45 CFR § 180 compliance
C · 70
This hospital published part 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
14,346
Insurances with rates
19
CPT / HCPCS codes
10,970
Source MRF
Most expensive procedures (gross)
6332423
$415,077
PEG-ELECTROLYTE 4L LIQ
Gross
$1,514,880
6332423
$415,077
PEG-ELECTROLYTE 4L LIQ
Gross
$1,514,880
J0225
$152,399
VUTRIS 25MG/0.5ML PFSJWTB
Gross
$556,200
J0225
$152,399
VUTRIS 25MG/0.5ML PFSJWTB
Gross
$556,200
J7330
$84,469
MACI IMP 56051X-61656
Gross
$308,280
J7330
$84,469
MACI IMP 56051X-61656
Gross
$308,280
J9347
$51,293
TRE-ACTL300MG/15MLSDVJWTB
Gross
$187,200
J9347
$51,293
TRE-ACTL300MG/15MLSDVJWTB
Gross
$187,200
A9543
$46,676
Y90 IBRITUMM TX TO 40MCTB
Gross
$170,352
A9543
$46,676
Y90 IBRITUMM TX TO 40MCTB
Gross
$170,352
0266T
$41,991
IMP/RPL CAR SIN BF AD TOT
Gross
$153,250
0266T
$41,991
IMP/RPL CAR SIN BF AD TOT
Gross
$153,250
C1823
$39,407
NRSTM TRN S/S26149X-28764
Gross
$143,820
C1823
$39,407
NRSTM TRN S/S26149X-28764
Gross
$143,820
C1825
$39,407
NRSTM CRSN BR26149X-28764
Gross
$143,820
C1825
$39,407
NRSTM CRSN BR26149X-28764
Gross
$143,820
J9228
$37,740
IPILIMUM200MG/40MLSDVJWTB
Gross
$137,736
J9228
$37,740
IPILIMUM200MG/40MLSDVJWTB
Gross
$137,736
4848967
$35,824
CATH OTHER 23772X-26149
Gross
$130,745
4848967
$35,824
CATH OTHER 23772X-26149
Gross
$130,745
33270
$31,206
DEFIB SUBQ INS/REP W LEAD
Gross
$113,889
33270
$31,206
DEFIB SUBQ INS/REP W LEAD
Gross
$113,889
33287
$29,107
REM REP PHR NRV STIM GEN
Gross
$106,229
33287
$29,107
REM REP PHR NRV STIM GEN
Gross
$106,229
J2350
$27,147
OCRELIZ 300MG/10MLSDVJWTB
Gross
$99,077
J2350
$27,147
OCRELIZ 300MG/10MLSDVJWTB
Gross
$99,077
3706229
$26,916
INST/SUPP STE17861X-19647
Gross
$98,235
3706229
$26,916
INST/SUPP STE17861X-19647
Gross
$98,235
C1822
$26,916
NURSTM HF RC 17861X-19647
Gross
$98,235
C1822
$26,916
NURSTM HF RC 17861X-19647
Gross
$98,235
C2624
$26,916
WRLESS SENS 17861X-19647
Gross
$98,235
C2624
$26,916
WRLESS SENS 17861X-19647
Gross
$98,235
J0202
$26,625
ALEMTUZ12MG/1.2MLSDV JWTB
Gross
$97,170
J0202
$26,625
ALEMTUZ12MG/1.2MLSDV JWTB
Gross
$97,170
33276
$25,788
INS PHRENIC NRV STIM SYS
Gross
$94,115
33276
$25,788
INS PHRENIC NRV STIM SYS
Gross
$94,115
3706499
$24,470
INST/SUPP STE16237X-17861
Gross
$89,305
3706499
$24,470
INST/SUPP STE16237X-17861
Gross
$89,305
L8699
$24,470
CLOSURE LAA 16237X-17861
Gross
$89,305
L8699
$24,470
CLOSURE LAA 16237X-17861
Gross
$89,305
C2616
$21,920
