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
1,198
Insurances with rates
11
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
SUP-700113
$41,728
GENERATOR NEUROSTIMULATOR VAGUS NERVE EPILEPSY
Gross
$260,800
SUP-795447
$33,800
VALVE AORTIC 26MM SAPIEN 3 ULTRA TRANSCATHETER STERILE LATEX FREE
Gross
$211,250
SUP-215487
$31,200
VALVE AORTIC EVOLUT FX 34MM
Gross
$195,000
SUP-215484
$31,200
VALVE AORTIC EVOLUT FX 29MM
Gross
$195,000
SUP-777625
$26,000
SET VENTRICULAR ASSIST RP SMART ASSIST LATEX FREE
Gross
$162,500
SUP-795729
$20,462
GRAFT STENT 10CM 26MM GORE TAG THORACIC ACTIVE CONTROL CONFORMABLE
Gross
$127,888
SUP-796974
$20,462
GRAFT STENT 10CM 28MM GORE TAG THORACIC ACTIVE CONTROL CONFORMABLE
Gross
$127,888
SUP-226097
$17,680
DEVICE CLOSURE 20MM WATCHMAN FLX PRO LEFT ATRIAL APPENDAGE DELIVERY SYSTEM STERILE LATEX FREE DISPOS
Gross
$110,500
SUP-226092
$17,680
DEVICE CLOSURE 12FR WATCHMAN FLX PRO 40MM LEFT ATRIAL APPENDAGE
Gross
$110,500
SUP-206363
$16,736
STENT INTRACRANIAL 12MM 3.25MM SURPASS EVOLVE BARE METAL FLOW DIVERTER STERILE
Gross
$104,598
SUP-211177
$14,771
DEVICE EMBOLIZATION 4MM 9MM .027IN WEB SL LOW PROFILE VIA 27 STERILE LATEX FREE
Gross
$92,316
SUP-200126
$14,708
VALVE AORTIC 16MM CARDIOGRAFT SMALL ALLOGRAFT CRYOPRESERVED
Gross
$91,927
SUP-226612
$13,724
STENT INTRACRANIAL 14MM 3MM FRED-X SYSTEM 21 19MM HEADWAY 27 MICROCATHETER STERILE LATEX FREE DISPOS
Gross
$85,774
SUP-796303
$13,391
GRAFT ENDOVASCULAR 12CM 14.5MM 28.5MM EXCLUDER TRUNK IPSILATERAL LEG CONFORMABLE ACTIVE CONTROL 5.5C
Gross
$83,694
SUP-212929
$13,391
GRAFT ENDOVASCULAR 12CM 14.5MM 23MM EXCLUDER TRUNK IPSILATERAL LEG ACTIVE CONTROL 5.5CM ACCEPTS 15FR
Gross
$83,694
SUP-722166
$13,259
GRAFT STENT 100MM 25MM 16MM AFX2 2 BRANCH MAIN BODY ILIAC LIMB 40MM AAA STERILE LATEX FREE
Gross
$82,869
SUP-796391
$12,812
SYSTEM ENDOPROSTHESIS STENT 23MM ALTO ABDOMINAL GRAFT DELIVERY CATHETER STERILE LATEX FREE DISPOSABL
Gross
$80,074
SUP-211553
$12,438
STENT INTRACRANIAL 29MM 5MM FRED-X 36MM HEADWAY 27 MICROCATHETER STERILE LATEX FREE DISPOSABLE
Gross
$77,740
SUP-224301
$12,438
STENT INTRACRANIAL 45MM 4.5MM FRED HELIX NICKEL TITANIUM 2 LAYER RADIOPAQUE DISTAL WIRE TIP BRAID SE
Gross
$77,740
SUP-226613
$12,438
STENT INTRACRANIAL 8MM 4.5MM FRED-X SYSTEM 27 15MM HEADWAY 27 MICROCATHETER STERILE LATEX FREE DISPO
Gross
$77,740
SUP-223014
$12,438
STENT INTRACRANIAL 39MM 4.5MM FRED-X 45MM HEADWAY 27 MICROCATHETER STERILE LATEX FREE DISPOSABLE
Gross
$77,740
SUP-713558
$11,729
GRAFT ENDOVASCULAR 10CM 12MM GORE EXCLUDER ILIAC BRANCH COMPONENT AAA
Gross
$73,307
SUP-773633
$11,530
GRAFT ENDOVASCULAR 13CM 31MM 14.5MM 27-29MM 12-13.5MM GORE EXCLUDER C3 TRUNK IPSILATERAL LEG EPTFE N
Gross
$72,066
SUP-795713
$10,811
VALVE PULMONARY 22+ MM CARDIOGRAFT LARGE ALLOGRAFT CRYOPRESERVED
Gross
$67,571
SUP-211280
$9,646
STENT INTRACRANIAL 21MM 3MM NEUROFORM ATLAS STERILE LATEX FREE
Gross
$60,287
SUP-207934
$9,646
STENT INTRACRANIAL 21MM 4.5MM NEUROFORM ATLAS STERILE LATEX FREE
Gross
$60,287
SUP-10322979
$9,360
KIT CATHETER INSERTION FLOWTRIEVER CUSTOM ITEM THE AGREEMENT IS BETWEEN FMOLHS AND INARI MEDICAL.
