45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
7,530
Insurances with rates
16
CPT / HCPCS codes
4,261
Most expensive procedures (gross)
25682-0028-01
$78,920
Ultomiris
Gross
$140,928
33270
$60,059
INS/REP SUBQ DEFIBRILLATOR
Gross
$107,249
00078-1217-61
$57,415
Pluvicto
Gross
$102,526
50242-0150-01
$53,037
Ocrevus
Gross
$94,709
69488-0010-61
$51,086
Pluvicto
Gross
$91,225
C1722
$49,343
AICD, SINGLE CHAMBER
Gross
$88,113
C1882
$48,304
AICD, OTHER THAN SING/DUAL
Gross
$86,258
33249
$45,975
INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM
Gross
$82,098
33264
$45,975
REMOVAL AND REPLACEMENT OF MULTIPLE LEAD DEFIBRILLATOR
Gross
$82,098
33230
$44,448
INSRT PULSE GEN W/DUAL LEADS
Gross
$79,372
37233
$43,949
TIBPER REVASC W/ATHER ADD-ON
Gross
$78,480
93580
$42,488
TRANSCATH CLOSURE OF ASD
Gross
$75,872
33262
$40,778
REMOVAL AND REPLACEMENT OF SINGLE LEAD DEFIBRILLATOR
Gross
$72,818
33231
$40,778
INSRT PULSE GEN W/MULT LEADS
Gross
$72,818
33263
$40,778
REMOVAL AND REPLACEMENT OF DUAL LEAD DEFIBRILLATOR
Gross
$72,818
00003-2328-22
$39,792
Yervoy
Gross
$71,057
C1721
$39,406
AICD, DUAL CHAMBER
Gross
$70,368
37229
$36,828
TIB/PER REVASC W/ATHER
Gross
$65,765
37231
$36,645
TIB/PER REVASC STENT & ATHER
Gross
$65,438
92933
$35,261
PRQ TRLML C ATHRC ST ANGIOP1
Gross
$62,966
00003-7125-11
$34,590
Opdualag
Gross
$61,768
82959-0111-01
$34,251
Rytelo
Gross
$61,163
92930
$34,111
PRQ TCAT PLMT NTRAC ST 2+LES
Gross
$60,913
24363
$32,468
PROSTHETIC REPAIR OF ELBOW JOINT
Gross
$57,979
36223
$32,046
PLACE CATH CAROTID/INOM ART
Gross
$57,225
37230
$29,299
TIB/PER REVASC W/STENT
Gross
$52,320
25682-0001-01
$29,268
Soliris
Gross
$52,264
36903
$29,149
INTRO CATH DIALYSIS CIRCUIT
Gross
$52,052
C2616
$29,053
BRACHYTHERAPY SOURCE; NON-STRANDED; YTTRIUM-90; PER SOURCE
Gross
$51,880
92943
$28,423
PRQ TRLUML REVSC CH OCC ANT
Gross
$50,755
92937
$28,423
PRQ TRLUML REVSC CAB GRF 1
Gross
$50,755
34705
$28,267
EVAC RPR A-BIILIAC NDGFT
Gross
$50,477
34706
$28,267
EVASC RPR A-BIILIAC RPT
Gross
$50,477
34702
$28,267
EVASC RPR A-AO NDGFT RPT
Gross
$50,477
59572-0775-01
$27,098
Reblozyl
Gross
$48,390
34701
$26,697
EVASC RPR A-AO NDGFT
Gross
$47,673
34703
$26,697
EVASC RPR A-UNILAC NDGFT
Gross
$47,673
92941
$26,076
PRQ TRLML REVSC TOT OCCL AMI
Gross
$46,564
33229
$26,056
REMOVAL AND REPLACEMENT OF MULTIPLE LEAD PERMANENT PACEMAKER
Gross
$46,529
C9797
$25,887
VASC EMB/OCC W/PRS CATH
Gross
$46,227
C9607
$25,662
PERC D-E COR REVASC CHRO SIN
Gross
$45,825
C9602
$25,662
PERC D-E COR STENT ATHER S
Gross
$45,825
34846
$25,651
VISC & INFRAREN ABD 2 PROSTH
Gross
$45,806
A9607
$25,490
LUTETIUM LU 177 VIPIVOTIDE
Gross
$45,518
75726
$25,395
REVIEW BY RADIOLOGIST OF ABDOMINAL ARTERY IMAGE
Gross
$45,348
51144-0003-01
$24,973
Tivdak
Gross
$44,595
23474
$24,655
REVISION OF TOTAL SHOULDER REPAIR; TOTAL SHOULDER
Gross
$44,027
37212
$24,599
THROMBOLYTIC VENOUS THERAPY
Gross
$43,927
37211
$24,599
THROMBOLYTIC ART THERAPY
Gross
$43,927
A9616
$24,590
GALLIUM GOZELLIX 1 MILLICURI
Gross
$43,911
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25682-0028-01 | Ultomiris | $140,928 | $78,920 | — | — | 7 |
| 33270 | INS/REP SUBQ DEFIBRILLATOR | $107,249 | $60,059 | — | — | 7 |
| 00078-1217-61 | Pluvicto | $102,526 | $57,415 | — | — | 7 |
| 50242-0150-01 | Ocrevus | $94,709 | $53,037 | — | — | 7 |
| 69488-0010-61 | Pluvicto | $91,225 | $51,086 | — | — | 7 |
