45 CFR § 180 compliance
B · 85
This hospital published most 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
898
Insurances with rates
14
CPT / HCPCS codes
769
Source MRF
Most expensive procedures (gross)
C1874
$43,248
CAPITATION MEDTRONIC USA INC STENT AAA ENDURANT 3 PC
Gross
$54,060
C1882
$43,197
DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT 40J PARYLENE DF1 IS-1 IS4-LLLL CONNECTOR RF
Gross
$53,996
C1721
$41,646
DEFIBRILLATOR CARDIAC COBALT 51X73MM 13MM 57SQ CM TITANIUM POLYURETHANE SILICONE RUBBER 2
Gross
$52,058
C1771
$34,424
CAPITATION MEDTRONIC USA INC STENT AAA ENDURANT 2 PC
Gross
$43,030
C1767
$33,600
CONTROLLER NEUROSTIMULATOR PROCLAIM ELITE 7
Gross
$42,000
92972
$33,408
Coronary Lithotripsy
Gross
$41,760
C1722
$32,703
DEFIBRILLATOR CARDIAC ACTICOR 7 VR-T DX
Gross
$40,879
C1898
$32,698
DEFIBRILLATOR CARDIAC VIVA S CRT-D 51X71MM TITANIUM POLYURETHANE SILICONE RUBBER DF-1
Gross
$40,872
C1785
$31,485
DEFIB DF4 1LED 1CHMBR SYS
Gross
$39,356
C1721
$31,147
DEFIBRILLATOR CARDIAC COBALT SURESCAN 51X71MM 13MM 57SQ CM TITANIUM POLYURETHANE 2 CHAMBER
Gross
$38,934
J9043
$30,982
CABAZITAXEL 10 MG/ML INTRAVENOUS SOLUTION
Gross
$38,727
92920
$29,297
Balloon Dilation of Single Coronary Artery or Branch
Gross
$36,621
C1722
$26,480
DEFIBRILLATOR CARDIAC ELLIPSE VR 51X68MM THK12MM 36J VENTRICULAR PARYLENE 1 CHAMBER IS-1
Gross
$33,100
J9042
$26,396
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION
Gross
$32,995
C1889
$24,559
CATHETER HEMODIALYSIS 6FR ELLIPSYS VASCULAR
Gross
$30,699
J9022
$23,156
ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION
Gross
$28,945
790
$21,764
Extracorporeal Shock Wave Lithotripsy Procedure
Gross
$27,205
J9119
$20,764
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION
Gross
$25,955
J9144
$20,304
DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN
Gross
$25,381
J0517
$20,192
BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE
Gross
$25,240
J0717
$19,826
CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT
Gross
$24,782
J0491
$18,565
ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION
Gross
$23,207
J2997
$18,157
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$22,697
C2623
$17,176
BALLOON AGENT DRUG COATED 2.0MMX13MM
Gross
$21,470
C1764
$16,416
DEVICE CARDIAC 9.4MMX49MM ASSERT-IQ THK4.4MM EL+ ICM
Gross
$20,520
J9354
$15,678
ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION
Gross
$19,598
93799
$14,257
Calculate Blood Flow of Initial Blood Vessel
Gross
$17,821
C1753
$13,438
CATHETER ULTRASOUND NUVISION ICE 10FR
Gross
$16,798
278
$12,712
ALLOGRAFT MENISCAL FOR SMALL JOINT RESURFACING ALLIO PRE-TAILORED
Gross
$15,890
C1761
$12,530
CATHETER LITHOTRIPSY 110CM 10MM PERIPHERAL 30MM ACCEPTS .018IN GUIDEWIRE 8FR SHEATH
Gross
$15,663
C1764
$12,418
DEVICE CARDIAC BIOMONITOR IMPLANTABLE STERILE LATEX FREE
Gross
$15,523
Q4125
$12,306
DERMIS DECELLULARIZED ARTHROFLEX 40X70MM 4MM THC ROOM TEM
Gross
$15,382
J0897
$12,270
DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION
Gross
$15,338
C1786
$11,630
ADVISA SR MRI SYSTEM
Gross
$14,537
J9358
$11,314
FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION
Gross
$14,142
C1785
$11,259
AZURE S DR MRI SYSTEM
Gross
$14,074
J9177
$11,148
ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION
Gross
$13,935
C1886
$10,707
CATHETER ABLATION RADIOFREQUENCY
Gross
$13,384
C1748
$10,642
DUODENOSCOPE FLEXIBLE 1240MM 15.1MM 11.3MM 4.2MM EXALT MODEL D STERILE DISPOSABLE
Gross
$13,302
C1888
$9,676
CATHETER ABLATION BARRX ULTRA LONG 4MM 160CM 40X13MM BIPOLAR ELECTRODE STREAMLINE PROFILE
Gross
$12,095
C2623
$9,585
BALLOON DILATATION GEOALIGN 4MM 5FR 220MM 130CM .035IN LOW PROFILE DRUG COATED GUIDEWIRE
Gross
$11,981
77295
$8,770
3d Radiation Therapy Planning
Gross
$10,963
92921
$8,522
Balloon Dilation of Coronary Artery or Branch, Ea Addl Artery or Branch
Gross
$10,652
C1730
$7,917
CATHETER ABLATION BARRX 90D 4MM 160CM 20X13MM ESOPHAGUS BIPOLAR ELECTRODE BALLOON FOCAL
Gross
$9,896
J9023
$7,800
AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION
Gross
$9,750
77338
$7,554
Design/Construct Radiation Treatment Device for High Precision Therapy
Gross
$9,443
C1762
$6,914
FILLER BONE VOID 45X20X7MM DEMINERALIZED CANCELLOUS CONFORM SHEET Q-PACK ALLOGRAFT
Gross
$8,642
J9034
$6,835
BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION
Gross
$8,543
C1776
$6,372
ADAPTER FEMORAL PFC SIGMA 5D KNEE STERILE
Gross
$7,966
37232
$6,286
Balloon Dilation of Artery of Leg, Each Additional Vessel
Gross
$7,858
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1874 | CAPITATION MEDTRONIC USA INC STENT AAA ENDURANT 3 PC | $54,060 | $43,248 | — | — | 0 |
| C1882 | DEFIBRILLATOR CARDIAC QUADRA ASSURA CRT 40J PARYLENE DF1 IS-1 IS4-LLLL CONNECTOR RF | $53,996 | $43,197 | — | — | 0 |
| C1721 | DEFIBRILLATOR CARDIAC COBALT 51X73MM 13MM 57SQ CM TITANIUM POLYURETHANE SILICONE RUBBER 2 | $52,058 | $41,646 | — | — | 0 |
| C1771 | CAPITATION MEDTRONIC USA INC STENT AAA ENDURANT 2 PC | $43,030 | $34,424 | — | — | 0 |
| C1767 | CONTROLLER NEUROSTIMULATOR PROCLAIM ELITE 7 | $42,000 | $33,600 | — | — | 0 |
| 92972 | Coronary Lithotripsy | $41,760 | $33,408 | — | — | 2 |
| C1722 | DEFIBRILLATOR CARDIAC ACTICOR 7 VR-T DX | $40,879 | $32,703 | — | — | 0 |
| C1898 | DEFIBRILLATOR CARDIAC VIVA S CRT-D 51X71MM TITANIUM POLYURETHANE SILICONE RUBBER DF-1 | $40,872 | $32,698 | — | — | 0 |
| C1785 | DEFIB DF4 1LED 1CHMBR SYS | $39,356 | $31,485 | — | — | 0 |
| C1721 | DEFIBRILLATOR CARDIAC COBALT SURESCAN 51X71MM 13MM 57SQ CM TITANIUM POLYURETHANE 2 CHAMBER | $38,934 | $31,147 | — | — | 0 |
| J9043 | CABAZITAXEL 10 MG/ML INTRAVENOUS SOLUTION | $38,727 | $30,982 | — | — | 58 |
| 92920 | Balloon Dilation of Single Coronary Artery or Branch | $36,621 | $29,297 | — | — | 25 |
| C1722 | DEFIBRILLATOR CARDIAC ELLIPSE VR 51X68MM THK12MM 36J VENTRICULAR PARYLENE 1 CHAMBER IS-1 | $33,100 | $26,480 | — | — | 0 |
| J9042 | BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION | $32,995 | $26,396 | — | — | 29 |
| C1889 | CATHETER HEMODIALYSIS 6FR ELLIPSYS VASCULAR | $30,699 | $24,559 | — | — | 0 |
| J9022 | ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION | $28,945 | $23,156 | — | — | 29 |
| 790 | Extracorporeal Shock Wave Lithotripsy Procedure | $27,205 | $21,764 | — | — | 0 |
| J9119 | CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION | $25,955 | $20,764 | — | — | 29 |
| J9144 | DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN | $25,381 | $20,304 | — | — | 29 |
