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
24,448
Insurances with rates
22
CPT / HCPCS codes
14,861
Source MRF
Most expensive procedures (gross)
C9399
$1,168,960
CAR-T Cell Therapy
Gross
$1,798,400
Q2054
$1,165,996
WP RADIOPHARM, DRUG AND VACCINE FEE SCHEDULE
Gross
$1,793,840
Q2054
$1,165,996
Cellular Immunotherapy Hospital Services
Gross
$1,793,840
Q2055
$1,159,327
WP RADIOPHARM, DRUG AND VACCINE FEE SCHEDULE
Gross
$1,783,580
Q2055
$1,159,327
HB IDECABTAGENE VICLEUCEL CAR+ VIABLE T CELLS
Gross
$1,783,580
Q2056
$1,145,599
WP RADIOPHARM, DRUG AND VACCINE FEE SCHEDULE
Gross
$1,762,460
891
$1,125,329
Special Processed Drugs -áFDAáApproved Cell Therapy (Effective 4/1/19)
Gross
$1,731,275
018
$1,125,329
CAR-T - Pharmaceutical Carve Out YESCARTA and/or TECARTUS, and other cell therapies
Gross
$1,731,275
891
$1,125,329
High Cost Drugs
Gross
$1,731,275
Q2041
$1,105,059
WP RADIOPHARM, DRUG AND VACCINE FEE SCHEDULE
Gross
$1,700,090
Q2041
$1,105,059
Cellular Immunotherapy Hospital Services
Gross
$1,700,090
Q2041
$1,105,059
HB AXICABTAGENE CILOLEUCEL CAR+ VIABLE T CELLS
Gross
$1,700,090
Q2053
$1,013,812
WP RADIOPHARM, DRUG AND VACCINE FEE SCHEDULE
Gross
$1,559,710
Q2053
$1,013,812
Cellular Immunotherapy Hospital Services
Gross
$1,559,710
Q2053
$1,013,812
HB BREXUCABTAGENE AUTOLEUCEL CAR+ VIABLE T CELLS
Gross
$1,559,710
490
$1,002,710
Outpatient Surgical Group 0
Gross
$1,542,630
Q2042
$1,002,710
Tisagenlecleucel car-pos t
Gross
$1,542,630
Q2042
$1,002,710
Cellular Immunotherapy Hospital Services
Gross
$1,542,630
Q2042
$1,002,710
HB TISAGENLECLEUCEL CAR+ VIABLE T CELLS
Gross
$1,542,630
2781862
$543,384
HB HEARTMATE III IMPLANT KIT
Gross
$835,976
8120004
$524,433
HB ORGAN ACQ LUNG BILA DEC DNR
Gross
$806,820
8120005
$524,433
HB ORGAN ACQ SNGL LUNG DEC DNR
Gross
$806,820
812
$431,804
Cadaver donor
Gross
$664,314
812
$431,804
Cadaveric Organ Acquisition Costs. NMDP Donor Search - includes transportation cost
Gross
$664,314
8120003
$431,804
HB ORGAN ACQ HEART DEC DONOR
Gross
$664,314
8120002
$337,404
HB ORGAN ACQ LIVER DEC DONOR
Gross
$519,083
811
$316,517
Cadaveric Organ Acquisition Costs. NMDP Donor Search - includes transportation cost
Gross
$486,949
811
$316,517
Living Donor Outpatient Solid Organ Acquisition and Related Donor Costs
Gross
$486,949
8120006
$297,950
HB ORGAN ACQ KIDNEY DEC DONOR
Gross
$458,384
8110002
$297,950
HB ORGAN ACQ KIDNEY LIVE DONOR
Gross
$458,384
2782042
$260,348
HB PULMONARY VALVE, SAPIEN 3
Gross
$400,535
2782042
$260,348
HB PULMONARY VALVE, SAPIEN 3
Gross
$400,535
6240131
$247,423
HB VALVE, APOLLO MVR (G160020)
Gross
$380,650
8120007
$238,512
HB ORGAN ACQ PANCREAS
Gross
$366,942
2782428
$230,042
HB STENT GRAFT AORTIC
Gross
$353,910
2781919
$228,329
HB CATHETER, IMPELLA
Gross
$351,275
