45 CFR § 180 compliance
A · 100
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
17,087
Insurances with rates
5
CPT / HCPCS codes
4,165
Source MRF
Most expensive procedures (gross)
J7330
$79,968
MACI FINAL PRODUCT ASSEMBLED, 1 MEMBRANE 59866-1030-05
Gross
$114,240
C1722
$60,375
Defribrillator Visia AF-VR BWN203560H
Gross
$86,250
Q2043
$55,230
PROVENGE 250ML
Gross
$78,900
C1767
$55,225
ASPIRE GENERATOR (CRANIAL NERVE STIM) 106 10-0011-2101
Gross
$78,893
XVS MARKERS WITH XLINK 10 SETS PACK, ASP00046
$54,600
XVS MARKERS WITH XLINK 10 SETS PACK, ASP00046
Gross
$78,000
A9543
$53,095
ZEVALIN UP TO 40 MILLICURIES
Gross
$75,850
C1882
$49,280
Biventricular Defibrillator MDT CRTD Amplia MRI CRT-D DTMB1D1
Gross
$70,400
J0202
$45,345
alemtuzumab 12 mg Sol
Gross
$64,779
C1721
$42,630
Bos Sci Defib DF-1 : D121
Gross
$60,900
C2624
$42,350
Cardiomems Device/ Patient System CM 2000
Gross
$60,500
C1822
$40,496
IPG KIT NIPG1500 (NEVRO
Gross
$57,852
C1786
$32,463
AV Transcatheter Pacing System MICRAAVTCPSYSTEM
Gross
$46,375
J2350
$31,197
ocrelizumab 300 mg/10 mL Sol
Gross
$44,567
C1772
$26,880
DDB KIT 8637P
Gross
$38,400
J3245
$22,262
tildrakizumab 100 mg/mL Sol
Gross
$31,803
SurgiMend MP 25 cm x 40 cm x 2mm 606-206-007
$22,108
SurgiMend MP 25 cm x 40 cm x 2mm 606-206-007
Gross
$31,583
J9266
$21,293
PEGASPARGASE 750U/ML 5ML SDV
Gross
$30,418
C1820
$20,440
Micro Ins 97810
Gross
$29,200
C1813
$20,201
AMBICOR INFLATABLE PENILE PROSTHESIS
Gross
$28,858
C2621
$18,760
Biventricular Defibrillator MDT CRTD Percepta MRI CRT-P W1TR01
Gross
$26,800
77372
$18,205
RAD TREAT-SRS SINGLE FACTION
Gross
$26,007
37227
$17,500
Atherec/Stent/AP Fem/Pop Unilat IR
Gross
$25,000
37231
$17,500
Atherec/Stent/AP Tib/Perit Unilat IR
Gross
$25,000
C9767
$17,500
Litho/Atherec/Stent/AP Per Vessel IR
Gross
$25,000
C9773
$17,500
Litho/Stent/AP Tib/Peroneal IR
Gross
$25,000
C9774
$17,500
Litho/Atherec/AP Tib/Peroneal IR
Gross
$25,000
C9775
$17,500
Litho/Ath/Stent/AP Tib/Peroneal IR
Gross
$25,000
J2997
$17,357
alteplase 100 mg IV Inj
Gross
$24,796
J9042
$17,014
brentuximab vedotin 50 mg IV Inj
Gross
$24,306
37182
$16,800
IR TIPS Placement
Gross
$24,000
J9119
$16,520
cemiplimab 350 mg/7 mL Sol
Gross
$23,600
Q4116
$15,534
ALLODERM 16X20 CM 1519320P
Gross
$22,191
36906
$15,400
IR Dialysis Thromb w Stent Peripheral
Gross
$22,000
93580
$14,000
CL PFO/ASD Closure
Gross
$20,000
C1764
$13,986
Implantable Loop Recorder Reveal LINQ LNQ11
Gross
$19,980
64590
$13,699
TECH FEE - IMPLANT NEURO RECEIVER - 64590
Gross
$19,570
A9572
$13,545
IN-111 OCTREOTIDE
Gross
$19,350
62362
$12,978
TECH FEE - IMPLANT SPINE INFUSION PUMP - 62362
Gross
$18,540
22514
$12,600
