45 CFR § 180 compliance
D · 65
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
18,681
Insurances with rates
1
CPT / HCPCS codes
1,367
Source MRF
Most expensive procedures (gross)
8500000786
$73,339
ELECTRONIC ELBOW SEQUENTIAL
Gross
$73,339
5400022000
$63,864
ICD INCEPTA
Gross
$63,864
7900036738
$62,257
NIVOLUMAB-RELATLIMAB-OPDUALAG
Gross
$62,257
5400033685
$56,103
CRTD DTMA1D1 CLARIA
Gross
$56,103
6993050
$51,000
IMPLANT COCHLEAR DEVICE BILAT
Gross
$51,000
8500000629
$50,104
ELEC KNEE-SHIN SWING/STANCE
Gross
$50,104
5400035736
$48,750
COBALT HF QUAD CRT-D DTPB2QQ
Gross
$48,750
5400030014
$48,658
INSERT PACD-DEFIB WITH LEAD
Gross
$48,658
5400035184
$46,022
CLARIA MRI QUAD ICD DTMA1QQ
Gross
$46,022
5400033686
$45,505
ICD-DR DDMB1D4 EVERA
Gross
$45,505
5409035698
$45,505
Cobalt DR MRI ICD DDPB3D4
Gross
$45,505
6456850
$44,919
OPN IMPLTJ CRNL NRV NEA&PG BIL
Gross
$44,919
7700000033
$43,729
INJ,EVINACUMAB-DGNB 345MG/2.3M
Gross
$43,729
5400030008
$42,620
INSRT PULSE GEN W/SINGLE LEAD
Gross
$42,620
3105000053
$42,421
PROCEDURE INSPIRE IMPLANT
Gross
$42,421
64582
$40,370
OPN MPLTJ HPGLSL NSTM ARY PG
Gross
$40,370
8500000631
$38,819
STANCE PHASE ONLY
Gross
$38,819
5400030006
$38,475
ICD AND SINGLE LEAD IMPLANT
Gross
$38,475
3106000045
$36,450
Inspire Implantable Pulse Gene
Gross
$36,450
8500000777
$35,744
SHLDR DISARTIC MYOELECTRONIC
Gross
$35,744
3100024870
$34,402
STIMULATOR PROTEGE 3789
Gross
$34,402
69930
$34,003
IMPLANT COCHLEAR DEVICE
Gross
$34,003
5400033602
$33,750
FORTIFY ASSURE DR ICD CD2357
Gross
$33,750
6188550
$32,917
INSRT/REDO NEUROSTM 1 ARRAY BI
Gross
$32,917
5409000031
$32,520
DECLOT+STENTFISTULA/GRAFT
Gross
$32,520
33264
$32,243
RMVL & RPLCMT DFB GEN MLT LD
Gross
$32,243
5400030013
$32,243
RMV & REPLC CVD GEN MULT
Gross
$32,243
7900036677
$32,056
OCRELIZUMAB 300MG/10ML VIAL
Gross
$32,056
33249
$32,055
INSERT PERMNT DEFIB SYSTEM
Gross
$32,055
5409000051
$32,055
ICD AND DUAL LEAD IMPLANT
Gross
$32,055
5400030009
$31,955
ICD Gen Change Dual Lead
Gross
$31,955
5400030026
$31,955
ICD Gen Change Dual Lead
Gross
$31,955
5409000054
$30,752
ENDOVEN THER CHEM ADHES 1ST BI
Gross
$30,752
3100024201
$30,500
PUMP PROGRAMMABLE 13827
Gross
$30,500
64568
$29,946
OPN IMPLTJ CRNL NRV NEA&PG
Gross
$29,946
5409000023
$29,611
TIB/PERONEALPTASTENTATHRECTOMY
Gross
$29,611
5400021312
$29,610
DES PROC DURING AMI
Gross
$29,610
3100024036
$29,601
ELITE PROCLAIM 5 3660
Gross
$29,601
5400021313
$29,560
DES Proc. In Bypass graft
Gross
$29,560
3100030331
$29,298
SPACER 29x39 11mm 1212.1111S
Gross
$29,298
3100030629
$29,298
SPACER 29x39,13mm 1212.1113S
Gross
$29,298
5409000030
$28,907
DECLOT PTA FISTULA/GRAFT
Gross
$28,907
3100025470
$28,739
PROCLAIM 7 ELITE 3662
Gross
$28,739
5400030061
$27,978
REVASC TIB/PERONEAL W/STENT
Gross
$27,978
8500000773
$27,956
ELBOW DISART MYOELECTRONIC C
Gross
$27,956
3100027335
$27,903
PRODIGY MRI 3772
Gross
$27,903
7900036718
$27,714
TEPEZZA 500MG/10.5ML VIAL
Gross
$27,714
3100034338
$27,375
PLATE MED RT FRAAC AR-8954PR-M
Gross
$27,375
8500000774
$27,315
ABOVE ELBOW SWITCH CONTROL
Gross
$27,315
7900036743
$27,246
ELAHERE 100G/20ML VIAL
Gross
$27,246
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 8500000786 | ELECTRONIC ELBOW SEQUENTIAL | $73,339 | $73,339 | — | — | 0 |
| 5400022000 | ICD INCEPTA | $63,864 | $63,864 | — | — | 0 |
| 7900036738 | NIVOLUMAB-RELATLIMAB-OPDUALAG | $62,257 | $62,257 | — | — | 0 |
| 5400033685 | CRTD DTMA1D1 CLARIA | $56,103 | $56,103 | — | — | 0 |