NM BRACHY SORC YTTRIUM-90
Gross
$80,000
C2616
$21,920
NM BRACHY SORC YTTRIUM-90
Gross
$80,000
J9334
$20,745
E-A QVFC180-2K/M5.6SDJWTB
Gross
$75,711
J9334
$20,745
E-A QVFC180-2K/M5.6SDJWTB
Gross
$75,711
3706375
$20,223
INST/SUPP STE13419X-14761
Gross
$73,805
3706375
$20,223
INST/SUPP STE13419X-14761
Gross
$73,805
C1605
$20,223
PACE DL LDLES13419X-14761
Gross
$73,805
C1605
$20,223
PACE DL LDLES13419X-14761
Gross
$73,805
C1785
$20,223
PACEMKR DUAL 13419X-14761
Gross
$73,805
C1785
$20,223
PACEMKR DUAL 13419X-14761
Gross
$73,805
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 6332423 | PEG-ELECTROLYTE 4L LIQ | $1,514,880 | $415,077 | $166,637 | $1,393,690 | 10 |
| 6332423 | PEG-ELECTROLYTE 4L LIQ | $1,514,880 | $415,077 | $166,637 | $1,514,880 | 20 |
| J0225 | VUTRIS 25MG/0.5ML PFSJWTB | $556,200 | $152,399 | $61,182 | $511,704 | 10 |
| J0225 | VUTRIS 25MG/0.5ML PFSJWTB | $556,200 | $152,399 | $61,182 | $556,200 | 20 |
| J7330 | MACI IMP 56051X-61656 | $308,280 | $84,469 | $33,911 | $283,618 | 10 |
| J7330 | MACI IMP 56051X-61656 | $308,280 | $84,469 | $33,911 | $308,280 | 29 |
| J9347 | TRE-ACTL300MG/15MLSDVJWTB | $187,200 | $51,293 | $20,592 | $172,224 | 10 |
| J9347 | TRE-ACTL300MG/15MLSDVJWTB | $187,200 | $51,293 | $20,592 | $187,200 | 20 |
| A9543 | Y90 IBRITUMM TX TO 40MCTB | $170,352 | $46,676 | $18,739 | $156,724 | 10 |
| A9543 | Y90 IBRITUMM TX TO 40MCTB | $170,352 | $46,676 | $18,739 | $170,352 | 30 |
| 0266T | IMP/RPL CAR SIN BF AD TOT | $153,250 | $41,991 | $16,858 | $140,990 | 10 |
| 0266T | IMP/RPL CAR SIN BF AD TOT | $153,250 | $41,991 | $2,565 | $153,250 | 36 |
| C1823 | NRSTM TRN S/S26149X-28764 | $143,820 | $39,407 | $15,820 | $135,191 | 22 |
| C1823 | NRSTM TRN S/S26149X-28764 | $143,820 | $39,407 | $15,820 | $143,820 | 25 |
| C1825 | NRSTM CRSN BR26149X-28764 | $143,820 | $39,407 | $15,820 | $135,191 | 22 |
| C1825 | NRSTM CRSN BR26149X-28764 | $143,820 | $39,407 | $15,820 | $143,820 | 25 |
| J9228 | IPILIMUM200MG/40MLSDVJWTB | $137,736 | $37,740 | $15,151 | $126,717 | 10 |
| J9228 | IPILIMUM200MG/40MLSDVJWTB | $137,736 | $37,740 | $157 | $137,736 | 39 |
| 4848967 | CATH OTHER 23772X-26149 | $130,745 | $35,824 | $14,382 | $120,285 | 10 |
| 4848967 | CATH OTHER 23772X-26149 | $130,745 | $35,824 | $14,382 | $130,745 | 17 |
| 33270 | DEFIB SUBQ INS/REP W LEAD | $113,889 | $31,206 | $12,528 | $104,778 | 10 |
| 33270 | DEFIB SUBQ INS/REP W LEAD | $113,889 | $31,206 | $509 | $113,889 | 43 |
