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
12,092
Insurances with rates
6
CPT / HCPCS codes
10,509
Source MRF
Most expensive procedures (gross)
C1822
$53,609
3028383 - KIT NRSTM IPG SENZA DISP STRL LF IPG3000
Gross
$107,217
C2624
$37,917
1168039 - SYSTEM PULM PRSS DLV SYS PA
Gross
$75,834
C1767
$33,660
3002667 - PULSE GENERATOR IMPLANTABLE REACTIV8
Gross
$67,320
C2616
$30,195
YTTRIUM 90 SIR SPHERES PER SOURCE
Gross
$60,390
C1882
$27,621
1173230 - DFBR CBLT SURESCAN 2 CHMBR IS1 DF4 BTRY 13MM 57SQ CM 51X71MM
Gross
$55,242
33903
$25,825
PULM ART REVASC INITIAL STNT BILATERAL
Gross
$51,650
77372
$24,095
RADIOSURGERY COMPLETE TREATMENT
Gross
$48,190
37246
$23,080
PTA ARTERY 1ST W/S&I
Gross
$46,160
C1772
$22,176
3040845 - PUMP INTRATHECAL SNCHR 3 40 ML
Gross
$44,352
C1721
$21,632
1171278 - DFBR CBLT XT IMPL CARDVRT CARDIAC
Gross
$43,263
C1813
$20,812
3047346 - PROSTHESIS PENL TITAN COLOPLAST LOCK-OUT L20 CM PUMP SET
Gross
$41,624
33902
$20,660
PULM ART REVASC INITIAL STNT UNILATERAL
Gross
$41,320
C9797
$20,240
VASC EMB/OCC W/PRS CATH
Gross
$40,480
C9767
$20,040
REVASC INTRAVASC LITHO/ATH/STNT
Gross
$40,080
C9775
$20,040
REVASC TIB/PERONEAL INTRAVASC LITHO/ATH/STNT
Gross
$40,080
34703
$18,920
ENDO RPR AORTO-ILIAC GRAFT +S&I
Gross
$37,840
34705
$18,785
ENDO RPR A-BI-ILIAC GRAFT+S&I
Gross
$37,570
36837
$18,365
AVF UPPER EXTREMITY CRTN SEPERATE ACCESS SITES WITH IMAGING
Gross
$36,730
36909
$18,335
DIALYSIS CIRCUIT EMBOLIZATION
Gross
$36,670
C1757
$18,045
3009469 - DVT PRICE PER PROCEDURE
Gross
$36,090
37231
$17,895
ANGIO T/P + STENT/ATHERECTOMY
Gross
$35,790
37227
$17,895
ANGIO FEM-POP + STENT/ATHERECTOMY MY
Gross
$35,790
37241
$17,225
VASCULAR EMBOLIZATION VENOUS
Gross
$34,450
37243
$17,225
VASCULAR EMBOLIZATION TUMOR, ETC
Gross
$34,450
37242
$17,225
VASCULAR EMBOLIZATION ARTERIAL
Gross
$34,450
37244
$17,225
VASCULAR EMBOLIZATION HEMORRHAGE
Gross
$34,450
36906
$16,385
DIALYSIS CIRCUIT REMOVE CLOT+STENT
Gross
$32,770
37238
$16,005
STENT INTRAVASCULAR 1ST VEIN
Gross
$32,010
37236
$16,005
STENT INTRAVASCULAR 1ST ARTERY
Gross
$32,010
36836
$15,740
AVF UPPER EXTREMITY CRTN SINGLE ACCESS WITH IMAGING
Gross
$31,480
33901
$15,655
PUL ART REVASC INITIAL STNT BILATERAL
Gross
$31,310
36903
$15,620
DIALYSIS CIRCUIT ANGIO + STENT
Gross
$31,240
C9772
$14,170
REVASC TIB/PERONEAL INTRAVASC LITHOTRIPSY
Gross
$28,340
37234
$13,975
ANGIO T/P + STENT ADDL
Gross
$27,950
33900
$12,520
PULM ART REVASC INITIAL STNT UNILATERAL
Gross
$25,040
C9765
$12,420
REVASC INTRAVASC LITHO/STNT
Gross
$24,840
