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
12,732
Insurances with rates
8
CPT / HCPCS codes
2,692
Source MRF
Most expensive procedures (gross)
62991289303
—
ISOPROPYL ALCOHOL 70 % SOLN
Gross
$133,888
71336100101
—
GIVLAARI 189 MG/ML SC SOLN
Gross
$109,748
33264
—
HC REMOVE/REPLACE MULT LEAD DEFIB
Gross
$77,872
33249
—
HC INSERT/REPOSITION ANY DEFIB SY
Gross
$77,564
75987008010
—
KRYSTEXXA 8 MG/ML IV SOLN
Gross
$76,870
15054106004
—
SOMATULINE DEPOT 60 MG/0.2ML SC SOLN
Gross
$76,113
57894006003
—
STELARA 45 MG/0.5ML SC SOSY
Gross
$72,892
57894006103
—
STELARA 90 MG/ML SC SOSY
Gross
$72,892
79952011001
—
ZYNLONTA 10 MG IV SOLR
Gross
$70,817
0571T
—
HC INSJ/RPLCMT ICDS SS ELTRD EVICD
Gross
$70,553
33995
—
HC NSJ PERQ VAD R HRT VENOUS
Gross
$70,356
C9602
—
HC PERC D-E COR STENT ATHER S
Gross
$69,035
92933
—
HC PRQ CARD STENT/ATH/ANGIO
Gross
$69,035
85043004504
—
VABRINTY 45 MG SC KIT
Gross
$69,013
36906
—
HC THRMBC/NFS DIALYSIS CIRCUIT WITH PTA AND STENT PERIPHERAL SEGMENT
Gross
$68,571
15054109004
—
SOMATULINE DEPOT 90 MG/0.3ML SC SOLN
Gross
$67,580
C9775
—
HC REVASC LITHOTRIP-STEN-ATH-PTA TIB/PER
Gross
$65,478
92937
—
HC PRQ REVASC BYP GRAFT 1 VSL
Gross
$65,287
C9604
—
HC PERC D-E COR REVASC T CABG S
Gross
$65,287
74357501
—
LUPRON DEPOT-PED (6-MONTH) 45 MG IM KIT
Gross
$65,001
C2616
—
HC BRACHYTX NON-STR YTTRIUM-90
Gross
$64,407
93654
—
HC EP & ABLATE VENTRIC TACHY
Gross
$62,556
93656
—
HC TX ATRIAL FIB PULM VEIN ISOL
Gross
$62,171
36000152
—
HC HYBRID PERQ CLSR TCAT L ATR APNDGE
Gross
$62,004
58468020001
—
LEMTRADA 12 MG/1.2ML IV SOLN
Gross
$61,980
8010001
—
BESPONSA 0.9 MG IV SOLR
Gross
$59,803
37226
—
HC STENT/PTA/REVASC FEM/POP
Gross
$57,205
92941
—
HC PRQ CARD REVASC MI 1 VSL
Gross
$55,820
C9606
—
HC PERC D-E COR REVASC W AMI S
Gross
$55,820
36903
—
HC INTRO CATH DIALYSIS CIRCUIT,PTA, STENT, FLUORO, S&I
Gross
$55,806
24338015020
—
TRIPTODUR 22.5 MG IM SRER
Gross
$55,757
37227
—
HC STENT/ATHERECTOMY/PTA/REVAS FE
Gross
$55,389
33262
—
HC REMOVE/REPLACE SINGLE LEAD DEF
Gross
$55,177
33263
—
HC REMOVE/REPLACE DUAL LEAD DEFIB
Gross
$55,177
92943
—
HC PRQ CARD REVASC CHRONIC 1VSL
Gross
$53,161
C9607
—
HC PERC D-E COR REVASC CHRO SIN
Gross
$53,161
C2622
—
HC NOT INFLATE PENILE PROSTH
Gross
$52,556
33990
—
HC INSERT VAD ARTERY ACCESS
Gross
$51,608
36905
—
HC THRMBC/NFS DIALYSIS CIRCUIT WITH PTA PERIPHERAL SEGMENT
Gross
$51,057
33270
—
HC INS/REP SUBQ DEFIBRILLATOR
Gross
$49,942
C1882
—
HC INSYNC DEFIBRILLATOR
Gross
$49,910
92924
—
HC PRQ CARD ANGIO/ATHRECT 1 ART
Gross
$49,350
37231
—
HC STENT/ATHERECTOMY/PTA/REVA T-P
Gross
$49,071
37230
—
HC STENT/PTA/REVAS TIB/PERONEAL I
Gross
$48,089
15054112004
—
SOMATULINE DEPOT 120 MG/0.5ML SC SOLN
Gross
$47,823
C1813
—
HC INFLATABLE PENILE PROSTHESIS
Gross
$47,553
50242010501
—
POLIVY 140 MG IV SOLR
Gross
$46,541
33975
—
HC IMPLANT VENTRICULAR DEVICE - DIRECT
Gross
$46,213
37236
—
HC OPEN/PERQ PLACE STENT 1ST ARTE
Gross
$46,158
C9767
—
HC REVASC LITHOTRIP-STENT-ATHER-PTA ILIAC/FEM/POP
Gross
$45,956
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 62991289303 | ISOPROPYL ALCOHOL 70 % SOLN | $133,888 | — | — | — | 4 |
| 71336100101 | GIVLAARI 189 MG/ML SC SOLN | $109,748 | — | — | — | 10 |
| 33264 | HC REMOVE/REPLACE MULT LEAD DEFIB | $77,872 | — | — | — | 8 |
| 33249 | HC INSERT/REPOSITION ANY DEFIB SY | $77,564 | — | — | — | 8 |
| 75987008010 | KRYSTEXXA 8 MG/ML IV SOLN | $76,870 | — | — | — | 12 |
