45 CFR § 180 compliance
D · 65
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
24,253
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
PHA0162966
$365,410
*SIPULEUCEL 50 MILL CELLS 2.5X
Gross
$365,410
UBP0144053
$312,125
ECMO
Gross
$312,125
PHA0163493
$273,000
TREMELIMUMAB-ACTL 300MG VIAL
Gross
$273,000
PHA0162485
$243,837
HISTRELIN AC 50MG KIT/IMPLANT
Gross
$243,837
PHA0162901
$205,870
*GLUCARPIDASE 1000U VIAL 1.25X
Gross
$205,870
ORS0183564
$190,950
GENERATOR SNETIVA 1000
Gross
$190,950
PHA0162965
$174,062
*IPILIMUMAB INJ 200MG 2.5X
Gross
$174,062
EPH0171844
$170,104
INSRT/RPLC PERM SUB/Q DEFIB
Gross
$170,104
HEM0190001
$157,399
CBC, PLATELET & AUTO DIFF
Gross
$157,399
NUM0371306
$152,263
Y-90 SIRS BRACHYTHER /SOURCE
Gross
$152,263
CLS0185198
$150,000
VALVE EVOLUTE PRO PLUS 26MM
Gross
$150,000
CLS0185247
$150,000
VLV EVOLUTEFX-29MM
Gross
$150,000
CLS0185259
$150,000
VLV EVOLUTEFX-34
Gross
$150,000
LRT0180073
$149,999
BLOOD DRAW BY LAB - OP
Gross
$149,999
PHA0163105
$146,594
*PEGLOTICASE 8MG VIAL 3.37X
Gross
$146,594
PHA0163511
$136,621
OCRELIZUMAB 300 MG VIAL
Gross
$136,621
ORS0181274
$135,000
KIT A-NEUROSTIMULATOR IPG
Gross
$135,000
CLS0185347
$131,250
NAVITOR VALVE 23MM
Gross
$131,250
PHA0162690
$127,691
*PEGASPARGASE 3750IU/5ML 2.5X
Gross
$127,691
CHM0190001
$120,011
COMPREHENSIVE METABOLIC PANEL
Gross
$120,011
ORS0404332
$117,425
MESH PHASIX OPEN POS SYS 25X30
Gross
$117,425
ORS0405019
$112,500
IMPELLA 5.5 W/SMART ASSIST S2
Gross
$112,500
POC0185012
$107,514
POC GLUCOSE
Gross
$107,514
ORS0187251
$107,500
GENERATOR PULSE IMPLT
Gross
$107,500
LRT0180076
$107,070
COL CAPILLARY BLOOD FING/HEEL
Gross
$107,070
ORS0403339
$105,820
STNT THORACIC TAG CONF 31X31X1
Gross
$105,820
PHA0162988
$105,200
*PORFIMER INJ 75MG 2.5X
Gross
$105,200
PHA0163506
$105,000
TARLTAMAB-DLLE 10 MG VIAL
Gross
$105,000
ORS0404131
$103,870
MESH PHASIX 12X12
Gross
$103,870
ORS0179757
$103,275
NUEROSTIMULTOR INTELLIS IPG
Gross
$103,275
ORS0187206
$102,500
KIT WAVEWRITER ALPHA GENERATOR
Gross
$102,500
ORS0381513
$102,500
KIT WAVEWRITER IMP GENERATOR
Gross
$102,500
ORS0403746
$99,085
GRT THOR ENDO PRX TAPRD
Gross
$99,085
PHA0163464
$99,002
EPCORITAMAB-BYSP 48 MG VIAL
Gross
$99,002
EPS0180043
$97,000
DEFIB EMBLEM MRI SICD A219
Gross
$97,000
EPS0180012
$90,000
DEFIB CLARIA QUAD CRTD-DF4
Gross
$90,000
EPS0180198
$90,000
CLARIA MRI QUAD CRT-D SURESCAN
