45 CFR § 180 compliance
A · 100
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
11,435
Insurances with rates
1
CPT / HCPCS codes
2,250
Source MRF
Most expensive procedures (gross)
Q2041
$348,164
AXICABTAGENE CILOLEUCEL CAR+
Gross
$561,555
A9543344
$55,798
HB YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI
Gross
$89,997
33249481
$39,324
HB INSERT DEFIB W/CARDIO-DEFIB GENE.FAC
Gross
$63,426
M010628007
$38,111
TISSUE, MACI, AUTOLOGOUS CELLS ON COLLAGEN MEMBRANE (81073)
Gross
$61,470
64582361
$35,240
HB MOR CPT 64582
Gross
$56,839
33240481
$27,606
HB INSERT IMPLANTABLE CARDIOVERTER-DEFIB,
Gross
$44,527
PC105712
$23,532
IMP, COCHLEAR, ULTRA, HIRES, SYS, INCLUDS PROCESR(CI-1600-04)
Gross
$37,956
37227320
$19,226
IVR REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL
Gross
$31,010
37229320
$19,226
IVR REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL
Gross
$31,010
37230320
$19,226
IVR REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL
Gross
$31,010
37231320
$19,226
IVR REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL
Gross
$31,010
PC104545
$18,696
DEFIBRILLATOR, CARDIOVERTER, EVERA XT DR, DUAL CHMBR(DDBB1D1)
Gross
$30,154
PC105501
$18,312
IMP, COCHLEAR NUCLEUS PROF, CI522, W/SLIM STR ELCTRD(Z382660)
Gross
$29,535
M010801060
$17,732
SYSTEM, SCS, OMNIA, W/ IPG, CHRGR, REMOTE (HF10C)
Gross
$28,600
M010582104
$17,694
TISSUE, NERVE GRAFT, AXOGUARD, CONNECTOR, 1.5 X 15MM (AGX115)
Gross
$28,538
PC105704
$17,670
DEFIBRILLATOR, ICD, DYNOGEN EL DR, DC (D153)
Gross
$28,500
M010138437
$17,196
IMP, NEUROSTIMULATOR, DBS, ACTIVA PC (37601)
Gross
$27,736
M010701252
$16,733
IMP, COCHLEAR, ELCTRD, ULTRA 3D, HIRES, MID-SCALA(CI-1601-04)
Gross
$26,988
M010701253
$16,733
IMP, COCHLEAR, ELECTRODE, ULTRA 3D, HIRES, SLIM J(CI-1601-05)
Gross
$26,988
M010743601
$16,497
IMP, COCHLEAR, SYNCHRONY 2, FLEX28 (36711)
Gross
$26,608
M010829817
$16,497
IMP, COCHLEAR, SYNCHRONY 2, PIN FLEX28, MI1250 (39572)
Gross
$26,608
M010732652
$16,471
IMP, COCHLEAR NUCLEUS, CI622, W/SLIM STRAIGHT ELCTRD(P783829)
Gross
$26,566
PC106008
$15,427
GENERATOR, PULSE, SENZA, KIT, INC INSERT TOOLS (NIPG1500)
Gross
$24,882
PC103936
$15,380
HB DEFIBRILLATOR,CARDIOVERTER,PROTECTA XT VR, SNG CHMBR
Gross
$24,807
J2350
$15,369
ocrelizumab 30 mg/mL intravenous solution
Gross
$24,789
M010583067
$15,038
DEFIBRILLATOR, CARDIOVERTER, EVERA MRI XT DR, DC (DDMB1D4)
Gross
$24,255
PC105572
$14,936
IMP, COCHLEAR, SYNCHRONY, FLEX28 (31093)
Gross
$24,090
PC103350