| J0517 | BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE | $25,240 | $20,192 | — | — | 29 |
| J0717 | CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT | $24,782 | $19,826 | — | — | 58 |
| J0491 | ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION | $23,207 | $18,565 | — | — | 29 |
| J2997 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $22,697 | $18,157 | — | — | 58 |
| C2623 | BALLOON AGENT DRUG COATED 2.0MMX13MM | $21,470 | $17,176 | — | — | 0 |
| C1764 | DEVICE CARDIAC 9.4MMX49MM ASSERT-IQ THK4.4MM EL+ ICM | $20,520 | $16,416 | — | — | 0 |
| J9354 | ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION | $19,598 | $15,678 | — | — | 29 |
| 93799 | Calculate Blood Flow of Initial Blood Vessel | $17,821 | $14,257 | — | — | 24 |
| C1753 | CATHETER ULTRASOUND NUVISION ICE 10FR | $16,798 | $13,438 | — | — | 0 |
| 278 | ALLOGRAFT MENISCAL FOR SMALL JOINT RESURFACING ALLIO PRE-TAILORED | $15,890 | $12,712 | — | — | 0 |
| C1761 | CATHETER LITHOTRIPSY 110CM 10MM PERIPHERAL 30MM ACCEPTS .018IN GUIDEWIRE 8FR SHEATH | $15,663 | $12,530 | — | — | 0 |
| C1764 | DEVICE CARDIAC BIOMONITOR IMPLANTABLE STERILE LATEX FREE | $15,523 | $12,418 | — | — | 0 |
| Q4125 | DERMIS DECELLULARIZED ARTHROFLEX 40X70MM 4MM THC ROOM TEM | $15,382 | $12,306 | — | — | 0 |
| J0897 | DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION | $15,338 | $12,270 | — | — | 29 |
| C1786 | ADVISA SR MRI SYSTEM | $14,537 | $11,630 | — | — | 0 |
| J9358 | FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION | $14,142 | $11,314 | — | — | 29 |
| C1785 | AZURE S DR MRI SYSTEM | $14,074 | $11,259 | — | — | 0 |
| J9177 | ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION | $13,935 | $11,148 | — | — | 29 |
| C1886 | CATHETER ABLATION RADIOFREQUENCY | $13,384 | $10,707 | — | — | 0 |
| C1748 | DUODENOSCOPE FLEXIBLE 1240MM 15.1MM 11.3MM 4.2MM EXALT MODEL D STERILE DISPOSABLE | $13,302 | $10,642 | — | — | 0 |
| C1888 | CATHETER ABLATION BARRX ULTRA LONG 4MM 160CM 40X13MM BIPOLAR ELECTRODE STREAMLINE PROFILE | $12,095 | $9,676 | — | — | 0 |
| C2623 | BALLOON DILATATION GEOALIGN 4MM 5FR 220MM 130CM .035IN LOW PROFILE DRUG COATED GUIDEWIRE | $11,981 | $9,585 | — | — | 0 |
| 77295 | 3d Radiation Therapy Planning | $10,963 | $8,770 | — | — | 27 |
| 92921 | Balloon Dilation of Coronary Artery or Branch, Ea Addl Artery or Branch | $10,652 | $8,522 | — | — | 4 |
| C1730 | CATHETER ABLATION BARRX 90D 4MM 160CM 20X13MM ESOPHAGUS BIPOLAR ELECTRODE BALLOON FOCAL | $9,896 | $7,917 | — | — | 0 |
| J9023 | AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION | $9,750 | $7,800 | — | — | 29 |
| 77338 | Design/Construct Radiation Treatment Device for High Precision Therapy | $9,443 | $7,554 | — | — | 23 |
| C1762 | FILLER BONE VOID 45X20X7MM DEMINERALIZED CANCELLOUS CONFORM SHEET Q-PACK ALLOGRAFT | $8,642 | $6,914 | — | — | 0 |
| J9034 | BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION | $8,543 | $6,835 | — | — | 29 |
| C1776 | ADAPTER FEMORAL PFC SIGMA 5D KNEE STERILE | $7,966 | $6,372 | — | — | 0 |
| 37232 | Balloon Dilation of Artery of Leg, Each Additional Vessel | $7,858 | $6,286 | — | — | 2 |
Showing top 50 of 898 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.