45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
8,462
Insurances with rates
9
CPT / HCPCS codes
7,491
Most expensive procedures (gross)
J9226
$273,985
HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT
Gross
$342,482
C9293
$197,807
GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION
Gross
$247,259
J1303
$115,137
RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION
Gross
$143,921
J2327
$101,055
RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR
Gross
$126,319
J2350
$94,801
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$118,501
C1882
$76,788
DEFIB CONCERTO II SYS W/LEADS
Gross
$95,985
C1767
$67,090
DEMIPULSE W/PT KIT
Gross
$83,863
33249
$64,716
IMPLT DFIB SYS IMPL DUAL GEN+LEA
Gross
$80,895
33264
$64,716
RMV&RPL IMPLT DFIB GEN MULT LEAD
Gross
$80,895
33270
$64,716
SUBQ ICD INSERT W/SUB ELECTRODE
Gross
$80,895
93656
$64,272
COMPRE EP EVAL ABLTJ ATR FIB
Gross
$80,340
93654
$64,272
COMPRE EP EVAL TX VT
Gross
$80,340
93653
$64,272
COMPRE EP EVAL TX SVT
Gross
$80,340
0823T
$58,429
TCAT INS 1CHMBR LDLS PM RA
Gross
$73,037
0825T
$58,429
TCAT RMVL&RPL 1CHMB LDLS PM RA
Gross
$73,037
J0896
$57,101
LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION
Gross
$71,376
C1767
$54,425
SYSTEM NEUROSTIMULATOR PROCLAIM
Gross
$68,031
33364
$53,899
TAVR PERCUTANEOUS ILIAC APP
Gross
$67,373
33363
$53,899
TAVR PERCUTANEOUS AXILLARY APP
Gross
$67,373
J9350
$52,253
MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION
Gross
$65,317
33240
$46,367
DEFIB IMPLANT DUAL GEN ONLY
Gross
$57,959
33262
$46,367
RMV&RPL IMPLT DFIB GEN SING LEAD
Gross
$57,959
J9321
$46,084
EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION
Gross
$57,605
J1930
$46,070
LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE
Gross
$57,587
C1882
$45,557
DEFIB QUADRA ASSURA MP MERLIN ALA CARTE
Gross
$56,946
C9766
$44,275
REVASC INTRA LITHOTRIP-ATHER
Gross
$55,344
C9774
$43,546
REVASC LITHOTR-ATHER TIB/PER
Gross
$54,433
C9773
$43,546
REVASC LITHOTR-STENT TIB/PER
Gross
$54,433
C1721
$43,200
DEFIB LUMAX A LA CARTE 740 DR-T
Gross
$54,000
C1721
$42,960
DEFIB FORTIFY ASSURA DR ICD
Gross
$53,700
J2997
$42,414
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$53,017
L8670
$42,000
STENT ENDOPROSTH (17400.01 - 17500)
Gross
$52,500
93591
$41,867
PERQ TRANSCATH CLS AORTIC
Gross
$52,334
J3380
$41,772
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION
Gross
$52,214
J2323
$41,153
NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION
Gross
$51,441
33221
$38,330
INSERT PM PULSE GEN MULT LEADS
Gross
$47,912
33229
$38,330
REMV&REPLC PM GEN MULT LEADS
Gross
$47,912
C9602
$37,917
ARTHERECT,INTRA STENT(DES)&ANGIO
Gross
$47,396
C9602
$37,917
ARTHERECT,INTRACOR STENT & ANGIO
Gross
$47,396
J3101
$37,744
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$47,181
34718
$37,584
EVASC RPR N/A A-ILIAC NDGFT
Gross
$46,980
J1459
$36,322
IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION
Gross
$45,402
34702
$35,524
EVASC RPR A-AO NDGFT RPT
Gross
$44,405
34704
$35,524
EVASC RPR A-UNILAC NDGFT RPT
Gross
$44,405
34706
$35,524
EVASC RPR A-BIILIAC NDGFT RPT
Gross
$44,405
C9607
$35,503
TOTAL OCC;ATHER,INTR(DES)STNT&AN
Gross
$44,379
C1722
$35,273
DEFIB VISIA VR MRI ALA CARTE
Gross
$44,091
J9217
$35,185
LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT
Gross
$43,982
33946
$34,537
ECMO INITIATION, VENO-VENOUS
Gross
$43,171
33952
$34,537
ECMO INS PERI ART/VEN CAN W/FLUO
Gross
$43,171
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9226 | HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT | $342,482 | $273,985 | — | — | 14 |
| C9293 | GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION | $247,259 | $197,807 | — | — | 12 |
| J1303 | RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION | $143,921 | $115,137 | — | — | 14 |
