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
15,949
Insurances with rates
7
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
CP17714505797788785
$13,505
Major joint replacement or reattachment of lower extremity without MCC
Gross
$56,270
630219
$13,282
Emblem Mri S-icd
Gross
$55,341
3198122
$13,282
Emblem Mri S-icd
Gross
$55,341
6300296
$13,058
Icd Insertion Or Replacement
Gross
$54,409
630141
$12,209
Pace/defib Eneergen Crt-d
Gross
$50,869
3156389
$11,693
Total Knee Revision
Gross
$48,721
9200499
$11,538
Onco Kimmtrak 100mcg/0.5ml
Gross
$48,073
630447
$11,324
Resonate X4 Is4 Df4
Gross
$47,185
63335740
$10,478
Generator Unify Assura
Gross
$43,658
9100010
$10,080
Pegloticase : 8mg Inj
Gross
$42,000
630433
$9,655
Resonate El Icd Dr
Gross
$40,228
630432
$8,606
Resonate El Icd Vr
Gross
$35,858
63135740
$8,439
Icd Generator Durata
Gross
$35,164
9101791
$8,410
Leuprolide (Lupron) 45mg Syringe
Gross
$35,042
6302357
$7,950
Icd Hv Generator
Gross
$33,124
9909991
$7,903
Yervoy Intravenous Solution 5mg/1ml
Gross
$32,930
9200535
$7,854
Onco Rybrevant Faspro 2240mg/14ml
Gross
$32,726
3112017
$7,825
Total Joint 1st Hour
Gross
$32,604
31132006
$7,814
Total Hip Revision
Gross
$32,558
6300122-RT
$7,624
Rt Fem/popl Revasc Stent And Ather
Gross
$31,765
6300126-RT
$7,624
Rt Tib/per Revasc W/stent And Ather
Gross
$31,765
6300154-LT
$7,624
Lt Fem/popl Revasc Stent And Ather
Gross
$31,765
6300155-RT
$7,624
Rt59 Fem/popl Revasc Stent And Ather
Gross
$31,765
6300156-LT
$7,624
Lt59 Fem/popl Revasc Stent And Ather
Gross
$31,765
6300166-LT
$7,624
Lt Tib/per Revasc W/stent And Ather
Gross
$31,765
6300167-RT
$7,624
Rt59 Tib/per Revasc W/stent And Ather
Gross
$31,765
6300168-LT
$7,624
Lt59 Tib/per Revasc W/stent And Ather
Gross
$31,765
9200468
$7,573
Onco Polivy 140mg Vial
Gross
$31,556
9200529
$7,430
Onco Rybrevant Faspro 1600mg/10ml
Gross
$30,957
6307124
$6,894
Momentum Crt-d Is-1/df4/is-1 G124
Gross
$28,726
6310125
$6,894
Momentum Crt-d Is-1/df-1/is-1 G125
Gross
$28,726
9198063
$6,571
Imigluerace (Cerezyme) : 3600 Units
Gross
$27,378
9200489
$6,514
Onco Opdualag 240mg/80mg 20ml Vial
Gross
$27,142
CP17714505797786861
$6,471
Shaving of shoulder bone using endoscope
Gross
$26,961
3407240
$6,400
Urinary Sphincter Kit
Gross
$26,666
3112259
$6,321
Total Knee Non-cemented
Gross
$26,337
3112256
$5,999
Total Hip Non-cemented
Gross
$24,997
9100039
$5,505
Rasburicase : 7.5mg
Gross
$22,938
3103009
$5,389
Neuro Stimulator Battery
Gross
$22,454
3403400
$5,343
Artifical Urinary Sphincter
Gross
$22,263
6300220
$5,321
Pacemaker Insertion A&v Leads
Gross
$22,169
9100071
$5,127
Cabazitaxel(jevtana) 60mg Vial
Gross
$21,363
9200044
$5,127
Onco Cabazitaxel(jevtana) 60mg Vial
Gross
$21,363
9101046
$5,100
Alteplase(tpa) 100mg Vial W/diluent
Gross
$21,250
3112258
$5,076
Total Knee Cemented
Gross
$21,150
3124150
$5,076
Psn Cm Fm/cm Tb/ve/pe Psn Pt
Gross
$21,150
63610002
$5,074
Open/perq Place Stent Same
Gross
$21,142
9200441
$4,955
Onco Reblozyl 75mg Vial
Gross
$20,646
CP17714505797783109
$4,855
Uterine and adnexa procedures for non-malignancy without CC or MCC
Gross
$20,230
316102
$4,836
Dermacell 8x12
Gross
$20,150
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| CP17714505797788785 | Major joint replacement or reattachment of lower extremity without MCC | $56,270 | $13,505 | $1,875 | $56,270 | 6 |
| 630219 | Emblem Mri S-icd | $55,341 | $13,282 | $19,369 | $55,341 | 6 |
| 3198122 | Emblem Mri S-icd | $55,341 | $13,282 | $19,369 | $55,341 | 6 |
| 6300296 | Icd Insertion Or Replacement | $54,409 | $13,058 | $19,043 | $54,409 | 12 |
| 630141 | Pace/defib Eneergen Crt-d | $50,869 | $12,209 | $17,804 | $50,869 | 6 |
| 3156389 | Total Knee Revision | $48,721 | $11,693 | $17,052 | $48,721 | 6 |
| 9200499 | Onco Kimmtrak 100mcg/0.5ml | $48,073 | $11,538 | $16,826 | $48,073 | 6 |
