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
10,221
Insurances with rates
2
CPT / HCPCS codes
10,053
Source MRF
Most expensive procedures (gross)
C1824
$55,250
GENERATOR OPTIMIZER IPG86302
Gross
$65,000
C1767
$44,413
CONTROLLER MEDTRONIC DBS79104
Gross
$52,250
A9543
$38,983
KIT YTTRIUM 90 THERASPHERE 3 GBQ36432
Gross
$45,863
C2624
$38,250
SYSTEM DELIVERY PA SENSOR60810
Gross
$45,000
J9266
$37,743
Pegaspargase 3750 Units/5 mL Inject
Gross
$44,403
0275
$27,632
LEADLESS AVEIR DR PM 19.5F 32.2MM RA89589
Gross
$32,508
C1605
$27,631
LEADLESS AVEIR DR PM 19.5F 32.2MM RA
Gross
$32,508
C1874
$27,447
GRAFT ALPHA THORACIC 22X105MM66020
Gross
$32,290
C1721
$24,969
DEVICE EVERA S DR DF158104
Gross
$29,375
C1772
$23,800
PUMP INFUSION SYNCROMED III WITH FILTER29134
Gross
$28,000
C1722
$21,675
DEVICE EVERA S VR DF158107
Gross
$25,500
C1820
$21,038
IMPLANT RESTORE RECHARGEABLE45627
Gross
$24,750
C2622
$19,892
IMPLANT PENILE TACTRA 11MMX16CMX25CM84221
Gross
$23,402
Q4130
$19,843
GRAFT STRATTICE 20X2046073
Gross
$23,345
C1813
$18,663
IMPLANT PRECONNECT CXR MS PS 12CM88883
Gross
$21,956
36010
$18,318
GRAFT EXCLUDER TRUNK IPSILAT LEG 26X12MMX12CM
Gross
$21,550
C1821
$18,063
BUNDLE BSCI SUPERION IDS86190
Gross
$21,250
C1733
$17,956
CATHETER FARAWAVE 2.0 31MM
Gross
$21,125
C1817
$16,363
OCCLUDER CRIBIFORM 2556986
Gross
$19,250
C9358
$15,088
TISSUE SURGIMEND MESHED 20X10CM84437
Gross
$17,750
61626
$15,025
Embolization Extracranial
Gross
$17,676
C1757
$14,875
CATHETER ALPHAVAC KIT F18 105 CM 85 CURVE88112
Gross
$17,500
C1815
$14,322
CUFF AMS 800 WITH IZ 4.0CM50522
Gross
$16,849
44319
$13,842
GRAFT ANCILLARY RENU 22MMX125
Gross
$16,285
Q4128
$13,367
GRAFT ALLODERM RTU 12X16CM THICK64392
Gross
$15,726
C9610
$13,122
CATHETER BLN AGENT DCB 2.0X12MM
Gross
$15,438
C1876
$12,846
COIL ASSIST LVIS 3.5X1777714
Gross
$15,113
J1162
$12,758
Digifab 40 mg/4 mL Inject
Gross
$15,010
C2621
$12,613
GENERATOR AMVIA EDGE HF-T QP88455
Gross
$14,838
A9582
$11,967
RADIOISOTOPE I-123 ADREVIEW OR I-123 MIBG
Gross
$14,079
C1882
$11,900
GENERATOR ALLURE QUADRA MP PM356260223
Gross
$14,000
V2785
$10,944
GRAFT CORNEAL55917
Gross
$12,875
A9596
$10,455
RADIOISOTOPE GA-68 ILLUCCIX83716
Gross
$12,300
C1761
$9,988
CATHETER SHOCKWAVE C2P IVL 2.5X12MM79191
Gross
$11,750
C1896
$9,639
LEAD EMBLEM SQ 350159193
Gross
$11,340
61107
$9,397
TDH PNXR IMPLT VENTR CATH
Gross
$11,055
L8691
$9,055
KIT SOUND PROCESSOR COCHLEAR88194
