45 CFR § 180 compliance
C · 70
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
22,109
Insurances with rates
29
CPT / HCPCS codes
19,608
Source MRF
Most expensive procedures (gross)
A9543
$76,842
HC MED: YTTRIUM Y-90 IBRITUMOMAB TIUXETAN, THERAPEUTIC, PER TMT DOSE, UP TO 40 MCI
Gross
$232,855
J1568
$51,277
immune globulin 10 % (Octagam) infusion 60 g
Gross
$155,384
C2616
$26,383
HC C2616 BRACHY SOURCE YTTRIUM 90 UNSTR
Gross
$79,948
33289
$25,489
HC 33289 TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR
Gross
$77,240
J0875
$23,482
dalbavancin HCl (Dalvance) 1,500 mg in dextrose 5 % 500 mL IVPB
Gross
$71,158
J7165
$20,788
Prothrombin Complex Human-lans (Balfaxar) injection 1,500 Units 60 mL
Gross
$62,994
823T
$20,646
HC 0823T TRANSCATH INS 1CHMBR LDLS PM RA
Gross
$62,565
33270
$18,384
HC 33270 INS/REPL PRM SQ IMPLT DFIB W/SQ ELECTRODE
Gross
$55,709
238T
$16,605
HC 0238T ATHERECTOMY, ILIAC ARTERY (EACH VES)
Gross
$50,317
37182
$16,060
HC 37182 TIPS INSERTION I/P ONLY
Gross
$48,668
A9572
$14,970
HC A9572 MED: INDIUM IN-111 PENTETREOTIDE, DX, PER STUDY DOSE, UP TO 6 MCI
Gross
$45,364
G0390
$14,623
HC G0390 FULL TRAUMA ACT W CRIT CARE
Gross
$44,311
C9765
$14,172
HC C9765 REVASC INTRA LITHOTRIP-STENT
Gross
$42,945
C9766
$14,172
HC C9766 REVASC INTRA LITHOTRIP-ATHER
Gross
$42,945
C9767
$14,172
HC C9767 REVASC LITHOTRIP-STENT-ATHER
Gross
$42,945
C9773
$14,172
HC C9773 REVASC LITHOTR-STENT TIB/PER
Gross
$42,945
C9774
$14,172
HC C9774 REVASC LITHOTR-ATHER TIB/PER
Gross
$42,945
C9775
$14,172
HC C9775 REVASC LITH-STEN-ATH TIB/PER
Gross
$42,945
33880
$12,781
HC 33880 ENDOVASC TAA REINCL SUBCL
Gross
$38,730
33231
$12,716
HC 33231 INS ICD GEN W/EXIST MULT LEADS
Gross
$38,534
795T
$12,002
HC 0795T TRANSCATH INS 2CHMBR LDLS PM CMPL
Gross
$36,371
236T
$11,697
HC 0236T ATHERECTOMY, ABDOMINAL AORTA
Gross
$35,445
33274
$11,520
HC 33274 TRNSCTH INSJ/RPLC PERM LDLS PM RT VENTR W/IMG
Gross
$34,910
50590
$11,416
HC 50590 LITHOTRIPSY KIDNEY
Gross
$34,594
37183
$11,342
HC 37183 TIPS REVISION
Gross
$34,369
33224
$11,300
HC 33224 INSJ ELTRD CAR VEN SYS ATTCH PM/CVDFB PLS GEN
Gross
$34,242
C9606
$11,154
HC C9606 D-E COR REVASC W AMI 1 VSL
Gross
$33,800
36906
$11,121
HC 36906 PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT
Gross
$33,701
50695
$11,063
HC 50695 PLMT URETERAL STENT PRQ; NEW W NEPH CATH
Gross
$33,523
33249
$10,931
HC 33249 INSJ/RPSG LEAD 1/2CHMBR CVDFB&INSJ PLS GEN
Gross
$33,125
92933
$10,790
HC 92933 COR STENT/ATH/ANGIO 1 ARTERY
Gross
$32,698
50592
$10,464
HC 50592 ABLTJ RENAL TUM(S)PRQ RF UNI
Gross
$31,710
C9399
$10,392
poractant alfa (Curosurf) 240 MG/3ML intratracheal suspension
Gross
$31,492
92941
$10,376
HC 92941 COR REVASC W AMI 1 VSL
Gross
$31,442
33264
$10,300
HC 33264 RMVL/REPL ICD GEN, MULTI LEAD
Gross
$31,213
20982
$10,232
HC 20982 ABLATJ BONE TUMOR(S) PERQ; RF
Gross
$31,005
235T
$9,938
HC 0235T ATHERECTOMY, VISCERAL ARTERY
Gross
$30,116
90377
$9,841
rabies immune globulin (Kedrab) injection 900 Units
Gross
$29,822
50694
$9,783
