45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
5,722
Insurances with rates
18
CPT / HCPCS codes
2,040
Most expensive procedures (gross)
50242-0150-01
$47,365
Ocrevus
Gross
$118,412
2793096
$45,000
Impella 5.5 US Kit
Gross
$112,500
2798195
$45,000
Impella 5.5 US Kit
Gross
$112,500
2792526
$34,000
Valve Heart Sapien
Gross
$85,000
C1605
$27,750
PMKR, DUAL, LEADLESS
Gross
$69,375
C1824
$26,000
GENERATOR, CCM, IMPLANT
Gross
$65,000
72694095401A
$25,523
Oncaspar
Gross
$63,806
C1604
$25,000
GRFT, TRNSMURL/TRNSVENS BYPS
Gross
$62,500
2785334
$25,000
Set Pump Impella
Gross
$62,500
2790624
$25,000
Set Pump Impella CP
Gross
$62,500
2797900
$21,862
Stent Graft Gore Tag Thoracic
Gross
$54,655
C1735
$21,120
CATH RENAL DENERV RADIOFREQ
Gross
$52,800
C1722
$17,400
AICD, SINGLE CHAMBER
Gross
$43,500
2787487
$17,000
Watchman LAA Closure Device
Gross
$42,500
93654
$16,060
COMPRE EP EVAL TX VT
Gross
$40,150
2798990
$16,000
Aortic Valved Conduit
Gross
$40,000
C1882
$15,785
AICD, OTHER THAN SING/DUAL
Gross
$39,463
34718
$15,708
EVASC RPR N/A A-ILIAC NDGFT
Gross
$39,270
C1820
$14,652
GENERATOR NEURO RECHG BAT SY
Gross
$36,630
00944-2700-07
$13,897
Gammagard Liquid
Gross
$34,743
C1813
$13,775
PROSTHESIS, PENILE, INFLATAB
Gross
$34,438
2700465
$13,750
EPi Sense Guide Coagul Device
Gross
$34,375
2700479
$13,750
Guided Coag Device W/30CM Cann
Gross
$34,375
93656
$13,700
COMPRE EP EVAL ABLTJ ATR FIB
Gross
$34,250
37277
$13,344
RVSC EVSC FPVT ST ATHR CPX 1
Gross
$33,360
93653
$13,088
COMPRE EP EVAL TX SVT
Gross
$32,720
C1721
$12,448
AICD, DUAL CHAMBER
Gross
$31,120
2796900
$12,177
Stent Graft Alto
Gross
$30,443
C1772
$11,550
INFUSION PUMP, PROGRAMMABLE
Gross
$28,875
37269
$11,508
REVSC EVASC FPVT ST CPLX 1ST
Gross
$28,770
33363
$11,340
REPLACE AORTIC VALVE OPEN
Gross
$28,350
37273
$11,184
REVSC EVSC FPVT ATHRC CPLX 1
Gross
$27,960
37275
$11,120
RVSC EVSC FPVT ST ATHRC SF 1
Gross
$27,800
00002757501A
$11,011
Omvoh
Gross
$27,528
2798068
$10,990
Vascutek Valsalva Graft
Gross
$27,475
33274
$10,772
TCAT INSJ/RPL PERM LDLS PM
Gross
$26,930
33202
$10,716
INSERT EPICARD ELTRD OPEN
Gross
$26,790
C1817
$10,500
SEPTAL DEFECT IMP SYS
Gross
$26,250
37294
$10,460
RVSC EVSC TPVT ST ATHR CPX 1
Gross
$26,150
C1767
$10,120
GENERATOR, NEURO NON-RECHARG
Gross
$25,300
36906
$9,924
THRMBC/NFS DIALYSIS CIRCUIT
Gross
$24,810
77372
$9,680
SRS LINEAR BASED
Gross
$24,200
37258
$9,592
REVSC EVASC IVT STENT SF 1ST
Gross
$23,980
37267
$9,588
REVSC EVSC FPVT STENT SF 1ST
Gross
$23,970
4805147
$9,516
Insert/Replace CCM
Gross
$23,790
2793360
$9,500
Valve Aortic Inspiris 19mm
Gross
$23,750
33270
$9,460
INS/REP SUBQ DEFIBRILLATOR
Gross
$23,650
2787226
$9,377
Endurant Limb II 28x14x103
Gross
$23,442
37271
$9,320
REVSC EVSC FPVT ATHRC SF 1ST
Gross
$23,300
15054109004A
$9,308
Somatuline Depot
Gross
$23,269
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 50242-0150-01 | Ocrevus | $118,412 | $47,365 | — | — | 0 |
| 2793096 | Impella 5.5 US Kit | $112,500 | $45,000 | — | — | 0 |
| 2798195 | Impella 5.5 US Kit | $112,500 | $45,000 | — | — | 0 |
| 2792526 | Valve Heart Sapien | $85,000 | $34,000 | — | — | 0 |
| C1605 | PMKR, DUAL, LEADLESS | $69,375 | $27,750 | — | — | 0 |
