45 CFR § 180 compliance
F · 50
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
15,275
Insurances with rates
23
CPT / HCPCS codes
2,225
Source MRF
Most expensive procedures (gross)
22653179
$159,222
CH LOWER EXTREMITY LITHOTRIPSY
Gross
$159,222
55056931
$114,742
CH SPESOLIMAB-SBZO 450MG/7.5ML VL (SPEVIGO)
Gross
$114,742
55048714
$76,587
J9228 INJECTION, IPILIMUMAB, 1 MG
Gross
$76,587
41010018
$57,800
CH COCHLEAR IMPLANT
Gross
$57,800
22654795
$57,208
CH PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS
Gross
$57,208
22652525
$56,004
CH LIVANOVA VNS GENERATOR
Gross
$56,004
55054605
$54,879
JELMYTO 80MG (MITOMYCIN 2X40MG) KIT
Gross
$54,879
22654437
$54,500
CH ABBT - ETERNA SYSTEM 222ETPENSY33
Gross
$54,500
22654425
$54,000
CH ABBT - PROCLAIM PLUS5/7 SYSTEM 222PP5/7PENSY33
Gross
$54,000
22654416
$54,000
CH MDTR - INCEPTIVE NEUROSTIMULATOR SYSTEM
Gross
$54,000
55054639
$52,692
CH J1303 RAVULIZUMAB-CWVZ 1100MG/11ML INJ
Gross
$52,692
41111626
$51,786
CH COCHLEAR FREEDOM Z60353
Gross
$51,786
41111964
$51,785
CH NUCLEAR COCHLEAR IMPLANT
Gross
$51,785
48022719
$51,449
CH UNITY QUADRA CD32494/4Q SJD
Gross
$51,449
48038459
$50,000
CH IMPELLA
Gross
$50,000
55055313
$48,274
CH J9269 TAGRAXOFUSP-ERZS 1,000 MCG/ML
Gross
$48,274
22654682
$47,136
CH REVASC LWR EXT ARTERY W INTRAVASCULAR LITHOTRIP
Gross
$47,136
22654426
$46,500
CH ABBT - PROCLAIM ELITE XR5 SYSTEMS3660PENSYS/TRI
Gross
$46,500
55054472
$45,410
J2350 CH: OCRELIZUMAB INJ 300 MG/10ML
Gross
$45,410
55054332
$44,931
J2507 PEGLOTICASE 8 MG/ML VIAL
Gross
$44,931
22654433
$44,500
CH ABBT - ETERNA 16-CHANNEL IPG (GENERATOR ONLY)
Gross
$44,500
22654435
$44,500
CH ABBT - ETERNA 16 -CH IPG FOR SYSTEM 222ETCTRSY
Gross
$44,500
22654391
$44,068
CH ORTHO JOINT DEVICE/COMPONENT C1776 >20000 COST
Gross
$44,068
22654354
$44,068
CH ORTHO JOINT DEVICE/COMPONENT C1776 >20000 COST
Gross
$44,068
22654487
$43,000
CH ALPHA IPG, CHARGING KIT,RC , 50CM ARTISAN LEAD
Gross
$43,000
48033732
$42,400
CH AICD OTHER THAN SINGLE/DUAL BS
Gross
$42,400
55049688
$41,855
J7311 INJ., RETISERT, 0.01 MG
Gross
$41,855
55057145
$40,945
CH POLATUZUMAB VEDOTIN-PII 140 MG (J9309)
Gross
$40,945
48035919
$40,000
CH ACID SINGLE CHAMBER SQRX
Gross
$40,000
22654446
$40,000
CH BSCI - ALPHA PRIME IPG, REMOTE, PADDLE SC1480ES
Gross
$40,000
22654418
$39,680
CH MDTR - INTELLIS SENSOR REPLMT - GENERATOR
Gross
$39,680
22654420
$39,680
CH MDTR - INTELLIS SENSOR MRI SURG - GENERATOR
Gross
$39,680
22654427
$39,163
CH ABBT - PROCLAIM DRG IPG GENERATOR
Gross
$39,163
41109919
$38,700
ICD MAXIMO 2 DR D284DRG
Gross
$38,700
22600450
$38,224
AICD,.OTHER THAN SING/DUAL MRI MDT
Gross
$38,224
22600453
$37,692
AICD,.OTHER THAN SING/DUAL MDT
Gross
$37,692
4853411
$37,000
