45 CFR § 180 compliance
F · 50
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
35,258
Insurances with rates
10
CPT / HCPCS codes
13,263
Source MRF
Most expensive procedures (gross)
9722402
$300,817
ATGAM 50 MG/ML IV SOLN
Gross
$300,817
HC62809041
$216,666
GENRTR PULSE OPTIMIZER SMART MINI IPG G200042
Gross
$216,666
6508301
$156,408
KEYTRUDA QLEX 790 MG-9,600 UNIT/4.8 ML SUBCUTANEOUS SOLN
Gross
$156,408
HC62229448
$126,000
DELIVERY SYSTEM W/TRICLIP G4
Gross
$126,000
24338005008
$125,945
GLIADEL WAFER 7.7 MG IMPL WAFR
Gross
$125,945
HC62809223
$122,500
GENERATOR NEUROSTIM SYSTEM BAROSTIM
Gross
$122,500
HC62809413
$119,700
STENT CORO BARE METAL W/DEL AE
Gross
$119,700
68382039601
$117,030
SODIUM BENZOATE-SOD PHENYLACET 10-10 % IV SOLN
Gross
$117,030
99988000042
$116,968
NM SIR-SPHERES Y-90 RESIN MICROSPHERES
Gross
$116,968
HC62809058
$112,000
STENT ENDOPRSTH THOR BRANCH TBE(TAG®GORE®) I
Gross
$112,000
HC62809231
$110,250
GENERATOR NEUROSTIM ONLY BAROSTIM
Gross
$110,250
HC62808514
$104,998
DELIVERY SYSTEM W/MITRACLIP(S)
Gross
$104,998
HC62809439
$96,250
STENT ENDOPRSTH TBE(GORE®) AORTIC COMPONENT
Gross
$96,250
HC62809132
$93,625
PACEMAKER LEADLESS DUAL CHMBR AVEIR DR
Gross
$93,625
HC44502946
$90,560
REVAS FEMPOP TLA&STENT&ATHER-B
Gross
$90,560
67979000201
$89,931
SUPPRELIN LA 50 MG (65 MCG/DAY) IMPL KIT
Gross
$89,931
HC62809363
$87,500
GRAFT TRANSMURAL TRANSVENOUS BYPASS W/ DETOUR SYSTEM
Gross
$87,500
HC62809199
$84,000
G230034 STENT GRAFT ASCENDING AORTA ASG(GORE®)
Gross
$84,000
HC62809421
$84,000
G250008 STENT GRAFT ASCENDING AORTA ASG(GORE®)
Gross
$84,000
HC62806963
$80,324
SENSOR PULMONARY ARTERY PRESS IMPL WIRELESS SYS
Gross
$80,324
HC62809330
$80,324
SENSOR PULMONARY ARTERY PRESS IMPL WIRELESS SYS CARDIOMEMS
Gross
$80,324
6308301
$78,204
KEYTRUDA QLEX 395 MG-4,800 UNIT/2.4 ML SUBCUTANEOUS SOLN
Gross
$78,204
HC44503290
$76,960
ATHER'TRLUML ILIAC EAVES W/S&I-B
Gross
$76,960
HC44503068
$73,067
REVAS TIB/PERO TLA&STNT&ATHR-B
Gross
$73,067
HC44501005
$71,365
INSERTION-TIPS
Gross
$71,365
HC44505717
$70,560
REVAS FEMPOP TLA&STENT&ATHER SF INITL VES-BI
Gross
$70,560
HC44505774
$70,560
REVAS FEMPOP TLA&STENT&ATHER COMPLEX INTL VES-BI
Gross
$70,560
HC44506202
$70,560
REVAS TIB/PER TLA&STNT&ATHR SF INITL VES-BI
Gross
$70,560
HC44506269
$70,560
REVAS TIB/PER TLA&STNT&ATHR COMPLEX INTL VES-BI
Gross
$70,560
50633012011
$70,284
DIGIFAB 40 MG IV SOLR
Gross
$70,284
HC62226915
$69,999
KIT ABALATION (MAZE)
Gross
$69,999
HC62808886
$69,194
STENT THORACIC SG AC CONFORM(TAG®GORE®)
Gross
$69,194
HC62809066
$67,900
DEVICE OCCLUDE AMPLATZER
Gross
$67,900
HC44503266
$66,951
ATHER'TRLUML BRACH EAVES W/S&I-B
Gross
$66,951
HC62807417
$66,499
STENT ENDOPRSTH TAA AF
Gross
$66,499
HC44503217
$66,266
ATHER' TRLUML RENAL ART&S&I-BI
Gross
$66,266
HC44702835
$66,126
COMP EP EVAL W/INDUC&ABLAT 3D MAP ECHO S&I PVI AFIB