HC 50694 PLMT URETERAL STENT PRQ; NEW W/O NEPH CATH
Gross
$29,646
50593
$9,694
HC 50593 ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY
Gross
$29,376
164404
$9,613
HC FULL TRAUMA ACT WO CRIT CARE
Gross
$29,130
314100
$9,613
TRAUMA ACTV POVá FULL TM
Gross
$29,130
C9602
$9,518
HC C9602 D-E COR STENT/ATH/ANGIO 1 ARTERY
Gross
$28,841
C9604
$9,518
HC C9604 D-E COR REVASC BYP GRFT 1 VSL
Gross
$28,841
C9607
$9,518
HC C9607 D-E COR REVASC CHRO 1 VSL
Gross
$28,841
237T
$9,124
HC 0237T ATHERECTOMY, BRACHIOCEPHALIC TRNK
Gross
$27,648
34704
$8,984
HC 34704 IR AAA - UNI ENDOGRAFT FOR RUPTURED AAA
Gross
$27,224
33230
$8,947
HC 33230 INS ICD GEN W/EXIST DUAL LEADS
Gross
$27,112
33240
$8,947
HC 33240 INS ICD GEN W/EXIST SINGL LEAD
Gross
$27,112
A9542
$8,877
HC A9542 MED: INDIUM IN-111 IBRITUMOMAB TIUXETAN, DX, PER STUDY DOSE, UP TO 5 MCI
Gross
$26,900
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| A9543 | HC MED: YTTRIUM Y-90 IBRITUMOMAB TIUXETAN, THERAPEUTIC, PER TMT DOSE, UP TO 40 MCI | $232,855 | $76,842 | $23,286 | $311,942 | 77 |
| J1568 | immune globulin 10 % (Octagam) infusion 60 g | $155,384 | $51,277 | $48.06 | $132,077 | 78 |
| C2616 | HC C2616 BRACHY SOURCE YTTRIUM 90 UNSTR | $79,948 | $26,383 | $7,995 | $97,080 | 84 |
| 33289 | HC 33289 TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR | $77,240 | $25,489 | $2,885 | $65,654 | 75 |
| J0875 | dalbavancin HCl (Dalvance) 1,500 mg in dextrose 5 % 500 mL IVPB | $71,158 | $23,482 | $15.57 | $60,484 | 78 |
| J7165 | Prothrombin Complex Human-lans (Balfaxar) injection 1,500 Units 60 mL | $62,994 | $20,788 | $1.55 | $53,545 | 80 |
| 823T | HC 0823T TRANSCATH INS 1CHMBR LDLS PM RA | $62,565 | $20,646 | $3,719 | $53,180 | 75 |
| 33270 | HC 33270 INS/REPL PRM SQ IMPLT DFIB W/SQ ELECTRODE | $55,709 | $18,384 | $2,242 | $64,227 | 75 |
| 238T | HC 0238T ATHERECTOMY, ILIAC ARTERY (EACH VES) | $50,317 | $16,605 | $1,542 | $42,769 | 75 |
| 37182 | HC 37182 TIPS INSERTION I/P ONLY | $48,668 | $16,060 | $1,192 | $41,368 | 59 |
| A9572 | HC A9572 MED: INDIUM IN-111 PENTETREOTIDE, DX, PER STUDY DOSE, UP TO 6 MCI | $45,364 | $14,970 | $1,915 | $38,559 | 73 |
| G0390 | HC G0390 FULL TRAUMA ACT W CRIT CARE | $44,311 | $14,623 | $1,325 | $37,664 | 79 |
| C9765 | HC C9765 REVASC INTRA LITHOTRIP-STENT | $42,945 | $14,172 | $2,647 | $36,503 | 75 |
| C9766 | HC C9766 REVASC INTRA LITHOTRIP-ATHER | $42,945 | $14,172 | $3,058 | $36,503 | 75 |
| C9767 | HC C9767 REVASC LITHOTRIP-STENT-ATHER | $42,945 | $14,172 | $3,058 | $36,503 | 75 |
| C9773 | HC C9773 REVASC LITHOTR-STENT TIB/PER | $42,945 | $14,172 | $2,647 | $36,503 | 75 |
| C9774 | HC C9774 REVASC LITHOTR-ATHER TIB/PER | $42,945 | $14,172 | $2,647 | $36,503 | 75 |
| C9775 | HC C9775 REVASC LITH-STEN-ATH TIB/PER | $42,945 | $14,172 | $2,647 | $36,503 | 75 |
| 33880 | HC 33880 ENDOVASC TAA REINCL SUBCL | $38,730 | $12,781 | $599 | $32,921 | 59 |
| 33231 | HC 33231 INS ICD GEN W/EXIST MULT LEADS | $38,534 | $12,716 | $1,159 | $64,227 | 75 |
