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
31,234
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-174592
$2,887,816
DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP
Gross
$2,887,816
RX-161508
$2,758,737
ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT
Gross
$2,758,737
SUP-1014993
$259,818
IMPLANT HEARTWARE HVAD
Gross
$259,818
PX-81091009
$216,663
Management of Stem Cell Donor Search
Gross
$216,663
SUP-64548
$214,340
IMPL PATIENT SPECIFIC TIBIA
Gross
$214,340
PX-81021006
$211,014
Organ Acquisition, Heart, W/ Transportation
Gross
$211,014
PX-81021005
$201,014
Organ Acquisition, Heart, W/O Transportation
Gross
$201,014
RX-67434
$197,903
HISTRELIN 50 MG (50 MCG/DAY) IMPLANT KIT
Gross
$197,903
PX-81091018
$197,302
Collection of Donor Stem Cells for Transplantation
Gross
$197,302
RX-151002
$184,100
BOTULISM IMMUNE GLOBULIN, HUMAN 100 MG INTRAVENOUS SOLUTION
Gross
$184,100
SUP-1006647
$170,149
IMPL AUTOLOGUS CHONDROCYTES
Gross
$170,149
RX-133493
$167,674
GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION
Gross
$167,674
SUP-1002683
$152,162
IMPL SYNCHRONY FLEX 24 BACKUP
Gross
$152,162
RX-153837
$144,919
NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION
Gross
$144,919
RX-31387
$138,282
CORTICOTROPIN 80 UNIT/ML INJECTION GEL
Gross
$138,282
SUP-1006646
$136,274
IMPL AUTOLOGUS CHONDROCYTES
Gross
$136,274
RX-155363
$136,161
CERLIPONASE ALFA 300 MG/10 ML(150 MG/5ML X2) INTRAVENTRICULAR KIT
Gross
$136,161
PX-27041163
$123,978
Electric Elbow Utah Myoelectric Control L7180
Gross
$123,978
SUP-64403
$121,949
ELECTRODE COCHLEAR ARR FLEX28
Gross
$121,949
SUP-64404
$121,949
ELECTRODE COCHLEAR ARR FLEX24
Gross
$121,949
SUP-74126
$121,949
ELECTRODE COCHLEAR PIN FLEX28
Gross
$121,949
SUP-78307
$121,949
ELECTRODE CONCERT PIN STAN
Gross
$121,949
PX-27193180
$121,534
Heart Valve Sapien Pulmonary Alterra 3 29mm
Gross
$121,534
PX-81091002
$121,014
Management of Stem Cell Donor Search
Gross
$121,014
PX-81021009
$114,540
Organ Acquisition, Liver, Cadaveric Donor W/ Transportation
Gross
$114,540
SUP-1013267
$112,885
PUMP BLOOD VALVE BERLIN 10ML
Gross
$112,885
SUP-1013268
$112,885
PUMP BLOOD VALVE BERLIN 25ML
Gross
$112,885
SUP-61379
$112,885
PUMP BLOOD VALVE BERLIN 30ML
Gross
$112,885
SUP-71896
$112,885
PUMP BLOOD PU VALVES 50ML
Gross
$112,885
SUP-71897
$112,885
PUMP BLOOD PU VALVES 60ML
Gross
$112,885
SUP-1001680
$112,885
PUMP BLOOD VALVE BERLIN 15ML
Gross
$112,885
SUP-18045
$112,885
PUMP BLOOD VALVE BERLIN 50ML
Gross
$112,885
RX-160628
$111,539
CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION
Gross
$111,539
RX-824
$105,428
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION
Gross
$105,428
PX-81021007
$104,540
Organ Acquisition, Liver, Cadaveric Donor W/O Transportation
Gross
$104,540
PX-81011001
$104,540