Percutaneous vertebral augmentation, including cavity creation using mechanical device, 22514
Gross
$18,000
33227
$12,600
CL Rem/Rep Pulse Gen Single Lead
Gross
$18,000
36905
$12,600
IR Dialysis Thromb w Angioplasty Periph
Gross
$18,000
37225
$12,600
Atherec/AP Fem/Pop Unilat IR
Gross
$18,000
37226
$12,600
Stent/AP Fem/Pop Unilat IR
Gross
$18,000
37229
$12,600
Atherec/AP Tibial/Perit Unilat IR
Gross
$18,000
37230
$12,600
Stent/AP Tibial/Perit Unilat IR
Gross
$18,000
C9765
$12,600
Litho/Stent/AP Per Vessel IR
Gross
$18,000
C9766
$12,600
Litho/Atherec/AP Per Vessel IR
Gross
$18,000
C9772
$12,600
Litho/AP Tib/Peroneal IR
Gross
$18,000
NAIL 8X110MM SMN08110
$12,524
NAIL 8X110MM SMN08110
Gross
$17,892
C1785
$11,895
Assurity MRI Pacemaker Pulse Generator PM2272
Gross
$16,993
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J7330 | MACI FINAL PRODUCT ASSEMBLED, 1 MEMBRANE 59866-1030-05 | $114,240 | $79,968 | $0 | $102,816 | 4 |
| C1722 | Defribrillator Visia AF-VR BWN203560H | $86,250 | $60,375 | $0 | $77,625 | 3 |
| Q2043 | PROVENGE 250ML | $78,900 | $55,230 | $39,006 | $71,010 | 5 |
| C1767 | ASPIRE GENERATOR (CRANIAL NERVE STIM) 106 10-0011-2101 | $78,893 | $55,225 | $0 | $71,003 | 3 |
| XVS MARKERS WITH XLINK 10 SETS PACK, ASP00046 | XVS MARKERS WITH XLINK 10 SETS PACK, ASP00046 | $78,000 | $54,600 | $0 | $70,200 | 3 |
| A9543 | ZEVALIN UP TO 40 MILLICURIES | $75,850 | $53,095 | $35,046 | $68,265 | 5 |
| C1882 | Biventricular Defibrillator MDT CRTD Amplia MRI CRT-D DTMB1D1 | $70,400 | $49,280 | $0 | $63,360 | 3 |
| J0202 | alemtuzumab 12 mg Sol | $64,779 | $45,345 | $0 | $58,301 | 4 |
| C1721 | Bos Sci Defib DF-1 : D121 | $60,900 | $42,630 | $0 | $54,810 | 3 |
| C2624 | Cardiomems Device/ Patient System CM 2000 | $60,500 | $42,350 | $0 | $54,450 | 3 |
| C1822 | IPG KIT NIPG1500 (NEVRO | $57,852 | $40,496 | $0 | $52,067 | 3 |
| C1786 | AV Transcatheter Pacing System MICRAAVTCPSYSTEM | $46,375 | $32,463 | $0 | $41,738 | 3 |
| J2350 | ocrelizumab 300 mg/10 mL Sol | $44,567 | $31,197 | $0 | $40,110 | 4 |
| C1772 | DDB KIT 8637P | $38,400 | $26,880 | $0 | $34,560 | 4 |
| J3245 | tildrakizumab 100 mg/mL Sol | $31,803 | $22,262 | $0 | $28,623 | 3 |
| SurgiMend MP 25 cm x 40 cm x 2mm 606-206-007 | SurgiMend MP 25 cm x 40 cm x 2mm 606-206-007 | $31,583 | $22,108 | $0 | $28,424 | 3 |
| J9266 | PEGASPARGASE 750U/ML 5ML SDV | $30,418 | $21,293 | $7,362 | $27,376 | 5 |
| C1820 | Micro Ins 97810 | $29,200 | $20,440 | $0 | $26,280 | 4 |
| C1813 | AMBICOR INFLATABLE PENILE PROSTHESIS | $28,858 | $20,201 | $0 | $25,972 | 3 |
| C2621 | Biventricular Defibrillator MDT CRTD Percepta MRI CRT-P W1TR01 | $26,800 | $18,760 | $0 | $24,120 | 3 |