| 33287 | REM REP PHR NRV STIM GEN | $106,229 | $29,107 | $11,685 | $97,731 | 10 |
| 33287 | REM REP PHR NRV STIM GEN | $106,229 | $29,107 | $2,565 | $106,229 | 19 |
| J2350 | OCRELIZ 300MG/10MLSDVJWTB | $99,077 | $27,147 | $10,898 | $91,151 | 10 |
| J2350 | OCRELIZ 300MG/10MLSDVJWTB | $99,077 | $27,147 | $57.81 | $99,077 | 39 |
| 3706229 | INST/SUPP STE17861X-19647 | $98,235 | $26,916 | $10,806 | $90,376 | 10 |
| 3706229 | INST/SUPP STE17861X-19647 | $98,235 | $26,916 | $10,806 | $98,235 | 17 |
| C1822 | NURSTM HF RC 17861X-19647 | $98,235 | $26,916 | $10,806 | $92,341 | 22 |
| C1822 | NURSTM HF RC 17861X-19647 | $98,235 | $26,916 | $10,806 | $98,235 | 25 |
| C2624 | WRLESS SENS 17861X-19647 | $98,235 | $26,916 | $10,806 | $92,341 | 22 |
| C2624 | WRLESS SENS 17861X-19647 | $98,235 | $26,916 | $10,806 | $98,235 | 25 |
| J0202 | ALEMTUZ12MG/1.2MLSDV JWTB | $97,170 | $26,625 | $10,689 | $89,396 | 10 |
| J0202 | ALEMTUZ12MG/1.2MLSDV JWTB | $97,170 | $26,625 | $2,061 | $97,170 | 39 |
| 33276 | INS PHRENIC NRV STIM SYS | $94,115 | $25,788 | $10,353 | $86,586 | 10 |
| 33276 | INS PHRENIC NRV STIM SYS | $94,115 | $25,788 | $2,565 | $94,115 | 19 |
| 3706499 | INST/SUPP STE16237X-17861 | $89,305 | $24,470 | $9,824 | $82,161 | 10 |
| 3706499 | INST/SUPP STE16237X-17861 | $89,305 | $24,470 | $9,824 | $89,305 | 17 |
| L8699 | CLOSURE LAA 16237X-17861 | $89,305 | $24,470 | $9,824 | $83,947 | 22 |
| L8699 | CLOSURE LAA 16237X-17861 | $89,305 | $24,470 | $9,824 | $89,305 | 25 |
| C2616 | NM BRACHY SORC YTTRIUM-90 | $80,000 | $21,920 | $8,800 | $75,200 | 22 |
| C2616 | NM BRACHY SORC YTTRIUM-90 | $80,000 | $21,920 | $8,800 | $80,000 | 32 |
| J9334 | E-A QVFC180-2K/M5.6SDJWTB | $75,711 | $20,745 | $8,328 | $69,654 | 10 |
| J9334 | E-A QVFC180-2K/M5.6SDJWTB | $75,711 | $20,745 | $8,328 | $75,711 | 20 |
| 3706375 | INST/SUPP STE13419X-14761 | $73,805 | $20,223 | $8,119 | $67,901 | 10 |
| 3706375 | INST/SUPP STE13419X-14761 | $73,805 | $20,223 | $8,119 | $73,805 | 17 |
| C1605 | PACE DL LDLES13419X-14761 | $73,805 | $20,223 | $8,119 | $67,901 | 15 |
| C1605 | PACE DL LDLES13419X-14761 | $73,805 | $20,223 | $8,119 | $73,805 | 25 |
| C1785 | PACEMKR DUAL 13419X-14761 | $73,805 | $20,223 | $8,119 | $67,901 | 15 |
| C1785 | PACEMKR DUAL 13419X-14761 | $73,805 | $20,223 | $8,119 | $73,805 | 25 |
Showing top 50 of 14,346 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.