45 CFR § 180 compliance
C · 70
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
20,043
Insurances with rates
28
CPT / HCPCS codes
10,520
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 668997 | CATH IMPELLA 5.5 US PUMP SET OK | $123,750 | $92,813 | — | — | 15 |
| ocrelizumab 300 mg/10 mL Sol JW | ocrelizumab 300 mg/10 mL Sol JW | $87,750 | $65,813 | — | — | 17 |
| 5521356 | ravulizumab 1100 mg/11 mL Sol JW | $84,533 | $63,400 | — | — | 20 |
| 5520705 | ustekinumab 90 mg/mL Sol | $83,098 | $62,324 | — | — | 17 |
| 2845584 | NEUROSTIMULATOR ASPIRE SR SINGLE 106 OK | $81,015 | $60,761 | — | — | 15 |
| 5520952 | teprotumumab trbw 500 mg Pow JW | $80,460 | $60,345 | — | — | 20 |
| 2825107 | DEFIB VIVA XT CRT-D QD DTBB1QQ | $73,800 | $55,350 | — | — | 15 |
| 813279 | CATH IMPELLA CP PUMP SET OK | $68,750 | $51,563 | — | — | 15 |
| 816077 | DEFIB CLARIA MRI CRT-D BIPHASIC WAVE 35CC DTMA1QQ HPG | $67,774 | $50,831 | — | — | 15 |
| 816087 | DEFIB CLARIA MRI CRT-D 13MM 51X74 PHYSIOCURVE DTMA1Q1 HP | $67,774 | $50,831 | — | — | 15 |
| 816088 | DEFIB CLARIA MRI DTMA1D1 HPG | $65,670 | $49,253 | — | — | 15 |
| 7308976 | AV SHUNT THROMBOLYSIS W/ STENT, BIL | $65,609 | $49,207 | — | — | 15 |
| 7309693 | STENT FEM-POP BIL/ATHER/INITIAL VESSEL | $65,609 | $49,207 | — | — | 20 |
| 7309719 | ATHERECTOMY, TIB-PERONEAL BIL PTA/INITIAL VESSEL | $65,609 | $49,207 | — | — | 16 |
| 7309727 | STENT TIB-PERONEAL BIL PTA, INITIAL VESSEL | $65,609 | $49,207 | — | — | 20 |
| 7309735 | STENT TIB-PERONEAL BIL/ATHER/PTA VESSEL | $65,609 | $49,207 | — | — | 20 |
| 816065 | DEFIB AMPLIA MRI DF4 QUAD DTMB1QQ HPG | $65,161 | $48,871 | — | — | 15 |
| 9587296 | IR AV Fistula/Graft Thromb w Periph BA B | $61,551 | $46,163 | — | — | 19 |
| 7308943 | AV SHUNT THROMBOLYSIS W/ BALLOON, BIL | $61,551 | $46,163 | — | — | 15 |
| 2831477 | DEFIB INOGEN MINI DR DF4 | $56,430 | $42,323 | — | — | 15 |
| 4323002 | LINAC RADIOSURGERY,1 SESSION | $56,395 | $42,296 | — | — | 19 |
| 812505 | DEFIB EVERA DR DDMB1D4 MRI DUAL | $55,289 | $41,467 | — | — | 15 |
| 812601 | DEFIB AMPLIA MRI CRT-D 35CC BI DTMB1D1 | $55,138 | $41,354 | — | — | 15 |
| 816060 | DEFIB AMPLIA MRI CRT-D 2-POLAR DTMB1D4 | $55,138 | $41,354 | — | — | 15 |
| 810071 | 2.5 Impella Catheter/Pump Set | $55,000 | $41,250 | — | — | 15 |
| 2839983 | 2.5 Impella Catheter/Pump Set | $55,000 | $41,250 | — | — | 15 |
| 816001 | DEFIB EVERA S DR DUAL IS-1/DF4 HPG | $54,244 | $40,683 | — | — | 15 |
| 816188 | DEFIB EVERA S DUAL IS-1/DF1 DDMC3D1 HPG | $54,244 | $40,683 | — | — | 15 |
| 811249 | DEFIB INOGEN EL ICD IS-1/DF4-DR | $51,728 | $38,796 | — | — | 15 |
| 816075 | DEFIB CLARIA MRI CRT-D DTMA1D4 HPG | $50,944 | $38,208 | — | — | 15 |
| 2845519 | NEUROSTIMULATOR ACTIVA PC OK | $50,848 | $38,136 | — | — | 15 |
| 812337 | DEFIB EVERA XT S DR SYSTEM HPG | $48,950 | $36,713 | — | — | 15 |
| 816528 | DEFIB EVERA S DR DDBC3D1 ICDK DUAL HPG | $48,950 | $36,713 | — | — | 15 |
| 812529 | DEFIB VISIA AF MRI DF4 VR | $48,043 | $36,032 | — | — | 15 |
| 816082 | DEFIB VISIA AF MRI SINGLE CHAMBER DVFB1D1 HPG | $48,043 | $36,032 | — | — | 15 |
| 2845212 | MESH PHASIX ST 12X14" HPG | $47,025 | $35,269 | — | — | 15 |
| 3022555 | GRAFT RELAY THORACIC STENT 36X190X208 OK | $45,375 | $34,031 | — | — | 16 |
| 668831 | GRAFT RELAY THORACIC STENT 34X100 OK | $45,375 | $34,031 | — | — | 15 |
| 4402566 | CT Nephrostomy Drain Bilateral | $44,016 | $33,012 | — | — | 16 |
| 816070 | DEFIB VIGILANT EL ICD DF4 DR SYSTEM OK | $43,175 | $32,381 | — | — | 15 |
| 816083 | DEFIB MOMENTUM EL IS-1/DF-1 - DR HPG | $43,175 | $32,381 | — | — | 15 |
| 816176 | DEFIB INOGEN EL ICD IS-1/DF DUAL | $42,350 | $31,763 | — | — | 15 |
| 2846186 | ADAPTIVESTIM INTELLIS PAIN INS OK | $42,075 | $31,556 | — | — | 15 |
| 7308885 | AV SHUNT EVAL W/ STENT, BIL | $41,034 | $30,776 | — | — | 15 |
| 7309214 | STENT ILIAC BIL/INC PTA/INT VESSEL | $41,034 | $30,776 | — | — | 20 |
| 7309677 | ATHERECTOMY FEM-POP BIL, PTA INITIAL VESSEL | $41,034 | $30,776 | — | — | 16 |
| 7309685 | STENT FEM-POP BIL/PTA/INITIAL VESSEL | $41,034 | $30,776 | — | — | 20 |
| 7309701 | PTA TIBIOPERONEAL ART BIL, INITIAL VESSEL | $41,034 | $30,776 | — | — | 16 |
| 9587239 | IR AV Fistula/Graft Eval w Periph BA Bil | $40,024 | $30,018 | — | — | 15 |
| 7308851 | AV SHUNT EVAL W/ BALLOON, BIL | $40,024 | $30,018 | — | — | 15 |
Showing top 50 of 20,043 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.