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
13,206
Insurances with rates
21
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-209301
$60,493
OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23,000 UNIT/23 ML SUBCUT SOLN
Gross
$223,223
RX-163245
$59,830
GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION
Gross
$220,773
SUP-249.683
$57,984
PLATE BONE LC SS 2.7MM 7 HOLE 67MM
Gross
$213,963
SUP-222ETCTRSY33
$41,691
KIT SPIN CORD STIM ETERNA IPG CONTRL CHRGR
Gross
$153,840
742
$40,428
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
Gross
$149,180
417
$37,963
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
Gross
$140,086
SUP-32400
$37,900
GENERATOR PULSE ETERNA IMPLANTABLE 16CH IPG
Gross
$139,851
SUP-3660 CTRLSYS XX
$34,670
STIMULATOR SPINAL CORD PROCLAIM ELITE 5 IPG PAT CONTROLLER
Gross
$127,932
SUP-3150
$32,418
GENERATOR V PULSE INSPIRE IMPLANTABLE RESP SENSING
Gross
$119,625
SUP-3664
$32,193
GENERATOR PULSE PROCLAIM DRG
Gross
$118,794
SUP-977119
$31,893
NEUROSTIMULATOR INCEPTIVE MRI
Gross
$117,687
SUP-3662
$31,068
GENERATOR PULSE PROCLAIM 7 ELITE
Gross
$114,641
399
$30,563
APPENDIX PROCEDURES WITHOUT CC/MCC
Gross
$112,778
SUP-9770VP
$30,017
KIT VANTA RECHARGE FREE PERC SYS
Gross
$110,764
SUP-3772
$29,867
GENERATOR PRODIGY MRI IPG
Gross
$110,210
SUP-97715
$28,576
GENERATOR INTERNAL INTELLIS W ADAPTIVESTIM IPG 97715
Gross
$105,447
418
$27,778
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
Gross
$102,502
SUP-3660
$27,728
GENERATOR PULSE PROCLAIM XR 5
Gross
$102,318
355
$27,654
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
Gross
$102,046
SUP-3028
$27,353
GENERATOR PULSE INSPIRE IMPLABLE
Gross
$100,934
62
$26,792
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
Gross
$98,863
RX-185417
$26,363
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$97,280
SUP-977006
$26,265
GENERATOR NEUROSTIMULATOR VANTA SCS RECHARGE FREE
Gross
$96,919
CASE-58573
$25,014
Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar
Gross
$92,303
CASE-57250
$24,921
Post Colporrhaphy Rectocele W/WO Perineorrhaphy
Gross
$91,961
CASE-57288
$24,878
Sling Operation Stress Incontinence
Gross
$91,799
CASE-57425
$24,475
Laparoscopy Colpopexy Suspension Vaginal Apex
Gross
$90,314
SUP-11060A23
$24,014
CONDUIT AORTIC VALVED KONECT RESILIA 23MM
Gross
$88,611
SUP-11060A25
$24,014
CONDUIT AORTIC VALVED KONECT RESILIA 25MM
Gross
$88,611
RX-192573
$23,951
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION
Gross
$88,382
CASE-C9776
$23,940
Fluo bile duct imaging w/icg
Gross
$88,338
CASE-47563
$23,693
Laps Surg Cholecystectomy W/Cholangiography
Gross
$87,430
CASE-64488
$23,544
Tap Block Bilateral by Injection(S)
Gross
$86,878
RX-203575
$23,510
MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION
Gross
$86,753
CASE-49650
$23,440
Laparoscopy Surg Rpr Initial Inguinal Hernia
Gross
$86,494
CASE-64425
$23,141
Injection Aa&/Strd Ilioinguinal Ih Nerves
Gross
$85,393
CASE-47562
$23,110
Laparoscopy Surg Cholecystectomy
Gross
$85,275
445
$22,919
DISORDERS OF THE BILIARY TRACT WITH CC
Gross
$84,570
