45 CFR § 180 compliance
D · 65
This hospital published part 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
27,909
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
Rx71336100301
$257,400
vutrisiran 25 mg/0.5 mL syringe 0.5 mL Syringe
Gross
$643,500
Rx00003232822
$62,418
ipilimumab per 1 mg
Gross
$156,045
Rx25682002801
$42,266
ravulizumab 100 mg/mL solution 11 mL Vial
Gross
$105,666
Rx71104098401
$39,270
Antihemophilic Factor (Recombinant), FC-VWF-XTEN Fusion Protein-ehtl 4000 (+/-) unit recon soln 1 ea
Gross
$98,175
4800646T01
$35,620
HC TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH
Gross
$89,051
81649
$32,400
SET IMPELLA 5.5 HEART PUMP W/SMARTASSIST PREVIOUSLY 0550-00
Gross
$81,000
94982
$30,960
VALVE EVOQUE TRICUSPID 44MM
Gross
$77,400
94983
$30,960
VALVE EVOQUE TRICUSPID 48MM
Gross
$77,400
94984
$30,960
VALVE EVOQUE TRICUSPID 52MM
Gross
$77,400
98808
$30,960
EVOQUE 44MM BUNDLE
Gross
$77,400
98821
$30,960
EVOQUE 48MM BUNDLE
Gross
$77,400
98822
$30,960
EVOQUE 52MM BUNDLE
Gross
$77,400
EVQ1A2US56
$30,960
EVOQUE 56mm Bundle
Gross
$77,400
4800571T01
$30,563
HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE
Gross
$76,408
88831
$28,800
KIT PROCEDURE SYSTEM STIMULATION SPINAL CORD SENZA II IPG 25
Gross
$72,000
85170
$28,184
STIMULATOR SENTIVA VAGUS NERVE
Gross
$70,461
90990
$27,360
VALVE TRICUSPID EVOQUE 48MM TRISCEND
Gross
$68,400
90990T
$27,360
VALVE TRICUSPID EVOQUE 48MM TRISCEND
Gross
$68,400
91459T
$27,360
VALVE TRICUSPID EVOQUE 44MM TRISCEND
Gross
$68,400
91460T
$27,360
VALVE TRICUSPID EVOQUE 52MM TRISCEND
Gross
$68,400
CAPEDWARDS
$27,360
CAPITATED EVOQUE TRICUSPID VALVE
Gross
$68,400
Rx71104098301
$26,826
Antihemophilic Factor (Recombinant), FC-VWF-XTEN Fusion Protein-ehtl 3,000 (+/-) unit recon soln 1 e
Gross
$67,065
Rx00003712511
$26,578
nivolumab-relatlimab-rmbw (dose based on nivolumab) 240-80 mg/20 mL solution 20 mL Vial
Gross
$66,444
Rx13533080040
$26,186
immune globulin (human) 1 g solution 400 mL Vial
Gross
$65,466
98080
$25,920
TRICLIP G4 SYSTEM
Gross
$64,800
TSGC0801
$25,920
TRICLIP G5 STEERABLE GUIDE CATHETER
Gross
$64,800
Rx00024582411
$25,364
cabazitaxel per 1 mg
Gross
$63,411
3600408T01
$25,255
HC INSJ/RPLC CARDIAC MODULJ SYS
Gross
$63,138
91059
$25,200
VALVE SAPIEN M3 STAGE P ENCIRCLE
Gross
$63,000
92628
$25,200
BAROSTIM NEO SYSTEM
Gross
$63,000
EDWPASCALCAP
$25,200
PASCAL ACE CAPITATED SYSTEM CLASP II
Gross
$63,000
84714
$24,480
SPINAL FUSION MULTI-LEVEL IMPLANTS (CAPPED) PLIFPROC4
Gross
$61,200
90845
$24,480
VALVE 20MM SAPIEN 3 ULTRA RESILIA SYSTEM
Gross
$61,200
90846
$24,480
VALVE 23MM SAPIEN 3 ULTRA RESILIA SYSTEM
Gross
$61,200
90847
$24,480
VALVE 26MM SAPIEN 3 ULTRA RESILIA SYSTEM
Gross
$61,200
90848
$24,480
VALVE 29MM SAPIEN 3 ULTRA RESILIA SYSTEM
Gross
$61,200
Rx50242024501