Gross
$58,500
SUP-207459
$7,189
DISTRACTOR 20MM MANDIBLE INTERNAL END DRIVEN RATCHET 36 HOLE ZURICH II MICRO SURGICAL TI-6AL-4V 1-1.
Gross
$44,934
SUP-774037
$6,760
SYSTEM DELIVERY 18MM ENSEMBLE II POLYETHER NYLON PTFE TRANSCATHETER VALVE BALLOON SIDEPORT SHEATH AC
Gross
$42,250
SUP-774036
$6,760
SYSTEM DELIVERY 20MM ENSEMBLE II POLYETHER NYLON PTFE TRANSCATHETER VALVE BALLOON SIDEPORT SHEATH AC
Gross
$42,250
SUP-217065
$6,529
SYSTEM EMBOLIC TRUFILL 2 VIAL KIT LIQUID 1GM
Gross
$40,804
SUP-712331
$5,621
MATRIX TISSUE BIO4 CELLULAR BONE MATRIX ALLOGRAFT
Gross
$35,133
SUP-711468
$5,575
GRAFT STENT 8CM 10MM GORE VIATORR TIPS 2CM
Gross
$34,847
SUP-219196
$5,455
VALVE AORTIC 17.5MM 25MM 33MM 22.5MM MOSAIC AOA CINCH II PORCINE BIOPROSTHESIS STENT HOLDER SUTURE R
Gross
$34,093
SUP-219195
$5,455
VALVE AORTIC 16MM 23MM 30MM 20.5MM MOSAIC AOA CINCH II PORCINE BIOPROSTHESIS STENT HOLDER SUTURE RIN
Gross
$34,093
SUP-219197
$5,455
VALVE AORTIC 18.5MM 27MM 36MM 24MM MOSAIC AOA CINCH II PORCINE BIOPROSTHESIS STENT HOLDER SUTURE RIN
Gross
$34,093
SUP-219204
$5,455
VALVE MITRAL 19MM 27MM 35MM 24MM MOSAIC CINCH HEART BIOLOGICAL STENT SCALLOP SEWN HOLDER MODEL 310 S
Gross
$34,093
SUP-219198
$5,455
VALVE AORTIC 20MM 29MM 39MM 26MM MOSAIC AOA CINCH II PORCINE BIOPROSTHESIS STENT HOLDER SUTURE RING
Gross
$34,093
SUP-219205
$5,455
VALVE MITRAL 22MM 31MM 41MM 28MM MOSAIC CINCH AOA RING HEART POLYMER STENT NONMETALLIC FRAME MOUNT L
Gross
$34,093
SUP-714780
$5,195
VALVE AORTIC 10CM 21MM 22MM 18.6MM MASTERS HP GELWEAVE VALSALVA ANNULUS MECHANICAL EXPAND CUFF
Gross
$32,468
SUP-225091
$5,034
VALVE AORTIC 17MM 23MM 31MM 24.5MM EPIC MAX 13MM TISSUE PORCINE STENT RAPID EXCHANGE
Gross
$31,460
SUP-225089
$5,034
VALVE AORTIC 15MM 19MM 27.5MM 20.8MM EPIC MAX 11MM TISSUE PORCINE STENT RAPID EXCHANGE
Gross
$31,460
SUP-225092
$5,034
VALVE AORTIC 19MM 25MM 33MM 26.3MM EPIC MAX 14MM TISSUE PORCINE STENT RAPID EXCHANGE
Gross
$31,460
SUP-225090
$5,034
VALVE AORTIC 16MM 21MM 29MM 22.6MM EPIC MAX 13MM TISSUE PORCINE STENT RAPID EXCHANGE
Gross
$31,460
SUP-708461
$4,940
VALVE MITRAL 20MM 33MM 31MM EPIC FLEXFIT LOW PROFILE PORCINE PERICARDIAL BIOPROSTHESIS STENT HOLDER
Gross
$30,875
SUP-708460
$4,940
VALVE MITRAL 20MM 31MM 29MM EPIC 10MM ANNULUS TISSUE BIOPROSTHESIS STENT SEWING CUFF LOW PROFILE STE