WATCHMAN LAA PROCEDURE DEVICE
Gross
$37,000
55056394
$36,943
CH EMICIZUMAB-KXWH 150 MG/1ML INJ
Gross
$36,943
22654444
$36,480
CH BSCI - ALPHA IPG & CHARGING SYSTEM FOR SC1280LS
Gross
$36,480
55057426
$36,257
CH EPCORITAMAB-BYSP 48 MG/0.8 ML
Gross
$36,257
22600482
$35,846
ACID OTHER THAN SING/DUAL QUAD MDT
Gross
$35,846
41115049
$35,500
CH RESTORE ULTRA RECHARGABLE INS
Gross
$35,500
41198938
$35,430
CH RESTORE SENSOR IPG 97714
Gross
$35,430
22654447
$35,150
CH BSCI - ALPHA PRIME GENERATOR FOR SC1482SYS
Gross
$35,150
48022420
$34,832
CH LUMAX 540DRT-BIO ICD
Gross
$34,832
41196361
$34,600
CH GENERATOR SPECTRA PLUSE
Gross
$34,600
47237508
$34,547
S2095 TRANSCATHETER OCCLUSION OR EMBOLIZATION FOR
Gross
$34,547
48037857
$34,412
37227 REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM
Gross
$34,412
47233010
$34,412
37227 REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM
Gross
$34,412
22654756
$34,325
CH REVASCULARIZATION ENDOVASCULAR FPVT STENT CPLX
Gross
$34,325
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 22653179 | CH LOWER EXTREMITY LITHOTRIPSY | $159,222 | $159,222 | — | — | 0 |
| 55056931 | CH SPESOLIMAB-SBZO 450MG/7.5ML VL (SPEVIGO) | $114,742 | $114,742 | — | — | 0 |
| 55048714 | J9228 INJECTION, IPILIMUMAB, 1 MG | $76,587 | $76,587 | — | — | 0 |
| 41010018 | CH COCHLEAR IMPLANT | $57,800 | $57,800 | — | — | 0 |
| 22654795 | CH PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS | $57,208 | $57,208 | — | — | 0 |
| 22652525 | CH LIVANOVA VNS GENERATOR | $56,004 | $56,004 | — | — | 0 |
| 55054605 | JELMYTO 80MG (MITOMYCIN 2X40MG) KIT | $54,879 | $54,879 | — | — | 0 |
| 22654437 | CH ABBT - ETERNA SYSTEM 222ETPENSY33 | $54,500 | $54,500 | — | — | 0 |
| 22654425 | CH ABBT - PROCLAIM PLUS5/7 SYSTEM 222PP5/7PENSY33 | $54,000 | $54,000 | — | — | 0 |
| 22654416 | CH MDTR - INCEPTIVE NEUROSTIMULATOR SYSTEM | $54,000 | $54,000 | — | — | 0 |
| 55054639 | CH J1303 RAVULIZUMAB-CWVZ 1100MG/11ML INJ | $52,692 | $52,692 | — | — | 0 |
| 41111626 | CH COCHLEAR FREEDOM Z60353 | $51,786 | $51,786 | — | — | 0 |
| 41111964 | CH NUCLEAR COCHLEAR IMPLANT | $51,785 | $51,785 | — | — | 0 |
| 48022719 | CH UNITY QUADRA CD32494/4Q SJD | $51,449 | $51,449 | — | — | 0 |
| 48038459 | CH IMPELLA | $50,000 | $50,000 | — | — | 0 |
| 55055313 | CH J9269 TAGRAXOFUSP-ERZS 1,000 MCG/ML | $48,274 | $48,274 | — | — | 0 |
| 22654682 | CH REVASC LWR EXT ARTERY W INTRAVASCULAR LITHOTRIP | $47,136 | $47,136 | — | — | 0 |
| 22654426 | CH ABBT - PROCLAIM ELITE XR5 SYSTEMS3660PENSYS/TRI | $46,500 | $46,500 | — | — | 0 |
| 55054472 | J2350 CH: OCRELIZUMAB INJ 300 MG/10ML | $45,410 | $45,410 | — | — | 0 |
| 55054332 | J2507 PEGLOTICASE 8 MG/ML VIAL | $44,931 | $44,931 | — | — | 0 |