77301
$12,155
RADIOTHERAPY DOSE PLAN IMRT
Gross
$24,310
37247
$11,545
PTA ARTERY ADDL W/S&I
Gross
$23,090
C9610
$11,328
3039508 - CATHETER BLN AGENT 3.5MM 15MM RADOPQ HYPOTUBE ULTRA LOW TIP
Gross
$22,657
37182
$11,055
INSERT TIPS SHUNT
Gross
$22,110
50593
$10,485
CRYOABLATION RENAL TUMOR(S)
Gross
$20,970
37239
$10,405
STENT INTRAVASCULAR EA ADDL VEIN
Gross
$20,810
37237
$10,405
STENT INTRAVASCULAR EA ADDL ARTERY
Gross
$20,810
37229
$10,260
ANGIO T/P + ATHERECTOMY 1ST
Gross
$20,520
37223
$10,260
ANGIO ILIAC + STENT ADDL
Gross
$20,520
37230
$10,260
ANGIO T/P STENT 1ST
Gross
$20,520
37221
$10,260
ANGIO ILIAC + STENT 1ST
Gross
$20,520
37233
$10,260
ANGIO T/P + ATHERECTOMY ADDL
Gross
$20,520
36905
$9,870
DIALYSIS CIRCUIT REMOVE CLOT + PTA
Gross
$19,740
C1889
$9,794
1215830 - DEVICE SUT FSTNR DELIVERY SEROSAFUSE STRL LF DISP
Gross
$19,589
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1822 | 3028383 - KIT NRSTM IPG SENZA DISP STRL LF IPG3000 | $107,217 | $53,609 | — | — | 14 |
| C2624 | 1168039 - SYSTEM PULM PRSS DLV SYS PA | $75,834 | $37,917 | — | — | 14 |
| C1767 | 3002667 - PULSE GENERATOR IMPLANTABLE REACTIV8 | $67,320 | $33,660 | — | — | 14 |
| C2616 | YTTRIUM 90 SIR SPHERES PER SOURCE | $60,390 | $30,195 | — | — | 14 |
| C1882 | 1173230 - DFBR CBLT SURESCAN 2 CHMBR IS1 DF4 BTRY 13MM 57SQ CM 51X71MM | $55,242 | $27,621 | — | — | 14 |
| 33903 | PULM ART REVASC INITIAL STNT BILATERAL | $51,650 | $25,825 | — | — | 15 |
| 77372 | RADIOSURGERY COMPLETE TREATMENT | $48,190 | $24,095 | — | — | 14 |
| 37246 | PTA ARTERY 1ST W/S&I | $46,160 | $23,080 | — | — | 15 |
| C1772 | 3040845 - PUMP INTRATHECAL SNCHR 3 40 ML | $44,352 | $22,176 | — | — | 14 |
| C1721 | 1171278 - DFBR CBLT XT IMPL CARDVRT CARDIAC | $43,263 | $21,632 | — | — | 14 |
| C1813 | 3047346 - PROSTHESIS PENL TITAN COLOPLAST LOCK-OUT L20 CM PUMP SET | $41,624 | $20,812 | — | — | 14 |
| 33902 | PULM ART REVASC INITIAL STNT UNILATERAL | $41,320 | $20,660 | — | — | 15 |
| C9797 | VASC EMB/OCC W/PRS CATH | $40,480 | $20,240 | — | — | 14 |
| C9767 | REVASC INTRAVASC LITHO/ATH/STNT | $40,080 | $20,040 | — | — | 14 |
| C9775 | REVASC TIB/PERONEAL INTRAVASC LITHO/ATH/STNT | $40,080 | $20,040 | — | — | 14 |
| 34703 | ENDO RPR AORTO-ILIAC GRAFT +S&I | $37,840 | $18,920 | — | — | 15 |
| 34705 | ENDO RPR A-BI-ILIAC GRAFT+S&I | $37,570 | $18,785 | — | — | 15 |
| 36837 | AVF UPPER EXTREMITY CRTN SEPERATE ACCESS SITES WITH IMAGING | $36,730 | $18,365 | — | — | 15 |
| 36909 | DIALYSIS CIRCUIT EMBOLIZATION | $36,670 | $18,335 | — | — | 15 |