| 77372 | RAD TREAT-SRS SINGLE FACTION | $26,007 | $18,205 | $19,505 | $24,423 | 5 |
| 37227 | Atherec/Stent/AP Fem/Pop Unilat IR | $25,000 | $17,500 | $17,793 | $46,024 | 5 |
| 37231 | Atherec/Stent/AP Tib/Perit Unilat IR | $25,000 | $17,500 | $17,793 | $46,024 | 5 |
| C9767 | Litho/Atherec/Stent/AP Per Vessel IR | $25,000 | $17,500 | $0 | $22,500 | 3 |
| C9773 | Litho/Stent/AP Tib/Peroneal IR | $25,000 | $17,500 | $0 | $22,500 | 3 |
| C9774 | Litho/Atherec/AP Tib/Peroneal IR | $25,000 | $17,500 | $0 | $22,500 | 3 |
| C9775 | Litho/Ath/Stent/AP Tib/Peroneal IR | $25,000 | $17,500 | $0 | $22,500 | 3 |
| J2997 | alteplase 100 mg IV Inj | $24,796 | $17,357 | $93.89 | $22,316 | 5 |
| J9042 | brentuximab vedotin 50 mg IV Inj | $24,306 | $17,014 | $162 | $21,875 | 5 |
| 37182 | IR TIPS Placement | $24,000 | $16,800 | $0 | $21,600 | 4 |
| J9119 | cemiplimab 350 mg/7 mL Sol | $23,600 | $16,520 | $0 | $21,240 | 3 |
| Q4116 | ALLODERM 16X20 CM 1519320P | $22,191 | $15,534 | $0 | $19,972 | 4 |
| 36906 | IR Dialysis Thromb w Stent Peripheral | $22,000 | $15,400 | $0 | $19,800 | 4 |
| 93580 | CL PFO/ASD Closure | $20,000 | $14,000 | $10,360 | $46,024 | 5 |
| C1764 | Implantable Loop Recorder Reveal LINQ LNQ11 | $19,980 | $13,986 | $0 | $17,982 | 3 |
| 64590 | TECH FEE - IMPLANT NEURO RECEIVER - 64590 | $19,570 | $13,699 | $14,678 | $53,029 | 5 |
| A9572 | IN-111 OCTREOTIDE | $19,350 | $13,545 | $0 | $17,415 | 3 |
| 62362 | TECH FEE - IMPLANT SPINE INFUSION PUMP - 62362 | $18,540 | $12,978 | $12,559 | $48,275 | 5 |
| 22514 | Percutaneous vertebral augmentation, including cavity creation using mechanical device, 22514 | $18,000 | $12,600 | $0 | $19,601 | 4 |
| 33227 | CL Rem/Rep Pulse Gen Single Lead | $18,000 | $12,600 | $4,935 | $20,291 | 5 |
| 36905 | IR Dialysis Thromb w Angioplasty Periph | $18,000 | $12,600 | $0 | $16,200 | 4 |
| 37225 | Atherec/AP Fem/Pop Unilat IR | $18,000 | $12,600 | $12,386 | $29,846 | 5 |
| 37226 | Stent/AP Fem/Pop Unilat IR | $18,000 | $12,600 | $12,386 | $29,846 | 5 |
| 37229 | Atherec/AP Tibial/Perit Unilat IR | $18,000 | $12,600 | $12,386 | $46,024 | 5 |
| 37230 | Stent/AP Tibial/Perit Unilat IR | $18,000 | $12,600 | $12,386 | $46,024 | 5 |
| C9765 | Litho/Stent/AP Per Vessel IR | $18,000 | $12,600 | $0 | $16,200 | 3 |
| C9766 | Litho/Atherec/AP Per Vessel IR | $18,000 | $12,600 | $0 | $16,200 | 3 |
| C9772 | Litho/AP Tib/Peroneal IR | $18,000 | $12,600 | $0 | $16,200 | 3 |
| NAIL 8X110MM SMN08110 | NAIL 8X110MM SMN08110 | $17,892 | $12,524 | $0 | $16,103 | 3 |
| C1785 | Assurity MRI Pacemaker Pulse Generator PM2272 | $16,993 | $11,895 | $0 | $15,293 | 3 |
Showing top 50 of 17,087 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.