Gross
$10,653
C1602
$8,759
FILLER BONE VOID CERAMENT-G 5ML86089
Gross
$10,305
S2230
$8,702
KIT PROCESSOR SOPHONO ALPHA 2 MPO BROWN65731
Gross
$10,238
A9592
$8,606
RADIOISOTOPE CU-64 DETECTNET83832
Gross
$10,125
Q4125
$7,851
GRAFT AFLEX DERMIS DECELLULARIZED 40X70X3MM64558
Gross
$9,236
C1764
$7,809
LOOP BIOMONITOR IIIM
Gross
$9,188
11471
$7,772
Exc hidradenitis/perianal/neal/comp11471
Gross
$9,143
C1728
$7,225
CATHETER BETA-RAIL 3.542960
Gross
$8,500
55041
$7,130
Excision of Hydrocele Bilateral 55041
Gross
$8,388
C1737
$7,119
IMPLANT IFUSE BEDROCK GRANITE 9.5X45MM92055
Gross
$8,375
C1884
$7,115
DEVICE ENROUTE TCAR NEURO PROTECTION75529
Gross
$8,370
C1895
$7,013
LEAD DURATA 52CM54569
Gross
$8,250
C2629
$7,002
KIT SHEATH GLIDELIGHT 12FR LASER27718
Gross
$8,238
20101
$6,618
EXPLORE WOUND CHEST
Gross
$7,786
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1824 | GENERATOR OPTIMIZER IPG86302 | $65,000 | $55,250 | — | — | 3 |
| C1767 | CONTROLLER MEDTRONIC DBS79104 | $52,250 | $44,413 | — | — | 3 |
| A9543 | KIT YTTRIUM 90 THERASPHERE 3 GBQ36432 | $45,863 | $38,983 | — | — | 3 |
| C2624 | SYSTEM DELIVERY PA SENSOR60810 | $45,000 | $38,250 | — | — | 3 |
| J9266 | Pegaspargase 3750 Units/5 mL Inject | $44,403 | $37,743 | — | — | 3 |
| 0275 | LEADLESS AVEIR DR PM 19.5F 32.2MM RA89589 | $32,508 | $27,632 | — | — | 3 |
| C1605 | LEADLESS AVEIR DR PM 19.5F 32.2MM RA | $32,508 | $27,631 | — | — | 3 |
| C1874 | GRAFT ALPHA THORACIC 22X105MM66020 | $32,290 | $27,447 | — | — | 3 |
| C1721 | DEVICE EVERA S DR DF158104 | $29,375 | $24,969 | — | — | 3 |
| C1772 | PUMP INFUSION SYNCROMED III WITH FILTER29134 | $28,000 | $23,800 | — | — | 3 |
| C1722 | DEVICE EVERA S VR DF158107 | $25,500 | $21,675 | — | — | 3 |
| C1820 | IMPLANT RESTORE RECHARGEABLE45627 | $24,750 | $21,038 | — | — | 3 |
| C2622 | IMPLANT PENILE TACTRA 11MMX16CMX25CM84221 | $23,402 | $19,892 | — | — | 3 |
| Q4130 | GRAFT STRATTICE 20X2046073 | $23,345 | $19,843 | — | — | 3 |
| C1813 | IMPLANT PRECONNECT CXR MS PS 12CM88883 | $21,956 | $18,663 | — | — | 3 |
| 36010 | GRAFT EXCLUDER TRUNK IPSILAT LEG 26X12MMX12CM | $21,550 | $18,318 | — | — | 3 |
| C1821 | BUNDLE BSCI SUPERION IDS86190 | $21,250 | $18,063 | — | — | 4 |
| C1733 | CATHETER FARAWAVE 2.0 31MM | $21,125 | $17,956 | — | — | 6 |
| C1817 | OCCLUDER CRIBIFORM 2556986 | $19,250 | $16,363 | — | — | 3 |
| C9358 | TISSUE SURGIMEND MESHED 20X10CM84437 | $17,750 | $15,088 | — | — | 3 |