| 630447 | Resonate X4 Is4 Df4 | $47,185 | $11,324 | $16,515 | $47,185 | 6 |
| 63335740 | Generator Unify Assura | $43,658 | $10,478 | $15,280 | $43,658 | 6 |
| 9100010 | Pegloticase : 8mg Inj | $42,000 | $10,080 | $14,700 | $42,000 | 6 |
| 630433 | Resonate El Icd Dr | $40,228 | $9,655 | $14,080 | $40,228 | 6 |
| 630432 | Resonate El Icd Vr | $35,858 | $8,606 | $12,550 | $35,858 | 6 |
| 63135740 | Icd Generator Durata | $35,164 | $8,439 | $12,307 | $35,164 | 6 |
| 9101791 | Leuprolide (Lupron) 45mg Syringe | $35,042 | $8,410 | $12,265 | $35,042 | 6 |
| 6302357 | Icd Hv Generator | $33,124 | $7,950 | $11,593 | $33,124 | 6 |
| 9909991 | Yervoy Intravenous Solution 5mg/1ml | $32,930 | $7,903 | $11,526 | $32,930 | 6 |
| 9200535 | Onco Rybrevant Faspro 2240mg/14ml | $32,726 | $7,854 | $11,454 | $32,726 | 6 |
| 3112017 | Total Joint 1st Hour | $32,604 | $7,825 | $11,411 | $32,604 | 6 |
| 31132006 | Total Hip Revision | $32,558 | $7,814 | $11,395 | $32,558 | 6 |
| 6300122-RT | Rt Fem/popl Revasc Stent And Ather | $31,765 | $7,624 | $11,118 | $31,765 | 12 |
| 6300126-RT | Rt Tib/per Revasc W/stent And Ather | $31,765 | $7,624 | $11,118 | $31,765 | 12 |
| 6300154-LT | Lt Fem/popl Revasc Stent And Ather | $31,765 | $7,624 | $11,118 | $31,765 | 12 |
| 6300155-RT | Rt59 Fem/popl Revasc Stent And Ather | $31,765 | $7,624 | $11,118 | $31,765 | 12 |
| 6300156-LT | Lt59 Fem/popl Revasc Stent And Ather | $31,765 | $7,624 | $11,118 | $31,765 | 12 |
| 6300166-LT | Lt Tib/per Revasc W/stent And Ather | $31,765 | $7,624 | $11,118 | $31,765 | 12 |
| 6300167-RT | Rt59 Tib/per Revasc W/stent And Ather | $31,765 | $7,624 | $11,118 | $31,765 | 12 |
| 6300168-LT | Lt59 Tib/per Revasc W/stent And Ather | $31,765 | $7,624 | $11,118 | $31,765 | 12 |
| 9200468 | Onco Polivy 140mg Vial | $31,556 | $7,573 | $11,045 | $31,556 | 6 |
| 9200529 | Onco Rybrevant Faspro 1600mg/10ml | $30,957 | $7,430 | $10,835 | $30,957 | 6 |
| 6307124 | Momentum Crt-d Is-1/df4/is-1 G124 | $28,726 | $6,894 | $10,054 | $28,726 | 6 |
| 6310125 | Momentum Crt-d Is-1/df-1/is-1 G125 | $28,726 | $6,894 | $10,054 | $28,726 | 6 |
| 9198063 | Imigluerace (Cerezyme) : 3600 Units | $27,378 | $6,571 | $9,582 | $27,378 | 6 |
| 9200489 | Onco Opdualag 240mg/80mg 20ml Vial | $27,142 | $6,514 | $9,500 | $27,142 | 6 |
| CP17714505797786861 | Shaving of shoulder bone using endoscope | $26,961 | $6,471 | $9,436 | $26,961 | 6 |
| 3407240 | Urinary Sphincter Kit | $26,666 | $6,400 | $9,333 | $26,666 | 6 |
| 3112259 | Total Knee Non-cemented | $26,337 | $6,321 | $9,218 | $26,337 | 6 |
| 3112256 | Total Hip Non-cemented | $24,997 | $5,999 | $8,749 | $24,997 | 6 |
| 9100039 | Rasburicase : 7.5mg | $22,938 | $5,505 | $8,028 | $22,938 | 12 |
| 3103009 | Neuro Stimulator Battery | $22,454 | $5,389 | $7,859 | $22,454 | 6 |
| 3403400 | Artifical Urinary Sphincter | $22,263 | $5,343 | $7,792 | $22,263 | 6 |
| 6300220 | Pacemaker Insertion A&v Leads | $22,169 | $5,321 | $7,759 | $22,169 | 12 |
| 9100071 | Cabazitaxel(jevtana) 60mg Vial | $21,363 | $5,127 | $6,631 | $21,363 | 12 |
| 9200044 | Onco Cabazitaxel(jevtana) 60mg Vial | $21,363 | $5,127 | $6,631 | $21,363 | 12 |
| 9101046 | Alteplase(tpa) 100mg Vial W/diluent | $21,250 | $5,100 | $7,437 | $21,250 | 6 |
| 3112258 | Total Knee Cemented | $21,150 | $5,076 | $7,402 | $21,150 | 6 |
| 3124150 | Psn Cm Fm/cm Tb/ve/pe Psn Pt | $21,150 | $5,076 | $7,402 | $21,150 | 6 |
| 63610002 | Open/perq Place Stent Same | $21,142 | $5,074 | $7,400 | $21,142 | 12 |
| 9200441 | Onco Reblozyl 75mg Vial | $20,646 | $4,955 | $7,226 | $20,646 | 6 |
| CP17714505797783109 | Uterine and adnexa procedures for non-malignancy without CC or MCC | $20,230 | $4,855 | $1,875 | $20,230 | 6 |
| 316102 | Dermacell 8x12 | $20,150 | $4,836 | $7,053 | $20,150 | 6 |
Showing top 50 of 15,949 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.