Gross
$90,000
ORS0403192
$90,000
CUSTOM F+A INTRMED COMPLX LG
Gross
$90,000
ORS0404220
$90,000
CUSTOM DEVICE F&A, NOMINAL
Gross
$90,000
NIR0176131
$89,977
INSRT/REPLC SPNL NEUROSTIM GEN
Gross
$89,977
EPH0171966
$88,765
INSERT PERM DC LEADLESS PPM
Gross
$88,765
EPH0171967
$88,765
TCAT INS 2CHMBR LDLS PM RA
Gross
$88,765
EPH0171968
$88,765
TCAT INS 2CHMBR LDLS PM RV
Gross
$88,765
EPH0171969
$88,765
TCAT RMV&RPL 2CHMBR LDLS PM
Gross
$88,765
EPH0171970
$88,765
TCAT RMV&RPL2CHMB LDLS PM RA
Gross
$88,765
EPH0171971
$88,765
TCAT RMV&RPL2CHMB LDLS PM RV
Gross
$88,765
EPH0171972
$88,765
TCAT INS 1CHMBR LDLS PM RA
Gross
$88,765
EPH0171973
$88,765
TCAT RMV&RPL1CHMB LDLS PM RA
Gross
$88,765
ORS0403437
$88,375
STENT GRAFT
Gross
$88,375
CLS0185238
$85,000
SAPIEN RESILIA VALVE 20MM
Gross
$85,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| PHA0162966 | *SIPULEUCEL 50 MILL CELLS 2.5X | $365,410 | $365,410 | — | — | 0 |
| UBP0144053 | ECMO | $312,125 | $312,125 | — | — | 0 |
| PHA0163493 | TREMELIMUMAB-ACTL 300MG VIAL | $273,000 | $273,000 | — | — | 0 |
| PHA0162485 | HISTRELIN AC 50MG KIT/IMPLANT | $243,837 | $243,837 | — | — | 0 |
| PHA0162901 | *GLUCARPIDASE 1000U VIAL 1.25X | $205,870 | $205,870 | — | — | 0 |
| ORS0183564 | GENERATOR SNETIVA 1000 | $190,950 | $190,950 | — | — | 0 |
| PHA0162965 | *IPILIMUMAB INJ 200MG 2.5X | $174,062 | $174,062 | — | — | 0 |
| EPH0171844 | INSRT/RPLC PERM SUB/Q DEFIB | $170,104 | $170,104 | — | — | 0 |
| HEM0190001 | CBC, PLATELET & AUTO DIFF | $157,399 | $157,399 | — | — | 0 |
| NUM0371306 | Y-90 SIRS BRACHYTHER /SOURCE | $152,263 | $152,263 | — | — | 0 |
| CLS0185198 | VALVE EVOLUTE PRO PLUS 26MM | $150,000 | $150,000 | — | — | 0 |
| CLS0185247 | VLV EVOLUTEFX-29MM | $150,000 | $150,000 | — | — | 0 |
| CLS0185259 | VLV EVOLUTEFX-34 | $150,000 | $150,000 | — | — | 0 |
| LRT0180073 | BLOOD DRAW BY LAB - OP | $149,999 | $149,999 | — | — | 0 |
| PHA0163105 | *PEGLOTICASE 8MG VIAL 3.37X | $146,594 | $146,594 | — | — | 0 |
| PHA0163511 | OCRELIZUMAB 300 MG VIAL | $136,621 | $136,621 | — | — | 0 |
| ORS0181274 | KIT A-NEUROSTIMULATOR IPG | $135,000 | $135,000 | — | — | 0 |
| CLS0185347 | NAVITOR VALVE 23MM | $131,250 | $131,250 | — | — | 0 |
| PHA0162690 | *PEGASPARGASE 3750IU/5ML 2.5X | $127,691 | $127,691 | — | — | 0 |
| CHM0190001 | COMPREHENSIVE METABOLIC PANEL | $120,011 | $120,011 | — | — | 0 |
