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
9,699
Insurances with rates
8
CPT / HCPCS codes
8,214
Source MRF
Most expensive procedures (gross)
L8682
$140,000
IMP FREEDOM 8A STIM/RECEIV KIT
Gross
$140,000
A9543
$130,422
Y90 IBRITUMOMAB, RX PER TX DOSE
Gross
$130,422
C1722
$128,783
ICD-VR VISIA MRI AF US DF 4
Gross
$128,783
C1722
$121,667
INTICA 7 VR-T CX DF-1 PROMRI
Gross
$121,667
C1721
$114,210
IMP COVALT VR MRI EMEM DEFIB
Gross
$114,210
Q4130
$112,474
STRATTICE FIRM 20CM X 25CM
Gross
$112,474
C1820
$106,680
IMP NEUROSTIMULATOR SURESCAN
Gross
$106,680
C1721
$72,141
LUMAX 740 HF-T W GSM HM
Gross
$72,141
C1785
$59,784
EVIA DR-T SYS W/GSM HM
Gross
$59,784
C1786
$53,900
PACEMAKER MRI ASSURITY
Gross
$53,900
Q4116
$47,209
ALLODERM
Gross
$47,209
C2617
$45,092
STENT SYSTEM
Gross
$45,092
C1785
$43,420
ELUNA 8DR-T ProMRI
Gross
$43,420
36906
$42,666
AV SHUNT/FISTULA THROMBEC & PTA & STENT
Gross
$42,666
Q4139
$42,377
ALLOGRAFT AMNIOMATRIX
Gross
$42,377
C1764
$40,772
SYSTEM/LLOP RECORDER
Gross
$40,772
C1714
$39,121
CROSSER CATHETER
Gross
$39,121
C1714
$35,121
CATHETER CROSSER
Gross
$35,121
C1604
$35,000
STENT GRAFT SYSTEM TORUS TSG-6 7X150
Gross
$35,000
36254
$33,995
ANGIO RENAL BIL SELECT 2ND ORDER
Gross
$33,995
Q4107
$33,368
GRAFT JACKET 4x8CM
Gross
$33,368
C1786
$33,125
ADVISA SR MRI IPG
Gross
$33,125
C1874
$32,200
ELUVIA US, 6X150, 130 CM STENT
Gross
$32,200
C1779
$30,709
IMP LEAD PACE 6935M62 ACTIVE SPRINT
Gross
$30,709
C1777
$29,908
LEAD S DX 65/17
Gross
$29,908
Q4100
$28,423
ALLOGRAFT BIODFACTOR
Gross
$28,423
36905
$28,148
AV SHUNT/FISTULA THROMBECTOMY W. PTA
Gross
$28,148
C1777
$27,951
LEAD DX 65/15
Gross
$27,951
C1895
$27,636
LEAD DF4 ACTIVE DC SPRINT 62 CM
Gross
$27,636
A9604
$27,351
SM 153 LEXIDRONAM TX P/STUDY DOSE
Gross
$27,351
C1724
$27,265
IMP CATH DIAMONDBACK 360 EXCH SERIES
Gross
$27,265
C9363
$26,996
WOUND MATRIX BILAYER 2" X 2"
Gross
$26,996
37227
$26,864
PTA W STENT ATHEREC- FEM,POPL ART-S,UNI
Gross
$26,864
27509
$26,490
FEM D/M/L COND FX PIN BI
Gross
$26,490
C1768
$25,795
PROPATER RINGED 6x80
Gross
$25,795
47540
$25,448
PLACEMENT OF BILIARY STENT W-EXT DRAIN
Gross
$25,448
37244
$25,137
VASC EMBOLIZE OCCLUDE BLEEDING
Gross
$25,137
C1895
$25,047
SHOCK LEAD VOLTA 2CT 65/18 VENT
Gross
$25,047
C1604
$25,000
TORUS STENT GRAFT SYSTEM
Gross
$25,000
47539
$24,466
PLACEMENT OF BILIARY STENT, NEW ACCESS
Gross
$24,466
Q4150
$23,728
ALLOWRAPS 4X4CM
Gross
$23,728
37191
$23,452
INSERTION OF IVC FILTER
Gross
$23,452
C1763
$23,361
DURAGEN PLUS 4x5
Gross
$23,361
36253
$22,663
ANGIO RENAL UNI SELECT 2ND ORDER
Gross
$22,663
75605
$22,663
AORTOGRAPHY THORACIC SERIALOGRAPHY
Gross
$22,663
27650
$22,402
REPAIR ACHILLES TENDON
Gross
$22,402
C1817
$21,819
ABDOMINAL OCCLUDER
Gross
$21,819
C1776
$21,412
BIOMET CC CRUCIATE TRAY 75MM
Gross
$21,412
26676
$20,831
PIN HAND DISLOCATION RT
Gross
$20,831
26706
$20,831
KNUCKLE DSLCTN W/MNPLTN W/SKLTL FXTN BIL
Gross
$20,831
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| L8682 | IMP FREEDOM 8A STIM/RECEIV KIT | $140,000 | $140,000 | — | — | 8 |
| A9543 | Y90 IBRITUMOMAB, RX PER TX DOSE | $130,422 | $130,422 | — | — | 9 |
| C1722 | ICD-VR VISIA MRI AF US DF 4 | $128,783 | $128,783 | — | — | 3 |
| C1722 | INTICA 7 VR-T CX DF-1 PROMRI | $121,667 | $121,667 | — | — | 7 |