$14,902
HB LEAD DEFIBRILLATOR CARDIOVERTER INCPTA DR IS1
Gross
$24,035
28725360
$14,762
HB ARTHRODESIS SUBTALAR 0360
Gross
$23,809
29907361
$14,762
HB MOR ARTHROSCOPY, SUBTALAR JOINT
Gross
$23,809
64628361
$14,762
HB MOR CPT 64628
Gross
$23,809
69714761
$14,762
INTERGRATED IMPLANT,TEMPLE BONE
Gross
$23,809
PC106470
$14,694
IMP, NEUROSTIM, SCS, INTELLIS, SURESCAN, MRI, RCHRG (97715)
Gross
$23,700
PC106063
$14,612
GENERATOR, SCS, PRECISION MONTAGE MRI, 16 CONTACT (SC-1200)
Gross
$23,568
PC103368
$14,527
HB DEFIBRILLATOR CARDIOVERTER ENERGEN DR IS-1/DF-1
Gross
$23,430
M010655623
$14,229
IMP, NEUROSTIM, SCS, INTELLIS, SURESCAN, MRI, RCHRG (97715)
Gross
$22,950
PC104781
$14,015
DEFIBRILLATOR, CARDIOVERTER, UNIFY ASSURA DR (CD3357-40Q)
Gross
$22,605
PC105894
$14,015
DEFIBRILLATOR, CRTD, QUADRA ASSURA MP,DF4-LLHH(CD3369-40Q)
Gross
$22,605
PC105784
$14,015
DEFIBRILLATOR, CRTD, UNIFY ASSURA, IS-1/DF-1/IS-1(CD3357-40C)
Gross
$22,605
PC105813
$14,015
DEFIBRILLATOR, CRTD, UNIFY ASSURA, IS-1/DF-4/IS-1(CD3357-40Q)
Gross
$22,605
A9604344
$13,960
HB SAMARIUM SM-153 LEXIDRONAM, THERAP, PER TX DOSE, UP TO 150 MCI
Gross
$22,516
PC105464
$13,950
DEFIBRILLATOR, ICD, DYNOGEN EL VR, SC (D151) W/DATA PLAN 8D5S
Gross
$22,500
22864360
$13,781
HB MOR CPT 22864
Gross
$22,227
53451361
$13,750
HB MOR CPT 53451
Gross
$22,177
64583361
$13,461
HB MOR CPT 64583
Gross
$21,711
PC103702
$13,353
HB DEFIBRILLATOR CARDIOVERTER ELLIPSE DR DF4
Gross
$21,537
PC104493
$12,788
IMP, NEUROSTIMULATOR, SCS,RESTOREADVANC,SURESCAN,RCHRG(97713
Gross
$20,625
PC103608
$12,624
HB DEFIBRILLATOR, CARDIOVERTER, ELLIPSE DR, DF1
Gross
$20,361
PC104253
$12,624
HB DEFIBRILLATOR, CARDIOVERTER, FORTIFY ASSURA DR
Gross
$20,361
M010732654
$12,522
IMP, COCHLEAR NUCLEUS, CI632, W/SLIM MODIOLAR ELCTRD(P783831)
Gross
$20,196
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q2041 | AXICABTAGENE CILOLEUCEL CAR+ | $561,555 | $348,164 | $382,756 | $382,756 | 2 |
| A9543344 | HB YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI | $89,997 | $55,798 | $61,342 | $61,342 | 2 |
| 33249481 | HB INSERT DEFIB W/CARDIO-DEFIB GENE.FAC | $63,426 | $39,324 | $43,231 | $43,231 | 2 |
| M010628007 | TISSUE, MACI, AUTOLOGOUS CELLS ON COLLAGEN MEMBRANE (81073) | $61,470 | $38,111 | $41,898 | $41,898 | 2 |
| 64582361 | HB MOR CPT 64582 | $56,839 | $35,240 | $38,741 | $38,741 | 2 |
| 33240481 | HB INSERT IMPLANTABLE CARDIOVERTER-DEFIB, | $44,527 | $27,606 | $30,349 | $30,349 | 2 |
