45 CFR § 180 compliance
F · 55
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
10,363
Insurances with rates
15
CPT / HCPCS codes
7,228
Source MRF
Most expensive procedures (gross)
J2326
$214,674
NUSINERSEN PER 0.1MG
Gross
$536,685
C2624
$128,616
IMPLANTABLE SENSOR CARDIOMEMS
Gross
$321,540
C9364
$102,464
PERMACOL PORCINE IMPL PER SQCM
Gross
$256,161
C1882
$70,007
DEFIB LUMAX HF 359657 BIOTRNK
Gross
$175,018
C1721
$57,758
DEFIB LUMAX 340 DR BIOTRNK
Gross
$144,394
C1825
$49,000
GENERATOR CVRX BAROSTIM NEO2
Gross
$122,500
J9266
$41,570
PEGASPARGASE PER SGLE DOSE VL
Gross
$103,925
C1767
$38,890
IPG ETERNA GENERATOR
Gross
$97,225
J9118
$37,950
CALASPARGASE PEGOL-MKNL 10U
Gross
$94,875
C1772
$36,759
PUMP SYNCHRO MED 10ML RESRV
Gross
$91,897
C1821
$33,079
DEVICE VERT 18D 12X40-65 ADD+
Gross
$82,698
C1889
$30,723
STENT RELAY PRO 38/34X154MM
Gross
$76,808
Q4130
$30,220
STRATTICE GRAFT PER 1 SQCM
Gross
$75,549
J1290
$28,896
ECALLANTIDE PER 1MG
Gross
$72,241
C2621
$25,915
DEFIB INSYNC3 8042 MEDTRNC
Gross
$64,787
C1816
$25,536
RECEIVER RF 16CH 2HEADER RENEW
Gross
$63,840
96450
$24,420
CHEMO INTO CNS W/ SP
Gross
$61,049
331
$24,420
CHEMO INTO CNS W/ SP
Gross
$61,049
C1813
$23,992
PENILE CYL W/PUMP 18CM 700 LGX
Gross
$59,980
C1722
$23,632
ICD INTICA NEO 7 VR-T 429559
Gross
$59,079
275
$23,632
ICD INTICA NEO 7 VR-T 429559
Gross
$59,079
J2562
$22,712
PLERIXAFOR INJ PER 1MG
Gross
$56,780
J0180
$21,609
AGALSIDASE BETA PER 1MG
Gross
$54,022
C2622
$19,232
PENILE 11MMX16-25CM TACTRA
Gross
$48,080
J1640
$18,536
HEMIN PER 1MG
Gross
$46,340
C1820
$18,422
NEUROSTIM INTERSTIM X
Gross
$46,056
J1744
$17,805
ICATIBANT INJ PER 1MG
Gross
$44,513
C1785
$17,646
PACER VIGOR DR1235 BOSTON
Gross
$44,114
J9042
$16,582
BRENTUXIMAB VEDOTIN PER 1MG
Gross
$41,455
A9582
$15,753
I-123 IOBENG PER DOSE <=15MCI
Gross
$39,383
C1817
$15,392
OCCLUDER TALISMAN PFO 35-25MM
Gross
$38,481
E0749
$15,198
STIMULATOR OSTEOGEN 10-1385M
Gross
$37,994
C1777
$15,051
LEAD 65X31 RIATA ST OPTIM
Gross
$37,628
J2993
$15,030
RETEPLASE PER 18.1MG
Gross
$37,574
C1895
$14,876
LEAD DEFIB LINOX SD 75/18
Gross
$37,191
J2792
$14,703
RHO(D)IMM GLOB H/SD/PER 100 IU
Gross
$36,758
C9354
$14,534
VERITAS COLLEGN MATRX PER SQCM
Gross
$36,335
28525
$13,994
OPN TX FX PHALNX OTH/TOE EA450
Gross
$34,986
28505
$13,994
OPEN TX FX GREAT TOE/PHALAN450
Gross
$34,986
C1899
$13,869
STENT TREO 26X80 BIFUR CONTRA
Gross
$34,673
J9207
$13,819
IXABEPILONE INJECTION 1MG
Gross
$34,547
A9572
$13,375
IN-111 PENTETREOTIDE TO 6MCI
Gross
$33,438
J9035
$13,059
BEVACIZUMAB PER 10MG
Gross
$32,647
64590
$12,972
INSRT/REPLACE PERPH NEUROSTM
Gross
$32,430
64580
$12,972
INCISN NEUROSTIM SACRAL
Gross
$32,430
63655
$12,972
LAMINECTMY IMP NEURO ELEC EP
Gross
$32,430
C1815
$12,838
SPHINCTER CUFF INHIBIZNE 4.5CM
Gross
$32,096
J7196
$11,810
ANTITHROMBIN RECOM PER 50IU
Gross
$29,524
62362
$11,808
IMP/REPLC PROGRMMABLE PUMP
Gross
$29,521
62361
$11,808
IMP/REPLC NON-PROGRM PUMP
Gross
$29,521
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2326 | NUSINERSEN PER 0.1MG | $536,685 | $214,674 | — | — | 11 |
| C2624 | IMPLANTABLE SENSOR CARDIOMEMS | $321,540 | $128,616 | — | — | 8 |
| C9364 | PERMACOL PORCINE IMPL PER SQCM | $256,161 | $102,464 | — | — | 7 |
| C1882 | DEFIB LUMAX HF 359657 BIOTRNK | $175,018 | $70,007 | — | — | 8 |