| C1824 | GENERATOR, CCM, IMPLANT | $65,000 | $26,000 | — | — | 0 |
| 72694095401A | Oncaspar | $63,806 | $25,523 | — | — | 1 |
| C1604 | GRFT, TRNSMURL/TRNSVENS BYPS | $62,500 | $25,000 | — | — | 0 |
| 2785334 | Set Pump Impella | $62,500 | $25,000 | — | — | 0 |
| 2790624 | Set Pump Impella CP | $62,500 | $25,000 | — | — | 0 |
| 2797900 | Stent Graft Gore Tag Thoracic | $54,655 | $21,862 | — | — | 0 |
| C1735 | CATH RENAL DENERV RADIOFREQ | $52,800 | $21,120 | — | — | 0 |
| C1722 | AICD, SINGLE CHAMBER | $43,500 | $17,400 | — | — | 0 |
| 2787487 | Watchman LAA Closure Device | $42,500 | $17,000 | — | — | 0 |
| 93654 | COMPRE EP EVAL TX VT | $40,150 | $16,060 | — | — | 1 |
| 2798990 | Aortic Valved Conduit | $40,000 | $16,000 | — | — | 0 |
| C1882 | AICD, OTHER THAN SING/DUAL | $39,463 | $15,785 | — | — | 0 |
| 34718 | EVASC RPR N/A A-ILIAC NDGFT | $39,270 | $15,708 | — | — | 0 |
| C1820 | GENERATOR NEURO RECHG BAT SY | $36,630 | $14,652 | — | — | 0 |
| 00944-2700-07 | Gammagard Liquid | $34,743 | $13,897 | — | — | 0 |
| C1813 | PROSTHESIS, PENILE, INFLATAB | $34,438 | $13,775 | — | — | 0 |
| 2700465 | EPi Sense Guide Coagul Device | $34,375 | $13,750 | — | — | 0 |
| 2700479 | Guided Coag Device W/30CM Cann | $34,375 | $13,750 | — | — | 0 |
| 93656 | COMPRE EP EVAL ABLTJ ATR FIB | $34,250 | $13,700 | — | — | 1 |
| 37277 | RVSC EVSC FPVT ST ATHR CPX 1 | $33,360 | $13,344 | — | — | 1 |
| 93653 | COMPRE EP EVAL TX SVT | $32,720 | $13,088 | — | — | 1 |
| C1721 | AICD, DUAL CHAMBER | $31,120 | $12,448 | — | — | 0 |
| 2796900 | Stent Graft Alto | $30,443 | $12,177 | — | — | 0 |
| C1772 | INFUSION PUMP, PROGRAMMABLE | $28,875 | $11,550 | — | — | 0 |
| 37269 | REVSC EVASC FPVT ST CPLX 1ST | $28,770 | $11,508 | — | — | 1 |
| 33363 | REPLACE AORTIC VALVE OPEN | $28,350 | $11,340 | — | — | 0 |
| 37273 | REVSC EVSC FPVT ATHRC CPLX 1 | $27,960 | $11,184 | — | — | 1 |
| 37275 | RVSC EVSC FPVT ST ATHRC SF 1 | $27,800 | $11,120 | — | — | 1 |
| 00002757501A | Omvoh | $27,528 | $11,011 | — | — | 0 |
| 2798068 | Vascutek Valsalva Graft | $27,475 | $10,990 | — | — | 0 |
| 33274 | TCAT INSJ/RPL PERM LDLS PM | $26,930 | $10,772 | — | — | 1 |
| 33202 | INSERT EPICARD ELTRD OPEN | $26,790 | $10,716 | — | — | 1 |
| C1817 | SEPTAL DEFECT IMP SYS | $26,250 | $10,500 | — | — | 0 |
| 37294 | RVSC EVSC TPVT ST ATHR CPX 1 | $26,150 | $10,460 | — | — | 1 |
| C1767 | GENERATOR, NEURO NON-RECHARG | $25,300 | $10,120 | — | — | 0 |
| 36906 | THRMBC/NFS DIALYSIS CIRCUIT | $24,810 | $9,924 | — | — | 0 |
| 77372 | SRS LINEAR BASED | $24,200 | $9,680 | — | — | 0 |
| 37258 | REVSC EVASC IVT STENT SF 1ST | $23,980 | $9,592 | — | — | 1 |
| 37267 | REVSC EVSC FPVT STENT SF 1ST | $23,970 | $9,588 | — | — | 1 |
| 4805147 | Insert/Replace CCM | $23,790 | $9,516 | — | — | 0 |
| 2793360 | Valve Aortic Inspiris 19mm | $23,750 | $9,500 | — | — | 0 |
| 33270 | INS/REP SUBQ DEFIBRILLATOR | $23,650 | $9,460 | — | — | 0 |
| 2787226 | Endurant Limb II 28x14x103 | $23,442 | $9,377 | — | — | 0 |
| 37271 | REVSC EVSC FPVT ATHRC SF 1ST | $23,300 | $9,320 | — | — | 1 |
| 15054109004A | Somatuline Depot | $23,269 | $9,308 | — | — | 1 |
Showing top 50 of 5,722 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.