Organ Acquisition, Liver, Living Donor
Gross
$104,540
SUP-50637
$102,655
FEMUR PROXIMAL REPIPHYSIS LT
Gross
$102,655
RX-166216
$100,740
NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION
Gross
$100,740
PX-81021000
$100,517
Organ Acquisition, Kidney, Cadaveric Donor
Gross
$100,517
SUP-1004105
$95,394
VALVE SYS TRANSCAT SAPIEN 23MM
Gross
$95,394
SUP-1004106
$95,394
VALVE SYS TRANSCAT SAPIEN 26MM
Gross
$95,394
SUP-1004107
$95,394
VALVE SYS TRANSCAT SAPIEN 29MM
Gross
$95,394
RX-156396
$93,608
INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN
Gross
$93,608
SUP-89871
$90,166
PACER DEFIBRILLATOR ENTRUST
Gross
$90,166
SUP-1017140
$85,925
IMPLANT SYNCHRONY PIN FLEX28
Gross
$85,925
SUP-1017141
$85,925
IMPLANT SYNCHRONY PIN FLEX24
Gross
$85,925
SUP-80207
$85,925
PROCESSOR 2ND US3200 BAT FRAME
Gross
$85,925
SUP-80208
$85,925
PROCESSOR SONNET EAR HK/PIN
Gross
$85,925
SUP-80209
$85,925
PROCESSOR US3200 VOUCHER RECHA
Gross
$85,925
SUP-1017551
$85,925
IMPLANT SYNCHRONY FLEX28
Gross
$85,925
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-174592 | DELANDISTROGENE MOXEPARVOVEC-ROKL 1.33X10EXP13 VG/ML INTRAVENOUS SUSP | $2,887,816 | $2,887,816 | — | — | 0 |
| RX-161508 | ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT | $2,758,737 | $2,758,737 | — | — | 0 |
| SUP-1014993 | IMPLANT HEARTWARE HVAD | $259,818 | $259,818 | — | — | 0 |
| PX-81091009 | Management of Stem Cell Donor Search | $216,663 | $216,663 | — | — | 0 |
| SUP-64548 | IMPL PATIENT SPECIFIC TIBIA | $214,340 | $214,340 | — | — | 0 |
| PX-81021006 | Organ Acquisition, Heart, W/ Transportation | $211,014 | $211,014 | — | — | 0 |
| PX-81021005 | Organ Acquisition, Heart, W/O Transportation | $201,014 | $201,014 | — | — | 0 |
| RX-67434 | HISTRELIN 50 MG (50 MCG/DAY) IMPLANT KIT | $197,903 | $197,903 | — | — | 0 |
| PX-81091018 | Collection of Donor Stem Cells for Transplantation | $197,302 | $197,302 | — | — | 0 |
| RX-151002 | BOTULISM IMMUNE GLOBULIN, HUMAN 100 MG INTRAVENOUS SOLUTION | $184,100 | $184,100 | — | — | 0 |
| SUP-1006647 | IMPL AUTOLOGUS CHONDROCYTES | $170,149 | $170,149 | — | — | 0 |
| RX-133493 | GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION | $167,674 | $167,674 | — | — | 0 |
| SUP-1002683 | IMPL SYNCHRONY FLEX 24 BACKUP | $152,162 | $152,162 | — | — | 0 |
| RX-153837 | NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION | $144,919 | $144,919 | — | — | 0 |
| RX-31387 | CORTICOTROPIN 80 UNIT/ML INJECTION GEL | $138,282 | $138,282 | — | — | 0 |
| SUP-1006646 | IMPL AUTOLOGUS CHONDROCYTES | $136,274 | $136,274 | — | — | 0 |
| RX-155363 | CERLIPONASE ALFA 300 MG/10 ML(150 MG/5ML X2) INTRAVENTRICULAR KIT | $136,161 | $136,161 | — | — | 0 |
| PX-27041163 | Electric Elbow Utah Myoelectric Control L7180 | $123,978 | $123,978 | — | — | 0 |