| PC105712 | IMP, COCHLEAR, ULTRA, HIRES, SYS, INCLUDS PROCESR(CI-1600-04) | $37,956 | $23,532 | $25,870 | $25,870 | 2 |
| 37227320 | IVR REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL | $31,010 | $19,226 | $21,137 | $21,137 | 2 |
| 37229320 | IVR REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL | $31,010 | $19,226 | $21,137 | $21,137 | 2 |
| 37230320 | IVR REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL | $31,010 | $19,226 | $21,137 | $21,137 | 2 |
| 37231320 | IVR REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL | $31,010 | $19,226 | $21,137 | $21,137 | 2 |
| PC104545 | DEFIBRILLATOR, CARDIOVERTER, EVERA XT DR, DUAL CHMBR(DDBB1D1) | $30,154 | $18,696 | $20,553 | $20,553 | 2 |
| PC105501 | IMP, COCHLEAR NUCLEUS PROF, CI522, W/SLIM STR ELCTRD(Z382660) | $29,535 | $18,312 | $20,131 | $20,131 | 2 |
| M010801060 | SYSTEM, SCS, OMNIA, W/ IPG, CHRGR, REMOTE (HF10C) | $28,600 | $17,732 | $19,494 | $19,494 | 2 |
| M010582104 | TISSUE, NERVE GRAFT, AXOGUARD, CONNECTOR, 1.5 X 15MM (AGX115) | $28,538 | $17,694 | $19,452 | $19,452 | 2 |
| PC105704 | DEFIBRILLATOR, ICD, DYNOGEN EL DR, DC (D153) | $28,500 | $17,670 | $19,426 | $19,426 | 2 |
| M010138437 | IMP, NEUROSTIMULATOR, DBS, ACTIVA PC (37601) | $27,736 | $17,196 | $18,905 | $18,905 | 2 |
| M010701252 | IMP, COCHLEAR, ELCTRD, ULTRA 3D, HIRES, MID-SCALA(CI-1601-04) | $26,988 | $16,733 | $18,395 | $18,395 | 2 |
| M010701253 | IMP, COCHLEAR, ELECTRODE, ULTRA 3D, HIRES, SLIM J(CI-1601-05) | $26,988 | $16,733 | $18,395 | $18,395 | 2 |
| M010743601 | IMP, COCHLEAR, SYNCHRONY 2, FLEX28 (36711) | $26,608 | $16,497 | $18,136 | $18,136 | 2 |
| M010829817 | IMP, COCHLEAR, SYNCHRONY 2, PIN FLEX28, MI1250 (39572) | $26,608 | $16,497 | $18,136 | $18,136 | 2 |
| M010732652 | IMP, COCHLEAR NUCLEUS, CI622, W/SLIM STRAIGHT ELCTRD(P783829) | $26,566 | $16,471 | $18,107 | $18,107 | 2 |
| PC106008 | GENERATOR, PULSE, SENZA, KIT, INC INSERT TOOLS (NIPG1500) | $24,882 | $15,427 | $16,960 | $16,960 | 2 |
| PC103936 | HB DEFIBRILLATOR,CARDIOVERTER,PROTECTA XT VR, SNG CHMBR | $24,807 | $15,380 | $16,908 | $16,908 | 2 |
| J2350 | ocrelizumab 30 mg/mL intravenous solution | $24,789 | $15,369 | $16,896 | $16,896 | 2 |
| M010583067 | DEFIBRILLATOR, CARDIOVERTER, EVERA MRI XT DR, DC (DDMB1D4) | $24,255 | $15,038 | $16,532 | $16,532 | 2 |
| PC105572 | IMP, COCHLEAR, SYNCHRONY, FLEX28 (31093) | $24,090 | $14,936 | $16,420 | $16,420 | 2 |
| PC103350 | HB LEAD DEFIBRILLATOR CARDIOVERTER INCPTA DR IS1 | $24,035 | $14,902 | $16,382 | $16,382 | 2 |
