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
13,352
Insurances with rates
2
CPT / HCPCS codes
9,532
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J7174 | fitusiran 50 mg/0.5 mL Pen injector 0.5 mL SYRINGE | $426,101 | $221,573 | — | — | 3 |
| A9513 | lutetium Lu 177 dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each VIAL | $193,133 | $100,429 | — | — | 3 |
| A9543 | YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI | $182,231 | $94,760 | — | — | 3 |
| A9607 | "lutetium Lu-177 vipivotide tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each VIAL" | $147,409 | $76,653 | — | — | 3 |
| 90288 | botulism immune globulin (human) 100 mg Recon soln 1 Each VIAL | $137,525 | $71,513 | — | — | 3 |
| 187001050 | sodium benzoate-sod phenylacet 10-10 % Soln 50 mL VIAL | $131,508 | $68,384 | — | — | 3 |
| C9293 | "glucarpidase 1,000 unit Recon soln 1 Each VIAL" | $124,516 | $64,748 | — | — | 3 |
| 64582 | OPEN IMPLTJ HPGLSL NRV NSTIM RA PG&RESPIR SENSOR | $105,410 | $54,813 | — | — | 3 |
| 187552560 | Bexarotene 1 % Gel 60 g TUBE | $83,983 | $43,671 | — | — | 3 |
| 33270 | INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD | $81,380 | $42,318 | — | — | 3 |
| 0620T | ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN | $76,790 | $39,931 | — | — | 3 |
| 33289 | TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR | $72,800 | $37,856 | — | — | 3 |
| 0571T | INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE | $72,760 | $37,835 | — | — | 3 |
| 187000714 | ribavirin 6 gram Recon soln 4 Each VIAL | $71,893 | $37,385 | — | — | 3 |
| 0645T | TCAT IMPLANTATION CORONARY SINUS REDUCTION DEV | $71,827 | $37,350 | — | — | 3 |
| 33231 | INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS | $70,350 | $36,582 | — | — | 3 |
| C9758 | BI PROC NYHA CL III/IV HF;TRNSCATH IMPL IAS/PC | $70,220 | $36,514 | — | — | 3 |
| 173091301 | belantamab mafodotin-blmf 70 mg Recon soln 1 Each VIAL | $69,165 | $35,966 | — | — | 0 |
| 33262 | RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD | $68,390 | $35,563 | — | — | 3 |
| 33263 | RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD | $66,050 | $34,346 | — | — | 3 |
| 33264 | RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD | $64,360 | $33,467 | — | — | 3 |
| 33230 | INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS | $63,990 | $33,275 | — | — | 3 |
| 0686T | HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN | $63,950 | $33,254 | — | — | 3 |
| C9760 | NONRND NONBLINDED PROC NYHA CLASS II III IV HF; | $63,130 | $32,828 | — | — | 3 |
| C9773 | REVASC LITHOTR-STENT TIB/PER | $61,430 | $31,944 | — | — | 3 |
| C9774 | REVASC LITHOTR-ATHER TIB/PER | $61,430 | $31,944 | — | — | 3 |
| C9775 | REVASC LITH-STEN-ATH TIB/PER | $61,430 | $31,944 | — | — | 3 |
| 0680T | INSJ/RPLCMT PULSE GENERATOR ONLY ISDSS | $59,530 | $30,956 | — | — | 3 |
| 33240 | INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD | $58,510 | $30,425 | — | — | 3 |
| L8686 | GENERATOR NEUROSTIMULATOR DUO 1000 SENTIVA | $56,573 | $29,418 | — | — | 0 |
| J9999 | dinutuximab 3.5 mg/mL Soln 5 mL VIAL | $54,901 | $28,549 | — | — | 3 |
| 33902 | PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL | $53,910 | $28,033 | — | — | 3 |
| 36836 | PERQ AV FISTULA CREATION UXTR SINGLE ACCESS | $53,910 | $28,033 | — | — | 3 |
| 36837 | PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES | $53,910 | $28,033 | — | — | 3 |
| 93654 | COMPRE EP EVAL ABLTJ 3D MAPG TX VT | $53,420 | $27,778 | — | — | 3 |
| 64628 | THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC | $44,150 | $22,958 | — | — | 3 |
| 69716 | IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP<100 | $44,150 | $22,958 | — | — | 3 |
| 69719 | RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP<100 | $44,150 | $22,958 | — | — | 3 |
| 0629T | PERQ NJX ALGC CELL&/PRDCT UNI/BI CT LMBR 1ST | $43,710 | $22,729 | — | — | 3 |
| 33249 | INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR | $43,100 | $22,412 | — | — | 3 |
| C1822 | SYSTEM SPINAL CORD STIMULATION SENZA OMINA | $41,250 | $21,450 | — | — | 0 |
| 36906 | PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT | $41,180 | $21,414 | — | — | 3 |
| 53451 | PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ | $41,130 | $21,388 | — | — | 3 |
| J0738 | lenacapavir (PrEP) 309 mg/mL Soln 1.5 mL VIAL | $40,639 | $21,132 | — | — | 3 |
| 64583 | REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG&RESPIR SNR | $40,260 | $20,935 | — | — | 3 |
| 33274 | TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG | $39,390 | $20,483 | — | — | 3 |
| 22856 | TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV | $39,350 | $20,462 | — | — | 3 |
| 62360 | IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR | $38,760 | $20,155 | — | — | 3 |
| C9772 | REVASC LITHOTRIP TIBI/PERONE | $38,410 | $19,973 | — | — | 3 |
| C1882 | DEVICE INSYNC MARQUIS CRT - | $37,875 | $19,695 | — | — | 0 |
Showing top 50 of 13,352 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.