| SUP-64403 | ELECTRODE COCHLEAR ARR FLEX28 | $121,949 | $121,949 | — | — | 0 |
| SUP-64404 | ELECTRODE COCHLEAR ARR FLEX24 | $121,949 | $121,949 | — | — | 0 |
| SUP-74126 | ELECTRODE COCHLEAR PIN FLEX28 | $121,949 | $121,949 | — | — | 0 |
| SUP-78307 | ELECTRODE CONCERT PIN STAN | $121,949 | $121,949 | — | — | 0 |
| PX-27193180 | Heart Valve Sapien Pulmonary Alterra 3 29mm | $121,534 | $121,534 | — | — | 0 |
| PX-81091002 | Management of Stem Cell Donor Search | $121,014 | $121,014 | — | — | 0 |
| PX-81021009 | Organ Acquisition, Liver, Cadaveric Donor W/ Transportation | $114,540 | $114,540 | — | — | 0 |
| SUP-1013267 | PUMP BLOOD VALVE BERLIN 10ML | $112,885 | $112,885 | — | — | 0 |
| SUP-1013268 | PUMP BLOOD VALVE BERLIN 25ML | $112,885 | $112,885 | — | — | 0 |
| SUP-61379 | PUMP BLOOD VALVE BERLIN 30ML | $112,885 | $112,885 | — | — | 0 |
| SUP-71896 | PUMP BLOOD PU VALVES 50ML | $112,885 | $112,885 | — | — | 0 |
| SUP-71897 | PUMP BLOOD PU VALVES 60ML | $112,885 | $112,885 | — | — | 0 |
| SUP-1001680 | PUMP BLOOD VALVE BERLIN 15ML | $112,885 | $112,885 | — | — | 0 |
| SUP-18045 | PUMP BLOOD VALVE BERLIN 50ML | $112,885 | $112,885 | — | — | 0 |
| RX-160628 | CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION | $111,539 | $111,539 | — | — | 0 |
| RX-824 | PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION | $105,428 | $105,428 | — | — | 0 |
| PX-81021007 | Organ Acquisition, Liver, Cadaveric Donor W/O Transportation | $104,540 | $104,540 | — | — | 0 |
| PX-81011001 | Organ Acquisition, Liver, Living Donor | $104,540 | $104,540 | — | — | 0 |
| SUP-50637 | FEMUR PROXIMAL REPIPHYSIS LT | $102,655 | $102,655 | — | — | 0 |
| RX-166216 | NAXITAMAB-GQGK 4 MG/ML INTRAVENOUS SOLUTION | $100,740 | $100,740 | — | — | 0 |
| PX-81021000 | Organ Acquisition, Kidney, Cadaveric Donor | $100,517 | $100,517 | — | — | 0 |
| SUP-1004105 | VALVE SYS TRANSCAT SAPIEN 23MM | $95,394 | $95,394 | — | — | 0 |
| SUP-1004106 | VALVE SYS TRANSCAT SAPIEN 26MM | $95,394 | $95,394 | — | — | 0 |
| SUP-1004107 | VALVE SYS TRANSCAT SAPIEN 29MM | $95,394 | $95,394 | — | — | 0 |
| RX-156396 | INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN | $93,608 | $93,608 | — | — | 0 |
| SUP-89871 | PACER DEFIBRILLATOR ENTRUST | $90,166 | $90,166 | — | — | 0 |
| SUP-1017140 | IMPLANT SYNCHRONY PIN FLEX28 | $85,925 | $85,925 | — | — | 0 |
| SUP-1017141 | IMPLANT SYNCHRONY PIN FLEX24 | $85,925 | $85,925 | — | — | 0 |
| SUP-80207 | PROCESSOR 2ND US3200 BAT FRAME | $85,925 | $85,925 | — | — | 0 |
| SUP-80208 | PROCESSOR SONNET EAR HK/PIN | $85,925 | $85,925 | — | — | 0 |
| SUP-80209 | PROCESSOR US3200 VOUCHER RECHA | $85,925 | $85,925 | — | — | 0 |
| SUP-1017551 | IMPLANT SYNCHRONY FLEX28 | $85,925 | $85,925 | — | — | 0 |
Showing top 50 of 31,234 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.