| C1721 | DEFIB LUMAX 340 DR BIOTRNK | $144,394 | $57,758 | — | — | 8 |
| C1825 | GENERATOR CVRX BAROSTIM NEO2 | $122,500 | $49,000 | — | — | 7 |
| J9266 | PEGASPARGASE PER SGLE DOSE VL | $103,925 | $41,570 | — | — | 11 |
| C1767 | IPG ETERNA GENERATOR | $97,225 | $38,890 | — | — | 8 |
| J9118 | CALASPARGASE PEGOL-MKNL 10U | $94,875 | $37,950 | — | — | 11 |
| C1772 | PUMP SYNCHRO MED 10ML RESRV | $91,897 | $36,759 | — | — | 8 |
| C1821 | DEVICE VERT 18D 12X40-65 ADD+ | $82,698 | $33,079 | — | — | 8 |
| C1889 | STENT RELAY PRO 38/34X154MM | $76,808 | $30,723 | — | — | 8 |
| Q4130 | STRATTICE GRAFT PER 1 SQCM | $75,549 | $30,220 | — | — | 7 |
| J1290 | ECALLANTIDE PER 1MG | $72,241 | $28,896 | — | — | 11 |
| C2621 | DEFIB INSYNC3 8042 MEDTRNC | $64,787 | $25,915 | — | — | 8 |
| C1816 | RECEIVER RF 16CH 2HEADER RENEW | $63,840 | $25,536 | — | — | 8 |
| 96450 | CHEMO INTO CNS W/ SP | $61,049 | $24,420 | — | — | 8 |
| 331 | CHEMO INTO CNS W/ SP | $61,049 | $24,420 | — | — | 8 |
| C1813 | PENILE CYL W/PUMP 18CM 700 LGX | $59,980 | $23,992 | — | — | 8 |
| C1722 | ICD INTICA NEO 7 VR-T 429559 | $59,079 | $23,632 | — | — | 8 |
| 275 | ICD INTICA NEO 7 VR-T 429559 | $59,079 | $23,632 | — | — | 8 |
| J2562 | PLERIXAFOR INJ PER 1MG | $56,780 | $22,712 | — | — | 11 |
| J0180 | AGALSIDASE BETA PER 1MG | $54,022 | $21,609 | — | — | 11 |
| C2622 | PENILE 11MMX16-25CM TACTRA | $48,080 | $19,232 | — | — | 8 |
| J1640 | HEMIN PER 1MG | $46,340 | $18,536 | — | — | 11 |
| C1820 | NEUROSTIM INTERSTIM X | $46,056 | $18,422 | — | — | 8 |
| J1744 | ICATIBANT INJ PER 1MG | $44,513 | $17,805 | — | — | 11 |
| C1785 | PACER VIGOR DR1235 BOSTON | $44,114 | $17,646 | — | — | 8 |
| J9042 | BRENTUXIMAB VEDOTIN PER 1MG | $41,455 | $16,582 | — | — | 11 |
| A9582 | I-123 IOBENG PER DOSE <=15MCI | $39,383 | $15,753 | — | — | 10 |
| C1817 | OCCLUDER TALISMAN PFO 35-25MM | $38,481 | $15,392 | — | — | 8 |
| E0749 | STIMULATOR OSTEOGEN 10-1385M | $37,994 | $15,198 | — | — | 11 |
| C1777 | LEAD 65X31 RIATA ST OPTIM | $37,628 | $15,051 | — | — | 8 |
| J2993 | RETEPLASE PER 18.1MG | $37,574 | $15,030 | — | — | 11 |
| C1895 | LEAD DEFIB LINOX SD 75/18 | $37,191 | $14,876 | — | — | 8 |
| J2792 | RHO(D)IMM GLOB H/SD/PER 100 IU | $36,758 | $14,703 | — | — | 11 |
| C9354 | VERITAS COLLEGN MATRX PER SQCM | $36,335 | $14,534 | — | — | 8 |
| 28525 | OPN TX FX PHALNX OTH/TOE EA450 | $34,986 | $13,994 | — | — | 9 |
| 28505 | OPEN TX FX GREAT TOE/PHALAN450 | $34,986 | $13,994 | — | — | 9 |
| C1899 | STENT TREO 26X80 BIFUR CONTRA | $34,673 | $13,869 | — | — | 8 |
| J9207 | IXABEPILONE INJECTION 1MG | $34,547 | $13,819 | — | — | 11 |
| A9572 | IN-111 PENTETREOTIDE TO 6MCI | $33,438 | $13,375 | — | — | 10 |
| J9035 | BEVACIZUMAB PER 10MG | $32,647 | $13,059 | — | — | 11 |
| 64590 | INSRT/REPLACE PERPH NEUROSTM | $32,430 | $12,972 | — | — | 9 |
| 64580 | INCISN NEUROSTIM SACRAL | $32,430 | $12,972 | — | — | 9 |
| 63655 | LAMINECTMY IMP NEURO ELEC EP | $32,430 | $12,972 | — | — | 9 |
| C1815 | SPHINCTER CUFF INHIBIZNE 4.5CM | $32,096 | $12,838 | — | — | 8 |
| J7196 | ANTITHROMBIN RECOM PER 50IU | $29,524 | $11,810 | — | — | 11 |
| 62362 | IMP/REPLC PROGRMMABLE PUMP | $29,521 | $11,808 | — | — | 9 |
| 62361 | IMP/REPLC NON-PROGRM PUMP | $29,521 | $11,808 | — | — | 9 |
Showing top 50 of 10,363 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.