| 795T | HC 0795T TRANSCATH INS 2CHMBR LDLS PM CMPL | $36,371 | $12,002 | $1,503 | $38,204 | 75 |
| 236T | HC 0236T ATHERECTOMY, ABDOMINAL AORTA | $35,445 | $11,697 | $1,542 | $30,128 | 75 |
| 33274 | HC 33274 TRNSCTH INSJ/RPLC PERM LDLS PM RT VENTR W/IMG | $34,910 | $11,520 | $2,647 | $38,204 | 75 |
| 50590 | HC 50590 LITHOTRIPSY KIDNEY | $34,594 | $11,416 | $1,143 | $29,405 | 75 |
| 37183 | HC 37183 TIPS REVISION | $34,369 | $11,342 | $3,437 | $29,214 | 75 |
| 33224 | HC 33224 INSJ ELTRD CAR VEN SYS ATTCH PM/CVDFB PLS GEN | $34,242 | $11,300 | $1,159 | $29,106 | 75 |
| C9606 | HC C9606 D-E COR REVASC W AMI 1 VSL | $33,800 | $11,154 | $599 | $28,730 | 59 |
| 36906 | HC 36906 PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT | $33,701 | $11,121 | $1,159 | $35,972 | 75 |
| 50695 | HC 50695 PLMT URETERAL STENT PRQ; NEW W NEPH CATH | $33,523 | $11,063 | $947 | $28,495 | 75 |
| 33249 | HC 33249 INSJ/RPSG LEAD 1/2CHMBR CVDFB&INSJ PLS GEN | $33,125 | $10,931 | $456 | $64,227 | 75 |
| 92933 | HC 92933 COR STENT/ATH/ANGIO 1 ARTERY | $32,698 | $10,790 | $3,270 | $35,972 | 75 |
| 50592 | HC 50592 ABLTJ RENAL TUM(S)PRQ RF UNI | $31,710 | $10,464 | $398 | $26,954 | 75 |
| C9399 | poractant alfa (Curosurf) 240 MG/3ML intratracheal suspension | $31,492 | $10,392 | $3,149 | $26,769 | 61 |
| 92941 | HC 92941 COR REVASC W AMI 1 VSL | $31,442 | $10,376 | $3,144 | $26,726 | 59 |
| 33264 | HC 33264 RMVL/REPL ICD GEN, MULTI LEAD | $31,213 | $10,300 | $1,159 | $64,227 | 75 |
| 20982 | HC 20982 ABLATJ BONE TUMOR(S) PERQ; RF | $31,005 | $10,232 | $398 | $26,354 | 75 |
| 235T | HC 0235T ATHERECTOMY, VISCERAL ARTERY | $30,116 | $9,938 | $1,503 | $25,599 | 59 |
| 90377 | rabies immune globulin (Kedrab) injection 900 Units | $29,822 | $9,841 | $241 | $25,348 | 78 |
| 50694 | HC 50694 PLMT URETERAL STENT PRQ; NEW W/O NEPH CATH | $29,646 | $9,783 | $947 | $25,199 | 75 |
| 50593 | HC 50593 ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY | $29,376 | $9,694 | $1,159 | $24,970 | 75 |
| 164404 | HC FULL TRAUMA ACT WO CRIT CARE | $29,130 | $9,613 | $2,743 | $20,391 | 5 |
| 314100 | TRAUMA ACTV POVá FULL TM | $29,130 | $9,613 | — | — | 0 |
| C9602 | HC C9602 D-E COR STENT/ATH/ANGIO 1 ARTERY | $28,841 | $9,518 | $2,884 | $35,972 | 75 |
| C9604 | HC C9604 D-E COR REVASC BYP GRFT 1 VSL | $28,841 | $9,518 | $2,884 | $24,986 | 75 |
| C9607 | HC C9607 D-E COR REVASC CHRO 1 VSL | $28,841 | $9,518 | $2,884 | $35,972 | 75 |
| 237T | HC 0237T ATHERECTOMY, BRACHIOCEPHALIC TRNK | $27,648 | $9,124 | $1,542 | $23,501 | 75 |
| 34704 | HC 34704 IR AAA - UNI ENDOGRAFT FOR RUPTURED AAA | $27,224 | $8,984 | $599 | $23,140 | 59 |
| 33230 | HC 33230 INS ICD GEN W/EXIST DUAL LEADS | $27,112 | $8,947 | $1,159 | $44,965 | 75 |
| 33240 | HC 33240 INS ICD GEN W/EXIST SINGL LEAD | $27,112 | $8,947 | $456 | $44,965 | 75 |
| A9542 | HC A9542 MED: INDIUM IN-111 IBRITUMOMAB TIUXETAN, DX, PER STUDY DOSE, UP TO 5 MCI | $26,900 | $8,877 | $798 | $22,865 | 73 |
Showing top 50 of 22,109 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.