Gross
$66,126
HC44502888
$65,257
REVASC FEM POP W/TLA&ATHER-BI
Gross
$65,257
67457084450
$65,030
SODIUM BENZOATE-SOD PHENYLACET 10-10 % IV SOLN
Gross
$65,030
HC44703056
$63,797
TAVR/TAVI W/ PROSTH; TRANSAPICAL EXP (LT THORAC)
Gross
$63,797
HC44504611
$63,767
THROMBECT MECH PERC&/THROMBOLYSIS INF CRANI BI
Gross
$63,767
HC44703809
$63,503
EV REPAIR STENT PLACE COARCT AORTA ACROSS MAJOR SIDE BRANCHES
Gross
$63,503
HC44703171
$63,315
OPEN REPAIR INFRARENAL AAA; FAILED ENDOGRAFT; AORTO-BI-ILIAC PRO
Gross
$63,315
HC44703189
$63,315
OPEN REPAIR INFRARENAL AAA; FAILED ENDOGRAFT; AORTO-BIFEM PRO
Gross
$63,315
HC62806849
$62,999
STENT ENDOPRSTH TAA AE
Gross
$62,999
HC44703163
$62,779
OPEN REPAIR INFRARENAL AAA; FAILED ENDOGRAFT; TUBE PRO
Gross
$62,779
HC44703106
$62,681
TEVAR W/ LT SUBCLAV; INITIAL ENDO& DIST EXTS CELIAC
Gross
$62,681
HC44702934
$62,264
REPAIR VISC AORTA FEVAR(PROX&DIST);4 PROSTH
Gross
$62,264
66302001401
$62,009
UNITUXIN 3.5 MG/ML IV SOLN
Gross
$62,009
HC44502912
$61,689
REVASC FEM POP W/TLA&STENT-BI
Gross
$61,689
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 9722402 | ATGAM 50 MG/ML IV SOLN | $300,817 | $300,817 | — | — | 0 |
| HC62809041 | GENRTR PULSE OPTIMIZER SMART MINI IPG G200042 | $216,666 | $216,666 | — | — | 0 |
| 6508301 | KEYTRUDA QLEX 790 MG-9,600 UNIT/4.8 ML SUBCUTANEOUS SOLN | $156,408 | $156,408 | — | — | 0 |
| HC62229448 | DELIVERY SYSTEM W/TRICLIP G4 | $126,000 | $126,000 | — | — | 0 |
| 24338005008 | GLIADEL WAFER 7.7 MG IMPL WAFR | $125,945 | $125,945 | — | — | 0 |
| HC62809223 | GENERATOR NEUROSTIM SYSTEM BAROSTIM | $122,500 | $122,500 | — | — | 0 |
| HC62809413 | STENT CORO BARE METAL W/DEL AE | $119,700 | $119,700 | — | — | 0 |
| 68382039601 | SODIUM BENZOATE-SOD PHENYLACET 10-10 % IV SOLN | $117,030 | $117,030 | — | — | 0 |
| 99988000042 | NM SIR-SPHERES Y-90 RESIN MICROSPHERES | $116,968 | $116,968 | — | — | 0 |
| HC62809058 | STENT ENDOPRSTH THOR BRANCH TBE(TAG®GORE®) I | $112,000 | $112,000 | — | — | 0 |
| HC62809231 | GENERATOR NEUROSTIM ONLY BAROSTIM | $110,250 | $110,250 | — | — | 0 |
| HC62808514 | DELIVERY SYSTEM W/MITRACLIP(S) | $104,998 | $104,998 | — | — | 0 |
| HC62809439 | STENT ENDOPRSTH TBE(GORE®) AORTIC COMPONENT | $96,250 | $96,250 | — | — | 0 |
| HC62809132 | PACEMAKER LEADLESS DUAL CHMBR AVEIR DR | $93,625 | $93,625 | — | — | 0 |
| HC44502946 | REVAS FEMPOP TLA&STENT&ATHER-B | $90,560 | $90,560 | — | — | 0 |
| 67979000201 | SUPPRELIN LA 50 MG (65 MCG/DAY) IMPL KIT | $89,931 | $89,931 | — | — | 0 |
| HC62809363 | GRAFT TRANSMURAL TRANSVENOUS BYPASS W/ DETOUR SYSTEM | $87,500 | $87,500 | — | — | 0 |
| HC62809199 | G230034 STENT GRAFT ASCENDING AORTA ASG(GORE®) | $84,000 | $84,000 | — | — | 0 |
| HC62809421 | G250008 STENT GRAFT ASCENDING AORTA ASG(GORE®) | $84,000 | $84,000 | — | — | 0 |