CASE-49592
$22,264
Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated
Gross
$82,154
CASE-58571
$21,796
Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary|BILATERAL PROCEDURE
Gross
$80,429
CASE-58662
$21,720
Laps Fulg/Exc Ovary Viscera/Peritoneal Surface
Gross
$80,146
CASE-49594
$21,675
Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strangulated
Gross
$79,982
SUP-15-8020/12
$21,474
PROSTHESIS KNEE ROT ENDOMODEL ANTILUX DEV LFT XS 17MM
Gross
$79,238
CASE-49320
$20,684
Laps Abd Prtm&Omentum Dx W/WO Spec Br/Wa Spx|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CE
Gross
$76,324
RX-201832
$20,206
RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION
Gross
$74,561
SUP-CXT231412
$19,975
ENDOPROSTHESIS TRUNK IPS LEG EXCLUDER 19-21MM IAV 23MM AE 12CM
Gross
$73,708
SUP-CXT281412
$19,975
ENDOPROSTHESIS TRUNK IPS LEG EXCLUDER 24-26MM IAV 28.5MM AE 12CM
Gross
$73,708
SUP-CXT321414
$19,975
ENDOPROSTHESIS TRUNK IPS LEG EXCLUDER 27-29MM IAV 32MM AE 14CM
Gross
$73,708
205
$19,708
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
Gross
$72,723
CASE-58661
$19,643
Laparoscopy W/Rmvl Adnexal Structures
Gross
$72,484
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-209301 | OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23,000 UNIT/23 ML SUBCUT SOLN | $223,223 | $60,493 | — | — | 26 |
| RX-163245 | GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION | $220,773 | $59,830 | — | — | 13 |
| SUP-249.683 | PLATE BONE LC SS 2.7MM 7 HOLE 67MM | $213,963 | $57,984 | — | — | 13 |
| SUP-222ETCTRSY33 | KIT SPIN CORD STIM ETERNA IPG CONTRL CHRGR | $153,840 | $41,691 | — | — | 9 |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $149,180 | $40,428 | — | — | 9 |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $140,086 | $37,963 | — | — | 9 |
| SUP-32400 | GENERATOR PULSE ETERNA IMPLANTABLE 16CH IPG | $139,851 | $37,900 | — | — | 13 |
| SUP-3660 CTRLSYS XX | STIMULATOR SPINAL CORD PROCLAIM ELITE 5 IPG PAT CONTROLLER | $127,932 | $34,670 | — | — | 14 |
| SUP-3150 | GENERATOR V PULSE INSPIRE IMPLANTABLE RESP SENSING | $119,625 | $32,418 | — | — | 16 |
| SUP-3664 | GENERATOR PULSE PROCLAIM DRG | $118,794 | $32,193 | — | — | 16 |
| SUP-977119 | NEUROSTIMULATOR INCEPTIVE MRI | $117,687 | $31,893 | — | — | 16 |
| SUP-3662 | GENERATOR PULSE PROCLAIM 7 ELITE | $114,641 | $31,068 | — | — | 13 |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $112,778 | $30,563 | — | — | 9 |
| SUP-9770VP | KIT VANTA RECHARGE FREE PERC SYS | $110,764 | $30,017 | — | — | 9 |
| SUP-3772 | GENERATOR PRODIGY MRI IPG | $110,210 | $29,867 | — | — | 16 |
| SUP-97715 | GENERATOR INTERNAL INTELLIS W ADAPTIVESTIM IPG 97715 | $105,447 | $28,576 | — | — | 13 |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $102,502 | $27,778 | — | — | 9 |
| SUP-3660 | GENERATOR PULSE PROCLAIM XR 5 | $102,318 | $27,728 | — | — | 13 |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $102,046 | $27,654 | — | — | 9 |
| SUP-3028 | GENERATOR PULSE INSPIRE IMPLABLE | $100,934 | $27,353 | — | — | 16 |
