45 CFR § 180 compliance
B · 85
This hospital published most 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
737
Insurances with rates
7
CPT / HCPCS codes
723
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C9363 | Mesh 500sqcm INTEGLifscMWM8101 | $158,629 | $103,109 | — | — | 47 |
| C1788 | Cath guide triclip tsgc0203res | $153,360 | $99,684 | — | — | 47 |
| C1820 | Neuro stim percpt rc v1 b35300 | $142,508 | $92,630 | — | — | 47 |
| L8699 | PROSTHETIC IMPLANT NOS | $134,190 | $87,224 | — | — | 47 |
| 624 | Valve Lotus h749ltvr3cl230 res | $127,800 | $83,070 | — | — | 47 |
| C2624 | Cordella pulm sensor 10030305 | $121,410 | $78,917 | — | — | 47 |
| C1816 | Neuro stim ipg rec kit s8sp1us | $94,572 | $61,472 | — | — | 47 |
| C1882 | AICD, OTHER THAN SING/DUAL | $81,570 | $53,021 | — | — | 188 |
| Q4130 | Skin sub stratti16x20cm1620002 | $78,899 | $51,284 | — | — | 47 |
| C1721 | AICD, DUAL CHAMBER | $71,517 | $46,486 | — | — | 141 |
| C1884 | EMBOLIZATION PROTECT SYST | $68,705 | $44,658 | — | — | 188 |
| L8614 | Cochlear impl nucleus ci622 | $68,501 | $44,526 | — | — | 47 |
| C1722 | AICD, SINGLE CHAMBER | $66,405 | $43,163 | — | — | 90 |
| Q4142 | Allogrt bio xcm hdrt 20x20cm | $64,360 | $41,834 | — | — | 47 |
| C1874 | STENT, COATED/COV W/DEL SYS | $57,919 | $37,647 | — | — | 842 |
| C1813 | PROSTHESIS, PENILE, INFLATAB | $56,310 | $36,602 | — | — | 94 |
| C1767 | GENERATOR, NEURO NON-RECHARG | $55,210 | $35,887 | — | — | 47 |
| Q4116 | ALLODERM | $48,994 | $31,846 | — | — | 94 |
| C1768 | GRAFT, VASCULAR | $47,246 | $30,710 | — | — | 611 |
| Q4100 | Skin sub perf 200sqcm cxl1097p | $41,888 | $27,227 | — | — | 47 |
| Q4195 | Puraply matrx puraplycomp6x9cm | $38,528 | $25,043 | — | — | 47 |
| C1817 | Occluder septal 15mm gsx0015a | $36,664 | $23,832 | — | — | 47 |
| J0225 | Vutrisiran 1mg sub inj | $36,123 | $23,480 | — | — | 57 |
| C2621 | Pmkr not sngl dl c4tr0 MED | $35,846 | $23,300 | — | — | 47 |
| J0480 | Basiliximab 20mg IV | $34,497 | $22,423 | — | — | 57 |
| C1761 | CATH, TRANS INTRA LITHO/CORO | $33,537 | $21,799 | — | — | 47 |
| C1764 | Recordr loop monitor dm5300 | $33,180 | $21,567 | — | — | 47 |
| C1815 | Uro sphinctr cuff 800 72404131 | $32,538 | $21,150 | — | — | 47 |
| A2026 | Restrata wnd 1000mg rmini1000 | $31,423 | $20,425 | — | — | 47 |
| C1062 | INTRAVERTEBRAL FX AUG IMPL | $27,639 | $17,965 | — | — | 47 |
| C2642 | Gammatile gt10 | $27,513 | $17,883 | — | — | 57 |
| C1895 | Lead ICD Dual Coil RV 7170Q58 | $26,587 | $17,282 | — | — | 47 |
| J0801 | Corticotropin 40unit inj | $26,510 | $17,232 | — | — | 57 |
| Q4107 | Graftjacket Now8x16cm 86308x16 | $25,318 | $16,457 | — | — | 47 |
| C1777 | Lead ICD sng quattro 693565cm | $25,141 | $16,342 | — | — | 47 |
| 99183 | HBO lvl 6 per ses medicare dive | $24,993 | $16,245 | — | — | 47 |
| C1885 | Cath wire turbo 2x150cm 420050 | $24,822 | $16,134 | — | — | 47 |
| C1786 | Pmkr sngl Zephy xl5626 STJM | $23,891 | $15,529 | — | — | 47 |
| Q4160 | Allogrt 36sqcm Organg no1660 | $23,078 | $15,001 | — | — | 47 |
| C1889 | IMPLANT/INSERT DEVICE, NOC | $22,726 | $14,772 | — | — | 11518 |
| Q4125 | Allogrt Acell12.25sqcmaflex200 | $21,051 | $13,683 | — | — | 47 |
| Q4104 | Skin sub Int Bil25sqcm bmw2021 | $20,747 | $13,486 | — | — | 47 |
| C1781 | MESH (IMPLANTABLE) | $19,978 | $12,986 | — | — | 274 |
| Q4238 | Allogrt 4x8cm Royal Bio mdrm48 | $19,957 | $12,972 | — | — | 47 |
| C1724 | CATH, TRANS ATHEREC,ROTATION | $19,851 | $12,903 | — | — | 47 |
| V2785 | V2785 impl corneal tiss 5751-6500 | $19,480 | $12,662 | — | — | 57 |
| C1776 | JOINT DEVICE (IMPLANTABLE) | $17,945 | $11,664 | — | — | 9768 |
| C1759 | CATH, INTRA ECHOCARDIOGRAPHY | $17,087 | $11,107 | — | — | 47 |
| Q4118 | Skin sub Matrist pwd 1000mg | $16,833 | $10,941 | — | — | 47 |
| C9352 | Collagen nerveguide 1x3 png130 | $16,813 | $10,928 | — | — | 47 |
Showing top 50 of 737 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.