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
787
Insurances with rates
8
CPT / HCPCS codes
767
Most expensive procedures (gross)
Q2058
$2,047,500
Obecabtagene auto up to 400mil
Gross
$3,150,000
Q4130
$160,261
Skin sub stratti25x40cm2540002
Gross
$246,555
0571T
$86,390
Ins or rep ICD w sstern lead
Gross
$132,907
J9999
$73,557
Dinutuximab 17.5 mg/5 ml
Gross
$113,164
V2785
$72,605
V2785 impl corneal tiss 34251-36000
Gross
$111,700
J7310
$68,716
Ganciclovir 4.5mg implant
Gross
$105,717
C1882
$61,439
AICD, OTHER THAN SING/DUAL
Gross
$94,521
C1767
$55,558
Neuro stim ipg Abbott 3660
Gross
$85,474
0803T
$53,724
Rep PM leadls dl cham PM RV
Gross
$82,652
0795T
$53,724
Ins PM leadls dl cham comp sys
Gross
$82,652
L8614
$45,689
Cochlear 2 nucleus dualn7
Gross
$70,290
C1877
$44,409
STENT, NON-COAT/COV W/O DEL
Gross
$68,322
J7355
$43,524
Eye idose 75mcg idosetr
Gross
$66,960
C1722
$39,840
AICD, SINGLE CHAMBER
Gross
$61,293
C1820
$37,298
Neuro stim ipg Medtr 97810
Gross
$57,382
C1813
$35,720
Penile pump cly imp set en8918
Gross
$54,954
33274
$35,687
Insert/replace leadless pacer
Gross
$54,903
C1721
$33,175
AICD, DUAL CHAMBER
Gross
$51,038
Q0224
$32,003
Pemivibart 4500mg inj
Gross
$49,235
33340
$28,776
Closure atrial app w implant
Gross
$44,270
33999
$27,676
Atrial apendage lariat
Gross
$42,579
Q4128
$27,240
Allogrt flexhd 15x24cm sf4000
Gross
$41,908
0917T
$22,809
Ins perm CCM-D lead tv sgl
Gross
$35,090
J9098
$22,716
Cytarabine liposome 10mg inj
Gross
$34,947
J0480
$22,423
Basiliximab 20mg IV
Gross
$34,497
C1761
$21,799
CATH, TRANS INTRA LITHO/CORO
Gross
$33,537
L8699
$21,598
PROSTHETIC IMPLANT NOS
Gross
$33,228
C1764
$21,544
EVENT RECORDER, CARDIAC
Gross
$33,145
Q4142
$20,920
Allogrt bio xcm hdrt 10x20cm
Gross
$32,185
33206
$20,861
Insrt repl pm and atrial lead
Gross
$32,094
C1876
$20,246
STENT, NON-COA/NON-COV W/DEL
Gross
$31,147
Q4107
$18,242
Graftjacket Now4x16cm 86204x16
Gross
$28,065
33210
$17,499
Insrt repl temp sngl pacer
Gross
$26,922
93799
$16,505
Placement Cardiomems System
Gross
$25,393
C1777
$16,342
Lead ICD sng quattro 693565cm
Gross
$25,141
C1753
$16,337
Cath abl ICE Nuvision fg10593
Gross
$25,134
C1786
$15,529
Pmkr sngl Zephy xl5626 STJM
Gross
$23,891
C1785
$15,400
Pmkr dual p1501dr MED
Gross
$23,692
C1724
$15,234
CATH, TRANS ATHEREC,ROTATION
Gross
$23,437
33233
$14,482
Remove pm generator only
Gross
$22,280
C9356
$13,923
Tendon protec tenoglid4x5tg221
Gross
$21,420
C1776
$13,703
JOINT DEVICE (IMPLANTABLE)
Gross
$21,081
C2630
$13,618
CATH, EP, COOL-TIP
Gross
$20,951
93657
$13,529
Ablation of lr atria -af addl
Gross
$20,814
C1748
$13,526
ENDOSCOPE, SINGLE, UGI
Gross
$20,809
J9286
$13,489
Glofitamab-gxbm columvi 2.5mg/2.5ml
Gross
$20,752
C1885
$13,387
CATH, TRANSLUMIN ANGIO LASER
Gross
$20,596
Q4126
$13,163
Allogrt acell 50sqcm 480900510
Gross
$20,250
C1732
$12,695
Rhythmic umbil cath 4rc64s0
Gross
$19,531
V2790
$12,267
Amniograft ActiShield am454x08
Gross
$18,873
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q2058 | Obecabtagene auto up to 400mil | $3,150,000 | $2,047,500 | — | — | 46 |
| Q4130 | Skin sub stratti25x40cm2540002 | $246,555 | $160,261 | — | — | 46 |
| 0571T | Ins or rep ICD w sstern lead | $132,907 | $86,390 | — | — | 56 |
| J9999 | Dinutuximab 17.5 mg/5 ml | $113,164 | $73,557 | — | — | 92 |
| V2785 | V2785 impl corneal tiss 34251-36000 | $111,700 | $72,605 | — | — | 56 |
