45 CFR § 180 compliance
D · 65
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
2,128
Insurances with rates
0
CPT / HCPCS codes
2,100
Source MRF
Most expensive procedures (gross)
77301
$22,805
HC IMRT PLANNING
Gross
$45,609
77295
$14,225
HC RADIOTHERAPY PLAN 3D
Gross
$28,450
64555
$14,210
HC IMPLANT NEUROSTIM PERIPHERAL
Gross
$28,420
C1604
$12,500
SYSTEM CAP FOR ANY NUMBER OF TORUS STENT GRAFTS AND ENDOCROSS DEVICE DETOUR
Gross
$25,000
C1822
$10,750
KIT IPG INCLUDES STIM UNIT LEADS ETC
Gross
$21,500
C1767
$9,750
GENERATOR NEUROSTIMULATOR L5.02 CM X H6.68 CM THK1.35 CM 25.5-MA 2-1200HZ 38.6 CU CM 7 IMPLANTABLE P
Gross
$19,500
C1722
$9,000
DEFIBRILLATOR EMBLEM 130 GM D12.7 MM W83.1 MM X H69.1 MM CARDIAC
Gross
$18,000
77338
$8,227
HC MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN
Gross
$16,454
J7520
$7,758
SIROLIMUS 1 MG/ML ORAL SOLUTION
Gross
$15,516
L8670
$7,500
GRAFT STENT 25MM 13MM 80MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE
Gross
$14,999
C2625
$7,392
DEVICE EMBOLIZATION L12 MM 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP OD4 MM PI
Gross
$14,783
C1757
$7,250
CANNULA ANGIOVAC F18 PTO W/ CIRCUIT
Gross
$14,500
J3299
$7,025
TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUPRACHOROIDAL SUSPENSION
Gross
$14,050
59409
$6,582
HC ER VAGINAL DELIVERY ONLY
Gross
$13,164
41008
$6,323
HC ER I&D SUBMANDIB SPACE INTRAORAL
Gross
$12,646
10121
$6,043
HC ER REMOVAL FOREIGN BODY COMPLEX
Gross
$12,086
72126
$5,409
HC CT CERVICAL SPINE W/CONTRAST MATERIAL
Gross
$10,818
V5221
$5,136
HC HEARING AID BICROS BEHIND THE EAR PREMIUM
Gross
$10,272
V5130
$5,094
HC HEARING AID BINAURAL ADVANCED
Gross
$10,188
73222
$4,986
HC MRI JOINT UPPER EXTREM W/CONTRAST
Gross
$9,972
73722
$4,966
HC MRI JOINT OF LEG W/CONTRAST
Gross
$9,932
C1772
$4,900
PUMP INTRATHECAL 87.5MM DIA 19.5MM THK 20ML CAPACITY 165/185GM EMPTY/FULL W/0.22 UM FILTER LITHIUM B
Gross
$9,800
50590
$4,729
HC LITHOTRIPSY
Gross
$9,457
77386
$4,641
HC INTENSITY MODULATED RADIATION TX DLVR COMPLEX
Gross
$9,281
78072
$4,437
HC PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT
Gross
$8,874
C1786
$4,375
PACEMAKER MICRA VR2 LEADLESS BUNDLE CARDIAC SINGLE CHAMBER
Gross
$8,750
78315
$4,114
HC BONE IMAGING 3 PHASE
Gross
$8,227
64624
$4,103
HC DESTRUCT BY NEUROLYTIC, GENICULAR NERVE W/GUIDE
Gross
$8,206
64625
$4,103
HC RADIOFREQ ABLATION, SACROILIAC NERVES W/GUIDE
Gross
$8,206
78707
$4,073
HC RENAL FLOW FUNCT IMAGING
Gross
$8,145
0360
$4,053
HC OR TIME - INITIAL 30 MIN - PROCEDURE LEVEL FOUR
Gross
$8,106
77290
$4,017
HC SIMULATION COMPLEX
Gross
$8,034
77385
$3,971
HC INTENSITY MODULATED RADIATION TX DLVR SIMPLE
Gross
$7,942
V5261
$3,839
HC HEARING AID DIGITAL BINAURAL BTE BASIC
Gross
$7,678
78071
$3,816
HC PARATHYROID PLANAR IMAGING W/WO SUBTRACTION