2782345
$225,064
HB VALVE, AORTIC RESILIA
Gross
$346,252
2782015
$218,446
HB HARMONY TPV 25 PULMONARY VALVE
Gross
$336,071
6240166
$216,866
HB TRISCEND II TRICUSPID VALVE (G190289)
Gross
$333,640
2781353
$215,976
HB SAPIEN AORTIC VALVE 23/26MM
Gross
$332,270
2781353
$215,976
HB SAPIEN AORTIC VALVE 23/26MM
Gross
$332,270
2782346
$208,140
HB VALVE, PASCAL MITRAL CLASP
Gross
$320,215
6240114
$205,173
HB VALVE, SAPIEN M3 SYS ENCIRCLE (G170152)
Gross
$315,650
2781470
$203,623
HB MITRAL CLIP IMPLANT
Gross
$313,266
2781575
$203,623
HB VALVE AORTIC EVOLUTR
Gross
$313,266
6240133
$192,628
HB JENA VALVE (G150035)
Gross
$296,350
6240132
$192,628
HB VALVE, CENTERA STUDY (G180045)
Gross
$296,350
6240172
$182,975
HB VALVE, SAPIEN 4 (G210327)
Gross
$281,500
6240152
$181,610
HB TRI-CLIP TVR SYS (G170118)
Gross
$279,400
6240165
$181,610
HB SAPIEN AORTIC VALVE (G210075)
Gross
$279,400
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C9399 | CAR-T Cell Therapy | $1,798,400 | $1,168,960 | — | — | 1 |
| Q2054 | WP RADIOPHARM, DRUG AND VACCINE FEE SCHEDULE | $1,793,840 | $1,165,996 | $150,960 | $1,167,632 | 1 |
| Q2054 | Cellular Immunotherapy Hospital Services | $1,793,840 | $1,165,996 | $150,960 | $1,167,632 | 1 |
| Q2055 | WP RADIOPHARM, DRUG AND VACCINE FEE SCHEDULE | $1,783,580 | $1,159,327 | $741,569 | $1,193,813 | 1 |
| Q2055 | HB IDECABTAGENE VICLEUCEL CAR+ VIABLE T CELLS | $1,783,580 | $1,159,327 | — | — | 1 |
| Q2056 | WP RADIOPHARM, DRUG AND VACCINE FEE SCHEDULE | $1,762,460 | $1,145,599 | $822,001 | $1,323,297 | 1 |
| 891 | Special Processed Drugs -áFDAáApproved Cell Therapy (Effective 4/1/19) | $1,731,275 | $1,125,329 | — | — | 1 |
| 018 | CAR-T - Pharmaceutical Carve Out YESCARTA and/or TECARTUS, and other cell therapies | $1,731,275 | $1,125,329 | — | — | 1 |
| 891 | High Cost Drugs | $1,731,275 | $1,125,329 | — | — | 1 |
| Q2041 | WP RADIOPHARM, DRUG AND VACCINE FEE SCHEDULE | $1,700,090 | $1,105,059 | $150,960 | $1,346,307 | 1 |
| Q2041 | Cellular Immunotherapy Hospital Services | $1,700,090 | $1,105,059 | $150,960 | $1,346,307 | 1 |
| Q2041 | HB AXICABTAGENE CILOLEUCEL CAR+ VIABLE T CELLS | $1,700,090 | $1,105,059 | $13,270 | $14,761 | 1 |
| Q2053 | WP RADIOPHARM, DRUG AND VACCINE FEE SCHEDULE | $1,559,710 | $1,013,812 | $150,960 | $1,061,483 | 1 |
| Q2053 | Cellular Immunotherapy Hospital Services | $1,559,710 | $1,013,812 | $150,960 | $1,061,483 | 1 |
| Q2053 | HB BREXUCABTAGENE AUTOLEUCEL CAR+ VIABLE T CELLS | $1,559,710 | $1,013,812 | — | — | 1 |
| 490 | Outpatient Surgical Group 0 | $1,542,630 | $1,002,710 | $2,807 | $4,167 | 1 |
| Q2042 | Tisagenlecleucel car-pos t | $1,542,630 | $1,002,710 | — | — | 1 |
| Q2042 | Cellular Immunotherapy Hospital Services | $1,542,630 | $1,002,710 | $150,960 | $1,455,609 | 1 |