| 62 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $98,863 | $26,792 | — | — | 9 |
| RX-185417 | OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION | $97,280 | $26,363 | — | — | 30 |
| SUP-977006 | GENERATOR NEUROSTIMULATOR VANTA SCS RECHARGE FREE | $96,919 | $26,265 | — | — | 16 |
| CASE-58573 | Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar | $92,303 | $25,014 | — | — | 19 |
| CASE-57250 | Post Colporrhaphy Rectocele W/WO Perineorrhaphy | $91,961 | $24,921 | — | — | 19 |
| CASE-57288 | Sling Operation Stress Incontinence | $91,799 | $24,878 | — | — | 19 |
| CASE-57425 | Laparoscopy Colpopexy Suspension Vaginal Apex | $90,314 | $24,475 | — | — | 19 |
| SUP-11060A23 | CONDUIT AORTIC VALVED KONECT RESILIA 23MM | $88,611 | $24,014 | — | — | 9 |
| SUP-11060A25 | CONDUIT AORTIC VALVED KONECT RESILIA 25MM | $88,611 | $24,014 | — | — | 9 |
| RX-192573 | POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION | $88,382 | $23,951 | — | — | 30 |
| CASE-C9776 | Fluo bile duct imaging w/icg | $88,338 | $23,940 | — | — | 19 |
| CASE-47563 | Laps Surg Cholecystectomy W/Cholangiography | $87,430 | $23,693 | — | — | 19 |
| CASE-64488 | Tap Block Bilateral by Injection(S) | $86,878 | $23,544 | — | — | 19 |
| RX-203575 | MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION | $86,753 | $23,510 | — | — | 30 |
| CASE-49650 | Laparoscopy Surg Rpr Initial Inguinal Hernia | $86,494 | $23,440 | — | — | 19 |
| CASE-64425 | Injection Aa&/Strd Ilioinguinal Ih Nerves | $85,393 | $23,141 | — | — | 19 |
| CASE-47562 | Laparoscopy Surg Cholecystectomy | $85,275 | $23,110 | — | — | 19 |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $84,570 | $22,919 | — | — | 9 |
| CASE-49592 | Rpr Aa Hernia 1st < 3 Cm Ncrc8/Strangulated | $82,154 | $22,264 | — | — | 19 |
| CASE-58571 | Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary|BILATERAL PROCEDURE | $80,429 | $21,796 | — | — | 19 |
| CASE-58662 | Laps Fulg/Exc Ovary Viscera/Peritoneal Surface | $80,146 | $21,720 | — | — | 19 |
| CASE-49594 | Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strangulated | $79,982 | $21,675 | — | — | 19 |
| SUP-15-8020/12 | PROSTHESIS KNEE ROT ENDOMODEL ANTILUX DEV LFT XS 17MM | $79,238 | $21,474 | — | — | 13 |
| CASE-49320 | Laps Abd Prtm&Omentum Dx W/WO Spec Br/Wa Spx|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CE | $76,324 | $20,684 | — | — | 19 |
| RX-201832 | RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION | $74,561 | $20,206 | — | — | 30 |
| SUP-CXT231412 | ENDOPROSTHESIS TRUNK IPS LEG EXCLUDER 19-21MM IAV 23MM AE 12CM | $73,708 | $19,975 | — | — | 13 |
| SUP-CXT281412 | ENDOPROSTHESIS TRUNK IPS LEG EXCLUDER 24-26MM IAV 28.5MM AE 12CM | $73,708 | $19,975 | — | — | 13 |
| SUP-CXT321414 | ENDOPROSTHESIS TRUNK IPS LEG EXCLUDER 27-29MM IAV 32MM AE 14CM | $73,708 | $19,975 | — | — | 13 |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $72,723 | $19,708 | — | — | 9 |
| CASE-58661 | Laparoscopy W/Rmvl Adnexal Structures | $72,484 | $19,643 | — | — | 19 |
Showing top 50 of 13,206 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.