| C1757 | 3009469 - DVT PRICE PER PROCEDURE | $36,090 | $18,045 | — | — | 14 |
| 37231 | ANGIO T/P + STENT/ATHERECTOMY | $35,790 | $17,895 | — | — | 15 |
| 37227 | ANGIO FEM-POP + STENT/ATHERECTOMY MY | $35,790 | $17,895 | — | — | 15 |
| 37241 | VASCULAR EMBOLIZATION VENOUS | $34,450 | $17,225 | — | — | 15 |
| 37243 | VASCULAR EMBOLIZATION TUMOR, ETC | $34,450 | $17,225 | — | — | 15 |
| 37242 | VASCULAR EMBOLIZATION ARTERIAL | $34,450 | $17,225 | — | — | 15 |
| 37244 | VASCULAR EMBOLIZATION HEMORRHAGE | $34,450 | $17,225 | — | — | 15 |
| 36906 | DIALYSIS CIRCUIT REMOVE CLOT+STENT | $32,770 | $16,385 | — | — | 15 |
| 37238 | STENT INTRAVASCULAR 1ST VEIN | $32,010 | $16,005 | — | — | 15 |
| 37236 | STENT INTRAVASCULAR 1ST ARTERY | $32,010 | $16,005 | — | — | 15 |
| 36836 | AVF UPPER EXTREMITY CRTN SINGLE ACCESS WITH IMAGING | $31,480 | $15,740 | — | — | 15 |
| 33901 | PUL ART REVASC INITIAL STNT BILATERAL | $31,310 | $15,655 | — | — | 15 |
| 36903 | DIALYSIS CIRCUIT ANGIO + STENT | $31,240 | $15,620 | — | — | 15 |
| C9772 | REVASC TIB/PERONEAL INTRAVASC LITHOTRIPSY | $28,340 | $14,170 | — | — | 14 |
| 37234 | ANGIO T/P + STENT ADDL | $27,950 | $13,975 | — | — | 15 |
| 33900 | PULM ART REVASC INITIAL STNT UNILATERAL | $25,040 | $12,520 | — | — | 15 |
| C9765 | REVASC INTRAVASC LITHO/STNT | $24,840 | $12,420 | — | — | 14 |
| 77301 | RADIOTHERAPY DOSE PLAN IMRT | $24,310 | $12,155 | — | — | 14 |
| 37247 | PTA ARTERY ADDL W/S&I | $23,090 | $11,545 | — | — | 15 |
| C9610 | 3039508 - CATHETER BLN AGENT 3.5MM 15MM RADOPQ HYPOTUBE ULTRA LOW TIP | $22,657 | $11,328 | — | — | 14 |
| 37182 | INSERT TIPS SHUNT | $22,110 | $11,055 | — | — | 15 |
| 50593 | CRYOABLATION RENAL TUMOR(S) | $20,970 | $10,485 | — | — | 15 |
| 37239 | STENT INTRAVASCULAR EA ADDL VEIN | $20,810 | $10,405 | — | — | 15 |
| 37237 | STENT INTRAVASCULAR EA ADDL ARTERY | $20,810 | $10,405 | — | — | 15 |
| 37229 | ANGIO T/P + ATHERECTOMY 1ST | $20,520 | $10,260 | — | — | 15 |
| 37223 | ANGIO ILIAC + STENT ADDL | $20,520 | $10,260 | — | — | 15 |
| 37230 | ANGIO T/P STENT 1ST | $20,520 | $10,260 | — | — | 15 |
| 37221 | ANGIO ILIAC + STENT 1ST | $20,520 | $10,260 | — | — | 15 |
| 37233 | ANGIO T/P + ATHERECTOMY ADDL | $20,520 | $10,260 | — | — | 15 |
| 36905 | DIALYSIS CIRCUIT REMOVE CLOT + PTA | $19,740 | $9,870 | — | — | 15 |
| C1889 | 1215830 - DEVICE SUT FSTNR DELIVERY SEROSAFUSE STRL LF DISP | $19,589 | $9,794 | — | — | 14 |
Showing top 50 of 12,092 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.