| J7310 | Ganciclovir 4.5mg implant | $105,717 | $68,716 | — | — | 56 |
| C1882 | AICD, OTHER THAN SING/DUAL | $94,521 | $61,439 | — | — | 92 |
| C1767 | Neuro stim ipg Abbott 3660 | $85,474 | $55,558 | — | — | 46 |
| 0803T | Rep PM leadls dl cham PM RV | $82,652 | $53,724 | — | — | 56 |
| 0795T | Ins PM leadls dl cham comp sys | $82,652 | $53,724 | — | — | 56 |
| L8614 | Cochlear 2 nucleus dualn7 | $70,290 | $45,689 | — | — | 46 |
| C1877 | STENT, NON-COAT/COV W/O DEL | $68,322 | $44,409 | — | — | 46 |
| J7355 | Eye idose 75mcg idosetr | $66,960 | $43,524 | — | — | 46 |
| C1722 | AICD, SINGLE CHAMBER | $61,293 | $39,840 | — | — | 92 |
| C1820 | Neuro stim ipg Medtr 97810 | $57,382 | $37,298 | — | — | 46 |
| C1813 | Penile pump cly imp set en8918 | $54,954 | $35,720 | — | — | 46 |
| 33274 | Insert/replace leadless pacer | $54,903 | $35,687 | — | — | 56 |
| C1721 | AICD, DUAL CHAMBER | $51,038 | $33,175 | — | — | 46 |
| Q0224 | Pemivibart 4500mg inj | $49,235 | $32,003 | — | — | 46 |
| 33340 | Closure atrial app w implant | $44,270 | $28,776 | — | — | 56 |
| 33999 | Atrial apendage lariat | $42,579 | $27,676 | — | — | 56 |
| Q4128 | Allogrt flexhd 15x24cm sf4000 | $41,908 | $27,240 | — | — | 46 |
| 0917T | Ins perm CCM-D lead tv sgl | $35,090 | $22,809 | — | — | 46 |
| J9098 | Cytarabine liposome 10mg inj | $34,947 | $22,716 | — | — | 56 |
| J0480 | Basiliximab 20mg IV | $34,497 | $22,423 | — | — | 56 |
| C1761 | CATH, TRANS INTRA LITHO/CORO | $33,537 | $21,799 | — | — | 46 |
| L8699 | PROSTHETIC IMPLANT NOS | $33,228 | $21,598 | — | — | 92 |
| C1764 | EVENT RECORDER, CARDIAC | $33,145 | $21,544 | — | — | 46 |
| Q4142 | Allogrt bio xcm hdrt 10x20cm | $32,185 | $20,920 | — | — | 46 |
| 33206 | Insrt repl pm and atrial lead | $32,094 | $20,861 | — | — | 56 |
| C1876 | STENT, NON-COA/NON-COV W/DEL | $31,147 | $20,246 | — | — | 920 |
| Q4107 | Graftjacket Now4x16cm 86204x16 | $28,065 | $18,242 | — | — | 46 |
| 33210 | Insrt repl temp sngl pacer | $26,922 | $17,499 | — | — | 56 |
| 93799 | Placement Cardiomems System | $25,393 | $16,505 | — | — | 56 |
| C1777 | Lead ICD sng quattro 693565cm | $25,141 | $16,342 | — | — | 46 |
| C1753 | Cath abl ICE Nuvision fg10593 | $25,134 | $16,337 | — | — | 46 |
| C1786 | Pmkr sngl Zephy xl5626 STJM | $23,891 | $15,529 | — | — | 46 |
| C1785 | Pmkr dual p1501dr MED | $23,692 | $15,400 | — | — | 46 |
| C1724 | CATH, TRANS ATHEREC,ROTATION | $23,437 | $15,234 | — | — | 46 |
| 33233 | Remove pm generator only | $22,280 | $14,482 | — | — | 56 |
| C9356 | Tendon protec tenoglid4x5tg221 | $21,420 | $13,923 | — | — | 46 |
| C1776 | JOINT DEVICE (IMPLANTABLE) | $21,081 | $13,703 | — | — | 11684 |
| C2630 | CATH, EP, COOL-TIP | $20,951 | $13,618 | — | — | 46 |
| 93657 | Ablation of lr atria -af addl | $20,814 | $13,529 | — | — | 56 |
| C1748 | ENDOSCOPE, SINGLE, UGI | $20,809 | $13,526 | — | — | 46 |
| J9286 | Glofitamab-gxbm columvi 2.5mg/2.5ml | $20,752 | $13,489 | — | — | 112 |
| C1885 | CATH, TRANSLUMIN ANGIO LASER | $20,596 | $13,387 | — | — | 46 |
| Q4126 | Allogrt acell 50sqcm 480900510 | $20,250 | $13,163 | — | — | 46 |
| C1732 | Rhythmic umbil cath 4rc64s0 | $19,531 | $12,695 | — | — | 46 |
| V2790 | Amniograft ActiShield am454x08 | $18,873 | $12,267 | — | — | 46 |
Showing top 50 of 787 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.