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
8,623
Insurances with rates
20
CPT / HCPCS codes
7,947
Source MRF
Most expensive procedures (gross)
J0202
$69,034
ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION
Gross
$81,216
C1822
$39,015
KIT IPG HFXD
Gross
$45,900
C1822
$38,293
KIT OMNIA IPG2500
Gross
$45,050
C1767
$31,068
PATIENT IPG DRG PROCLAIM CTRL
Gross
$36,550
C1882
$26,949
ICD BIVENTRICULAR GALLANT HF D
Gross
$31,705
C1813
$25,215
IMPLANT PREC TENACIO 10CM IP
Gross
$29,665
C1813
$24,919
IMPLANT PREC TENACIO 21CM LPS
Gross
$29,317
0278
$24,558
GRAFT VAL VAMF3030C100TU
Gross
$28,892
C2616
$23,843
MICROSPHERE SIR Y-90
Gross
$28,050
C1820
$22,759
NEUROSTIM RESTORE SENSOR 97714
Gross
$26,775
37227
$21,956
PR REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL
Gross
$25,830
C1721
$19,623
ICD FORTIFY DUAL DR40
Gross
$23,086
C1605
$17,918
PACEMAKER AVEIR 19.5F 32.2MM
Gross
$21,080
C1882
$17,340
BIV ICD PUNCTUA N050
Gross
$20,400
C1722
$17,196
ICD COBALT XT VR MRI SURESCAN
Gross
$20,230
A4100
$16,184
POLYMER NOVASORB 20X40 MTX2040
Gross
$19,040
C1721
$15,895
PROTECTA DEFIBRILLATOR DR
Gross
$18,700
C1817
$14,820
DEVICE OCC SEPTAL AMP 4MMX30MM
Gross
$17,435
C1817
$14,820
DEVICE OCC SEPTAL AMP 4MMX12MM
Gross
$17,435
C1772
$14,450
PUMP INFUS SYNCHROMED II 20ML
Gross
$17,000
C1722
$14,157
ICD ENERGEN E141
Gross
$16,655
C1786
$14,089
PACEMAKER MICRA VVIR
Gross
$16,575
C1762
$13,583
HEAD HUMERAL LEFT
Gross
$15,980
C2621
$13,005
PACEMAKER ENDURITY PM3222SYS
Gross
$15,300
43265
$12,750
HC ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD - ERCP
Gross
$15,000
43240
$12,750
HC EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST - ENDO US (UPPER)
Gross
$15,000
43266
$12,750
HC EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION - EGD
Gross
$15,000
44402
$12,155
HC COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT - COLONOSCOPY
Gross
$14,300
20983
$12,145
HC ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD
Gross
$14,288
C1767
$11,994
BATTERY ACTIVA SC MODEL 37602
Gross
$14,110
C1982
$11,535
CATHETER TRINAV 2.4F 120CM
Gross
$13,571
C1982
$11,535
CATH 120CM 2.9F .025IN TRINAV
Gross
$13,571
C1768
$11,531
VEIN 60-69CM V010
Gross
$13,566
0272
$11,271
VALVE INSPIRIS
Gross
$13,260
C9363
$10,369
DRESSING BIOLOGIC 4X5 BILAYER
Gross
$12,199
C9364
$9,710
FORTIVA 16 X 20 PD1620
Gross
$11,424
C1733
$8,981
CATHETER VARIPULSE BI-DIRECT
Gross
$10,566
C2621
$8,582
PACEMAKER VISIONIST CRT-P
Gross
$10,096
43260
$8,500
HC ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING - ERCP
Gross
$10,000
C9610
$8,164
BALLOON PTCA DCB 2.25MMX30MM
Gross
$9,605
C9610
$8,164
BALLOON PTCA DCB 2.75MMX20MM
Gross
$9,605
C1815
$8,013
AMS 800 CUFF IZ 72015701
Gross
$9,427
Q4116
$7,935
ALLODERM CM1516
Gross
$9,335
C1896
$7,789
IMPLANTABLE CARDIAC DEFIB
Gross
$9,163
43277
$7,650
HC ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA - ERCP
Gross
$9,000
43196
$7,395
HC ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION - ESOPHAGOSCOPY
Gross
$8,700
43278
$7,395
HC ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE - ERCP
Gross
$8,700
43263
$7,395
HC ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI - ERCP
Gross
$8,700
43195
$7,395
HC ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION - ESOPHAGOSCOPY
Gross
$8,700
78816
$7,310
HC PET IMAGING FOR CT ATTENUATION WHOLE BODY - PT/CT BONE WHOLE BODY
Gross
$8,600
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J0202 | ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION | $81,216 | $69,034 | — | — | 17 |
| C1822 | KIT IPG HFXD | $45,900 | $39,015 | — | — | 15 |
| C1822 | KIT OMNIA IPG2500 | $45,050 | $38,293 | — | — | 8 |
| C1767 | PATIENT IPG DRG PROCLAIM CTRL | $36,550 | $31,068 | — | — | 8 |
| C1882 | ICD BIVENTRICULAR GALLANT HF D | $31,705 | $26,949 | — | — | 23 |
