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
14,235
Insurances with rates
2
CPT / HCPCS codes
12,506
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J2326 | nusinersen 12 MG/5ML Soln 5 mL Vial | $275,106 | $77,030 | — | — | 2 |
| 90288 | HC Babybig Botulism Immune Globulin | $182,700 | $51,156 | — | — | 0 |
| A9513 | lutetium lu 177 dotatate 370 MBQ/ML Soln 200 millicurie Vial | $168,000 | $47,040 | — | — | 2 |
| C1825 | PROCEDURE CHARGE Bartostim Neo2 | $157,500 | $44,100 | — | — | 0 |
| A9607 | lutetium lu 177 vipivotide tetraxetan 1000 MBQ/ML Soln 200 millicurie Vial | $149,028 | $41,728 | — | — | 2 |
| C1827 | Generator Vivistim Paired VNS IPG # 1001 | $147,500 | $41,300 | — | — | 0 |
| C1604 | Detour System Procedure Charge | $125,000 | $35,000 | — | — | 0 |
| J2507 | pegloticase 8 MG/ML Soln 1 mL Vial | $95,573 | $26,760 | — | — | 2 |
| J9999 | carmustine in polifeprosan 7.7 MG Wafr 8 each Box | $85,300 | $23,884 | — | — | 0 |
| C1824 | IPG OPTIMIZER SMART CCM X10 | $69,000 | $19,320 | — | — | 0 |
| J0638 | canakinumab 150 MG/ML Soln 1 mL Vial | $66,457 | $18,608 | — | — | 2 |
| J0202 | alemtuzumab 12 MG/1.2ML Soln 1.2 mL Vial | $65,609 | $18,371 | — | — | 2 |
| J2350 | ocrelizumab 300 MG/10ML Soln 10 mL Vial | $64,569 | $18,079 | — | — | 2 |
| L8614 | Implant Nucleus Nexa Modiolar # CI1032 Cochlear | $62,158 | $17,404 | — | — | 2 |
| J1162 | digoxin immune fab 40 MG Solr 1 each Vial | $52,768 | $14,775 | — | — | 2 |
| C9607 | HC Chronic Des Snle Vessel W/WO Atherectomy | $48,956 | $13,708 | — | — | 2 |
| 92933 | HC Prq Card Stent/Ath/Angio | $48,682 | $13,631 | — | — | 2 |
| 92924 | HC Paravalvular Leak Occl Device Mitral | $47,166 | $13,206 | — | — | 2 |
| 93591 | HC Paravalvular Leak Occl Device Aortic | $47,166 | $13,206 | — | — | 2 |
| 92930 | HC Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments | $46,822 | $13,110 | — | — | 2 |
| 93582 | HC Perq Transcath Closure Pda | $45,740 | $12,807 | — | — | 2 |
| C1820 | NEUROSTM DP BRN RECHG ACTIVA # 37612 MEDTRONIC | $45,677 | $12,790 | — | — | 0 |
| 64590 | KIT, NALU NEUROSTIM - RINCON ASC | $45,649 | $12,782 | — | — | 2 |
| C1823 | LD TV RESPISTIM LQS QUAD 65 LT | $45,000 | $12,600 | — | — | 0 |
| 93590 | HC Perq Transcath Cls Mitral Valve | $44,920 | $12,578 | — | — | 2 |
| J3357 | ustekinumab 45 MG/0.5ML Sosy 0.5 mL Syringe | $44,192 | $12,374 | — | — | 0 |
| J1628 | guselkumab 100 MG/ML Sosy 1 mL Syringe | $44,164 | $12,366 | — | — | 2 |
| C1767 | Kit NALU PNS Dual 4 with 2 Leads (Bundled Charge) # 71020 NALU | $39,363 | $11,022 | — | — | 0 |
| C2616 | Y-90 SIR-Spheres Dose 1 Package Package | $39,270 | $10,996 | — | — | 2 |
| J1299 | eculizumab 300 MG/30ML Soln 30 mL Vial | $39,138 | $10,959 | — | — | 2 |
| J7170 | Emicizumab-kxwh 105 MG/0.7ML Soln 0.7 mL Vial | $38,804 | $10,865 | — | — | 2 |
| C1722 | VIRTUOSO VR ICD GENERATOR D154VWC | $38,400 | $10,752 | — | — | 0 |
| C1721 | ICD INTICA N7 PMRI VR-T DF1 | $37,485 | $10,496 | — | — | 0 |
| J1950 | leuprolide (6 month) 45 MG Kit 1 each Box | $37,292 | $10,442 | — | — | 2 |
| C1882 | ICD COBLT XT HF MRI SURSCN IS4 | $36,350 | $10,178 | — | — | 0 |
| C1785 | ATLAS II HF US ICD | $32,900 | $9,212 | — | — | 0 |
| 92941 | HC Cto Pci Stemi 1 Vsl | $31,967 | $8,951 | — | — | 2 |
| 92943 | HC Coronary Chronic Pci Single Vessel | $31,967 | $8,951 | — | — | 4 |
| C9608 | HC Chronic Des Ea Addl W/WO Atherectomy | $31,407 | $8,794 | — | — | 0 |
| 93580 | HC Transcath Closure Asd/Pfo Stich Device | $31,406 | $8,794 | — | — | 2 |
| J3380 | vedolizumab 300 MG Solr 1 each Vial | $30,170 | $8,448 | — | — | 2 |
| J9266 | pegaspargase 750 UNIT/ML Soln 5 mL Vial | $30,031 | $8,409 | — | — | 2 |
| 92945 | HC Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&Rtrgr | $29,486 | $8,256 | — | — | 2 |
| J9042 | brentuximab vedotin 50 MG Solr 1 each Vial | $28,792 | $8,062 | — | — | 2 |
| C9610 | CATH BLN AGENT US MR 2X12MM | $28,250 | $7,910 | — | — | 0 |
| C9358 | MSH SURGIMND 20X30CMX2MM #606-200-017 | $26,790 | $7,501 | — | — | 0 |
| J2323 | natalizumab 300 MG/15ML Conc 15 mL Vial | $26,638 | $7,459 | — | — | 2 |
| 93653 | HC Comp Ep/Ablation Svt | $26,595 | $7,447 | — | — | 2 |
| C1772 | Pump Pain Infusion Synchromed III 20ml # 8667-20 Medtronic | $26,320 | $7,370 | — | — | 0 |
| 93654 | HC Comp Ep/Ablation Vt Inc 3d | $26,020 | $7,286 | — | — | 2 |
Showing top 50 of 14,235 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.