45 CFR § 180 compliance
F · 50
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
19,617
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
SODIUM IODIDE I 131 CAPSULE (THYROID UPTAKE)
—
SODIUM IODIDE I 131 CAPSULE (THYROID UPTAKE)
Gross
$133,000
Pump Impella Smartassist 5.5 Catheter 0550-0008
—
Pump Impella Smartassist 5.5 Catheter 0550-0008
Gross
$81,900
LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML)
—
LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION
Gross
$70,499
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SO
—
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION
Gross
$55,510
Thoracic Gore (Cap) Endoprosthesis 2 Piece 16353
—
Thoracic Gore (Cap) Endoprosthesis 2 Piece 16353256Tg2H
Gross
$50,960
Stent Graft Taa Valiant Navion 2 Piece Medtronic
—
Stent Graft Taa Valiant Navion 2 Piece Medtronic #valiantnavion2Pc
Gross
$48,849
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION
—
PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION
Gross
$45,290
Talent Thoracic Valiant 2 Piece And Greater Than
—
Talent Thoracic Valiant 2 Piece And Greater Than 2 Piece Cap Medtronic
Gross
$44,408
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION
—
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION
Gross
$42,813
MITOMYCIN 40 MG INTRA-PYELOCALYCEAL KIT
—
MITOMYCIN 40 MG INTRA-PYELOCALYCEAL KIT
Gross
$38,963
Excluder Gore Aaa (Cap) Endoprosthesis C3 Del. S
—
Excluder Gore Aaa (Cap) Endoprosthesis C3 Del. System 4 Piece Or More 16353256Aa4M
Gross
$38,220
Hc Defibrillator Riv Acor Hf-t Qp Df4 System
—
Hc Defibrillator Riv Acor Hf-t Qp Df4 System
Gross
$34,380
Somagen Meshed Thin 13.0Cm W X 25.0Cm L
—
Somagen Meshed Thin 13.0Cm W X 25.0Cm L
Gross
$32,986
Stent Graft Tag Conform Thoracic Sg Ac 40Mmx40M
—
Stent Graft Tag Conform Thoracic Sg Ac 40Mmx40Mmx20Cm 22Fr Tgmr404020
Gross
$32,944
Stent Graft Tag Conform Thoracic Sg Ac 37Mmx37M
—
Stent Graft Tag Conform Thoracic Sg Ac 37Mmx37Mmx20Cm 22Fr Tgmr373720
Gross
$32,944
Stent Graft Tag Conform Thoracic Sg Ac 31Mmx31M
—
Stent Graft Tag Conform Thoracic Sg Ac 31Mmx31Mmx20Cm 20Fr Tgmr313120
Gross
$32,944
Stent Graft Tag Conform Thoracic Sg Ac 31Mmx26M
—
Stent Graft Tag Conform Thoracic Sg Ac 31Mmx26Mmx10Cm 20Fr Tgmr312610
Gross
$32,944
Stent Graft Tag Conform Thoracic Sg Ac 45Mmx45M
—
Stent Graft Tag Conform Thoracic Sg Ac 45Mmx45Mmx20Cm 24Fr Tgm454520
Gross
$32,944
Stent Graft Tag Conform Thoracic Sg Ac 34Mmx34M
—
Stent Graft Tag Conform Thoracic Sg Ac 34Mmx34Mmx20Cm 22Fr Tgm343420
Gross
$32,944
Stent Graft Tag Conform Thoracic Sg Ac 28Mmx28M
—
Stent Graft Tag Conform Thoracic Sg Ac 28Mmx28Mmx15Cm 20Fr Tgm282815
Gross
$32,944
Stent Graft Tag Conform Thoracic Sg Ac 26Mmx26M
—
Stent Graft Tag Conform Thoracic Sg Ac 26Mmx26Mmx10Cm 20Fr Tgm262610
Gross
$32,944
Stent Graft Tag Conform Thoracic Sg Ac 26Mmx21M
—
Stent Graft Tag Conform Thoracic Sg Ac 26Mmx21Mmx10Cm 20Fr Tgm262110
Gross
$32,944
Stent Graft Tag Conform Thoracic Sg Ac 21Mmx21M
—
Stent Graft Tag Conform Thoracic Sg Ac 21Mmx21Mmx10Cm 18Fr Tgm212110
Gross
$32,944
Endurant Aaa 4 Piece And Greater Than 4 Piece C
—
Endurant Aaa 4 Piece And Greater Than 4 Piece Cap Medtronic
Gross
$32,760
GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CO
—
GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN
