45 CFR § 180 compliance
F · 55
This hospital published little 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
23,916
Insurances with rates
8
CPT / HCPCS codes
13,189
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J7186 | ANTIHEMOPHILIC FACTOR-VWF 1,500 (600 VWF) UNIT/10 ML IV SOLR | $6,615,809 | $3,307,905 | — | — | 0 |
| 02351415 | Hc Custom Hip Right Trabeculink | $280,000 | $140,000 | — | — | 0 |
| 02351011 | Hc Impella Pump Set | $225,000 | $112,500 | — | — | 0 |
| 02350164 | Hc Custom Hip Implant | $214,150 | $107,075 | — | — | 0 |
| Q2043 | SIPULEUCEL-T-LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSP | $206,607 | $103,303 | — | — | 0 |
| J9347 | TREMELIMUMAB-ACTL 20 MG/ML IV SOLN | $198,952 | $99,476 | — | — | 0 |
| J9999 | CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR | $193,813 | $96,907 | — | — | 0 |
| 02351365 | Hc Custom Implant - Left Trabeculink | $175,000 | $87,500 | — | — | 0 |
| 02349194 | Hc Sentiva Neurostimulator | $169,475 | $84,738 | — | — | 0 |
| 02351083 | Hc Hip Pelvis Custom Implant | $166,400 | $83,200 | — | — | 0 |
| 02347054 | Hc Valve Transcath Sapien W/Deliv System | $162,500 | $81,250 | — | — | 0 |
| J9269 | TAGRAXOFUSP-ERZS 1000 MCG/10 ML IV DILUTION | $160,797 | $80,399 | — | — | 0 |
| 02351448 | Hc Stent Graft Thoracic | $160,000 | $80,000 | — | — | 0 |
| 02351311 | Hc Custom Pelvis Triflange | $151,040 | $75,520 | — | — | 0 |
| 02349637 | Hc Mitraclip | $150,000 | $75,000 | — | — | 0 |
| 02350464 | Hc Pulse Nerve Stimulator | $137,500 | $68,750 | — | — | 0 |
| J9359 | LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR | $135,168 | $67,584 | — | — | 0 |
| 02350789 | Hc Senza Omnia Ipg | $135,000 | $67,500 | — | — | 0 |
| 02351673 | Hc Custom Pelvis | $132,066 | $66,033 | — | — | 0 |
| J9118 | CALASPARGASE PEGOL-MKNL 750 UNITS/ML IV SOLN | $128,977 | $64,489 | — | — | 0 |
| 02350292 | Hc Pulse Generator Phrenic Remede | $127,500 | $63,750 | — | — | 0 |
| J9229 | INOTUZUMAB OZOGAMICIN 0.9 MG (0.25 MG/ML INITIAL) IV SOLR | $125,310 | $62,655 | — | — | 0 |
| 02349198 | Hc Impella Pump Set | $125,000 | $62,500 | — | — | 0 |
| 02351416 | Hc Mandible Reconstruction Guide | $125,000 | $62,500 | — | — | 0 |
| A9607 | LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN | $124,709 | $62,355 | — | — | 0 |
| J7352 | AFAMELANOTIDE 16 MG SUBQ IMPL | $121,499 | $60,749 | — | — | 0 |
| 02350994 | Hc Opra Implant Fixture | $120,000 | $60,000 | — | — | 0 |
| J1303 | RAVULIZUMAB-CWVZ 100 MG/ML IV SOLN | $117,459 | $58,729 | — | — | 0 |
| 00187-0007-14 | RIBAVIRIN 6 G INHL SOLR | $116,727 | $58,364 | — | — | 0 |
| J0223 | GIVOSIRAN 189 MG/ML SUBQ SOLN | $115,910 | $57,955 | — | — | 0 |
| C9293 | GLUCARPIDASE (VORAXAZE) IV SYRINGE | $115,347 | $57,674 | — | — | 0 |
| 02349154 | Hc Prclaim Elite 5 Nerve Stimulator | $115,000 | $57,500 | — | — | 0 |
| 02351247 | Hc Nail | $110,030 | $55,015 | — | — | 0 |
| J9281 | MITOMYCIN (JELMYTO) URETERAL GEL CNR | $106,932 | $53,466 | — | — | 0 |
| 02350477 | Hc Stent Graft Thoracic | $102,375 | $51,188 | — | — | 0 |
| 02351324 | Hc Inceptiv Pulse Generator Kit | $100,000 | $50,000 | — | — | 0 |
| J2350 | OCRELIZUMAB 30 MG/ML IV SOLN | $98,624 | $49,312 | — | — | 0 |
| 02350294 | Hc Femoral Confyle Hemi | $97,850 | $48,925 | — | — | 0 |
| 02349412 | Hc Ear Implant Hires Ultra 3D | $97,397 | $48,699 | — | — | 0 |
| J9350 | MOSUNETUZUMAB-AXGB 1 MG/ML IV SOLN | $91,854 | $45,927 | — | — | 0 |
| 02347870 | Hc Graft Endovascular Zenith | $91,567 | $45,784 | — | — | 0 |
| 02346040 | Hc Spectra Pulse Generator Kit | $91,500 | $45,750 | — | — | 0 |
| J9309 | POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR | $90,489 | $45,245 | — | — | 0 |
| 02351782 | Hc Cage Llif Patient Specific | $89,700 | $44,850 | — | — | 0 |
| 02351728 | Hc Totak Knee System | $88,168 | $44,084 | — | — | 0 |
| 02351738 | Hc Custom Total Knee | $88,168 | $44,084 | — | — | 0 |
| 02348352 | Hc Cochlear Implant System | $87,397 | $43,699 | — | — | 0 |
| 02349322 | Hc Pulse Generator Kit Implantable | $86,500 | $43,250 | — | — | 0 |
| J3241 | TEPROTUMUMAB-TRBW 500 MG IV SOLR | $85,140 | $42,570 | — | — | 0 |
| 02348391 | Hc Watchman Laa Closure Device | $85,000 | $42,500 | — | — | 0 |
Showing top 50 of 23,916 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.