Gross
$7,631
64517
$3,793
HC INJECT NERVE BLOCK SUPERIOR HYPOGASTRIC PLEXUS
Gross
$7,586
78264
$3,790
HC GASTRIC EMPTYING IMAGING STUDY
Gross
$7,580
64415
$3,755
HC INJ ANES AGENT BRACHIAL PLEXUS SINGLE W/IMAGING
Gross
$7,510
64999
$3,701
HC PULSED RADIOFREQ. LESIONING
Gross
$7,402
78815
$3,621
HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH
Gross
$7,242
78306
$3,608
HC BONE IMAGING WHOLE BODY
Gross
$7,216
31237
$3,440
HC NASAL/SINUS ENDO W BX DEBRIDE
Gross
$6,880
C1813
$3,425
KIT ACCESSORY SUBURETHRAL SLING ADVANCE POLYPROPYLENE MALE
Gross
$6,850
40654
$3,396
HC ER REPAIR LIP COMPLEX
Gross
$6,791
25505
$3,386
HC ER CLOSED TX RADIAL SHFT FX W/MANIP
Gross
$6,771
74178
$3,346
HC CT ABDOMEN & PELVIS W/&W/O CONTRAST
Gross
$6,691
73223
$3,336
HC MRI JOINT UPPER EXTREM COMBO
Gross
$6,672
V5260
$3,324
HC HEARING AID DIGITAL BINAURAL ITE BASIC
Gross
$6,647
73723
$3,323
HC MRI JOINT OF LEG COMBO
Gross
$6,646
J1561
$3,319
IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN
Gross
$6,639
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 77301 | HC IMRT PLANNING | $45,609 | $22,805 | — | — | 0 |
| 77295 | HC RADIOTHERAPY PLAN 3D | $28,450 | $14,225 | — | — | 0 |
| 64555 | HC IMPLANT NEUROSTIM PERIPHERAL | $28,420 | $14,210 | — | — | 0 |
| C1604 | SYSTEM CAP FOR ANY NUMBER OF TORUS STENT GRAFTS AND ENDOCROSS DEVICE DETOUR | $25,000 | $12,500 | — | — | 0 |
| C1822 | KIT IPG INCLUDES STIM UNIT LEADS ETC | $21,500 | $10,750 | — | — | 0 |
| C1767 | GENERATOR NEUROSTIMULATOR L5.02 CM X H6.68 CM THK1.35 CM 25.5-MA 2-1200HZ 38.6 CU CM 7 IMPLANTABLE P | $19,500 | $9,750 | — | — | 0 |
| C1722 | DEFIBRILLATOR EMBLEM 130 GM D12.7 MM W83.1 MM X H69.1 MM CARDIAC | $18,000 | $9,000 | — | — | 0 |
| 77338 | HC MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN | $16,454 | $8,227 | — | — | 0 |
| J7520 | SIROLIMUS 1 MG/ML ORAL SOLUTION | $15,516 | $7,758 | — | — | 0 |
| L8670 | GRAFT STENT 25MM 13MM 80MM 40MM 2 BRANCH AAA AFX2 MAIN BODY ILIAC LIMB STERILE LATEX FREE | $14,999 | $7,500 | — | — | 0 |
| C2625 | DEVICE EMBOLIZATION L12 MM 48 STRAND BRAID MESH UNIFORM RADIOPACITY LOW PROFILE DISTAL TIP OD4 MM PI | $14,783 | $7,392 | — | — | 0 |
| C1757 | CANNULA ANGIOVAC F18 PTO W/ CIRCUIT | $14,500 | $7,250 | — | — | 0 |
| J3299 | TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUPRACHOROIDAL SUSPENSION | $14,050 | $7,025 | — | — | 0 |
| 59409 | HC ER VAGINAL DELIVERY ONLY | $13,164 | $6,582 | — | — | 0 |
| 41008 | HC ER I&D SUBMANDIB SPACE INTRAORAL | $12,646 | $6,323 | — | — | 0 |
| 10121 | HC ER REMOVAL FOREIGN BODY COMPLEX | $12,086 | $6,043 | — | — | 0 |
| 72126 | HC CT CERVICAL SPINE W/CONTRAST MATERIAL | $10,818 | $5,409 | — | — | 0 |
| V5221 | HC HEARING AID BICROS BEHIND THE EAR PREMIUM | $10,272 | $5,136 | — | — | 0 |