| C1813 | IMPLANT PREC TENACIO 10CM IP | $29,665 | $25,215 | — | — | 15 |
| C1813 | IMPLANT PREC TENACIO 21CM LPS | $29,317 | $24,919 | — | — | 8 |
| 0278 | GRAFT VAL VAMF3030C100TU | $28,892 | $24,558 | — | — | 24 |
| C2616 | MICROSPHERE SIR Y-90 | $28,050 | $23,843 | — | — | 3 |
| C1820 | NEUROSTIM RESTORE SENSOR 97714 | $26,775 | $22,759 | — | — | 15 |
| 37227 | PR REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL | $25,830 | $21,956 | — | — | 15 |
| C1721 | ICD FORTIFY DUAL DR40 | $23,086 | $19,623 | — | — | 15 |
| C1605 | PACEMAKER AVEIR 19.5F 32.2MM | $21,080 | $17,918 | — | — | 8 |
| C1882 | BIV ICD PUNCTUA N050 | $20,400 | $17,340 | — | — | 23 |
| C1722 | ICD COBALT XT VR MRI SURESCAN | $20,230 | $17,196 | — | — | 19 |
| A4100 | POLYMER NOVASORB 20X40 MTX2040 | $19,040 | $16,184 | — | — | 3 |
| C1721 | PROTECTA DEFIBRILLATOR DR | $18,700 | $15,895 | — | — | 8 |
| C1817 | DEVICE OCC SEPTAL AMP 4MMX30MM | $17,435 | $14,820 | — | — | 15 |
| C1817 | DEVICE OCC SEPTAL AMP 4MMX12MM | $17,435 | $14,820 | — | — | 25 |
| C1772 | PUMP INFUS SYNCHROMED II 20ML | $17,000 | $14,450 | — | — | 15 |
| C1722 | ICD ENERGEN E141 | $16,655 | $14,157 | — | — | 23 |
| C1786 | PACEMAKER MICRA VVIR | $16,575 | $14,089 | — | — | 20 |
| C1762 | HEAD HUMERAL LEFT | $15,980 | $13,583 | — | — | 23 |
| C2621 | PACEMAKER ENDURITY PM3222SYS | $15,300 | $13,005 | — | — | 23 |
| 43265 | HC ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD - ERCP | $15,000 | $12,750 | — | — | 9 |
| 43240 | HC EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST - ENDO US (UPPER) | $15,000 | $12,750 | — | — | 8 |
| 43266 | HC EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION - EGD | $15,000 | $12,750 | — | — | 6 |
| 44402 | HC COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT - COLONOSCOPY | $14,300 | $12,155 | — | — | 15 |
| 20983 | HC ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD | $14,288 | $12,145 | — | — | 15 |
| C1767 | BATTERY ACTIVA SC MODEL 37602 | $14,110 | $11,994 | — | — | 12 |
| C1982 | CATHETER TRINAV 2.4F 120CM | $13,571 | $11,535 | — | — | 8 |
| C1982 | CATH 120CM 2.9F .025IN TRINAV | $13,571 | $11,535 | — | — | 6 |
| C1768 | VEIN 60-69CM V010 | $13,566 | $11,531 | — | — | 15 |
| 0272 | VALVE INSPIRIS | $13,260 | $11,271 | — | — | 61 |
| C9363 | DRESSING BIOLOGIC 4X5 BILAYER | $12,199 | $10,369 | — | — | 8 |
| C9364 | FORTIVA 16 X 20 PD1620 | $11,424 | $9,710 | — | — | 5 |
| C1733 | CATHETER VARIPULSE BI-DIRECT | $10,566 | $8,981 | — | — | 9 |
| C2621 | PACEMAKER VISIONIST CRT-P | $10,096 | $8,582 | — | — | 8 |
| 43260 | HC ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING - ERCP | $10,000 | $8,500 | — | — | 12 |
| C9610 | BALLOON PTCA DCB 2.25MMX30MM | $9,605 | $8,164 | — | — | 15 |
| C9610 | BALLOON PTCA DCB 2.75MMX20MM | $9,605 | $8,164 | — | — | 10 |
| C1815 | AMS 800 CUFF IZ 72015701 | $9,427 | $8,013 | — | — | 6 |
| Q4116 | ALLODERM CM1516 | $9,335 | $7,935 | — | — | 15 |
| C1896 | IMPLANTABLE CARDIAC DEFIB | $9,163 | $7,789 | — | — | 10 |
| 43277 | HC ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA - ERCP | $9,000 | $7,650 | — | — | 3 |
| 43196 | HC ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION - ESOPHAGOSCOPY | $8,700 | $7,395 | — | — | 15 |
| 43278 | HC ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE - ERCP | $8,700 | $7,395 | — | — | 18 |
| 43263 | HC ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI - ERCP | $8,700 | $7,395 | — | — | 12 |
| 43195 | HC ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION - ESOPHAGOSCOPY | $8,700 | $7,395 | — | — | 5 |
| 78816 | HC PET IMAGING FOR CT ATTENUATION WHOLE BODY - PT/CT BONE WHOLE BODY | $8,600 | $7,310 | — | — | 7 |
Showing top 50 of 8,623 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.