | $192,519 | $192,519 | $481 | $51,986 | 11 |
| 108524 | VALVE TAVR 20MM | $172,720 | $172,720 | $25,908 | $139,903 | 18 |
| 480251 | GEN NRSTM 52X52X6.9MM | $167,417 | $167,417 | $25,113 | $135,608 | 18 |
| 717803 | KIT AOR VLV 14FR 23MM | $165,100 | $165,100 | $24,765 | $133,731 | 18 |
| 589099 | GEN NRSTM 45X39X6.9MM | $154,356 | $154,356 | $23,153 | $125,028 | 18 |
| 800346 | VALVE TAVR 34MM | $152,400 | $152,400 | $22,860 | $123,444 | 18 |
| 283616 | Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when perfor | $140,400 | $140,400 | $34,397 | $34,397 | 11 |
| 639092 | BRACHYTX NS YTTRIUM 90 | $128,928 | $128,928 | $28,880 | $104,432 | 14 |
| 535855 | ICD 1.5CM 7X6.1CM CNTK | $126,492 | $126,492 | $18,974 | $102,459 | 18 |
| 130502 | Injection, glucarpidase, 10 units | $126,343 | $126,343 | $740 | $740 | 1 |
| 283608 | IMP WRLS P-ART PRES SNSR | $125,971 | $125,971 | $28,218 | $102,037 | 14 |
| 639090 | Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries | $110,302 | $110,302 | $96,078 | $96,078 | 1 |
| 283747 | REVSC FM/POP W STN/AT BI | $108,276 | $108,276 | $24,254 | $87,703 | 16 |
| 688361 | DEFIB CARD 51X73MM INS | $106,680 | $106,680 | $16,002 | $86,411 | 18 |
| 462083 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $106,008 | $106,008 | $44,097 | $44,097 | 10 |
| 462081 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $106,008 | $106,008 | $44,097 | $44,097 | 10 |
| 800167 | EP REPOS ELE VT 3D MAP | $106,008 | $106,008 | $23,746 | $85,866 | 15 |
| 286213 | SYSTEM MNTR 2X15MM 4.5CM | $93,030 | $93,030 | $13,955 | $75,354 | 23 |
| 108329 | ICD-S 12.7MM 83.1X69.1MM | $91,440 | $91,440 | $13,716 | $74,066 | 18 |
| 674755 | KIT GENERATOR NRSTM IPG | $87,884 | $87,884 | $13,183 | $71,186 | 18 |
| 275571 | DEVICE CLSR 31MM | $86,360 | $86,360 | $12,954 | $69,952 | 18 |
| 283727 | REVSC ILIAC W STNT IN BI | $82,509 | $82,509 | $18,482 | $66,832 | 16 |
| 101895 | CRT-D VOLUME 36MM | $79,868 | $79,868 | $11,980 | $64,693 | 18 |
| 283603 | Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneo | $79,407 | $79,407 | $69,663 | $84,717 | 11 |
| 673942 | GRFT EVAS 117X40X35-36MM | $78,740 | $78,740 | $11,811 | $63,779 | 18 |
| 92941 | CRT-D CRD 7.95X6.17X0.99 | $71,176 | $71,176 | $10,676 | $57,653 | 18 |
| 283591 | Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual l | $70,004 | $70,004 | $22,123 | $28,209 | 11 |
| 460205 | PTCA SINGLE VESSEL | $69,170 | $69,170 | $10,376 | $56,028 | 22 |
| 283812 | PTCA SINGLE VESSEL RC | $69,170 | $69,170 | $15,494 | $56,028 | 15 |
| 283774 | REVSC TB/PR ST/ATH AD BI | $66,893 | $66,893 | $10,034 | $54,183 | 20 |
| 283738 | REVSC FEM/POP ANGIOP RT | $65,003 | $65,003 | $14,561 | $52,652 | 16 |
| 462010 | CTH PLC/INJ R&LHC/GRAFTS | $64,316 | $64,316 | $9,647 | $52,096 | 22 |
| 6623 | Botulism immune globulin, human, for intravenous use | $59,824 | $59,824 | $55,037 | $55,037 | 8 |
| 752011 | GRAFT STNT 28X20X110MM | $58,827 | $58,827 | $8,824 | $47,650 | 18 |
| 788927 | GRAFT STNT 28X16X100MM | $58,827 | $58,827 | $8,824 | $47,650 | 18 |
| 17791 | NEURO 2 / 1ST 30 MIN | $57,984 | $57,984 | $8,698 | $46,967 | 22 |
| 689550 | ICD VVED 36.5MM | $56,795 | $56,795 | $8,519 | $46,004 | 18 |
| 100422 | GRAFT EVAS 31X14.5M 17CM | $54,610 | $54,610 | $8,192 | $44,234 | 18 |
| 950469 | DEFIB CARD 51X64MM | $53,975 | $53,975 | $8,096 | $43,720 | 18 |
| 900858 | GRAFT EVAS 26X12MM 16CM | $53,340 | $53,340 | $8,001 | $43,205 | 18 |
| 462008 | CTH PLC/INJ LHC W GRAFT | $51,896 | $51,896 | $7,784 | $42,035 | 22 |
| 800137 | GRAFT EVAS 23X14.5M14CM | $50,775 | $50,775 | $7,616 | $41,128 | 18 |
| 107961 | OCCLUDER CV 9F 18MM | $50,775 | $50,775 | $7,616 | $41,128 | 18 |
| 190669 | GRAFT EVAS 23X12MM 16CM | $50,775 | $50,775 | $7,616 | $41,128 | 18 |
| 194491 | ICD CRD 2.43X2.69-2.89 | $50,496 | $50,496 | $7,574 | $40,902 | 18 |
| 194490 | ICD CRD 2.43X2.69-2.89 | $50,496 | $50,496 | $7,574 | $40,902 | 18 |
| 100547 | PUMP INFS PAIN 20ML | $50,292 | $50,292 | $7,544 | $40,737 | 18 |
| 330673 | ICD DYNAGEN D150 | $48,982 | $48,982 | $7,347 | $39,675 | 18 |
| 54983 | ICD DEFIB 5.23X7.03 D022 | $48,982 | $48,982 | $7,347 | $39,675 | 18 |
Showing top 50 of 22,989 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.