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
34,174
Insurances with rates
6
CPT / HCPCS codes
14,612
Source MRF
Most expensive procedures (gross)
36001584
—
tremelimumab 300 mg/15 mL
Gross
$234,000
36100758
—
Ipilimumab 200mG
Gross
$204,779
39954326
—
Y-90 Zevalin Per Dose
Gross
$177,570
34000885
—
Femoral Stent + Atherectomy
Gross
$159,836
34000927
—
Tibial Stent + Atherectomy
Gross
$159,836
34000703
—
PTCRA W/Des
Gross
$158,100
34980003
—
PTCA W/Drug Eluting Stent
Gross
$146,389
34000760
—
CTO W/Des
Gross
$146,389
34000737
—
Stemi W/Des
Gross
$146,389
34999920
—
AAA Delayed Placement Distal Extension
Gross
$140,727
34001214
—
Sapien 3 THV System
Gross
$130,000
34000687
—
PTCRA W/Bare Metal (BM) Stent
Gross
$128,533
34000661
—
PTCA W/ Des Grafts
Gross
$124,352
34000745
—
CTO W/Bare
Gross
$122,343
34000729
—
Stemi W/Bare
Gross
$122,343
34980011
—
PTCA W/BARE METAL STENT
Gross
$122,343
34000646
—
PTCA W/Bare Metal Grafts
Gross
$122,343
34332502
—
Bi-V Icd Generator
Gross
$120,860
34332643
—
ICD BIV Gen Remove & Replace
Gross
$116,701
33000019
—
Open Heart Surgery
Gross
$116,273
36100964
—
Gliadil 8 Wafers
Gross
$116,138
34332700
—
ICD Implant Sq Ld System w/Dft
Gross
$114,679
34332635
—
ICD Gen Dual Remove & Replace
Gross
$112,221
34001115
—
Impella, CP catheter
Gross
$112,000
34332312
—
ICD BIV Gen Insertion Only
Gross
$110,995
34929828
—
Angioplasty Single Vessel
Gross
$110,615
34332627
—
ICD Gen Single Remove & Replace
Gross
$108,881
34001016
—
Sub-Q Generator
Gross
$108,245
30210389
—
Pacemaker Gen
Gross
$107,221
27990951
—
Pacemaker Gen
Gross
$107,221
36010718
—
Polatuzumab vedotin-piiq 140mg Inj
Gross
$105,258
36001402
—
teprotumumab-trbw 500mg Inj
Gross
$102,106
34332486
—
Insert Icd Gen Dual + Leads
Gross
$100,742
34000711
—
Add PTCRA W/Des
Gross
$100,704
34880120
—
AAA Stent Main Body + 1 Limb
Gross
$100,151
30205884
—
Meniscus Tissue
Gross
$100,000
27991967
—
Meniscus Tissue
Gross
$100,000
34998211
—
CardioMEMS PA Sensor w/delivery sys
Gross
$99,800
36996015
—
Pegaspargase 3750 Units Inj
Gross
$98,199
34980029
—
Add Vessel Ptca W/Drug E St
Gross
$95,759
34000901
—
Tibial/Popiteal Atherectomy
Gross
$94,793
34000919
—
Tibial Stent
Gross
$94,793
34000877
—
Femoral Stent
Gross
$94,793
34000869
—
Femoral Atherectomy
Gross
$94,793
34000943
—
Additional Vessel Atherectomy
Gross
$94,793
34000828
—
Iliac Stent with or w/o PTA
Gross
$94,793
34000679
—
Add Vessel W/Des Grafts
Gross
$92,812
34936542
—
Complete EPS w/ VT ablation+3D
Gross
$92,690
34000463
—
Cath RT/LT Cath, LT Vent, BYPS
Gross
$91,753
34595066
—
Icd Generation Dual Chamber
Gross
$91,495
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 36001584 | tremelimumab 300 mg/15 mL | $234,000 | — | — | — | 0 |
| 36100758 | Ipilimumab 200mG | $204,779 | — | — | — | 0 |
| 39954326 | Y-90 Zevalin Per Dose | $177,570 | — | — | — | 0 |
| 34000885 | Femoral Stent + Atherectomy | $159,836 | — | — | — | 0 |
| 34000927 | Tibial Stent + Atherectomy | $159,836 | — | — | — | 0 |
