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
3,601
Insurances with rates
20
CPT / HCPCS codes
2,389
Source MRF
Most expensive procedures (gross)
J9029
$80,745
INSTILL ADSTILADRIN, TX DOSE
Gross
$161,490
J9226
$75,272
SUPPRELIN LA IMPLANT
Gross
$150,543
8501631081
$75,215
HCHG ICD SYSTEM INSERTION - DUAL
Gross
$150,429
93622
$75,215
COMP EP EVAL L VENTR PAC&REC
Gross
$150,429
8502671081
$53,077
HCHG ICD GEN INSERTR DUAL (CHANGE)
Gross
$106,154
00173-0898-03
$46,252
Jemperli
Gross
$92,505
36832
$45,806
REVISION OF HEMODIALYSIS GRAFT
Gross
$91,611
C9602
$42,603
PERC D-E COR STENT ATHER S
Gross
$85,206
92933
$42,603
PRQ TRLML C ATHRC ST ANGIOP1
Gross
$85,206
C9606
$38,467
PERC D-E COR REVASC W AMI S
Gross
$76,933
37275
$37,098
RVSC EVSC FPVT ST ATHRC SF 1
Gross
$74,196
43280
$36,411
STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS U
Gross
$72,821
58573
$35,709
REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; MORE THAN 250.0 G
Gross
$71,417
C9764
$32,576
REVASC INTRAVASC LITHOTRIPSY
Gross
$65,151
58571
$32,199
REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS
Gross
$64,397
27447
$31,071
REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE
Gross
$62,141
00003-3774-12
$30,538
Opdivo
Gross
$61,077
23472
$29,859
PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER
Gross
$59,717
50242-0918-01
$29,495
Tecentriq
Gross
$58,990
50546
$29,108
REMOVAL OF KIDNEY AND PARTIAL REMOVAL OF URETER USING AN ENDOSCOPE
Gross
$58,216
C9604
$26,334
PERC D-E COR REVASC T CABG S
Gross
$52,667
58552
$26,266
REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE; 250.0 G OR LESS
Gross
$52,531
49594
$25,881
REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN);
Gross
$51,761
37238
$25,722
OPEN/PERQ PLACE STENT SAME
Gross
$51,443
37236
$25,722
OPEN/PERQ PLACE STENT 1ST
Gross
$51,443
92928
$25,722
PRQ TCAT PLMT NTRAC ST 1 LES
Gross
$51,443
8503211081
$25,219
HCHG PACEMAKER SYS INSERTION DUAL
Gross
$50,438
11444
$24,795
REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM
Gross
$49,589
92943
$24,725
PRQ TRLUML REVSC CH OCC ANT
Gross
$49,450
37260
$24,497
REVSC EVASC IVT ST CPLX 1ST
Gross
$48,993
37267
$24,497
REVSC EVSC FPVT STENT SF 1ST
Gross
$48,993
92937
$24,497
PRQ TRLUML REVSC CAB GRF 1
Gross
$48,993
37258
$24,497
REVSC EVASC IVT STENT SF 1ST
Gross
$48,993
37269
$24,497
REVSC EVASC FPVT ST CPLX 1ST
Gross
$48,993
33225
$24,286
L VENTRIC PACING LEAD ADD-ON
Gross
$48,572
33228
$24,018
REMV&REPLC PM GEN DUAL LEAD
Gross
$48,036
J9271
$23,591
INJECTION; PEMBROLIZUMAB; 1 MG
Gross
$47,182
C9600
$23,330
PERC DRUG-EL COR STENT SING
Gross
$46,660
49650
$23,307
REPAIR OF GROIN HERNIA USING AN ENDOSCOPE
Gross
$46,613
92941
$23,286
PRQ TRLML REVSC TOT OCCL AMI
Gross
$46,571
00006-3026-04
$23,128
Keytruda
Gross
$46,257
00006-3026-02
$23,128
Keytruda
Gross
$46,257
50242-0917-01
$21,848
Tecentriq
Gross
$43,696
57894-0503-01
$19,945
Darzalex Faspro
Gross
$39,890
8502631081
$19,125
HCHG INSERTION OF SINGLE LEAD PCM/ICD
Gross
$38,250
33285
$18,215
INSERTION OF HEART RHYTHM MONITOR UNDER SKIN
Gross
$36,429
8504771081
$18,215
HCHG TEMPORARY PACEMAKER INSERTION
Gross
$36,429
49320
$17,566
DIAGNOSTIC EXAM OF ABDOMEN USING AN ENDOSCOPE
Gross
$35,131
C2616
$17,010
BRACHYTX, NON-STR,YTTRIUM-90
Gross
$34,019
36818
$16,412
RELOCATION OF MAJOR UPPER ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS
Gross
$32,823
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9029 | INSTILL ADSTILADRIN, TX DOSE | $161,490 | $80,745 | — | — | 22 |
| J9226 | SUPPRELIN LA IMPLANT | $150,543 | $75,272 | — | — | 22 |
| 8501631081 | HCHG ICD SYSTEM INSERTION - DUAL | $150,429 | $75,215 | — | — | 0 |
| 93622 | COMP EP EVAL L VENTR PAC&REC | $150,429 | $75,215 | — | — | 21 |
| 8502671081 | HCHG ICD GEN INSERTR DUAL (CHANGE) | $106,154 | $53,077 | — | — | 0 |
