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
16,539
Insurances with rates
15
CPT / HCPCS codes
9,508
Source MRF
Most expensive procedures (gross)
422428316
$48,338
IMPELLA CP KIT
Gross
$138,109
422428316
$48,338
IMPELLA CP KIT
Gross
$138,109
627879
$46,392
INSPIRE NEUROSTIM IMPL GEN
Gross
$132,550
627879
$46,392
INSPIRE NEUROSTIM IMPL GEN
Gross
$132,550
659539
$36,750
AXO NEUROSTIM F15
Gross
$105,000
659539
$36,750
AXO NEUROSTIM F15
Gross
$105,000
671693
$33,250
AXONICS NEURO R20
Gross
$95,000
671693
$33,250
AXONICS NEURO R20
Gross
$95,000
C1767
$31,654
MED INTERSTIM X 97800
Gross
$90,439
C1767
$31,654
MED INTERSTIM X 97800
Gross
$90,439
J9228
$28,055
IPILIMUMAB 20MG/40ML VIAL
Gross
$80,158
J9228
$28,055
IPILIMUMAB 20MG/40ML VIAL
Gross
$80,158
647336
$20,336
IT BARRICAID ANNULAR CLOSURE
Gross
$58,104
647336
$20,336
IT BARRICAID ANNULAR CLOSURE
Gross
$58,104
422628801
$18,956
WHOLE PROCEDURE PE W/SUP
Gross
$54,160
422628801
$18,956
WHOLE PROCEDURE PE W/SUP
Gross
$54,160
742708
$15,754
BARD XENMATRIX 20X25 1152025
Gross
$45,012
742708
$15,754
BARD XENMATRIX 20X25 1152025
Gross
$45,012
681921
$15,750
MTF BIOLOGICS KIT
Gross
$45,000
681921
$15,750
MTF BIOLOGICS KIT
Gross
$45,000
J9281
$15,382
MITOMYCIN 40MG KIT
Gross
$43,949
J9281
$15,382
MITOMYCIN 40MG KIT
Gross
$43,949
J9309
$14,731
POLATUZUMAB VEDOTIN-PIIQ 140MG
Gross
$42,089
J9309
$14,731
POLATUZUMAB VEDOTIN-PIIQ 140MG
Gross
$42,089
37225
$14,634
FEM/POP ATHERETUG/ANGIOPLASTY
Gross
$41,812
37225
$14,634
FEM/POP ATHERETUG/ANGIOPLASTY
Gross
$41,812
37227
$14,634
FEM/POP ATHERECTOMY STENT
Gross
$41,812
37227
$14,634
FEM/POP ATHERECTOMY STENT
Gross
$41,812
37229
$14,634
TIB/PERONEAL ATHERECTOMY PTA
Gross
$41,812
37229
$14,634
TIB/PERONEAL ATHERECTOMY PTA
Gross
$41,812
37230
$14,634
TIB/PERONIAL STENT
Gross
$41,812
37230
$14,634
TIB/PERONIAL STENT
Gross
$41,812
37231
$14,634
TIB PER STENT ATHERETY PLSTY
Gross
$41,812
37231
$14,634
TIB PER STENT ATHERETY PLSTY
Gross
$41,812
742858
$14,065
DEP TIB TRAY ROT PLATE SZ 6
Gross
$40,186
742858
$14,065
DEP TIB TRAY ROT PLATE SZ 6
Gross
$40,186
423085
$13,448
ENDUARNT AA CAP KIT
Gross
$38,424
423085
$13,448
ENDUARNT AA CAP KIT
Gross
$38,424
423263
$13,400
TRIVASCULAR AAA CAP
Gross
$38,287
423263
$13,400
TRIVASCULAR AAA CAP
Gross
$38,287
423487
$13,056
CRT C2TR01 CONSNTA MEDTRONIC
Gross
$37,304
423487
$13,056
CRT C2TR01 CONSNTA MEDTRONIC
Gross
$37,304
453686
$12,999
COOK ENT FISTULA PLUG
Gross
$37,141
453686
$12,999
COOK ENT FISTULA PLUG
Gross
$37,141
602521
$12,941
WM AUGMENT INJ KIT 3CC
Gross
$36,975
602521
$12,941
WM AUGMENT INJ KIT 3CC
Gross
$36,975
693311
$12,128
JRF ORTH SPD GRFT ACHL TEN 100
Gross
$34,650
693311
$12,128
JRF ORTH SPD GRFT ACHL TEN 100
Gross
$34,650
423080
$12,008
ENDOLOGIX AAA
Gross
$34,308
423080
$12,008
ENDOLOGIX AAA
Gross
$34,308
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 422428316 | IMPELLA CP KIT | $138,109 | $48,338 | $69,054 | $69,054 | 1 |
| 422428316 | IMPELLA CP KIT | $138,109 | $48,338 | $20,716 | $69,054 | 2 |
| 627879 | INSPIRE NEUROSTIM IMPL GEN | $132,550 | $46,392 | $18,557 | $206,778 | 16 |
| 627879 | INSPIRE NEUROSTIM IMPL GEN | $132,550 | $46,392 | $15,906 | $79,530 | 11 |
| 659539 | AXO NEUROSTIM F15 | $105,000 | $36,750 | $14,700 | $163,800 | 16 |
| 659539 | AXO NEUROSTIM F15 | $105,000 | $36,750 | $12,600 | $63,000 | 11 |
| 671693 | AXONICS NEURO R20 | $95,000 | $33,250 | $13,300 | $148,200 | 16 |
| 671693 | AXONICS NEURO R20 | $95,000 | $33,250 | $11,400 | $57,000 | 11 |