| HC62806963 | SENSOR PULMONARY ARTERY PRESS IMPL WIRELESS SYS | $80,324 | $80,324 | — | — | 0 |
| HC62809330 | SENSOR PULMONARY ARTERY PRESS IMPL WIRELESS SYS CARDIOMEMS | $80,324 | $80,324 | — | — | 0 |
| 6308301 | KEYTRUDA QLEX 395 MG-4,800 UNIT/2.4 ML SUBCUTANEOUS SOLN | $78,204 | $78,204 | — | — | 0 |
| HC44503290 | ATHER'TRLUML ILIAC EAVES W/S&I-B | $76,960 | $76,960 | — | — | 0 |
| HC44503068 | REVAS TIB/PERO TLA&STNT&ATHR-B | $73,067 | $73,067 | — | — | 0 |
| HC44501005 | INSERTION-TIPS | $71,365 | $71,365 | — | — | 0 |
| HC44505717 | REVAS FEMPOP TLA&STENT&ATHER SF INITL VES-BI | $70,560 | $70,560 | — | — | 0 |
| HC44505774 | REVAS FEMPOP TLA&STENT&ATHER COMPLEX INTL VES-BI | $70,560 | $70,560 | — | — | 0 |
| HC44506202 | REVAS TIB/PER TLA&STNT&ATHR SF INITL VES-BI | $70,560 | $70,560 | — | — | 0 |
| HC44506269 | REVAS TIB/PER TLA&STNT&ATHR COMPLEX INTL VES-BI | $70,560 | $70,560 | — | — | 0 |
| 50633012011 | DIGIFAB 40 MG IV SOLR | $70,284 | $70,284 | — | — | 0 |
| HC62226915 | KIT ABALATION (MAZE) | $69,999 | $69,999 | — | — | 0 |
| HC62808886 | STENT THORACIC SG AC CONFORM(TAG®GORE®) | $69,194 | $69,194 | — | — | 0 |
| HC62809066 | DEVICE OCCLUDE AMPLATZER | $67,900 | $67,900 | — | — | 0 |
| HC44503266 | ATHER'TRLUML BRACH EAVES W/S&I-B | $66,951 | $66,951 | — | — | 0 |
| HC62807417 | STENT ENDOPRSTH TAA AF | $66,499 | $66,499 | — | — | 0 |
| HC44503217 | ATHER' TRLUML RENAL ART&S&I-BI | $66,266 | $66,266 | — | — | 0 |
| HC44702835 | COMP EP EVAL W/INDUC&ABLAT 3D MAP ECHO S&I PVI AFIB | $66,126 | $66,126 | — | — | 0 |
| HC44502888 | REVASC FEM POP W/TLA&ATHER-BI | $65,257 | $65,257 | — | — | 0 |
| 67457084450 | SODIUM BENZOATE-SOD PHENYLACET 10-10 % IV SOLN | $65,030 | $65,030 | — | — | 0 |
| HC44703056 | TAVR/TAVI W/ PROSTH; TRANSAPICAL EXP (LT THORAC) | $63,797 | $63,797 | — | — | 0 |
| HC44504611 | THROMBECT MECH PERC&/THROMBOLYSIS INF CRANI BI | $63,767 | $63,767 | — | — | 0 |
| HC44703809 | EV REPAIR STENT PLACE COARCT AORTA ACROSS MAJOR SIDE BRANCHES | $63,503 | $63,503 | — | — | 0 |
| HC44703171 | OPEN REPAIR INFRARENAL AAA; FAILED ENDOGRAFT; AORTO-BI-ILIAC PRO | $63,315 | $63,315 | — | — | 0 |
| HC44703189 | OPEN REPAIR INFRARENAL AAA; FAILED ENDOGRAFT; AORTO-BIFEM PRO | $63,315 | $63,315 | — | — | 0 |
| HC62806849 | STENT ENDOPRSTH TAA AE | $62,999 | $62,999 | — | — | 0 |
| HC44703163 | OPEN REPAIR INFRARENAL AAA; FAILED ENDOGRAFT; TUBE PRO | $62,779 | $62,779 | — | — | 0 |
| HC44703106 | TEVAR W/ LT SUBCLAV; INITIAL ENDO& DIST EXTS CELIAC | $62,681 | $62,681 | — | — | 0 |
| HC44702934 | REPAIR VISC AORTA FEVAR(PROX&DIST);4 PROSTH | $62,264 | $62,264 | — | — | 0 |
| 66302001401 | UNITUXIN 3.5 MG/ML IV SOLN | $62,009 | $62,009 | — | — | 0 |
| HC44502912 | REVASC FEM POP W/TLA&STENT-BI | $61,689 | $61,689 | — | — | 0 |
Showing top 50 of 35,258 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.