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
17,709
Insurances with rates
2
CPT / HCPCS codes
9,532
Source MRF
Most expensive procedures (gross)
J7174
$221,573
fitusiran 50 mg/0.5 mL Pen injector 0.5 mL SYRINGE
Gross
$426,101
A9513
$100,429
lutetium Lu 177 dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each VIAL
Gross
$193,133
A9543
$94,760
YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI
Gross
$182,231
A9607
$76,653
"lutetium Lu-177 vipivotide tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each VIAL"
Gross
$147,409
90288
$71,513
botulism immune globulin (human) 100 mg Recon soln 1 Each VIAL
Gross
$137,525
68875010201
$70,229
teduglutide 5 mg Kit 1 Each KIT
Gross
$135,056
187001050
$68,384
sodium benzoate-sod phenylacet 10-10 % Soln 50 mL VIAL
Gross
$131,508
C9293
$64,748
"glucarpidase 1,000 unit Recon soln 1 Each VIAL"
Gross
$124,516
64582
$54,813
OPEN IMPLTJ HPGLSL NRV NSTIM RA PG&RESPIR SENSOR
Gross
$105,410
187552560
$43,671
Bexarotene 1 % Gel 60 g TUBE
Gross
$83,983
33270
$42,318
INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD
Gross
$81,380
0620T
$39,931
ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN
Gross
$76,790
33289
$37,856
TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR
Gross
$72,800
0571T
$37,835
INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
Gross
$72,760
187000714
$37,385
ribavirin 6 gram Recon soln 4 Each VIAL
Gross
$71,893
0645T
$37,350
TCAT IMPLANTATION CORONARY SINUS REDUCTION DEV
Gross
$71,827
69468015230
$37,152
Uridine Triacetate 2 gram Granules pkt 30 Each PACKET
Gross
$71,446
33231
$36,582
INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS
Gross
$70,350
C9758
$36,514
BI PROC NYHA CL III/IV HF;TRNSCATH IMPL IAS/PC
Gross
$70,220
173091301
$35,966
belantamab mafodotin-blmf 70 mg Recon soln 1 Each VIAL
Gross
$69,165
33262
$35,563
RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD
Gross
$68,390
33263
$34,346
RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD
Gross
$66,050
33264
$33,467
RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD
Gross
$64,360
33230
$33,275
INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS
Gross
$63,990
0686T
$33,254
HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN
Gross
$63,950
C9760
$32,828
NONRND NONBLINDED PROC NYHA CLASS II III IV HF;
Gross
$63,130
C9773
$31,944
REVASC LITHOTR-STENT TIB/PER
Gross
$61,430
C9774
$31,944
REVASC LITHOTR-ATHER TIB/PER
Gross
$61,430
C9775
$31,944
REVASC LITH-STEN-ATH TIB/PER
Gross
$61,430
0680T
$30,956
INSJ/RPLCMT PULSE GENERATOR ONLY ISDSS
Gross
$59,530
33240
$30,425
INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD
Gross
$58,510
L8686
$29,418
GENERATOR NEUROSTIMULATOR DUO 1000 SENTIVA
Gross
$56,573
J9999
$28,549
dinutuximab 3.5 mg/mL Soln 5 mL VIAL
Gross
$54,901
33902
$28,033
PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL
Gross
$53,910
36836
$28,033
PERQ AV FISTULA CREATION UXTR SINGLE ACCESS
Gross
$53,910
36837
$28,033
PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES
Gross
$53,910
93654
$27,778
COMPRE EP EVAL ABLTJ 3D MAPG TX VT
Gross
$53,420
64628
$22,958
THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC
Gross
$44,150
69716
$22,958
IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP<100
Gross
$44,150
69719
$22,958
RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP<100
Gross
$44,150
0629T
$22,729
PERQ NJX ALGC CELL&/PRDCT UNI/BI CT LMBR 1ST
Gross
$43,710
33249
$22,412
INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR
Gross
$43,100
C1822
$21,450
SYSTEM SPINAL CORD STIMULATION SENZA OMINA
Gross
$41,250
36906
$21,414
PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT
Gross
$41,180
53451
$21,388
PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ
Gross
$41,130
J0738
$21,132
lenacapavir (PrEP) 309 mg/mL Soln 1.5 mL VIAL
Gross
$40,639
64583
$20,935
REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG&RESPIR SNR
Gross
$40,260
33274
$20,483
TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG
Gross
$39,390
22856
$20,462
TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV
Gross
$39,350
50242017505
$20,161
risdiplam 0.75 mg/mL Recon soln 80 mL BOTTLE
Gross
$38,770
| 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 |
| 68875010201 | teduglutide 5 mg Kit 1 Each KIT | $135,056 | $70,229 | — | — | 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 |
| 69468015230 | Uridine Triacetate 2 gram Granules pkt 30 Each PACKET | $71,446 | $37,152 | — | — | 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 |
| 50242017505 | risdiplam 0.75 mg/mL Recon soln 80 mL BOTTLE | $38,770 | $20,161 | — | — | 3 |
Showing top 50 of 17,709 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.