| C1767 | MED INTERSTIM X 97800 | $90,439 | $31,654 | $12,661 | $141,085 | 16 |
| C1767 | MED INTERSTIM X 97800 | $90,439 | $31,654 | $10,853 | $54,263 | 11 |
| J9228 | IPILIMUMAB 20MG/40ML VIAL | $80,158 | $28,055 | $26,452 | $125,046 | 8 |
| J9228 | IPILIMUMAB 20MG/40ML VIAL | $80,158 | $28,055 | $181 | $57,713 | 28 |
| 647336 | IT BARRICAID ANNULAR CLOSURE | $58,104 | $20,336 | $8,135 | $90,642 | 16 |
| 647336 | IT BARRICAID ANNULAR CLOSURE | $58,104 | $20,336 | $6,972 | $34,862 | 11 |
| 422628801 | WHOLE PROCEDURE PE W/SUP | $54,160 | $18,956 | $27,080 | $27,080 | 1 |
| 422628801 | WHOLE PROCEDURE PE W/SUP | $54,160 | $18,956 | $8,124 | $27,080 | 2 |
| 742708 | BARD XENMATRIX 20X25 1152025 | $45,012 | $15,754 | $6,302 | $70,219 | 16 |
| 742708 | BARD XENMATRIX 20X25 1152025 | $45,012 | $15,754 | $5,401 | $27,007 | 11 |
| 681921 | MTF BIOLOGICS KIT | $45,000 | $15,750 | $6,300 | $70,200 | 16 |
| 681921 | MTF BIOLOGICS KIT | $45,000 | $15,750 | $5,400 | $27,000 | 11 |
| J9281 | MITOMYCIN 40MG KIT | $43,949 | $15,382 | $14,503 | $68,561 | 8 |
| J9281 | MITOMYCIN 40MG KIT | $43,949 | $15,382 | $314 | $31,643 | 26 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140MG | $42,089 | $14,731 | $13,889 | $65,659 | 8 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140MG | $42,089 | $14,731 | $133 | $30,304 | 26 |
| 37225 | FEM/POP ATHERETUG/ANGIOPLASTY | $41,812 | $14,634 | $1,600 | $20,906 | 3 |
| 37225 | FEM/POP ATHERETUG/ANGIOPLASTY | $41,812 | $14,634 | $1,178 | $27,878 | 41 |
| 37227 | FEM/POP ATHERECTOMY STENT | $41,812 | $14,634 | $1,600 | $20,906 | 3 |
| 37227 | FEM/POP ATHERECTOMY STENT | $41,812 | $14,634 | $1,178 | $42,321 | 41 |
| 37229 | TIB/PERONEAL ATHERECTOMY PTA | $41,812 | $14,634 | $1,600 | $20,906 | 3 |
| 37229 | TIB/PERONEAL ATHERECTOMY PTA | $41,812 | $14,634 | $1,178 | $42,321 | 41 |
| 37230 | TIB/PERONIAL STENT | $41,812 | $14,634 | $1,600 | $20,906 | 3 |
| 37230 | TIB/PERONIAL STENT | $41,812 | $14,634 | $1,178 | $42,321 | 41 |
| 37231 | TIB PER STENT ATHERETY PLSTY | $41,812 | $14,634 | $1,600 | $20,906 | 3 |
| 37231 | TIB PER STENT ATHERETY PLSTY | $41,812 | $14,634 | $1,178 | $42,321 | 41 |
| 742858 | DEP TIB TRAY ROT PLATE SZ 6 | $40,186 | $14,065 | $5,626 | $62,690 | 16 |
| 742858 | DEP TIB TRAY ROT PLATE SZ 6 | $40,186 | $14,065 | $4,822 | $24,111 | 11 |
| 423085 | ENDUARNT AA CAP KIT | $38,424 | $13,448 | $5,379 | $59,941 | 16 |
| 423085 | ENDUARNT AA CAP KIT | $38,424 | $13,448 | $4,611 | $23,054 | 11 |
| 423263 | TRIVASCULAR AAA CAP | $38,287 | $13,400 | $5,360 | $59,727 | 16 |
| 423263 | TRIVASCULAR AAA CAP | $38,287 | $13,400 | $4,594 | $22,972 | 11 |
| 423487 | CRT C2TR01 CONSNTA MEDTRONIC | $37,304 | $13,056 | $5,223 | $58,194 | 16 |
| 423487 | CRT C2TR01 CONSNTA MEDTRONIC | $37,304 | $13,056 | $4,476 | $22,382 | 11 |
| 453686 | COOK ENT FISTULA PLUG | $37,141 | $12,999 | $5,200 | $57,939 | 16 |
| 453686 | COOK ENT FISTULA PLUG | $37,141 | $12,999 | $4,457 | $22,284 | 11 |
| 602521 | WM AUGMENT INJ KIT 3CC | $36,975 | $12,941 | $5,176 | $57,681 | 16 |
| 602521 | WM AUGMENT INJ KIT 3CC | $36,975 | $12,941 | $4,437 | $22,185 | 11 |
| 693311 | JRF ORTH SPD GRFT ACHL TEN 100 | $34,650 | $12,128 | $4,851 | $54,054 | 16 |
| 693311 | JRF ORTH SPD GRFT ACHL TEN 100 | $34,650 | $12,128 | $4,158 | $20,790 | 11 |
| 423080 | ENDOLOGIX AAA | $34,308 | $12,008 | $4,803 | $53,521 | 16 |
| 423080 | ENDOLOGIX AAA | $34,308 | $12,008 | $4,117 | $20,585 | 11 |
Showing top 50 of 16,539 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.