| J2327 | RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR | $126,319 | $101,055 | — | — | 10 |
| J2350 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $118,501 | $94,801 | — | — | 2 |
| C1882 | DEFIB CONCERTO II SYS W/LEADS | $95,985 | $76,788 | — | — | 2 |
| C1767 | DEMIPULSE W/PT KIT | $83,863 | $67,090 | — | — | 2 |
| 33249 | IMPLT DFIB SYS IMPL DUAL GEN+LEA | $80,895 | $64,716 | — | — | 12 |
| 33264 | RMV&RPL IMPLT DFIB GEN MULT LEAD | $80,895 | $64,716 | — | — | 12 |
| 33270 | SUBQ ICD INSERT W/SUB ELECTRODE | $80,895 | $64,716 | — | — | 12 |
| 93656 | COMPRE EP EVAL ABLTJ ATR FIB | $80,340 | $64,272 | — | — | 0 |
| 93654 | COMPRE EP EVAL TX VT | $80,340 | $64,272 | — | — | 0 |
| 93653 | COMPRE EP EVAL TX SVT | $80,340 | $64,272 | — | — | 0 |
| 0823T | TCAT INS 1CHMBR LDLS PM RA | $73,037 | $58,429 | — | — | 11 |
| 0825T | TCAT RMVL&RPL 1CHMB LDLS PM RA | $73,037 | $58,429 | — | — | 0 |
| J0896 | LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION | $71,376 | $57,101 | — | — | 12 |
| C1767 | SYSTEM NEUROSTIMULATOR PROCLAIM | $68,031 | $54,425 | — | — | 5 |
| 33364 | TAVR PERCUTANEOUS ILIAC APP | $67,373 | $53,899 | — | — | 0 |
| 33363 | TAVR PERCUTANEOUS AXILLARY APP | $67,373 | $53,899 | — | — | 0 |
| J9350 | MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION | $65,317 | $52,253 | — | — | 2 |
| 33240 | DEFIB IMPLANT DUAL GEN ONLY | $57,959 | $46,367 | — | — | 12 |
| 33262 | RMV&RPL IMPLT DFIB GEN SING LEAD | $57,959 | $46,367 | — | — | 24 |
| J9321 | EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION | $57,605 | $46,084 | — | — | 10 |
| J1930 | LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE | $57,587 | $46,070 | — | — | 14 |
| C1882 | DEFIB QUADRA ASSURA MP MERLIN ALA CARTE | $56,946 | $45,557 | — | — | 5 |
| C9766 | REVASC INTRA LITHOTRIP-ATHER | $55,344 | $44,275 | — | — | 0 |
| C9774 | REVASC LITHOTR-ATHER TIB/PER | $54,433 | $43,546 | — | — | 10 |
| C9773 | REVASC LITHOTR-STENT TIB/PER | $54,433 | $43,546 | — | — | 0 |
| C1721 | DEFIB LUMAX A LA CARTE 740 DR-T | $54,000 | $43,200 | — | — | 5 |
| C1721 | DEFIB FORTIFY ASSURA DR ICD | $53,700 | $42,960 | — | — | 2 |
| J2997 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $53,017 | $42,414 | — | — | 2 |
| L8670 | STENT ENDOPROSTH (17400.01 - 17500) | $52,500 | $42,000 | — | — | 12 |
| 93591 | PERQ TRANSCATH CLS AORTIC | $52,334 | $41,867 | — | — | 12 |
| J3380 | VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION | $52,214 | $41,772 | — | — | 12 |
| J2323 | NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION | $51,441 | $41,153 | — | — | 12 |
| 33221 | INSERT PM PULSE GEN MULT LEADS | $47,912 | $38,330 | — | — | 12 |
| 33229 | REMV&REPLC PM GEN MULT LEADS | $47,912 | $38,330 | — | — | 0 |
| C9602 | ARTHERECT,INTRA STENT(DES)&ANGIO | $47,396 | $37,917 | — | — | 10 |
| C9602 | ARTHERECT,INTRACOR STENT & ANGIO | $47,396 | $37,917 | — | — | 0 |
| J3101 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION | $47,181 | $37,744 | — | — | 2 |
| 34718 | EVASC RPR N/A A-ILIAC NDGFT | $46,980 | $37,584 | — | — | 11 |
| J1459 | IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION | $45,402 | $36,322 | — | — | 14 |
| 34702 | EVASC RPR A-AO NDGFT RPT | $44,405 | $35,524 | — | — | 12 |
| 34704 | EVASC RPR A-UNILAC NDGFT RPT | $44,405 | $35,524 | — | — | 12 |
| 34706 | EVASC RPR A-BIILIAC NDGFT RPT | $44,405 | $35,524 | — | — | 12 |
| C9607 | TOTAL OCC;ATHER,INTR(DES)STNT&AN | $44,379 | $35,503 | — | — | 10 |
| C1722 | DEFIB VISIA VR MRI ALA CARTE | $44,091 | $35,273 | — | — | 5 |
| J9217 | LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT | $43,982 | $35,185 | — | — | 2 |
| 33946 | ECMO INITIATION, VENO-VENOUS | $43,171 | $34,537 | — | — | 11 |
| 33952 | ECMO INS PERI ART/VEN CAN W/FLUO | $43,171 | $34,537 | — | — | 1 |
Showing top 50 of 8,462 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.