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
23,178
Insurances with rates
5
CPT / HCPCS codes
0
Most expensive procedures (gross)
253122-5929975
$98,900
sipuleucel-T - Su
Gross
$164,834
253416-6867027
$73,346
Tremelimumab actl 300 mg/15 mL Inj
Gross
$122,244
253565-6933414
$73,160
Ocrelizumab-Hyaluronidase (920 mg-23,000 units/23 mL) Inj
Gross
$121,933
2745419-4840443
$73,125
VALVE SAPIEN 3 ULTRA THV 23MM W COMMAND
Gross
$121,875
2745420-4840444
$73,125
VALVE SAPIEN 3 ULTRA THV 26MM W COMMAND
Gross
$121,875
2745952-5008381
$73,125
VALVE SAPIEN 3 THV 29MM W COMMAND SYSTEM
Gross
$121,875
2748519-5743634
$73,125
CMD SYSTEM 20 VALVE SAPIEN 3
Gross
$121,875
2748519-6963876
$73,125
VALVE SAPIEN 3 ULTRA THV 20MM
Gross
$121,875
251739-5136405
$64,192
Ipilimumab 5 mg/ml Inj 40 ml
Gross
$106,987
2746447-5334485
$56,250
CATHETER IMPELLA CP
Gross
$93,750
2746447-6961740
$56,250
SET PUMP IMPELLA CP
Gross
$93,750
2749271-5810165
$56,250
CATHETER IMPELLA RP
Gross
$93,750
2749271-6969735
$56,250
IMPELLA RP W SMART ASSIST
Gross
$93,750
2748343-6961638
$53,326
MESH PHASIX ST 25X30CM
Gross
$88,876
2746267-5296404
$52,875
SENSOR CARDIOMEMS
Gross
$88,125
253467-6875792
$51,633
Ustekinumab 90 mg/mL Syringe
Gross
$86,055
253375-6699594
$50,205
Loncastuximab tesirine 10 mg Inj
Gross
$83,675
251681-6133547
$47,536
Pegaspargase 750 I-Units/ml Inj 5 ml
Gross
$79,227
2737657-3038906
$45,000
CATHETER IMPELLA 2.5
Gross
$75,000
2737657-6950088
$45,000
SET PUMP IMPELLA 2.5 AIC
Gross
$75,000
2749329-5821324
$45,000
DEFIB EMBLEM S-ICD MRI
Gross
$75,000
2746234-5276902
$42,525
DEFIB INOGEN DF4 CRT-D G140
Gross
$70,875
253268-6229567
$42,463
Ravulizumab cwvz 1100 mg/11 mL Inj
Gross
$70,772
2749329-6950787
$41,841
GENERATOR EMBLEM MRI SICD SUBQ
Gross
$69,735
2748674-5748717
$40,163
DEFIB INOGEN X4 CRT-D
Gross
$66,938
253473-6875909
$39,646
risankizumab 150 mg/mL So
Gross
$66,076
253474-6875916
$39,646
risankizumab rzaa 180 mg/1.2 mL Inj
Gross
$66,076
252991-5793025
$37,987
coagulation factor VIIa 8000 mcg (8 mg) In
Gross
$63,312
2744797-4722342
$37,575
DEFIB LUMAX 740 HF-T 365608
Gross
$62,625
2749139-5790610
$37,575
GENERATOR SPINE STIM MONTAGE
Gross
$62,625
252963-5788324
$36,572
Ocrelizumab 30 mg/ml Inj 10 ml
Gross
$60,953
2748344-6940412
$36,197
MESH PHASIX ST 20X25CM
Gross
$60,329
2746234-6950726
$34,740
ICD INOGEN CRTD DF4
Gross
$57,900
2746233-5276901
$34,706
DEFIB INOGEN CRT-D G141
Gross
$57,844
2748692-5748850
$33,865
DEFIB AMPLIA MRI CRT DF1
Gross
$56,442
253156-5985340
$33,006
Polatuzumab Vedotin 20 mg/mL Inj
Gross
$55,010