Gross
$32,195
Implantation Neurological Devi
—
Implantation Neurological Devi
Gross
$32,135
Hc Atherectomy
—
Hc Atherectomy
Gross
$32,000
HC DERMABOND SKIN CLOSURE SYSTEM PRINEOSTERILE 2
—
HC DERMABOND SKIN CLOSURE SYSTEM PRINEOSTERILE 2/BX CLR602US
Gross
$32,000
Stent Graft Taa Valiant Navion 1 Piece Medtronic
—
Stent Graft Taa Valiant Navion 1 Piece Medtronic #valiantnavion1Pc
Gross
$30,030
ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTI
—
ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION
Gross
$29,987
Mesh Integra Bilayer Wound Matrix Meshed 8 In X
—
Mesh Integra Bilayer Wound Matrix Meshed 8 In X 10 In #mwm8101
Gross
$29,181
Surgimend (C/R) Mp 25Cm X 40 Cm 606-206-007
—
Surgimend (C/R) Mp 25Cm X 40 Cm 606-206-007
Gross
$29,120
Endurant Aaa 3 Piece Cap Medtronic
—
Endurant Aaa 3 Piece Cap Medtronic
Gross
$29,120
ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTI
—
ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION
Gross
$27,999
Stent Graft Tag Thoracic Endo Conform 45Mmx20Cm
—
Stent Graft Tag Thoracic Endo Conform 45Mmx20Cm 24Fr Tgu454520
Gross
$27,919
Stent Graft Tag Thoracic Endo Conform 40Mmx20Cm
—
Stent Graft Tag Thoracic Endo Conform 40Mmx20Cm 24Fr Tgu404020
Gross
$27,919
Stent Graft Tag Thoracic Endo Conform 37Mmx20Cm
—
Stent Graft Tag Thoracic Endo Conform 37Mmx20Cm 24Fr Tgu373720
Gross
$27,919
Stent Graft Tag Thoracic Endo Conform 34Mmx20Cm
—
Stent Graft Tag Thoracic Endo Conform 34Mmx20Cm 22Fr Tgu343420
Gross
$27,919
Stent Graft Tag Thoracic Endo Conform 31-26Mmx1
—
Stent Graft Tag Thoracic Endo Conform 31-26Mmx10Cm 22Fr Tapered Tgu312610
Gross
$27,919
Stent Graft Tag Thoracic Endo Conform 28Mmx15Cm
—
Stent Graft Tag Thoracic Endo Conform 28Mmx15Cm 20Fr Tgu282815
Gross
$27,919
Stent Graft Tag Thoracic Endo Conform 26-21Mmx1
—
Stent Graft Tag Thoracic Endo Conform 26-21Mmx10Cm 20Fr Tapered Tgu262110
Gross
$27,919
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLU
—
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION
Gross
$27,343
Talent Thoracic Valiant 1 Piece Cap Medtronic
—
Talent Thoracic Valiant 1 Piece Cap Medtronic
Gross
$27,300
Thoracic Gore (Cap) Endoprosthesis 1 Piece 16353
—
Thoracic Gore (Cap) Endoprosthesis 1 Piece 16353256Tg1H
Gross
$26,845
Ipp Ambicor Fgs 15.5Mm X 22Cm (P) #72401458
—
Ipp Ambicor Fgs 15.5Mm X 22Cm (P) #72401458
Gross
$24,899
Ipp Ambicor Fgs 15.5Mm X 20Cm (P) #72401457
—
Ipp Ambicor Fgs 15.5Mm X 20Cm (P) #72401457
Gross
$24,899
Ipp Ambicor Fgs 15.5Mm X 18Cm (P) #72401456
—
Ipp Ambicor Fgs 15.5Mm X 18Cm (P) #72401456
Gross
$24,899
Ipp Ambicor Fgs 14Mm X 20Cm (P) #72401455
—
Ipp Ambicor Fgs 14Mm X 20Cm (P) #72401455
Gross
$24,899
Ipp Ambicor Fgs 14Mm X 18Cm (P) #72401454
—
Ipp Ambicor Fgs 14Mm X 18Cm (P) #72401454
Gross
$24,899
Ipp Ambicor Fgs 14Mm X 16Cm (P) #72401453
—
Ipp Ambicor Fgs 14Mm X 16Cm (P) #72401453
Gross
$24,899
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| SODIUM IODIDE I 131 CAPSULE (THYROID UPTAKE) | SODIUM IODIDE I 131 CAPSULE (THYROID UPTAKE) | $133,000 | — | — | — | 0 |
| Pump Impella Smartassist 5.5 Catheter 0550-0008 | Pump Impella Smartassist 5.5 Catheter 0550-0008 | $81,900 | — | — | — | 0 |
| LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) | LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION | $70,499 | — | — | — | 0 |
| IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SO | IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION | $55,510 | — | — | — | 0 |
| Thoracic Gore (Cap) Endoprosthesis 2 Piece 16353 | Thoracic Gore (Cap) Endoprosthesis 2 Piece 16353256Tg2H | $50,960 | — | — | — | 0 |
| Stent Graft Taa Valiant Navion 2 Piece Medtronic | Stent Graft Taa Valiant Navion 2 Piece Medtronic #valiantnavion2Pc | $48,849 | — | — | — | 0 |
| PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION | PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION | $45,290 | — | — | — | 0 |
| Talent Thoracic Valiant 2 Piece And Greater Than | Talent Thoracic Valiant 2 Piece And Greater Than 2 Piece Cap Medtronic | $44,408 | — | — | — | 0 |
| RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION | RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION | $42,813 | — | — | — | 0 |
| MITOMYCIN 40 MG INTRA-PYELOCALYCEAL KIT | MITOMYCIN 40 MG INTRA-PYELOCALYCEAL KIT | $38,963 | — | — | — | 0 |
| Excluder Gore Aaa (Cap) Endoprosthesis C3 Del. S | Excluder Gore Aaa (Cap) Endoprosthesis C3 Del. System 4 Piece Or More 16353256Aa4M | $38,220 | — | — | — | 0 |
| Hc Defibrillator Riv Acor Hf-t Qp Df4 System | Hc Defibrillator Riv Acor Hf-t Qp Df4 System | $34,380 | — | — | — | 0 |
| Somagen Meshed Thin 13.0Cm W X 25.0Cm L | Somagen Meshed Thin 13.0Cm W X 25.0Cm L | $32,986 | — | — | — | 0 |
| Stent Graft Tag Conform Thoracic Sg Ac 40Mmx40M | Stent Graft Tag Conform Thoracic Sg Ac 40Mmx40Mmx20Cm 22Fr Tgmr404020 | $32,944 | — | — | — | 0 |
| Stent Graft Tag Conform Thoracic Sg Ac 37Mmx37M | Stent Graft Tag Conform Thoracic Sg Ac 37Mmx37Mmx20Cm 22Fr Tgmr373720 | $32,944 | — | — | — | 0 |
| Stent Graft Tag Conform Thoracic Sg Ac 31Mmx31M | Stent Graft Tag Conform Thoracic Sg Ac 31Mmx31Mmx20Cm 20Fr Tgmr313120 | $32,944 | — | — | — | 0 |
| Stent Graft Tag Conform Thoracic Sg Ac 31Mmx26M | Stent Graft Tag Conform Thoracic Sg Ac 31Mmx26Mmx10Cm 20Fr Tgmr312610 | $32,944 | — | — | — | 0 |
| Stent Graft Tag Conform Thoracic Sg Ac 45Mmx45M | Stent Graft Tag Conform Thoracic Sg Ac 45Mmx45Mmx20Cm 24Fr Tgm454520 | $32,944 | — | — | — | 0 |
| Stent Graft Tag Conform Thoracic Sg Ac 34Mmx34M | Stent Graft Tag Conform Thoracic Sg Ac 34Mmx34Mmx20Cm 22Fr Tgm343420 | $32,944 | — | — | — | 0 |
| Stent Graft Tag Conform Thoracic Sg Ac 28Mmx28M | Stent Graft Tag Conform Thoracic Sg Ac 28Mmx28Mmx15Cm 20Fr Tgm282815 | $32,944 | — | — | — | 0 |
| Stent Graft Tag Conform Thoracic Sg Ac 26Mmx26M | Stent Graft Tag Conform Thoracic Sg Ac 26Mmx26Mmx10Cm 20Fr Tgm262610 | $32,944 | — | — | — | 0 |
| Stent Graft Tag Conform Thoracic Sg Ac 26Mmx21M | Stent Graft Tag Conform Thoracic Sg Ac 26Mmx21Mmx10Cm 20Fr Tgm262110 | $32,944 | — | — | — | 0 |
| Stent Graft Tag Conform Thoracic Sg Ac 21Mmx21M | Stent Graft Tag Conform Thoracic Sg Ac 21Mmx21Mmx10Cm 18Fr Tgm212110 | $32,944 | — | — | — | 0 |
| Endurant Aaa 4 Piece And Greater Than 4 Piece C | Endurant Aaa 4 Piece And Greater Than 4 Piece Cap Medtronic | $32,760 | — | — | — | 0 |
| GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CO | GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN | $32,195 | — | — | — | 0 |
| Implantation Neurological Devi | Implantation Neurological Devi | $32,135 | — | — | — | 0 |
