45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
23,704
Insurances with rates
8
CPT / HCPCS codes
13,017
Most expensive procedures (gross)
J7186
$3,307,905
ANTIHEMOPHILIC FACTOR-VWF 1,500 (600 VWF) UNIT/10 ML IV SOLR
Gross
$6,615,809
02351415
$140,000
HC CUSTOM HIP RIGHT TRABECULINK
Gross
$280,000
02350819
$121,515
HC IMPLANT MACI MEMBRANE
Gross
$243,030
02351011
$112,500
HC IMPELLA PUMP SET
Gross
$225,000
02350164
$107,075
HC CUSTOM HIP IMPLANT
Gross
$214,150
Q2043
$103,303
SIPULEUCEL-T-LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSP
Gross
$206,607
02351871
$100,913
HC CUSTOM HIP PPR RIGHT TRABECULINK
Gross
$201,825
02351746
$98,325
HC PATIENT CUSTOM IMPLANT ACEATBULAR
Gross
$196,650
J9999
$96,907
CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR
Gross
$193,813
02351365
$87,500
HC CUSTOM IMPLANT - LEFT TRABECULINK
Gross
$175,000
02352035
$87,176
HC CUSTOM HIP RIGHT TRABECULINK
Gross
$174,353
02349194
$84,738
HC SENTIVA NEUROSTIMULATOR
Gross
$169,475
02351083
$83,200
HC HIP PELVIS CUSTOM IMPLANT
Gross
$166,400
02347054
$81,250
HC VALVE TRANSCATH SAPIEN W/DELIV SYSTEM
Gross
$162,500
J9269
$80,399
TAGRAXOFUSP-ERZS 1000 MCG/10 ML IV DILUTION
Gross
$160,797
02351338
$80,000
HC VALVE AORTIC
Gross
$160,000
02351448
$80,000
HC STENT GRAFT THORACIC
Gross
$160,000
02351950
$80,000
HC APREVO LEVEL 2 SPINAL IMPLANT PLANNING
Gross
$160,000
02351311
$75,520
HC CUSTOM PELVIS TRIFLANGE
Gross
$151,040
02349637
$75,000
HC MITRACLIP
Gross
$150,000
02350826
$75,000
HC VALVE AORTIC EVOLUT
Gross
$150,000
02351972
$73,750
HC IPG VNS GENERATOR
Gross
$147,500
02351907
$71,588
HC CUSTOME KNEE MEGASYSTEM
Gross
$143,175
02350464
$68,750
HC PULSE NERVE STIMULATOR
Gross
$137,500
J9359
$67,584
LONCASTUXIMAB TESIRINE-LPYL 10 MG IV SOLR
Gross
$135,168
02350789
$67,500
HC SENZA OMNIA IPG
Gross
$135,000
02351673
$66,033
HC CUSTOM PELVIS
Gross
$132,066
02351806
$65,625
HC PACEMAKER LEADLESS DUAL CHAMBER
Gross
$131,250
02351851
$65,625
HC PACEMAKER DUAL CHAMBER LEADLESS
Gross
$131,250
J9118
$64,489
CALASPARGASE PEGOL-MKNL 750 UNITS/ML IV SOLN
Gross
$128,977
02350292
$63,750
HC PULSE GENERATOR PHRENIC REMEDE
Gross
$127,500
J9229
$62,655
INOTUZUMAB OZOGAMICIN 0.9 MG (0.25 MG/ML INITIAL) IV SOLR
Gross
$125,310
02349198
$62,500
HC IMPELLA PUMP SET
Gross
$125,000
02351416
$62,500
HC MANDIBLE RECONSTRUCTION GUIDE
Gross
$125,000
02351858
$62,500
HC DETOUR SYSTEM INCL. ENDOCROSS
Gross
$125,000
A9607
$62,355
LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN
Gross
$124,709
02351793
$61,745
HC CUSTOM IMPLANT
Gross
$123,490
J7352
$60,749
AFAMELANOTIDE 16 MG SUBQ IMPL
Gross
$121,499
02350994
$60,000
HC OPRA IMPLANT FIXTURE
Gross
$120,000
02347686
$58,750
HC CARDIOMEM DELIVERY SYSTEM
Gross
$117,500
00187-0007-14
$58,364
RIBAVIRIN 6 G INHL SOLR
Gross
$116,727
02351242
$58,000
HC GRAFT ENDOVASCULAR
Gross
$116,000
J0223
$57,955
GIVOSIRAN 189 MG/ML SUBQ SOLN
Gross
$115,910
C9293
$57,674
GLUCARPIDASE 1000 UNITS IV SOLR
Gross
$115,347
02349154
$57,500