2736935-2815617
$32,344
STENT THORACIC 28MMX10CM
Gross
$53,907
2736936-2815618
$32,344
STENT THORACIC 28MMX15CM
Gross
$53,907
2736937-2815619
$32,344
STENT THORACIC 31MMX10CM
Gross
$53,907
2736938-2815620
$32,344
STENT THORACIC 31MMX15CM
Gross
$53,907
2736939-2815621
$32,344
STENT THORACIC 34MMX10CM
Gross
$53,907
2736940-2815622
$32,344
STENT THORACIC 34MMX15CM
Gross
$53,907
2736941-2815623
$32,344
STENT THORACIC 37MMX10CM
Gross
$53,907
2736942-2815624
$32,344
STENT THORACIC 37MMX15CM
Gross
$53,907
2736943-2815625
$32,344
STENT THORACIC 40MMX10CM
Gross
$53,907
2736944-2815626
$32,344
STENT THORACIC 40MMX15CM
Gross
$53,907
2746233-6950013
$32,002
ICD INOGEN CRTD DF1
Gross
$53,336
2748674-6961868
$31,678
ICD INOGEN CRTD X4 DF4
Gross
$52,796
2744797-6950802
$31,266
ICD LUMAX 740HF-T TI W/LANDLN
Gross
$52,110
2747714-5427000
$31,007
CATHETER CARDIOHELP SET 7.0
Gross
$51,679
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 253122-5929975 | sipuleucel-T - Su | $164,834 | $98,900 | — | — | 9 |
| 253416-6867027 | Tremelimumab actl 300 mg/15 mL Inj | $122,244 | $73,346 | — | — | 7 |
| 253565-6933414 | Ocrelizumab-Hyaluronidase (920 mg-23,000 units/23 mL) Inj | $121,933 | $73,160 | — | — | 7 |
| 2745419-4840443 | VALVE SAPIEN 3 ULTRA THV 23MM W COMMAND | $121,875 | $73,125 | — | — | 7 |
| 2745420-4840444 | VALVE SAPIEN 3 ULTRA THV 26MM W COMMAND | $121,875 | $73,125 | — | — | 7 |
| 2745952-5008381 | VALVE SAPIEN 3 THV 29MM W COMMAND SYSTEM | $121,875 | $73,125 | — | — | 7 |
| 2748519-5743634 | CMD SYSTEM 20 VALVE SAPIEN 3 | $121,875 | $73,125 | — | — | 7 |
| 2748519-6963876 | VALVE SAPIEN 3 ULTRA THV 20MM | $121,875 | $73,125 | — | — | 7 |
| 251739-5136405 | Ipilimumab 5 mg/ml Inj 40 ml | $106,987 | $64,192 | — | — | 7 |
| 2746447-5334485 | CATHETER IMPELLA CP | $93,750 | $56,250 | — | — | 7 |
| 2746447-6961740 | SET PUMP IMPELLA CP | $93,750 | $56,250 | — | — | 7 |
| 2749271-5810165 | CATHETER IMPELLA RP | $93,750 | $56,250 | — | — | 7 |
| 2749271-6969735 | IMPELLA RP W SMART ASSIST | $93,750 | $56,250 | — | — | 7 |
| 2748343-6961638 | MESH PHASIX ST 25X30CM | $88,876 | $53,326 | — | — | 7 |
| 2746267-5296404 | SENSOR CARDIOMEMS | $88,125 | $52,875 | — | — | 7 |
| 253467-6875792 | Ustekinumab 90 mg/mL Syringe | $86,055 | $51,633 | — | — | 7 |
| 253375-6699594 | Loncastuximab tesirine 10 mg Inj | $83,675 | $50,205 | — | — | 7 |
| 251681-6133547 | Pegaspargase 750 I-Units/ml Inj 5 ml | $79,227 | $47,536 | — | — | 7 |
| 2737657-3038906 | CATHETER IMPELLA 2.5 | $75,000 | $45,000 | — | — | 7 |
