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
22,263
Insurances with rates
21
CPT / HCPCS codes
13,604
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 69296 | Injection, nusinersen, 0.1 mg | $946,770 | $946,770 | $1,184 | $1,480 | 6 |
| 765348 | Injection, factor xiii a-subunit, (recombinant), per iu | $386,598 | $386,598 | $17.34 | $21.34 | 7 |
| 62777 | Histrelin implant (supprelin la), 50 mg | $333,407 | $333,407 | $43,185 | $55,802 | 7 |
| 835976 | KIT PMP RT HRT 22F 170CM | $323,600 | $323,600 | $46,598 | $291,240 | 25 |
| 64678 | Injection, glucarpidase, 10 units | $287,240 | $287,240 | $385 | $500 | 6 |
| 558757 | KIT PMP OXYG EXTRCPL 31F | $278,296 | $278,296 | $40,075 | $250,466 | 25 |
| 44326 | KIT BL PMP CANN 29FR | $252,408 | $252,408 | $36,347 | $227,167 | 25 |
| 558209 | KIT BLD PMP CANN 31FR | $252,408 | $252,408 | $36,347 | $227,167 | 25 |
| 778692 | Injection, tagraxofusp-erzs, 10 micrograms | $224,279 | $224,279 | $339 | $417 | 7 |
| 118517 | Injection, calaspargase pegol-mknl, 10 units | $192,916 | $192,916 | $76.53 | $94.16 | 3 |
| 6964 | Injection, pegaspargase, per single dose vial | $178,159 | $178,159 | $27,071 | $33,309 | 7 |
| 779721 | KIT CATH CANN PRFSN | $168,272 | $168,272 | $24,231 | $151,445 | 25 |
| 6472 | Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg | $162,107 | $162,107 | $4,376 | $5,603 | 3 |
| 115569 | Injection, ravulizumab-cwvz, 10 mg | $159,130 | $159,130 | $220 | $274 | 7 |
| 787134 | Injection, inotuzumab ozogamicin, 0.1 mg | $158,898 | $158,898 | $2,658 | $3,271 | 7 |
| 587393 | GEN NRSTM 1.8X1.6X0.27IN | $155,902 | $155,902 | $23,541 | $140,312 | 16 |
| 63708 | TIPS PLACEMENT INIT | $154,525 | $154,525 | $22,252 | $139,073 | 21 |
| 155463 | VALVE 26MM THV | $143,845 | $143,845 | $21,721 | $129,461 | 16 |
| 69004 | Injection, ocrelizumab, 1 mg | $137,139 | $137,139 | $57.81 | $72.3 | 7 |
| 898580 | TRNSCTH PLC VRT STNT INI | $135,000 | $135,000 | $19,440 | $121,500 | 21 |
| 589099 | GEN NRSTM 45X39X6.9MM | $134,484 | $134,484 | $20,307 | $121,036 | 16 |
| 780880 | VALVE AOR TAVR 26MM | $132,780 | $132,780 | $20,050 | $119,502 | 16 |
| 575013 | VALVE TAVR SZ 23MM | $132,780 | $132,780 | $20,050 | $119,502 | 16 |
| 575011 | VALVE TAVR SZ 29MM | $132,780 | $132,780 | $20,050 | $119,502 | 16 |
| 596518 | VALVE TAVR 26MM | $130,284 | $130,284 | $19,673 | $117,256 | 16 |
| 944877 | Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg | $126,402 | $126,402 | $339 | $418 | 7 |
| 596267 | CATH THRMB 80CM 105CM | $124,910 | $124,910 | $17,987 | $112,419 | 25 |
| 582775 | CATH THRMB 100CM 135CM | $124,910 | $124,910 | $17,987 | $112,419 | 25 |
| 647597 | KIT CATH 12F 100CM W/TB | $124,263 | $124,263 | $17,894 | $111,837 | 25 |
| 66762 | Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani | $116,707 | $116,707 | $1,707 | $50,864 | 14 |
| 588901 | CATHETER ABL 31MM | $109,377 | $109,377 | $15,750 | $98,439 | 25 |
| 606339 | CATH EP ABL PFA 31MM | $109,377 | $109,377 | $15,750 | $98,439 | 25 |
| 646375 | CATH EP ABL PFA 35MM | $109,377 | $109,377 | $15,750 | $98,439 | 25 |
| 476497 | KIT IPG PULSE GEN CHARG | $107,619 | $107,619 | $16,250 | $96,857 | 16 |
| 64904 | PERC DRUG EL COR STNT RC | $105,150 | $105,150 | $15,142 | $94,635 | 21 |
| 122895 | UPGRD LEADLESS PPM +ATR | $102,798 | $102,798 | $14,803 | $92,518 | 21 |
| 122908 | UPGRD LEADLESS PPM +ATR | $102,798 | $102,798 | $14,803 | $92,518 | 21 |
| 583781 | CATH THRMB 7FR 130CM | $102,776 | $102,776 | $14,800 | $92,498 | 25 |
| 60693 | Injection, pralatrexate, 1 mg | $101,907 | $101,907 | $374 | $460 | 7 |
| 62993 | CTH PLC/INJ GRAFT W RHC | $99,442 | $99,442 | $14,320 | $89,498 | 21 |
| 647599 | CATH VASV 6X 150CM | $98,893 | $98,893 | $14,241 | $89,004 | 25 |
| 599717 | KIT ACTB HIP RECON | $98,258 | $98,258 | $14,837 | $88,432 | 16 |
| 67102 | UPGRADE PACER SYSTEM | $97,540 | $97,540 | $14,046 | $87,786 | 21 |
| 576369 | CATH THRMB 18FR | $90,608 | $90,608 | $13,048 | $81,547 | 25 |
| 605960 | DEVICE CELL HARVEST | $88,990 | $88,990 | $12,815 | $80,091 | 25 |
| 118944 | NEPHROS UP TO 2CM | $88,364 | $88,364 | $12,724 | $79,528 | 21 |
| 772801 | KIT IMPL NEUROSTIM | $87,547 | $87,547 | $13,220 | $78,792 | 16 |
| 771676 | CATH THRMB 12FR 100MM | $86,596 | $86,596 | $12,470 | $77,936 | 25 |
| 489937 | GRAFT EVAS VLNT200X32X32 | $86,285 | $86,285 | $13,029 | $77,657 | 16 |
| 596850 | NEUROSTIM RECHARGEABLE | $84,758 | $84,758 | $12,798 | $76,282 | 16 |
Showing top 50 of 22,263 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.