Gross
$30,875
SUP-720875
$4,794
GRAFT ENDOVASCULAR 11.5CM 20MM 16.5-18.5MM GORE EXCLUDER CONTRALATERAL LEG EPTFE NITINOL SINUSOIDAL
Gross
$29,965
SUP-720872
$4,794
GRAFT ENDOVASCULAR 12CM 12MM 10-11MM EXCLUDER CONTRALATERAL LEG EPTFE NITINOL SINUSOIDAL STENT SEAL
Gross
$29,965
SUP-712977
$4,742
GRAFT STENT 115MM 28MM AFX VELA STRATA AORTIC EXTENSION 28MM AAA STERILE LATEX FREE
Gross
$29,640
SUP-706715
$4,690
SHUNT NEUROSURGICAL STRATA II REGULAR 90CM CSF PERITONEAL CATHETER BARIUM IMPREGNATED STERILE
Gross
$29,311
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| SUP-700113 | GENERATOR NEUROSTIMULATOR VAGUS NERVE EPILEPSY | $260,800 | $41,728 | — | — | 0 |
| SUP-795447 | VALVE AORTIC 26MM SAPIEN 3 ULTRA TRANSCATHETER STERILE LATEX FREE | $211,250 | $33,800 | — | — | 0 |
| SUP-215487 | VALVE AORTIC EVOLUT FX 34MM | $195,000 | $31,200 | — | — | 0 |
| SUP-215484 | VALVE AORTIC EVOLUT FX 29MM | $195,000 | $31,200 | — | — | 0 |
| SUP-777625 | SET VENTRICULAR ASSIST RP SMART ASSIST LATEX FREE | $162,500 | $26,000 | — | — | 0 |
| SUP-795729 | GRAFT STENT 10CM 26MM GORE TAG THORACIC ACTIVE CONTROL CONFORMABLE | $127,888 | $20,462 | — | — | 0 |
| SUP-796974 | GRAFT STENT 10CM 28MM GORE TAG THORACIC ACTIVE CONTROL CONFORMABLE | $127,888 | $20,462 | — | — | 0 |
| SUP-226097 | DEVICE CLOSURE 20MM WATCHMAN FLX PRO LEFT ATRIAL APPENDAGE DELIVERY SYSTEM STERILE LATEX FREE DISPOS | $110,500 | $17,680 | — | — | 0 |
| SUP-226092 | DEVICE CLOSURE 12FR WATCHMAN FLX PRO 40MM LEFT ATRIAL APPENDAGE | $110,500 | $17,680 | — | — | 0 |
| SUP-206363 | STENT INTRACRANIAL 12MM 3.25MM SURPASS EVOLVE BARE METAL FLOW DIVERTER STERILE | $104,598 | $16,736 | — | — | 0 |
| SUP-211177 | DEVICE EMBOLIZATION 4MM 9MM .027IN WEB SL LOW PROFILE VIA 27 STERILE LATEX FREE | $92,316 | $14,771 | — | — | 0 |
| SUP-200126 | VALVE AORTIC 16MM CARDIOGRAFT SMALL ALLOGRAFT CRYOPRESERVED | $91,927 | $14,708 | — | — | 0 |
| SUP-226612 | STENT INTRACRANIAL 14MM 3MM FRED-X SYSTEM 21 19MM HEADWAY 27 MICROCATHETER STERILE LATEX FREE DISPOS | $85,774 | $13,724 | — | — | 0 |
| SUP-796303 | GRAFT ENDOVASCULAR 12CM 14.5MM 28.5MM EXCLUDER TRUNK IPSILATERAL LEG CONFORMABLE ACTIVE CONTROL 5.5C | $83,694 | $13,391 | — | — | 0 |