| 2737657-6950088 | SET PUMP IMPELLA 2.5 AIC | $75,000 | $45,000 | — | — | 7 |
| 2749329-5821324 | DEFIB EMBLEM S-ICD MRI | $75,000 | $45,000 | — | — | 7 |
| 2746234-5276902 | DEFIB INOGEN DF4 CRT-D G140 | $70,875 | $42,525 | — | — | 7 |
| 253268-6229567 | Ravulizumab cwvz 1100 mg/11 mL Inj | $70,772 | $42,463 | — | — | 7 |
| 2749329-6950787 | GENERATOR EMBLEM MRI SICD SUBQ | $69,735 | $41,841 | — | — | 7 |
| 2748674-5748717 | DEFIB INOGEN X4 CRT-D | $66,938 | $40,163 | — | — | 7 |
| 253473-6875909 | risankizumab 150 mg/mL So | $66,076 | $39,646 | — | — | 9 |
| 253474-6875916 | risankizumab rzaa 180 mg/1.2 mL Inj | $66,076 | $39,646 | — | — | 9 |
| 252991-5793025 | coagulation factor VIIa 8000 mcg (8 mg) In | $63,312 | $37,987 | — | — | 7 |
| 2744797-4722342 | DEFIB LUMAX 740 HF-T 365608 | $62,625 | $37,575 | — | — | 7 |
| 2749139-5790610 | GENERATOR SPINE STIM MONTAGE | $62,625 | $37,575 | — | — | 7 |
| 252963-5788324 | Ocrelizumab 30 mg/ml Inj 10 ml | $60,953 | $36,572 | — | — | 7 |
| 2748344-6940412 | MESH PHASIX ST 20X25CM | $60,329 | $36,197 | — | — | 7 |
| 2746234-6950726 | ICD INOGEN CRTD DF4 | $57,900 | $34,740 | — | — | 7 |
| 2746233-5276901 | DEFIB INOGEN CRT-D G141 | $57,844 | $34,706 | — | — | 7 |
| 2748692-5748850 | DEFIB AMPLIA MRI CRT DF1 | $56,442 | $33,865 | — | — | 7 |
| 253156-5985340 | Polatuzumab Vedotin 20 mg/mL Inj | $55,010 | $33,006 | — | — | 7 |
| 2736935-2815617 | STENT THORACIC 28MMX10CM | $53,907 | $32,344 | — | — | 7 |
| 2736936-2815618 | STENT THORACIC 28MMX15CM | $53,907 | $32,344 | — | — | 7 |
| 2736937-2815619 | STENT THORACIC 31MMX10CM | $53,907 | $32,344 | — | — | 7 |
| 2736938-2815620 | STENT THORACIC 31MMX15CM | $53,907 | $32,344 | — | — | 7 |
| 2736939-2815621 | STENT THORACIC 34MMX10CM | $53,907 | $32,344 | — | — | 7 |
| 2736940-2815622 | STENT THORACIC 34MMX15CM | $53,907 | $32,344 | — | — | 7 |
| 2736941-2815623 | STENT THORACIC 37MMX10CM | $53,907 | $32,344 | — | — | 7 |
| 2736942-2815624 | STENT THORACIC 37MMX15CM | $53,907 | $32,344 | — | — | 7 |
| 2736943-2815625 | STENT THORACIC 40MMX10CM | $53,907 | $32,344 | — | — | 7 |
| 2736944-2815626 | STENT THORACIC 40MMX15CM | $53,907 | $32,344 | — | — | 7 |
| 2746233-6950013 | ICD INOGEN CRTD DF1 | $53,336 | $32,002 | — | — | 7 |
| 2748674-6961868 | ICD INOGEN CRTD X4 DF4 | $52,796 | $31,678 | — | — | 7 |
| 2744797-6950802 | ICD LUMAX 740HF-T TI W/LANDLN | $52,110 | $31,266 | — | — | 7 |
| 2747714-5427000 | CATHETER CARDIOHELP SET 7.0 | $51,679 | $31,007 | — | — | 7 |
Showing top 50 of 23,178 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.