45 CFR § 180 compliance
B · 85
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
15,374
Insurances with rates
2
CPT / HCPCS codes
8,068
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 53010010 | etranacogene dezaparvovec-drlb 1x10exp13 gc/mL Susp 1 Each KIT | $8,400,005 | $4,704,003 | — | — | 3 |
| 0100T | PLMT SCJNCL RTA PROSTH&PLS&IMPLTJ INTRA-OC RTA | $873,740 | $489,294 | — | — | 3 |
| 33276 | INSERTION PHRENIC NERVE STIMULATOR SYSTEM | $222,540 | $124,622 | — | — | 3 |
| 47379.0001 | "LAPAROSCOPIC BIOPSY, LIVER" | $185,450 | $103,852 | — | — | 3 |
| 44238.0001 | LAPAROSCOPIC DUODENODUODENOSTOMY | $176,470 | $98,823 | — | — | 3 |
| 49329.0001 | LAPAROSCOPIC REMOVAL OF INTRAABDOMINAL INTRAUTERINE DEVICE | $176,470 | $98,823 | — | — | 3 |
| 49659.0002 | "HERNIA REPAIR, KEYHOLE" | $176,470 | $98,823 | — | — | 3 |
| A9543 | YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI | $169,668 | $95,014 | — | — | 3 |
| 597003510 | Spesolimab-sbzo 60 mg/mL Soln 7.5 mL VIAL | $160,728 | $90,008 | — | — | 3 |
| A9699 | RADIOPHARMACEUTICAL THERAPEUTIC NOC | $154,842 | $86,712 | — | — | 3 |
| 33270 | INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD | $143,270 | $80,231 | — | — | 3 |
| 33263 | RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD | $133,910 | $74,990 | — | — | 3 |
| 33240 | INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD | $131,590 | $73,690 | — | — | 3 |
| 187001050 | sodium benzoate-sod phenylacet 10-10 % Soln 50 mL VIAL | $131,508 | $73,644 | — | — | 3 |
| 310453530 | tremelimumab-actl 20 mg/mL Soln 15 mL VIAL | $119,240 | $66,774 | — | — | 3 |
| 64582 | OPEN IMPLTJ HPGLSL NRV NSTIM RA PG&RESPIR SENSOR | $118,490 | $66,354 | — | — | 3 |
| 33231 | INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS | $108,350 | $60,676 | — | — | 3 |
| 38240 | TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR | $106,060 | $59,394 | — | — | 3 |
| 3232822 | ipilimumab 200 mg/40 mL (5 mg/mL) Soln 40 mL VIAL | $104,355 | $58,439 | — | — | 3 |
| 0620T | ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN | $101,610 | $56,902 | — | — | 3 |
| 33264 | RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD | $100,870 | $56,487 | — | — | 3 |
| 0308T | INSJ OC TLSCP PROSTH RMVL CRYSTALLINE/IO LENS | $100,100 | $56,056 | — | — | 3 |
| 33287 | RMVL&RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR | $97,990 | $54,874 | — | — | 3 |
| 0515T | INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS | $91,970 | $51,503 | — | — | 3 |
| 0520T | RMVL&RPLCMT PG WCS LV PACG BATTERY COMPNT ONLY | $91,970 | $51,503 | — | — | 3 |
| 0238T | TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA | $91,180 | $51,061 | — | — | 3 |
| A4648.0021 | TISSUE MARKER (IMPLANTABLE) ($50000.01-65000) | $90,563 | $50,715 | — | — | 3 |
| 33262 | RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD | $86,560 | $48,474 | — | — | 3 |
| 0686T | HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN | $86,550 | $48,468 | — | — | 3 |
| 300035 | SUPPLY ENDOSCOPY ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300055 | SUPPLY ABLATION/RF ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300075 | SUPPLY PAIN MANAGEMENT ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300095 | CATHETER BALLOON INTRA-AORTIC ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300115 | CATHETER DIAGNOSTIC ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300135 | IMPLANT VASCULAR ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300155 | SUPPLY SPINAL ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300175 | SUPPLY DISPOSABLE INSTRUMENT ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300195 | SUPPLY AIRWAY MANAGEMENT ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300215 | SUPPLY PROBE DISPOSABLE ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300234 | SUPPLY DRAIN/COLLECTOR ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300268 | CATHETER MICRODELIVERY ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300288 | IMPLANT SHUNT ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| 300308 | SUPPLY SPECIALTY TUBING ($50000.01-65000) | $86,250 | $48,300 | — | — | 0 |
| A4300.0020 | IMPLANTABLE ACCESS CATHETER ($50000.01-65000) | $86,250 | $48,300 | — | — | 3 |
| A4305.0020 | DRUG DELIVERY SYSTEM >=50 ML ($50000.01-65000) | $86,250 | $48,300 | — | — | 3 |
| A4649.0020 | SURGICAL SUPPLY; MISCELLANEOUS ($50000.01-65000) | $86,250 | $48,300 | — | — | 3 |
| A7040.0020 | ONE WAY CHEST DRAIN VALVE ($50000.01-65000) | $86,250 | $48,300 | — | — | 3 |
| B4087.0020 | GASTROSTOMY/J-TUBE ($50000.01-65000) | $86,250 | $48,300 | — | — | 3 |
| B4088.0020 | GASTROSTOMY/J-TUBE LOW-PROFILE ($50000.01-65000) | $86,250 | $48,300 | — | — | 3 |
| C1713.0020 | IMPLANT ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE ($50000.01-65000) | $86,250 | $48,300 | — | — | 3 |
Showing top 50 of 15,374 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.