| V5130 | HC HEARING AID BINAURAL ADVANCED | $10,188 | $5,094 | — | — | 0 |
| 73222 | HC MRI JOINT UPPER EXTREM W/CONTRAST | $9,972 | $4,986 | — | — | 0 |
| 73722 | HC MRI JOINT OF LEG W/CONTRAST | $9,932 | $4,966 | — | — | 0 |
| C1772 | PUMP INTRATHECAL 87.5MM DIA 19.5MM THK 20ML CAPACITY 165/185GM EMPTY/FULL W/0.22 UM FILTER LITHIUM B | $9,800 | $4,900 | — | — | 0 |
| 50590 | HC LITHOTRIPSY | $9,457 | $4,729 | — | — | 0 |
| 77386 | HC INTENSITY MODULATED RADIATION TX DLVR COMPLEX | $9,281 | $4,641 | — | — | 0 |
| 78072 | HC PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT | $8,874 | $4,437 | — | — | 0 |
| C1786 | PACEMAKER MICRA VR2 LEADLESS BUNDLE CARDIAC SINGLE CHAMBER | $8,750 | $4,375 | — | — | 0 |
| 78315 | HC BONE IMAGING 3 PHASE | $8,227 | $4,114 | — | — | 0 |
| 64624 | HC DESTRUCT BY NEUROLYTIC, GENICULAR NERVE W/GUIDE | $8,206 | $4,103 | — | — | 0 |
| 64625 | HC RADIOFREQ ABLATION, SACROILIAC NERVES W/GUIDE | $8,206 | $4,103 | — | — | 0 |
| 78707 | HC RENAL FLOW FUNCT IMAGING | $8,145 | $4,073 | — | — | 0 |
| 0360 | HC OR TIME - INITIAL 30 MIN - PROCEDURE LEVEL FOUR | $8,106 | $4,053 | — | — | 0 |
| 77290 | HC SIMULATION COMPLEX | $8,034 | $4,017 | — | — | 0 |
| 77385 | HC INTENSITY MODULATED RADIATION TX DLVR SIMPLE | $7,942 | $3,971 | — | — | 0 |
| V5261 | HC HEARING AID DIGITAL BINAURAL BTE BASIC | $7,678 | $3,839 | — | — | 0 |
| 78071 | HC PARATHYROID PLANAR IMAGING W/WO SUBTRACTION | $7,631 | $3,816 | — | — | 0 |
| 64517 | HC INJECT NERVE BLOCK SUPERIOR HYPOGASTRIC PLEXUS | $7,586 | $3,793 | — | — | 0 |
| 78264 | HC GASTRIC EMPTYING IMAGING STUDY | $7,580 | $3,790 | — | — | 0 |
| 64415 | HC INJ ANES AGENT BRACHIAL PLEXUS SINGLE W/IMAGING | $7,510 | $3,755 | — | — | 0 |
| 64999 | HC PULSED RADIOFREQ. LESIONING | $7,402 | $3,701 | — | — | 0 |
| 78815 | HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $7,242 | $3,621 | — | — | 0 |
| 78306 | HC BONE IMAGING WHOLE BODY | $7,216 | $3,608 | — | — | 0 |
| 31237 | HC NASAL/SINUS ENDO W BX DEBRIDE | $6,880 | $3,440 | — | — | 0 |
| C1813 | KIT ACCESSORY SUBURETHRAL SLING ADVANCE POLYPROPYLENE MALE | $6,850 | $3,425 | — | — | 0 |
| 40654 | HC ER REPAIR LIP COMPLEX | $6,791 | $3,396 | — | — | 0 |
| 25505 | HC ER CLOSED TX RADIAL SHFT FX W/MANIP | $6,771 | $3,386 | — | — | 0 |
| 74178 | HC CT ABDOMEN & PELVIS W/&W/O CONTRAST | $6,691 | $3,346 | — | — | 0 |
| 73223 | HC MRI JOINT UPPER EXTREM COMBO | $6,672 | $3,336 | — | — | 0 |
| V5260 | HC HEARING AID DIGITAL BINAURAL ITE BASIC | $6,647 | $3,324 | — | — | 0 |
| 73723 | HC MRI JOINT OF LEG COMBO | $6,646 | $3,323 | — | — | 0 |
| J1561 | IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN | $6,639 | $3,319 | — | — | 0 |
Showing top 50 of 2,128 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.