| 15054106004 | SOMATULINE DEPOT 60 MG/0.2ML SC SOLN | $76,113 | — | — | — | 12 |
| 57894006003 | STELARA 45 MG/0.5ML SC SOSY | $72,892 | — | — | — | 12 |
| 57894006103 | STELARA 90 MG/ML SC SOSY | $72,892 | — | — | — | 12 |
| 79952011001 | ZYNLONTA 10 MG IV SOLR | $70,817 | — | — | — | 10 |
| 0571T | HC INSJ/RPLCMT ICDS SS ELTRD EVICD | $70,553 | — | — | — | 3 |
| 33995 | HC NSJ PERQ VAD R HRT VENOUS | $70,356 | — | — | — | 0 |
| C9602 | HC PERC D-E COR STENT ATHER S | $69,035 | — | — | — | 8 |
| 92933 | HC PRQ CARD STENT/ATH/ANGIO | $69,035 | — | — | — | 8 |
| 85043004504 | VABRINTY 45 MG SC KIT | $69,013 | — | — | — | 12 |
| 36906 | HC THRMBC/NFS DIALYSIS CIRCUIT WITH PTA AND STENT PERIPHERAL SEGMENT | $68,571 | — | — | — | 6 |
| 15054109004 | SOMATULINE DEPOT 90 MG/0.3ML SC SOLN | $67,580 | — | — | — | 12 |
| C9775 | HC REVASC LITHOTRIP-STEN-ATH-PTA TIB/PER | $65,478 | — | — | — | 3 |
| 92937 | HC PRQ REVASC BYP GRAFT 1 VSL | $65,287 | — | — | — | 8 |
| C9604 | HC PERC D-E COR REVASC T CABG S | $65,287 | — | — | — | 8 |
| 74357501 | LUPRON DEPOT-PED (6-MONTH) 45 MG IM KIT | $65,001 | — | — | — | 12 |
| C2616 | HC BRACHYTX NON-STR YTTRIUM-90 | $64,407 | — | — | — | 3 |
| 93654 | HC EP & ABLATE VENTRIC TACHY | $62,556 | — | — | — | 8 |
| 93656 | HC TX ATRIAL FIB PULM VEIN ISOL | $62,171 | — | — | — | 8 |
| 36000152 | HC HYBRID PERQ CLSR TCAT L ATR APNDGE | $62,004 | — | — | — | 0 |
| 58468020001 | LEMTRADA 12 MG/1.2ML IV SOLN | $61,980 | — | — | — | 12 |
| 8010001 | BESPONSA 0.9 MG IV SOLR | $59,803 | — | — | — | 12 |
| 37226 | HC STENT/PTA/REVASC FEM/POP | $57,205 | — | — | — | 8 |
| 92941 | HC PRQ CARD REVASC MI 1 VSL | $55,820 | — | — | — | 5 |
| C9606 | HC PERC D-E COR REVASC W AMI S | $55,820 | — | — | — | 5 |
| 36903 | HC INTRO CATH DIALYSIS CIRCUIT,PTA, STENT, FLUORO, S&I | $55,806 | — | — | — | 8 |
| 24338015020 | TRIPTODUR 22.5 MG IM SRER | $55,757 | — | — | — | 4 |
| 37227 | HC STENT/ATHERECTOMY/PTA/REVAS FE | $55,389 | — | — | — | 8 |
| 33262 | HC REMOVE/REPLACE SINGLE LEAD DEF | $55,177 | — | — | — | 8 |
| 33263 | HC REMOVE/REPLACE DUAL LEAD DEFIB | $55,177 | — | — | — | 8 |
| 92943 | HC PRQ CARD REVASC CHRONIC 1VSL | $53,161 | — | — | — | 8 |
| C9607 | HC PERC D-E COR REVASC CHRO SIN | $53,161 | — | — | — | 8 |
| C2622 | HC NOT INFLATE PENILE PROSTH | $52,556 | — | — | — | 0 |
| 33990 | HC INSERT VAD ARTERY ACCESS | $51,608 | — | — | — | 0 |
| 36905 | HC THRMBC/NFS DIALYSIS CIRCUIT WITH PTA PERIPHERAL SEGMENT | $51,057 | — | — | — | 6 |
| 33270 | HC INS/REP SUBQ DEFIBRILLATOR | $49,942 | — | — | — | 6 |
| C1882 | HC INSYNC DEFIBRILLATOR | $49,910 | — | — | — | 0 |
| 92924 | HC PRQ CARD ANGIO/ATHRECT 1 ART | $49,350 | — | — | — | 8 |
| 37231 | HC STENT/ATHERECTOMY/PTA/REVA T-P | $49,071 | — | — | — | 8 |
| 37230 | HC STENT/PTA/REVAS TIB/PERONEAL I | $48,089 | — | — | — | 8 |
| 15054112004 | SOMATULINE DEPOT 120 MG/0.5ML SC SOLN | $47,823 | — | — | — | 12 |
| C1813 | HC INFLATABLE PENILE PROSTHESIS | $47,553 | — | — | — | 0 |
| 50242010501 | POLIVY 140 MG IV SOLR | $46,541 | — | — | — | 12 |
| 33975 | HC IMPLANT VENTRICULAR DEVICE - DIRECT | $46,213 | — | — | — | 0 |
| 37236 | HC OPEN/PERQ PLACE STENT 1ST ARTE | $46,158 | — | — | — | 8 |
| C9767 | HC REVASC LITHOTRIP-STENT-ATHER-PTA ILIAC/FEM/POP | $45,956 | — | — | — | 8 |
Showing top 50 of 12,732 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.