| 6993050 | IMPLANT COCHLEAR DEVICE BILAT | $51,000 | $51,000 | — | — | 0 |
| 8500000629 | ELEC KNEE-SHIN SWING/STANCE | $50,104 | $50,104 | — | — | 0 |
| 5400035736 | COBALT HF QUAD CRT-D DTPB2QQ | $48,750 | $48,750 | — | — | 0 |
| 5400030014 | INSERT PACD-DEFIB WITH LEAD | $48,658 | $48,658 | — | — | 0 |
| 5400035184 | CLARIA MRI QUAD ICD DTMA1QQ | $46,022 | $46,022 | — | — | 0 |
| 5400033686 | ICD-DR DDMB1D4 EVERA | $45,505 | $45,505 | — | — | 0 |
| 5409035698 | Cobalt DR MRI ICD DDPB3D4 | $45,505 | $45,505 | — | — | 0 |
| 6456850 | OPN IMPLTJ CRNL NRV NEA&PG BIL | $44,919 | $44,919 | — | — | 0 |
| 7700000033 | INJ,EVINACUMAB-DGNB 345MG/2.3M | $43,729 | $43,729 | — | — | 0 |
| 5400030008 | INSRT PULSE GEN W/SINGLE LEAD | $42,620 | $42,620 | — | — | 0 |
| 3105000053 | PROCEDURE INSPIRE IMPLANT | $42,421 | $42,421 | — | — | 0 |
| 64582 | OPN MPLTJ HPGLSL NSTM ARY PG | $40,370 | $40,370 | — | — | 0 |
| 8500000631 | STANCE PHASE ONLY | $38,819 | $38,819 | — | — | 0 |
| 5400030006 | ICD AND SINGLE LEAD IMPLANT | $38,475 | $38,475 | — | — | 0 |
| 3106000045 | Inspire Implantable Pulse Gene | $36,450 | $36,450 | — | — | 0 |
| 8500000777 | SHLDR DISARTIC MYOELECTRONIC | $35,744 | $35,744 | — | — | 0 |
| 3100024870 | STIMULATOR PROTEGE 3789 | $34,402 | $34,402 | — | — | 0 |
| 69930 | IMPLANT COCHLEAR DEVICE | $34,003 | $34,003 | — | — | 0 |
| 5400033602 | FORTIFY ASSURE DR ICD CD2357 | $33,750 | $33,750 | — | — | 0 |
| 6188550 | INSRT/REDO NEUROSTM 1 ARRAY BI | $32,917 | $32,917 | — | — | 0 |
| 5409000031 | DECLOT+STENTFISTULA/GRAFT | $32,520 | $32,520 | — | — | 0 |
| 33264 | RMVL & RPLCMT DFB GEN MLT LD | $32,243 | $32,243 | — | — | 0 |
| 5400030013 | RMV & REPLC CVD GEN MULT | $32,243 | $32,243 | — | — | 0 |
| 7900036677 | OCRELIZUMAB 300MG/10ML VIAL | $32,056 | $32,056 | — | — | 0 |
| 33249 | INSERT PERMNT DEFIB SYSTEM | $32,055 | $32,055 | — | — | 0 |
| 5409000051 | ICD AND DUAL LEAD IMPLANT | $32,055 | $32,055 | — | — | 0 |
| 5400030009 | ICD Gen Change Dual Lead | $31,955 | $31,955 | — | — | 0 |
| 5400030026 | ICD Gen Change Dual Lead | $31,955 | $31,955 | — | — | 0 |
| 5409000054 | ENDOVEN THER CHEM ADHES 1ST BI | $30,752 | $30,752 | — | — | 0 |
| 3100024201 | PUMP PROGRAMMABLE 13827 | $30,500 | $30,500 | — | — | 0 |
| 64568 | OPN IMPLTJ CRNL NRV NEA&PG | $29,946 | $29,946 | — | — | 0 |
| 5409000023 | TIB/PERONEALPTASTENTATHRECTOMY | $29,611 | $29,611 | — | — | 0 |
| 5400021312 | DES PROC DURING AMI | $29,610 | $29,610 | — | — | 0 |
| 3100024036 | ELITE PROCLAIM 5 3660 | $29,601 | $29,601 | — | — | 0 |
| 5400021313 | DES Proc. In Bypass graft | $29,560 | $29,560 | — | — | 0 |
| 3100030331 | SPACER 29x39 11mm 1212.1111S | $29,298 | $29,298 | — | — | 0 |
| 3100030629 | SPACER 29x39,13mm 1212.1113S | $29,298 | $29,298 | — | — | 0 |
| 5409000030 | DECLOT PTA FISTULA/GRAFT | $28,907 | $28,907 | — | — | 0 |
| 3100025470 | PROCLAIM 7 ELITE 3662 | $28,739 | $28,739 | — | — | 0 |
| 5400030061 | REVASC TIB/PERONEAL W/STENT | $27,978 | $27,978 | — | — | 0 |
| 8500000773 | ELBOW DISART MYOELECTRONIC C | $27,956 | $27,956 | — | — | 0 |
| 3100027335 | PRODIGY MRI 3772 | $27,903 | $27,903 | — | — | 0 |
| 7900036718 | TEPEZZA 500MG/10.5ML VIAL | $27,714 | $27,714 | — | — | 0 |
| 3100034338 | PLATE MED RT FRAAC AR-8954PR-M | $27,375 | $27,375 | — | — | 0 |
| 8500000774 | ABOVE ELBOW SWITCH CONTROL | $27,315 | $27,315 | — | — | 0 |
| 7900036743 | ELAHERE 100G/20ML VIAL | $27,246 | $27,246 | — | — | 0 |
Showing top 50 of 18,681 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.