$23,878
pertuzumab-trastuzumab-hy-zzxf 1,200 mg-600mg- 30000 unit/15mL solution 15 mL Vial
Gross
$59,694
80180
$23,760
MITRACLIP G4 SYSTEM
Gross
$59,400
SGC0801
$23,760
MITRACLIP G5 STEERABLE GUIDE CATHETER
Gross
$59,400
3600483T01
$23,570
HC TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH
Gross
$58,924
4819365301
$23,446
HC EP COMP EVAL W SVT ABLATION
Gross
$58,615
4819365601
$23,446
HC EP TX AFIB PUL VN ISOL
Gross
$58,615
73092
$23,400
VALVE 29MM SAPIEN 3 THV SYSTEM
Gross
$58,500
76678
$23,400
VALVE 20MM SAPIEN 3 ULTRA THV SYSTEM
Gross
$58,500
76679
$23,400
VALVE 23MM SAPIEN 3 ULTRA THV SYSTEM
Gross
$58,500
76680
$23,400
VALVE 26MM SAPIEN 3 ULTRA THV SYSTEM
Gross
$58,500
30DASH1DASH0126
$23,040
SIEGEL TRANSCATHETER AORTIC VALVE REPLACEMENT SYSTEM
Gross
$57,600
82373
$23,040
KIT IPG SENZA II (SCS) NIPG2000
Gross
$57,600
98688
$23,040
SIEGEL TRANSCATHETER AORTIC VALVE REPLACEMENT SYSTEM - FOR RESEARCH - CTA
Gross
$57,600
98762
$23,040
VALVE RESEARCH MIRUS SIEGEL 26MM
Gross
$57,600
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Rx71336100301 | vutrisiran 25 mg/0.5 mL syringe 0.5 mL Syringe | $643,500 | $257,400 | — | — | 0 |
| Rx00003232822 | ipilimumab per 1 mg | $156,045 | $62,418 | — | — | 0 |
| Rx25682002801 | ravulizumab 100 mg/mL solution 11 mL Vial | $105,666 | $42,266 | — | — | 0 |
| Rx71104098401 | Antihemophilic Factor (Recombinant), FC-VWF-XTEN Fusion Protein-ehtl 4000 (+/-) unit recon soln 1 ea | $98,175 | $39,270 | — | — | 0 |
| 4800646T01 | HC TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH | $89,051 | $35,620 | — | — | 0 |
| 81649 | SET IMPELLA 5.5 HEART PUMP W/SMARTASSIST PREVIOUSLY 0550-00 | $81,000 | $32,400 | — | — | 0 |
| 94982 | VALVE EVOQUE TRICUSPID 44MM | $77,400 | $30,960 | — | — | 0 |
| 94983 | VALVE EVOQUE TRICUSPID 48MM | $77,400 | $30,960 | — | — | 0 |
| 94984 | VALVE EVOQUE TRICUSPID 52MM | $77,400 | $30,960 | — | — | 0 |
| 98808 | EVOQUE 44MM BUNDLE | $77,400 | $30,960 | — | — | 0 |
| 98821 | EVOQUE 48MM BUNDLE | $77,400 | $30,960 | — | — | 0 |
| 98822 | EVOQUE 52MM BUNDLE | $77,400 | $30,960 | — | — | 0 |
| EVQ1A2US56 | EVOQUE 56mm Bundle | $77,400 | $30,960 | — | — | 0 |
| 4800571T01 | HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE | $76,408 | $30,563 | — | — | 0 |
| 88831 | KIT PROCEDURE SYSTEM STIMULATION SPINAL CORD SENZA II IPG 25 | $72,000 | $28,800 | — | — | 0 |
| 85170 | STIMULATOR SENTIVA VAGUS NERVE | $70,461 | $28,184 | — | — | 0 |
| 90990 | VALVE TRICUSPID EVOQUE 48MM TRISCEND | $68,400 | $27,360 | — | — | 0 |
| 90990T | VALVE TRICUSPID EVOQUE 48MM TRISCEND | $68,400 | $27,360 | — | — | 0 |
| 91459T | VALVE TRICUSPID EVOQUE 44MM TRISCEND | $68,400 | $27,360 | — | — | 0 |
| 91460T | VALVE TRICUSPID EVOQUE 52MM TRISCEND | $68,400 | $27,360 | — | — | 0 |