| Hc Atherectomy | Hc Atherectomy | $32,000 | — | — | — | 0 |
| HC DERMABOND SKIN CLOSURE SYSTEM PRINEOSTERILE 2 | HC DERMABOND SKIN CLOSURE SYSTEM PRINEOSTERILE 2/BX CLR602US | $32,000 | — | — | — | 0 |
| Stent Graft Taa Valiant Navion 1 Piece Medtronic | Stent Graft Taa Valiant Navion 1 Piece Medtronic #valiantnavion1Pc | $30,030 | — | — | — | 0 |
| ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTI | ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION | $29,987 | — | — | — | 0 |
| Mesh Integra Bilayer Wound Matrix Meshed 8 In X | Mesh Integra Bilayer Wound Matrix Meshed 8 In X 10 In #mwm8101 | $29,181 | — | — | — | 0 |
| Surgimend (C/R) Mp 25Cm X 40 Cm 606-206-007 | Surgimend (C/R) Mp 25Cm X 40 Cm 606-206-007 | $29,120 | — | — | — | 0 |
| Endurant Aaa 3 Piece Cap Medtronic | Endurant Aaa 3 Piece Cap Medtronic | $29,120 | — | — | — | 0 |
| ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTI | ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION | $27,999 | — | — | — | 0 |
| Stent Graft Tag Thoracic Endo Conform 45Mmx20Cm | Stent Graft Tag Thoracic Endo Conform 45Mmx20Cm 24Fr Tgu454520 | $27,919 | — | — | — | 0 |
| Stent Graft Tag Thoracic Endo Conform 40Mmx20Cm | Stent Graft Tag Thoracic Endo Conform 40Mmx20Cm 24Fr Tgu404020 | $27,919 | — | — | — | 0 |
| Stent Graft Tag Thoracic Endo Conform 37Mmx20Cm | Stent Graft Tag Thoracic Endo Conform 37Mmx20Cm 24Fr Tgu373720 | $27,919 | — | — | — | 0 |
| Stent Graft Tag Thoracic Endo Conform 34Mmx20Cm | Stent Graft Tag Thoracic Endo Conform 34Mmx20Cm 22Fr Tgu343420 | $27,919 | — | — | — | 0 |
| Stent Graft Tag Thoracic Endo Conform 31-26Mmx1 | Stent Graft Tag Thoracic Endo Conform 31-26Mmx10Cm 22Fr Tapered Tgu312610 | $27,919 | — | — | — | 0 |
| Stent Graft Tag Thoracic Endo Conform 28Mmx15Cm | Stent Graft Tag Thoracic Endo Conform 28Mmx15Cm 20Fr Tgu282815 | $27,919 | — | — | — | 0 |
| Stent Graft Tag Thoracic Endo Conform 26-21Mmx1 | Stent Graft Tag Thoracic Endo Conform 26-21Mmx10Cm 20Fr Tapered Tgu262110 | $27,919 | — | — | — | 0 |
| POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLU | POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION | $27,343 | — | — | — | 0 |
| Talent Thoracic Valiant 1 Piece Cap Medtronic | Talent Thoracic Valiant 1 Piece Cap Medtronic | $27,300 | — | — | — | 0 |
| Thoracic Gore (Cap) Endoprosthesis 1 Piece 16353 | Thoracic Gore (Cap) Endoprosthesis 1 Piece 16353256Tg1H | $26,845 | — | — | — | 0 |
| Ipp Ambicor Fgs 15.5Mm X 22Cm (P) #72401458 | Ipp Ambicor Fgs 15.5Mm X 22Cm (P) #72401458 | $24,899 | — | — | — | 0 |
| Ipp Ambicor Fgs 15.5Mm X 20Cm (P) #72401457 | Ipp Ambicor Fgs 15.5Mm X 20Cm (P) #72401457 | $24,899 | — | — | — | 0 |
| Ipp Ambicor Fgs 15.5Mm X 18Cm (P) #72401456 | Ipp Ambicor Fgs 15.5Mm X 18Cm (P) #72401456 | $24,899 | — | — | — | 0 |
| Ipp Ambicor Fgs 14Mm X 20Cm (P) #72401455 | Ipp Ambicor Fgs 14Mm X 20Cm (P) #72401455 | $24,899 | — | — | — | 0 |
| Ipp Ambicor Fgs 14Mm X 18Cm (P) #72401454 | Ipp Ambicor Fgs 14Mm X 18Cm (P) #72401454 | $24,899 | — | — | — | 0 |
| Ipp Ambicor Fgs 14Mm X 16Cm (P) #72401453 | Ipp Ambicor Fgs 14Mm X 16Cm (P) #72401453 | $24,899 | — | — | — | 0 |
Showing top 50 of 19,617 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.