| 00173-0898-03 | Jemperli | $92,505 | $46,252 | — | — | 19 |
| 36832 | REVISION OF HEMODIALYSIS GRAFT | $91,611 | $45,806 | — | — | 19 |
| C9602 | PERC D-E COR STENT ATHER S | $85,206 | $42,603 | — | — | 19 |
| 92933 | PRQ TRLML C ATHRC ST ANGIOP1 | $85,206 | $42,603 | — | — | 24 |
| C9606 | PERC D-E COR REVASC W AMI S | $76,933 | $38,467 | — | — | 0 |
| 37275 | RVSC EVSC FPVT ST ATHRC SF 1 | $74,196 | $37,098 | — | — | 19 |
| 43280 | STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS U | $72,821 | $36,411 | — | — | 24 |
| 58573 | REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; MORE THAN 250.0 G | $71,417 | $35,709 | — | — | 24 |
| C9764 | REVASC INTRAVASC LITHOTRIPSY | $65,151 | $32,576 | — | — | 19 |
| 58571 | REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $64,397 | $32,199 | — | — | 24 |
| 27447 | REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $62,141 | $31,071 | — | — | 19 |
| 00003-3774-12 | Opdivo | $61,077 | $30,538 | — | — | 19 |
| 23472 | PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $59,717 | $29,859 | — | — | 19 |
| 50242-0918-01 | Tecentriq | $58,990 | $29,495 | — | — | 19 |
| 50546 | REMOVAL OF KIDNEY AND PARTIAL REMOVAL OF URETER USING AN ENDOSCOPE | $58,216 | $29,108 | — | — | 19 |
| C9604 | PERC D-E COR REVASC T CABG S | $52,667 | $26,334 | — | — | 19 |
| 58552 | REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE; 250.0 G OR LESS | $52,531 | $26,266 | — | — | 24 |
| 49594 | REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); | $51,761 | $25,881 | — | — | 24 |
| 37238 | OPEN/PERQ PLACE STENT SAME | $51,443 | $25,722 | — | — | 26 |
| 37236 | OPEN/PERQ PLACE STENT 1ST | $51,443 | $25,722 | — | — | 26 |
| 92928 | PRQ TCAT PLMT NTRAC ST 1 LES | $51,443 | $25,722 | — | — | 24 |
| 8503211081 | HCHG PACEMAKER SYS INSERTION DUAL | $50,438 | $25,219 | — | — | 0 |
| 11444 | REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 3.1-4.0 CM | $49,589 | $24,795 | — | — | 26 |
| 92943 | PRQ TRLUML REVSC CH OCC ANT | $49,450 | $24,725 | — | — | 24 |
| 37260 | REVSC EVASC IVT ST CPLX 1ST | $48,993 | $24,497 | — | — | 19 |
| 37267 | REVSC EVSC FPVT STENT SF 1ST | $48,993 | $24,497 | — | — | 19 |
| 92937 | PRQ TRLUML REVSC CAB GRF 1 | $48,993 | $24,497 | — | — | 24 |
| 37258 | REVSC EVASC IVT STENT SF 1ST | $48,993 | $24,497 | — | — | 19 |
| 37269 | REVSC EVASC FPVT ST CPLX 1ST | $48,993 | $24,497 | — | — | 19 |
| 33225 | L VENTRIC PACING LEAD ADD-ON | $48,572 | $24,286 | — | — | 21 |
| 33228 | REMV&REPLC PM GEN DUAL LEAD | $48,036 | $24,018 | — | — | 24 |
| J9271 | INJECTION; PEMBROLIZUMAB; 1 MG | $47,182 | $23,591 | — | — | 19 |
| C9600 | PERC DRUG-EL COR STENT SING | $46,660 | $23,330 | — | — | 19 |
| 49650 | REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $46,613 | $23,307 | — | — | 19 |
| 92941 | PRQ TRLML REVSC TOT OCCL AMI | $46,571 | $23,286 | — | — | 21 |
| 00006-3026-04 | Keytruda | $46,257 | $23,128 | — | — | 22 |
| 00006-3026-02 | Keytruda | $46,257 | $23,128 | — | — | 19 |
| 50242-0917-01 | Tecentriq | $43,696 | $21,848 | — | — | 22 |
| 57894-0503-01 | Darzalex Faspro | $39,890 | $19,945 | — | — | 19 |
| 8502631081 | HCHG INSERTION OF SINGLE LEAD PCM/ICD | $38,250 | $19,125 | — | — | 0 |
| 33285 | INSERTION OF HEART RHYTHM MONITOR UNDER SKIN | $36,429 | $18,215 | — | — | 24 |
| 8504771081 | HCHG TEMPORARY PACEMAKER INSERTION | $36,429 | $18,215 | — | — | 0 |
| 49320 | DIAGNOSTIC EXAM OF ABDOMEN USING AN ENDOSCOPE | $35,131 | $17,566 | — | — | 24 |
| C2616 | BRACHYTX, NON-STR,YTTRIUM-90 | $34,019 | $17,010 | — | — | 19 |
| 36818 | RELOCATION OF MAJOR UPPER ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS | $32,823 | $16,412 | — | — | 19 |
Showing top 50 of 3,601 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.