HC PRCLAIM ELITE 5 NERVE STIMULATOR
Gross
$115,000
02349518
$56,786
HC DEFIB BIVENTRICULAR
Gross
$113,573
02351247
$55,015
HC NAIL
Gross
$110,030
02349432
$55,000
HC NEUROSTIMULATOR
Gross
$110,000
02351987
$54,253
HC CRANIAL IMPLANT
Gross
$108,505
02341623
$53,750
HC DEFIBRILLATOR, SINGLE CHAMBER
Gross
$107,500
| 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 |
| 02350819 | HC IMPLANT MACI MEMBRANE | $243,030 | $121,515 | — | — | 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 |
| 02351871 | HC CUSTOM HIP PPR RIGHT TRABECULINK | $201,825 | $100,913 | — | — | 0 |
| 02351746 | HC PATIENT CUSTOM IMPLANT ACEATBULAR | $196,650 | $98,325 | — | — | 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 |
| 02352035 | HC CUSTOM HIP RIGHT TRABECULINK | $174,353 | $87,176 | — | — | 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 |
| 02351338 | HC VALVE AORTIC | $160,000 | $80,000 | — | — | 0 |
| 02351448 | HC STENT GRAFT THORACIC | $160,000 | $80,000 | — | — | 0 |
| 02351950 | HC APREVO LEVEL 2 SPINAL IMPLANT PLANNING | $160,000 | $80,000 | — | — | 0 |
| 02351311 | HC CUSTOM PELVIS TRIFLANGE | $151,040 | $75,520 | — | — | 0 |
| 02349637 | HC MITRACLIP | $150,000 | $75,000 | — | — | 0 |
| 02350826 | HC VALVE AORTIC EVOLUT | $150,000 | $75,000 | — | — | 0 |
| 02351972 | HC IPG VNS GENERATOR | $147,500 | $73,750 | — | — | 0 |
| 02351907 | HC CUSTOME KNEE MEGASYSTEM | $143,175 | $71,588 | — | — | 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 |
| 02351806 | HC PACEMAKER LEADLESS DUAL CHAMBER | $131,250 | $65,625 | — | — | 0 |
| 02351851 | HC PACEMAKER DUAL CHAMBER LEADLESS | $131,250 | $65,625 | — | — | 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 |
| 02351858 | HC DETOUR SYSTEM INCL. ENDOCROSS | $125,000 | $62,500 | — | — | 0 |
| A9607 | LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN | $124,709 | $62,355 | — | — | 0 |
| 02351793 | HC CUSTOM IMPLANT | $123,490 | $61,745 | — | — | 0 |
| J7352 | AFAMELANOTIDE 16 MG SUBQ IMPL | $121,499 | $60,749 | — | — | 0 |
| 02350994 | HC OPRA IMPLANT FIXTURE | $120,000 | $60,000 | — | — | 0 |
| 02347686 | HC CARDIOMEM DELIVERY SYSTEM | $117,500 | $58,750 | — | — | 0 |
| 00187-0007-14 | RIBAVIRIN 6 G INHL SOLR | $116,727 | $58,364 | — | — | 0 |
| 02351242 | HC GRAFT ENDOVASCULAR | $116,000 | $58,000 | — | — | 0 |
| J0223 | GIVOSIRAN 189 MG/ML SUBQ SOLN | $115,910 | $57,955 | — | — | 0 |
| C9293 | GLUCARPIDASE 1000 UNITS IV SOLR | $115,347 | $57,674 | — | — | 0 |
| 02349154 | HC PRCLAIM ELITE 5 NERVE STIMULATOR | $115,000 | $57,500 | — | — | 0 |
| 02349518 | HC DEFIB BIVENTRICULAR | $113,573 | $56,786 | — | — | 0 |
| 02351247 | HC NAIL | $110,030 | $55,015 | — | — | 0 |
| 02349432 | HC NEUROSTIMULATOR | $110,000 | $55,000 | — | — | 0 |
| 02351987 | HC CRANIAL IMPLANT | $108,505 | $54,253 | — | — | 0 |
| 02341623 | HC DEFIBRILLATOR, SINGLE CHAMBER | $107,500 | $53,750 | — | — | 0 |
Showing top 50 of 23,704 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.