| C1722 | AICD, SINGLE CHAMBER | $88,113 | $49,343 | — | — | 0 |
| C1882 | AICD, OTHER THAN SING/DUAL | $86,258 | $48,304 | — | — | 0 |
| 33249 | INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM | $82,098 | $45,975 | — | — | 8 |
| 33264 | REMOVAL AND REPLACEMENT OF MULTIPLE LEAD DEFIBRILLATOR | $82,098 | $45,975 | — | — | 7 |
| 33230 | INSRT PULSE GEN W/DUAL LEADS | $79,372 | $44,448 | — | — | 7 |
| 37233 | TIBPER REVASC W/ATHER ADD-ON | $78,480 | $43,949 | — | — | 0 |
| 93580 | TRANSCATH CLOSURE OF ASD | $75,872 | $42,488 | — | — | 7 |
| 33262 | REMOVAL AND REPLACEMENT OF SINGLE LEAD DEFIBRILLATOR | $72,818 | $40,778 | — | — | 7 |
| 33231 | INSRT PULSE GEN W/MULT LEADS | $72,818 | $40,778 | — | — | 7 |
| 33263 | REMOVAL AND REPLACEMENT OF DUAL LEAD DEFIBRILLATOR | $72,818 | $40,778 | — | — | 7 |
| 00003-2328-22 | Yervoy | $71,057 | $39,792 | — | — | 7 |
| C1721 | AICD, DUAL CHAMBER | $70,368 | $39,406 | — | — | 0 |
| 37229 | TIB/PER REVASC W/ATHER | $65,765 | $36,828 | — | — | 0 |
| 37231 | TIB/PER REVASC STENT & ATHER | $65,438 | $36,645 | — | — | 0 |
| 92933 | PRQ TRLML C ATHRC ST ANGIOP1 | $62,966 | $35,261 | — | — | 7 |
| 00003-7125-11 | Opdualag | $61,768 | $34,590 | — | — | 7 |
| 82959-0111-01 | Rytelo | $61,163 | $34,251 | — | — | 7 |
| 92930 | PRQ TCAT PLMT NTRAC ST 2+LES | $60,913 | $34,111 | — | — | 7 |
| 24363 | PROSTHETIC REPAIR OF ELBOW JOINT | $57,979 | $32,468 | — | — | 8 |
| 36223 | PLACE CATH CAROTID/INOM ART | $57,225 | $32,046 | — | — | 7 |
| 37230 | TIB/PER REVASC W/STENT | $52,320 | $29,299 | — | — | 0 |
| 25682-0001-01 | Soliris | $52,264 | $29,268 | — | — | 7 |
| 36903 | INTRO CATH DIALYSIS CIRCUIT | $52,052 | $29,149 | — | — | 7 |
| C2616 | BRACHYTHERAPY SOURCE; NON-STRANDED; YTTRIUM-90; PER SOURCE | $51,880 | $29,053 | — | — | 7 |
| 92943 | PRQ TRLUML REVSC CH OCC ANT | $50,755 | $28,423 | — | — | 7 |
| 92937 | PRQ TRLUML REVSC CAB GRF 1 | $50,755 | $28,423 | — | — | 7 |
| 34705 | EVAC RPR A-BIILIAC NDGFT | $50,477 | $28,267 | — | — | 7 |
| 34706 | EVASC RPR A-BIILIAC RPT | $50,477 | $28,267 | — | — | 7 |
| 34702 | EVASC RPR A-AO NDGFT RPT | $50,477 | $28,267 | — | — | 7 |
| 59572-0775-01 | Reblozyl | $48,390 | $27,098 | — | — | 7 |
| 34701 | EVASC RPR A-AO NDGFT | $47,673 | $26,697 | — | — | 7 |
| 34703 | EVASC RPR A-UNILAC NDGFT | $47,673 | $26,697 | — | — | 7 |
| 92941 | PRQ TRLML REVSC TOT OCCL AMI | $46,564 | $26,076 | — | — | 7 |
| 33229 | REMOVAL AND REPLACEMENT OF MULTIPLE LEAD PERMANENT PACEMAKER | $46,529 | $26,056 | — | — | 8 |
| C9797 | VASC EMB/OCC W/PRS CATH | $46,227 | $25,887 | — | — | 7 |
| C9607 | PERC D-E COR REVASC CHRO SIN | $45,825 | $25,662 | — | — | 7 |
| C9602 | PERC D-E COR STENT ATHER S | $45,825 | $25,662 | — | — | 7 |
| 34846 | VISC & INFRAREN ABD 2 PROSTH | $45,806 | $25,651 | — | — | 0 |
| A9607 | LUTETIUM LU 177 VIPIVOTIDE | $45,518 | $25,490 | — | — | 8 |
| 75726 | REVIEW BY RADIOLOGIST OF ABDOMINAL ARTERY IMAGE | $45,348 | $25,395 | — | — | 8 |
| 51144-0003-01 | Tivdak | $44,595 | $24,973 | — | — | 7 |
| 23474 | REVISION OF TOTAL SHOULDER REPAIR; TOTAL SHOULDER | $44,027 | $24,655 | — | — | 7 |
| 37212 | THROMBOLYTIC VENOUS THERAPY | $43,927 | $24,599 | — | — | 7 |
| 37211 | THROMBOLYTIC ART THERAPY | $43,927 | $24,599 | — | — | 7 |
| A9616 | GALLIUM GOZELLIX 1 MILLICURI | $43,911 | $24,590 | — | — | 7 |
Showing top 50 of 7,530 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.