| 22654433 | CH ABBT - ETERNA 16-CHANNEL IPG (GENERATOR ONLY) | $44,500 | $44,500 | — | — | 0 |
| 22654435 | CH ABBT - ETERNA 16 -CH IPG FOR SYSTEM 222ETCTRSY | $44,500 | $44,500 | — | — | 0 |
| 22654391 | CH ORTHO JOINT DEVICE/COMPONENT C1776 >20000 COST | $44,068 | $44,068 | — | — | 0 |
| 22654354 | CH ORTHO JOINT DEVICE/COMPONENT C1776 >20000 COST | $44,068 | $44,068 | — | — | 0 |
| 22654487 | CH ALPHA IPG, CHARGING KIT,RC , 50CM ARTISAN LEAD | $43,000 | $43,000 | — | — | 0 |
| 48033732 | CH AICD OTHER THAN SINGLE/DUAL BS | $42,400 | $42,400 | — | — | 0 |
| 55049688 | J7311 INJ., RETISERT, 0.01 MG | $41,855 | $41,855 | — | — | 0 |
| 55057145 | CH POLATUZUMAB VEDOTIN-PII 140 MG (J9309) | $40,945 | $40,945 | — | — | 0 |
| 48035919 | CH ACID SINGLE CHAMBER SQRX | $40,000 | $40,000 | — | — | 0 |
| 22654446 | CH BSCI - ALPHA PRIME IPG, REMOTE, PADDLE SC1480ES | $40,000 | $40,000 | — | — | 0 |
| 22654418 | CH MDTR - INTELLIS SENSOR REPLMT - GENERATOR | $39,680 | $39,680 | — | — | 0 |
| 22654420 | CH MDTR - INTELLIS SENSOR MRI SURG - GENERATOR | $39,680 | $39,680 | — | — | 0 |
| 22654427 | CH ABBT - PROCLAIM DRG IPG GENERATOR | $39,163 | $39,163 | — | — | 0 |
| 41109919 | ICD MAXIMO 2 DR D284DRG | $38,700 | $38,700 | — | — | 0 |
| 22600450 | AICD,.OTHER THAN SING/DUAL MRI MDT | $38,224 | $38,224 | — | — | 0 |
| 22600453 | AICD,.OTHER THAN SING/DUAL MDT | $37,692 | $37,692 | — | — | 0 |
| 4853411 | WATCHMAN LAA PROCEDURE DEVICE | $37,000 | $37,000 | — | — | 0 |
| 55056394 | CH EMICIZUMAB-KXWH 150 MG/1ML INJ | $36,943 | $36,943 | — | — | 0 |
| 22654444 | CH BSCI - ALPHA IPG & CHARGING SYSTEM FOR SC1280LS | $36,480 | $36,480 | — | — | 0 |
| 55057426 | CH EPCORITAMAB-BYSP 48 MG/0.8 ML | $36,257 | $36,257 | — | — | 0 |
| 22600482 | ACID OTHER THAN SING/DUAL QUAD MDT | $35,846 | $35,846 | — | — | 0 |
| 41115049 | CH RESTORE ULTRA RECHARGABLE INS | $35,500 | $35,500 | — | — | 0 |
| 41198938 | CH RESTORE SENSOR IPG 97714 | $35,430 | $35,430 | — | — | 0 |
| 22654447 | CH BSCI - ALPHA PRIME GENERATOR FOR SC1482SYS | $35,150 | $35,150 | — | — | 0 |
| 48022420 | CH LUMAX 540DRT-BIO ICD | $34,832 | $34,832 | — | — | 0 |
| 41196361 | CH GENERATOR SPECTRA PLUSE | $34,600 | $34,600 | — | — | 0 |
| 47237508 | S2095 TRANSCATHETER OCCLUSION OR EMBOLIZATION FOR | $34,547 | $34,547 | — | — | 0 |
| 48037857 | 37227 REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM | $34,412 | $34,412 | — | — | 0 |
| 47233010 | 37227 REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM | $34,412 | $34,412 | — | — | 0 |
| 22654756 | CH REVASCULARIZATION ENDOVASCULAR FPVT STENT CPLX | $34,325 | $34,325 | — | — | 0 |
Showing top 50 of 15,275 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.