45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
16,358
Insurances with rates
9
CPT / HCPCS codes
12,766
Most expensive procedures (gross)
33340
$149,504
HC CATH PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT
Gross
$149,504
J0202
$148,427
alemtuzumab per 1 mg
Gross
$148,427
J9118
$146,342
calaspargase pegol-mknl 3750 UNIT/5ML solution 5 mL Vial
Gross
$146,342
33270
$115,172
HC EP INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD
Gross
$115,172
93590
$114,317
HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE
Gross
$114,317
93591
$114,317
HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE
Gross
$114,317
J9043
$106,948
cabazitaxel per 1 mg
Gross
$106,948
J9309
$93,802
polatuzumab vedotin-piiq inj per 1 mg
Gross
$93,802
0431T
$79,264
HC RMVL/RPLC NSTIM APNEA PLS GN
Gross
$79,264
33240
$78,054
HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD
Gross
$78,054
93583
$75,452
HC CATH PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER
Gross
$75,452
J9345
$74,305
retifanlimab-dlwr 500 MG/20ML solution 20 mL Vial
Gross
$74,305
0409T
$73,131
HC INS/REP CARD SYS GEN ONLY
Gross
$73,131
J1640
$72,207
hemin per 1 mg
Gross
$72,207
J9326
$70,459
Telisotuzumab Vedotin-tllv 100 MG reconstituted solution 1 each Vial
Gross
$70,459
0636
$70,139
pertuz-trastuz-hyaluron 1200-600-30000 mg per 15 mL
Gross
$70,139
J1744
$69,895
icatibant 30 MG/3ML solution prefilled syringe 3 mL Syringe
Gross
$69,895
37231
$69,564
HC VASC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/STENT/ATHERECTOMY INI
Gross
$69,564
J9307
$68,418
pralatrexate per 1 mg
Gross
$68,418
0915T
$67,329
HC INSERT PERM CCM-D SYS GEN&DUAL LEADS
Gross
$67,329
33249
$64,117
HC EP INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR
Gross
$64,117
J3380
$61,775
vedolizumab per 1 mg
Gross
$61,775
J9042
$61,488
brentuximab vedotin per 1 mg
Gross
$61,488
J9271
$59,449
pembrolizumab per 1 mg
Gross
$59,449
J9272
$59,444
dostarlimab-gxly 500 MG/10ML solution 10 mL Vial
Gross
$59,444
37271
$58,995
HC REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL
Gross
$58,995
37273
$58,995
HC REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL
Gross
$58,995
37275
$58,995
HC REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL
Gross
$58,995
37277
$58,995
HC REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL
Gross
$58,995
37284
$58,995
HC REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL
Gross
$58,995
37288
$58,995
HC REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL
Gross
$58,995
37290
$58,995
HC REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL
Gross
$58,995
37292
$58,995
HC REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL
Gross
$58,995
37294
$58,995
HC REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL
Gross
$58,995
92930
$58,995
HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS
Gross
$58,995
0480
$58,865
HC INSJ WCS LV COMPL SYS
Gross
$58,865
J1932
$58,692
lanreotide acetate per 1 mg
Gross
$58,692
J2997
$58,080
alteplase per 1 mg
Gross
$58,080
0408T
$57,253
HC INSJ/RPLC CARDIAC MODULJ SYS
Gross
$57,253
J9022
$56,709
atezolizumab 1200 MG/20ML solution 20 mL Vial
Gross
$56,709
C9047
$56,573
caplacizumab 11 MG kit 1 each Box
Gross
$56,573
J9119
$55,062
cemiplimab 350 MG/7ML solution 7 mL Vial
Gross
$55,062
J3101
$54,762
tenecteplase 25 MG kit 1 each Vial
Gross
$54,762
J9153
$54,268
DAUNOrubicin-cytarabine liposome 44-100 MG reconstituted suspension 1 each Vial
Gross
$54,268
J1930
$53,513
lanreotide acetate per 1 mg
Gross
$53,513
J9144
$53,282
daratumumab-hyaluronidase 1800-30000 MG-UT/15ML solution 15 mL Vial
Gross
$53,282
C8005
$52,502
HC TRANSBRONCHIAL ABLATION OF LUNG TUMORS USING PULSED ELECTRIC FIELD (PEF)
Gross
$52,502
C1824
$50,715
HC IDE INTEGRA CCM-D
Gross
$50,715
J9203
$50,627
gemtuzumab ozogamicin 4.5 MG reconstituted solution 1 each Vial
Gross
$50,627
0481
$49,585
HC INS PERM LDLES PACEMAKER R ATRIAL
Gross
$49,585
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 33340 | HC CATH PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT | $149,504 | $149,504 | — | — | 11 |
| J0202 | alemtuzumab per 1 mg | $148,427 | $148,427 | — | — | 15 |
| J9118 | calaspargase pegol-mknl 3750 UNIT/5ML solution 5 mL Vial | $146,342 | $146,342 | — | — | 15 |
| 33270 | HC EP INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD | $115,172 | $115,172 | — | — | 11 |