| Q2042 | HB TISAGENLECLEUCEL CAR+ VIABLE T CELLS | $1,542,630 | $1,002,710 | $13,270 | $14,761 | 1 |
| 2781862 | HB HEARTMATE III IMPLANT KIT | $835,976 | $543,384 | — | — | 1 |
| 8120004 | HB ORGAN ACQ LUNG BILA DEC DNR | $806,820 | $524,433 | — | — | 1 |
| 8120005 | HB ORGAN ACQ SNGL LUNG DEC DNR | $806,820 | $524,433 | — | — | 1 |
| 812 | Cadaver donor | $664,314 | $431,804 | — | — | 1 |
| 812 | Cadaveric Organ Acquisition Costs. NMDP Donor Search - includes transportation cost | $664,314 | $431,804 | — | — | 1 |
| 8120003 | HB ORGAN ACQ HEART DEC DONOR | $664,314 | $431,804 | $13,270 | $14,761 | 1 |
| 8120002 | HB ORGAN ACQ LIVER DEC DONOR | $519,083 | $337,404 | — | — | 1 |
| 811 | Cadaveric Organ Acquisition Costs. NMDP Donor Search - includes transportation cost | $486,949 | $316,517 | — | — | 1 |
| 811 | Living Donor Outpatient Solid Organ Acquisition and Related Donor Costs | $486,949 | $316,517 | — | — | 1 |
| 8120006 | HB ORGAN ACQ KIDNEY DEC DONOR | $458,384 | $297,950 | $13,270 | $14,761 | 1 |
| 8110002 | HB ORGAN ACQ KIDNEY LIVE DONOR | $458,384 | $297,950 | — | — | 1 |
| 2782042 | HB PULMONARY VALVE, SAPIEN 3 | $400,535 | $260,348 | — | — | 1 |
| 2782042 | HB PULMONARY VALVE, SAPIEN 3 | $400,535 | $260,348 | — | — | 1 |
| 6240131 | HB VALVE, APOLLO MVR (G160020) | $380,650 | $247,423 | $13,270 | $14,761 | 1 |
| 8120007 | HB ORGAN ACQ PANCREAS | $366,942 | $238,512 | — | — | 1 |
| 2782428 | HB STENT GRAFT AORTIC | $353,910 | $230,042 | — | — | 1 |
| 2781919 | HB CATHETER, IMPELLA | $351,275 | $228,329 | — | — | 1 |
| 2782345 | HB VALVE, AORTIC RESILIA | $346,252 | $225,064 | — | — | 1 |
| 2782015 | HB HARMONY TPV 25 PULMONARY VALVE | $336,071 | $218,446 | — | — | 1 |
| 6240166 | HB TRISCEND II TRICUSPID VALVE (G190289) | $333,640 | $216,866 | — | — | 1 |
| 2781353 | HB SAPIEN AORTIC VALVE 23/26MM | $332,270 | $215,976 | — | — | 1 |
| 2781353 | HB SAPIEN AORTIC VALVE 23/26MM | $332,270 | $215,976 | — | — | 1 |
| 2782346 | HB VALVE, PASCAL MITRAL CLASP | $320,215 | $208,140 | — | — | 1 |
| 6240114 | HB VALVE, SAPIEN M3 SYS ENCIRCLE (G170152) | $315,650 | $205,173 | — | — | 1 |
| 2781470 | HB MITRAL CLIP IMPLANT | $313,266 | $203,623 | — | — | 1 |
| 2781575 | HB VALVE AORTIC EVOLUTR | $313,266 | $203,623 | — | — | 1 |
| 6240133 | HB JENA VALVE (G150035) | $296,350 | $192,628 | — | — | 1 |
| 6240132 | HB VALVE, CENTERA STUDY (G180045) | $296,350 | $192,628 | — | — | 1 |
| 6240172 | HB VALVE, SAPIEN 4 (G210327) | $281,500 | $182,975 | — | — | 1 |
| 6240152 | HB TRI-CLIP TVR SYS (G170118) | $279,400 | $181,610 | — | — | 1 |
| 6240165 | HB SAPIEN AORTIC VALVE (G210075) | $279,400 | $181,610 | $13,270 | $14,761 | 1 |
Showing top 50 of 24,448 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.