| 28725360 | HB ARTHRODESIS SUBTALAR 0360 | $23,809 | $14,762 | $16,229 | $16,229 | 2 |
| 29907361 | HB MOR ARTHROSCOPY, SUBTALAR JOINT | $23,809 | $14,762 | $16,229 | $16,229 | 2 |
| 64628361 | HB MOR CPT 64628 | $23,809 | $14,762 | $16,229 | $16,229 | 2 |
| 69714761 | INTERGRATED IMPLANT,TEMPLE BONE | $23,809 | $14,762 | $16,229 | $16,229 | 2 |
| PC106470 | IMP, NEUROSTIM, SCS, INTELLIS, SURESCAN, MRI, RCHRG (97715) | $23,700 | $14,694 | $16,154 | $16,154 | 2 |
| PC106063 | GENERATOR, SCS, PRECISION MONTAGE MRI, 16 CONTACT (SC-1200) | $23,568 | $14,612 | $16,064 | $16,064 | 2 |
| PC103368 | HB DEFIBRILLATOR CARDIOVERTER ENERGEN DR IS-1/DF-1 | $23,430 | $14,527 | $15,970 | $15,970 | 2 |
| M010655623 | IMP, NEUROSTIM, SCS, INTELLIS, SURESCAN, MRI, RCHRG (97715) | $22,950 | $14,229 | $15,643 | $15,643 | 2 |
| PC104781 | DEFIBRILLATOR, CARDIOVERTER, UNIFY ASSURA DR (CD3357-40Q) | $22,605 | $14,015 | $15,408 | $15,408 | 2 |
| PC105894 | DEFIBRILLATOR, CRTD, QUADRA ASSURA MP,DF4-LLHH(CD3369-40Q) | $22,605 | $14,015 | $15,408 | $15,408 | 2 |
| PC105784 | DEFIBRILLATOR, CRTD, UNIFY ASSURA, IS-1/DF-1/IS-1(CD3357-40C) | $22,605 | $14,015 | $15,408 | $15,408 | 2 |
| PC105813 | DEFIBRILLATOR, CRTD, UNIFY ASSURA, IS-1/DF-4/IS-1(CD3357-40Q) | $22,605 | $14,015 | $15,408 | $15,408 | 2 |
| A9604344 | HB SAMARIUM SM-153 LEXIDRONAM, THERAP, PER TX DOSE, UP TO 150 MCI | $22,516 | $13,960 | $15,347 | $15,347 | 2 |
| PC105464 | DEFIBRILLATOR, ICD, DYNOGEN EL VR, SC (D151) W/DATA PLAN 8D5S | $22,500 | $13,950 | $15,336 | $15,336 | 2 |
| 22864360 | HB MOR CPT 22864 | $22,227 | $13,781 | $15,150 | $15,150 | 2 |
| 53451361 | HB MOR CPT 53451 | $22,177 | $13,750 | $15,116 | $15,116 | 2 |
| 64583361 | HB MOR CPT 64583 | $21,711 | $13,461 | $14,798 | $14,798 | 2 |
| PC103702 | HB DEFIBRILLATOR CARDIOVERTER ELLIPSE DR DF4 | $21,537 | $13,353 | $14,680 | $14,680 | 2 |
| PC104493 | IMP, NEUROSTIMULATOR, SCS,RESTOREADVANC,SURESCAN,RCHRG(97713 | $20,625 | $12,788 | $14,058 | $14,058 | 2 |
| PC103608 | HB DEFIBRILLATOR, CARDIOVERTER, ELLIPSE DR, DF1 | $20,361 | $12,624 | $13,878 | $13,878 | 2 |
| PC104253 | HB DEFIBRILLATOR, CARDIOVERTER, FORTIFY ASSURA DR | $20,361 | $12,624 | $13,878 | $13,878 | 2 |
| M010732654 | IMP, COCHLEAR NUCLEUS, CI632, W/SLIM MODIOLAR ELCTRD(P783831) | $20,196 | $12,522 | $13,766 | $13,766 | 2 |
Showing top 50 of 11,435 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.