| 93590 | HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE | $114,317 | $114,317 | — | — | 11 |
| 93591 | HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE | $114,317 | $114,317 | — | — | 11 |
| J9043 | cabazitaxel per 1 mg | $106,948 | $106,948 | — | — | 45 |
| J9309 | polatuzumab vedotin-piiq inj per 1 mg | $93,802 | $93,802 | — | — | 30 |
| 0431T | HC RMVL/RPLC NSTIM APNEA PLS GN | $79,264 | $79,264 | — | — | 9 |
| 33240 | HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD | $78,054 | $78,054 | — | — | 11 |
| 93583 | HC CATH PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER | $75,452 | $75,452 | — | — | 11 |
| J9345 | retifanlimab-dlwr 500 MG/20ML solution 20 mL Vial | $74,305 | $74,305 | — | — | 15 |
| 0409T | HC INS/REP CARD SYS GEN ONLY | $73,131 | $73,131 | — | — | 11 |
| J1640 | hemin per 1 mg | $72,207 | $72,207 | — | — | 15 |
| J9326 | Telisotuzumab Vedotin-tllv 100 MG reconstituted solution 1 each Vial | $70,459 | $70,459 | — | — | 30 |
| 0636 | pertuz-trastuz-hyaluron 1200-600-30000 mg per 15 mL | $70,139 | $70,139 | — | — | 13 |
| J1744 | icatibant 30 MG/3ML solution prefilled syringe 3 mL Syringe | $69,895 | $69,895 | — | — | 13 |
| 37231 | HC VASC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/STENT/ATHERECTOMY INI | $69,564 | $69,564 | — | — | 9 |
| J9307 | pralatrexate per 1 mg | $68,418 | $68,418 | — | — | 15 |
| 0915T | HC INSERT PERM CCM-D SYS GEN&DUAL LEADS | $67,329 | $67,329 | — | — | 22 |
| 33249 | HC EP INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR | $64,117 | $64,117 | — | — | 11 |
| J3380 | vedolizumab per 1 mg | $61,775 | $61,775 | — | — | 15 |
| J9042 | brentuximab vedotin per 1 mg | $61,488 | $61,488 | — | — | 30 |
| J9271 | pembrolizumab per 1 mg | $59,449 | $59,449 | — | — | 15 |
| J9272 | dostarlimab-gxly 500 MG/10ML solution 10 mL Vial | $59,444 | $59,444 | — | — | 15 |
| 37271 | HC REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL | $58,995 | $58,995 | — | — | 11 |
| 37273 | HC REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL | $58,995 | $58,995 | — | — | 11 |
| 37275 | HC REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL | $58,995 | $58,995 | — | — | 11 |
| 37277 | HC REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL | $58,995 | $58,995 | — | — | 11 |
| 37284 | HC REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL | $58,995 | $58,995 | — | — | 11 |
| 37288 | HC REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL | $58,995 | $58,995 | — | — | 11 |
| 37290 | HC REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL | $58,995 | $58,995 | — | — | 11 |
| 37292 | HC REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL | $58,995 | $58,995 | — | — | 11 |
| 37294 | HC REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL | $58,995 | $58,995 | — | — | 11 |
| 92930 | HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS | $58,995 | $58,995 | — | — | 11 |
| 0480 | HC INSJ WCS LV COMPL SYS | $58,865 | $58,865 | — | — | 9 |
| J1932 | lanreotide acetate per 1 mg | $58,692 | $58,692 | — | — | 15 |
| J2997 | alteplase per 1 mg | $58,080 | $58,080 | — | — | 105 |
| 0408T | HC INSJ/RPLC CARDIAC MODULJ SYS | $57,253 | $57,253 | — | — | 11 |
| J9022 | atezolizumab 1200 MG/20ML solution 20 mL Vial | $56,709 | $56,709 | — | — | 15 |
| C9047 | caplacizumab 11 MG kit 1 each Box | $56,573 | $56,573 | — | — | 15 |
| J9119 | cemiplimab 350 MG/7ML solution 7 mL Vial | $55,062 | $55,062 | — | — | 15 |
| J3101 | tenecteplase 25 MG kit 1 each Vial | $54,762 | $54,762 | — | — | 30 |
| J9153 | DAUNOrubicin-cytarabine liposome 44-100 MG reconstituted suspension 1 each Vial | $54,268 | $54,268 | — | — | 15 |
| J1930 | lanreotide acetate per 1 mg | $53,513 | $53,513 | — | — | 30 |
| J9144 | daratumumab-hyaluronidase 1800-30000 MG-UT/15ML solution 15 mL Vial | $53,282 | $53,282 | — | — | 15 |
| C8005 | HC TRANSBRONCHIAL ABLATION OF LUNG TUMORS USING PULSED ELECTRIC FIELD (PEF) | $52,502 | $52,502 | — | — | 11 |
| C1824 | HC IDE INTEGRA CCM-D | $50,715 | $50,715 | — | — | 9 |
| J9203 | gemtuzumab ozogamicin 4.5 MG reconstituted solution 1 each Vial | $50,627 | $50,627 | — | — | 15 |
| 0481 | HC INS PERM LDLES PACEMAKER R ATRIAL | $49,585 | $49,585 | — | — | 9 |
Showing top 50 of 16,358 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.