| C1721 | IMP COVALT VR MRI EMEM DEFIB | $114,210 | $114,210 | — | — | 7 |
| Q4130 | STRATTICE FIRM 20CM X 25CM | $112,474 | $112,474 | — | — | 3 |
| C1820 | IMP NEUROSTIMULATOR SURESCAN | $106,680 | $106,680 | — | — | 3 |
| C1721 | LUMAX 740 HF-T W GSM HM | $72,141 | $72,141 | — | — | 3 |
| C1785 | EVIA DR-T SYS W/GSM HM | $59,784 | $59,784 | — | — | 3 |
| C1786 | PACEMAKER MRI ASSURITY | $53,900 | $53,900 | — | — | 7 |
| Q4116 | ALLODERM | $47,209 | $47,209 | — | — | 8 |
| C2617 | STENT SYSTEM | $45,092 | $45,092 | — | — | 11 |
| C1785 | ELUNA 8DR-T ProMRI | $43,420 | $43,420 | — | — | 7 |
| 36906 | AV SHUNT/FISTULA THROMBEC & PTA & STENT | $42,666 | $42,666 | — | — | 9 |
| Q4139 | ALLOGRAFT AMNIOMATRIX | $42,377 | $42,377 | — | — | 3 |
| C1764 | SYSTEM/LLOP RECORDER | $40,772 | $40,772 | — | — | 4 |
| C1714 | CROSSER CATHETER | $39,121 | $39,121 | — | — | 8 |
| C1714 | CATHETER CROSSER | $35,121 | $35,121 | — | — | 0 |
| C1604 | STENT GRAFT SYSTEM TORUS TSG-6 7X150 | $35,000 | $35,000 | — | — | 4 |
| 36254 | ANGIO RENAL BIL SELECT 2ND ORDER | $33,995 | $33,995 | — | — | 9 |
| Q4107 | GRAFT JACKET 4x8CM | $33,368 | $33,368 | — | — | 3 |
| C1786 | ADVISA SR MRI IPG | $33,125 | $33,125 | — | — | 3 |
| C1874 | ELUVIA US, 6X150, 130 CM STENT | $32,200 | $32,200 | — | — | 7 |
| C1779 | IMP LEAD PACE 6935M62 ACTIVE SPRINT | $30,709 | $30,709 | — | — | 3 |
| C1777 | LEAD S DX 65/17 | $29,908 | $29,908 | — | — | 3 |
| Q4100 | ALLOGRAFT BIODFACTOR | $28,423 | $28,423 | — | — | 3 |
| 36905 | AV SHUNT/FISTULA THROMBECTOMY W. PTA | $28,148 | $28,148 | — | — | 9 |
| C1777 | LEAD DX 65/15 | $27,951 | $27,951 | — | — | 7 |
| C1895 | LEAD DF4 ACTIVE DC SPRINT 62 CM | $27,636 | $27,636 | — | — | 7 |
| A9604 | SM 153 LEXIDRONAM TX P/STUDY DOSE | $27,351 | $27,351 | — | — | 9 |
| C1724 | IMP CATH DIAMONDBACK 360 EXCH SERIES | $27,265 | $27,265 | — | — | 3 |
| C9363 | WOUND MATRIX BILAYER 2" X 2" | $26,996 | $26,996 | — | — | 8 |
| 37227 | PTA W STENT ATHEREC- FEM,POPL ART-S,UNI | $26,864 | $26,864 | — | — | 9 |
| 27509 | FEM D/M/L COND FX PIN BI | $26,490 | $26,490 | — | — | 9 |
| C1768 | PROPATER RINGED 6x80 | $25,795 | $25,795 | — | — | 3 |
| 47540 | PLACEMENT OF BILIARY STENT W-EXT DRAIN | $25,448 | $25,448 | — | — | 9 |
| 37244 | VASC EMBOLIZE OCCLUDE BLEEDING | $25,137 | $25,137 | — | — | 0 |
| C1895 | SHOCK LEAD VOLTA 2CT 65/18 VENT | $25,047 | $25,047 | — | — | 3 |
| C1604 | TORUS STENT GRAFT SYSTEM | $25,000 | $25,000 | — | — | 3 |
| 47539 | PLACEMENT OF BILIARY STENT, NEW ACCESS | $24,466 | $24,466 | — | — | 0 |
| Q4150 | ALLOWRAPS 4X4CM | $23,728 | $23,728 | — | — | 7 |
| 37191 | INSERTION OF IVC FILTER | $23,452 | $23,452 | — | — | 9 |
| C1763 | DURAGEN PLUS 4x5 | $23,361 | $23,361 | — | — | 7 |
| 36253 | ANGIO RENAL UNI SELECT 2ND ORDER | $22,663 | $22,663 | — | — | 9 |
| 75605 | AORTOGRAPHY THORACIC SERIALOGRAPHY | $22,663 | $22,663 | — | — | 0 |
| 27650 | REPAIR ACHILLES TENDON | $22,402 | $22,402 | — | — | 9 |
| C1817 | ABDOMINAL OCCLUDER | $21,819 | $21,819 | — | — | 7 |
| C1776 | BIOMET CC CRUCIATE TRAY 75MM | $21,412 | $21,412 | — | — | 6 |
| 26676 | PIN HAND DISLOCATION RT | $20,831 | $20,831 | — | — | 9 |
| 26706 | KNUCKLE DSLCTN W/MNPLTN W/SKLTL FXTN BIL | $20,831 | $20,831 | — | — | 0 |
Showing top 50 of 9,699 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.