| 34000703 | PTCRA W/Des | $158,100 | — | — | — | 0 |
| 34980003 | PTCA W/Drug Eluting Stent | $146,389 | — | — | — | 0 |
| 34000760 | CTO W/Des | $146,389 | — | — | — | 0 |
| 34000737 | Stemi W/Des | $146,389 | — | — | — | 0 |
| 34999920 | AAA Delayed Placement Distal Extension | $140,727 | — | — | — | 0 |
| 34001214 | Sapien 3 THV System | $130,000 | — | — | — | 0 |
| 34000687 | PTCRA W/Bare Metal (BM) Stent | $128,533 | — | — | — | 0 |
| 34000661 | PTCA W/ Des Grafts | $124,352 | — | — | — | 0 |
| 34000745 | CTO W/Bare | $122,343 | — | — | — | 0 |
| 34000729 | Stemi W/Bare | $122,343 | — | — | — | 0 |
| 34980011 | PTCA W/BARE METAL STENT | $122,343 | — | — | — | 0 |
| 34000646 | PTCA W/Bare Metal Grafts | $122,343 | — | — | — | 0 |
| 34332502 | Bi-V Icd Generator | $120,860 | — | — | — | 0 |
| 34332643 | ICD BIV Gen Remove & Replace | $116,701 | — | — | — | 0 |
| 33000019 | Open Heart Surgery | $116,273 | — | — | — | 0 |
| 36100964 | Gliadil 8 Wafers | $116,138 | — | — | — | 0 |
| 34332700 | ICD Implant Sq Ld System w/Dft | $114,679 | — | — | — | 0 |
| 34332635 | ICD Gen Dual Remove & Replace | $112,221 | — | — | — | 0 |
| 34001115 | Impella, CP catheter | $112,000 | — | — | — | 0 |
| 34332312 | ICD BIV Gen Insertion Only | $110,995 | — | — | — | 0 |
| 34929828 | Angioplasty Single Vessel | $110,615 | — | — | — | 0 |
| 34332627 | ICD Gen Single Remove & Replace | $108,881 | — | — | — | 0 |
| 34001016 | Sub-Q Generator | $108,245 | — | — | — | 0 |
| 30210389 | Pacemaker Gen | $107,221 | — | — | — | 0 |
| 27990951 | Pacemaker Gen | $107,221 | — | — | — | 0 |
| 36010718 | Polatuzumab vedotin-piiq 140mg Inj | $105,258 | — | — | — | 0 |
| 36001402 | teprotumumab-trbw 500mg Inj | $102,106 | — | — | — | 0 |
| 34332486 | Insert Icd Gen Dual + Leads | $100,742 | — | — | — | 0 |
| 34000711 | Add PTCRA W/Des | $100,704 | — | — | — | 0 |
| 34880120 | AAA Stent Main Body + 1 Limb | $100,151 | — | — | — | 0 |
| 30205884 | Meniscus Tissue | $100,000 | — | — | — | 0 |
| 27991967 | Meniscus Tissue | $100,000 | — | — | — | 0 |
| 34998211 | CardioMEMS PA Sensor w/delivery sys | $99,800 | — | — | — | 0 |
| 36996015 | Pegaspargase 3750 Units Inj | $98,199 | — | — | — | 0 |
| 34980029 | Add Vessel Ptca W/Drug E St | $95,759 | — | — | — | 0 |
| 34000901 | Tibial/Popiteal Atherectomy | $94,793 | — | — | — | 0 |
| 34000919 | Tibial Stent | $94,793 | — | — | — | 0 |
| 34000877 | Femoral Stent | $94,793 | — | — | — | 0 |
| 34000869 | Femoral Atherectomy | $94,793 | — | — | — | 0 |
| 34000943 | Additional Vessel Atherectomy | $94,793 | — | — | — | 0 |
| 34000828 | Iliac Stent with or w/o PTA | $94,793 | — | — | — | 0 |
| 34000679 | Add Vessel W/Des Grafts | $92,812 | — | — | — | 0 |
| 34936542 | Complete EPS w/ VT ablation+3D | $92,690 | — | — | — | 0 |
| 34000463 | Cath RT/LT Cath, LT Vent, BYPS | $91,753 | — | — | — | 0 |
| 34595066 | Icd Generation Dual Chamber | $91,495 | — | — | — | 0 |
Showing top 50 of 34,174 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.