| ORS0404332 | MESH PHASIX OPEN POS SYS 25X30 | $117,425 | $117,425 | — | — | 0 |
| ORS0405019 | IMPELLA 5.5 W/SMART ASSIST S2 | $112,500 | $112,500 | — | — | 0 |
| POC0185012 | POC GLUCOSE | $107,514 | $107,514 | — | — | 0 |
| ORS0187251 | GENERATOR PULSE IMPLT | $107,500 | $107,500 | — | — | 0 |
| LRT0180076 | COL CAPILLARY BLOOD FING/HEEL | $107,070 | $107,070 | — | — | 0 |
| ORS0403339 | STNT THORACIC TAG CONF 31X31X1 | $105,820 | $105,820 | — | — | 0 |
| PHA0162988 | *PORFIMER INJ 75MG 2.5X | $105,200 | $105,200 | — | — | 0 |
| PHA0163506 | TARLTAMAB-DLLE 10 MG VIAL | $105,000 | $105,000 | — | — | 0 |
| ORS0404131 | MESH PHASIX 12X12 | $103,870 | $103,870 | — | — | 0 |
| ORS0179757 | NUEROSTIMULTOR INTELLIS IPG | $103,275 | $103,275 | — | — | 0 |
| ORS0187206 | KIT WAVEWRITER ALPHA GENERATOR | $102,500 | $102,500 | — | — | 0 |
| ORS0381513 | KIT WAVEWRITER IMP GENERATOR | $102,500 | $102,500 | — | — | 0 |
| ORS0403746 | GRT THOR ENDO PRX TAPRD | $99,085 | $99,085 | — | — | 0 |
| PHA0163464 | EPCORITAMAB-BYSP 48 MG VIAL | $99,002 | $99,002 | — | — | 0 |
| EPS0180043 | DEFIB EMBLEM MRI SICD A219 | $97,000 | $97,000 | — | — | 0 |
| EPS0180012 | DEFIB CLARIA QUAD CRTD-DF4 | $90,000 | $90,000 | — | — | 0 |
| EPS0180198 | CLARIA MRI QUAD CRT-D SURESCAN | $90,000 | $90,000 | — | — | 0 |
| ORS0403192 | CUSTOM F+A INTRMED COMPLX LG | $90,000 | $90,000 | — | — | 0 |
| ORS0404220 | CUSTOM DEVICE F&A, NOMINAL | $90,000 | $90,000 | — | — | 0 |
| NIR0176131 | INSRT/REPLC SPNL NEUROSTIM GEN | $89,977 | $89,977 | — | — | 0 |
| EPH0171966 | INSERT PERM DC LEADLESS PPM | $88,765 | $88,765 | — | — | 0 |
| EPH0171967 | TCAT INS 2CHMBR LDLS PM RA | $88,765 | $88,765 | — | — | 0 |
| EPH0171968 | TCAT INS 2CHMBR LDLS PM RV | $88,765 | $88,765 | — | — | 0 |
| EPH0171969 | TCAT RMV&RPL 2CHMBR LDLS PM | $88,765 | $88,765 | — | — | 0 |
| EPH0171970 | TCAT RMV&RPL2CHMB LDLS PM RA | $88,765 | $88,765 | — | — | 0 |
| EPH0171971 | TCAT RMV&RPL2CHMB LDLS PM RV | $88,765 | $88,765 | — | — | 0 |
| EPH0171972 | TCAT INS 1CHMBR LDLS PM RA | $88,765 | $88,765 | — | — | 0 |
| EPH0171973 | TCAT RMV&RPL1CHMB LDLS PM RA | $88,765 | $88,765 | — | — | 0 |
| ORS0403437 | STENT GRAFT | $88,375 | $88,375 | — | — | 0 |
| CLS0185238 | SAPIEN RESILIA VALVE 20MM | $85,000 | $85,000 | — | — | 0 |
Showing top 50 of 24,253 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.