| CAPEDWARDS | CAPITATED EVOQUE TRICUSPID VALVE | $68,400 | $27,360 | — | — | 0 |
| Rx71104098301 | Antihemophilic Factor (Recombinant), FC-VWF-XTEN Fusion Protein-ehtl 3,000 (+/-) unit recon soln 1 e | $67,065 | $26,826 | — | — | 0 |
| Rx00003712511 | nivolumab-relatlimab-rmbw (dose based on nivolumab) 240-80 mg/20 mL solution 20 mL Vial | $66,444 | $26,578 | — | — | 0 |
| Rx13533080040 | immune globulin (human) 1 g solution 400 mL Vial | $65,466 | $26,186 | — | — | 0 |
| 98080 | TRICLIP G4 SYSTEM | $64,800 | $25,920 | — | — | 0 |
| TSGC0801 | TRICLIP G5 STEERABLE GUIDE CATHETER | $64,800 | $25,920 | — | — | 0 |
| Rx00024582411 | cabazitaxel per 1 mg | $63,411 | $25,364 | — | — | 0 |
| 3600408T01 | HC INSJ/RPLC CARDIAC MODULJ SYS | $63,138 | $25,255 | — | — | 0 |
| 91059 | VALVE SAPIEN M3 STAGE P ENCIRCLE | $63,000 | $25,200 | — | — | 0 |
| 92628 | BAROSTIM NEO SYSTEM | $63,000 | $25,200 | — | — | 0 |
| EDWPASCALCAP | PASCAL ACE CAPITATED SYSTEM CLASP II | $63,000 | $25,200 | — | — | 0 |
| 84714 | SPINAL FUSION MULTI-LEVEL IMPLANTS (CAPPED) PLIFPROC4 | $61,200 | $24,480 | — | — | 0 |
| 90845 | VALVE 20MM SAPIEN 3 ULTRA RESILIA SYSTEM | $61,200 | $24,480 | — | — | 0 |
| 90846 | VALVE 23MM SAPIEN 3 ULTRA RESILIA SYSTEM | $61,200 | $24,480 | — | — | 0 |
| 90847 | VALVE 26MM SAPIEN 3 ULTRA RESILIA SYSTEM | $61,200 | $24,480 | — | — | 0 |
| 90848 | VALVE 29MM SAPIEN 3 ULTRA RESILIA SYSTEM | $61,200 | $24,480 | — | — | 0 |
| Rx50242024501 | pertuzumab-trastuzumab-hy-zzxf 1,200 mg-600mg- 30000 unit/15mL solution 15 mL Vial | $59,694 | $23,878 | — | — | 0 |
| 80180 | MITRACLIP G4 SYSTEM | $59,400 | $23,760 | — | — | 0 |
| SGC0801 | MITRACLIP G5 STEERABLE GUIDE CATHETER | $59,400 | $23,760 | — | — | 0 |
| 3600483T01 | HC TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH | $58,924 | $23,570 | — | — | 0 |
| 4819365301 | HC EP COMP EVAL W SVT ABLATION | $58,615 | $23,446 | — | — | 0 |
| 4819365601 | HC EP TX AFIB PUL VN ISOL | $58,615 | $23,446 | — | — | 0 |
| 73092 | VALVE 29MM SAPIEN 3 THV SYSTEM | $58,500 | $23,400 | — | — | 0 |
| 76678 | VALVE 20MM SAPIEN 3 ULTRA THV SYSTEM | $58,500 | $23,400 | — | — | 0 |
| 76679 | VALVE 23MM SAPIEN 3 ULTRA THV SYSTEM | $58,500 | $23,400 | — | — | 0 |
| 76680 | VALVE 26MM SAPIEN 3 ULTRA THV SYSTEM | $58,500 | $23,400 | — | — | 0 |
| 30DASH1DASH0126 | SIEGEL TRANSCATHETER AORTIC VALVE REPLACEMENT SYSTEM | $57,600 | $23,040 | — | — | 0 |
| 82373 | KIT IPG SENZA II (SCS) NIPG2000 | $57,600 | $23,040 | — | — | 0 |
| 98688 | SIEGEL TRANSCATHETER AORTIC VALVE REPLACEMENT SYSTEM - FOR RESEARCH - CTA | $57,600 | $23,040 | — | — | 0 |
| 98762 | VALVE RESEARCH MIRUS SIEGEL 26MM | $57,600 | $23,040 | — | — | 0 |
Showing top 50 of 27,909 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.