| 61626 | Embolization Extracranial | $17,676 | $15,025 | — | — | 4 |
| C1757 | CATHETER ALPHAVAC KIT F18 105 CM 85 CURVE88112 | $17,500 | $14,875 | — | — | 4 |
| C1815 | CUFF AMS 800 WITH IZ 4.0CM50522 | $16,849 | $14,322 | — | — | 3 |
| 44319 | GRAFT ANCILLARY RENU 22MMX125 | $16,285 | $13,842 | — | — | 3 |
| Q4128 | GRAFT ALLODERM RTU 12X16CM THICK64392 | $15,726 | $13,367 | — | — | 3 |
| C9610 | CATHETER BLN AGENT DCB 2.0X12MM | $15,438 | $13,122 | — | — | 3 |
| C1876 | COIL ASSIST LVIS 3.5X1777714 | $15,113 | $12,846 | — | — | 3 |
| J1162 | Digifab 40 mg/4 mL Inject | $15,010 | $12,758 | — | — | 3 |
| C2621 | GENERATOR AMVIA EDGE HF-T QP88455 | $14,838 | $12,613 | — | — | 3 |
| A9582 | RADIOISOTOPE I-123 ADREVIEW OR I-123 MIBG | $14,079 | $11,967 | — | — | 3 |
| C1882 | GENERATOR ALLURE QUADRA MP PM356260223 | $14,000 | $11,900 | — | — | 3 |
| V2785 | GRAFT CORNEAL55917 | $12,875 | $10,944 | — | — | 3 |
| A9596 | RADIOISOTOPE GA-68 ILLUCCIX83716 | $12,300 | $10,455 | — | — | 3 |
| C1761 | CATHETER SHOCKWAVE C2P IVL 2.5X12MM79191 | $11,750 | $9,988 | — | — | 4 |
| C1896 | LEAD EMBLEM SQ 350159193 | $11,340 | $9,639 | — | — | 3 |
| 61107 | TDH PNXR IMPLT VENTR CATH | $11,055 | $9,397 | — | — | 5 |
| L8691 | KIT SOUND PROCESSOR COCHLEAR88194 | $10,653 | $9,055 | — | — | 3 |
| C1602 | FILLER BONE VOID CERAMENT-G 5ML86089 | $10,305 | $8,759 | — | — | 3 |
| S2230 | KIT PROCESSOR SOPHONO ALPHA 2 MPO BROWN65731 | $10,238 | $8,702 | — | — | 3 |
| A9592 | RADIOISOTOPE CU-64 DETECTNET83832 | $10,125 | $8,606 | — | — | 3 |
| Q4125 | GRAFT AFLEX DERMIS DECELLULARIZED 40X70X3MM64558 | $9,236 | $7,851 | — | — | 3 |
| C1764 | LOOP BIOMONITOR IIIM | $9,188 | $7,809 | — | — | 3 |
| 11471 | Exc hidradenitis/perianal/neal/comp11471 | $9,143 | $7,772 | — | — | 4 |
| C1728 | CATHETER BETA-RAIL 3.542960 | $8,500 | $7,225 | — | — | 4 |
| 55041 | Excision of Hydrocele Bilateral 55041 | $8,388 | $7,130 | — | — | 4 |
| C1737 | IMPLANT IFUSE BEDROCK GRANITE 9.5X45MM92055 | $8,375 | $7,119 | — | — | 3 |
| C1884 | DEVICE ENROUTE TCAR NEURO PROTECTION75529 | $8,370 | $7,115 | — | — | 3 |
| C1895 | LEAD DURATA 52CM54569 | $8,250 | $7,013 | — | — | 3 |
| C2629 | KIT SHEATH GLIDELIGHT 12FR LASER27718 | $8,238 | $7,002 | — | — | 3 |
| 20101 | EXPLORE WOUND CHEST | $7,786 | $6,618 | — | — | 4 |
Showing top 50 of 10,221 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.