| SUP-212929 | GRAFT ENDOVASCULAR 12CM 14.5MM 23MM EXCLUDER TRUNK IPSILATERAL LEG ACTIVE CONTROL 5.5CM ACCEPTS 15FR | $83,694 | $13,391 | — | — | 0 |
| SUP-722166 | GRAFT STENT 100MM 25MM 16MM AFX2 2 BRANCH MAIN BODY ILIAC LIMB 40MM AAA STERILE LATEX FREE | $82,869 | $13,259 | — | — | 0 |
| SUP-796391 | SYSTEM ENDOPROSTHESIS STENT 23MM ALTO ABDOMINAL GRAFT DELIVERY CATHETER STERILE LATEX FREE DISPOSABL | $80,074 | $12,812 | — | — | 0 |
| SUP-211553 | STENT INTRACRANIAL 29MM 5MM FRED-X 36MM HEADWAY 27 MICROCATHETER STERILE LATEX FREE DISPOSABLE | $77,740 | $12,438 | — | — | 0 |
| SUP-224301 | STENT INTRACRANIAL 45MM 4.5MM FRED HELIX NICKEL TITANIUM 2 LAYER RADIOPAQUE DISTAL WIRE TIP BRAID SE | $77,740 | $12,438 | — | — | 0 |
| SUP-226613 | STENT INTRACRANIAL 8MM 4.5MM FRED-X SYSTEM 27 15MM HEADWAY 27 MICROCATHETER STERILE LATEX FREE DISPO | $77,740 | $12,438 | — | — | 0 |
| SUP-223014 | STENT INTRACRANIAL 39MM 4.5MM FRED-X 45MM HEADWAY 27 MICROCATHETER STERILE LATEX FREE DISPOSABLE | $77,740 | $12,438 | — | — | 0 |
| SUP-713558 | GRAFT ENDOVASCULAR 10CM 12MM GORE EXCLUDER ILIAC BRANCH COMPONENT AAA | $73,307 | $11,729 | — | — | 0 |
| SUP-773633 | GRAFT ENDOVASCULAR 13CM 31MM 14.5MM 27-29MM 12-13.5MM GORE EXCLUDER C3 TRUNK IPSILATERAL LEG EPTFE N | $72,066 | $11,530 | — | — | 0 |
| SUP-795713 | VALVE PULMONARY 22+ MM CARDIOGRAFT LARGE ALLOGRAFT CRYOPRESERVED | $67,571 | $10,811 | — | — | 0 |
| SUP-211280 | STENT INTRACRANIAL 21MM 3MM NEUROFORM ATLAS STERILE LATEX FREE | $60,287 | $9,646 | — | — | 0 |
| SUP-207934 | STENT INTRACRANIAL 21MM 4.5MM NEUROFORM ATLAS STERILE LATEX FREE | $60,287 | $9,646 | — | — | 0 |
| SUP-10322979 | KIT CATHETER INSERTION FLOWTRIEVER CUSTOM ITEM THE AGREEMENT IS BETWEEN FMOLHS AND INARI MEDICAL. | $58,500 | $9,360 | — | — | 0 |
| SUP-207459 | DISTRACTOR 20MM MANDIBLE INTERNAL END DRIVEN RATCHET 36 HOLE ZURICH II MICRO SURGICAL TI-6AL-4V 1-1. | $44,934 | $7,189 | — | — | 0 |
| SUP-774037 | SYSTEM DELIVERY 18MM ENSEMBLE II POLYETHER NYLON PTFE TRANSCATHETER VALVE BALLOON SIDEPORT SHEATH AC | $42,250 | $6,760 | — | — | 0 |
| SUP-774036 | SYSTEM DELIVERY 20MM ENSEMBLE II POLYETHER NYLON PTFE TRANSCATHETER VALVE BALLOON SIDEPORT SHEATH AC | $42,250 | $6,760 | — | — | 0 |
| SUP-217065 | SYSTEM EMBOLIC TRUFILL 2 VIAL KIT LIQUID 1GM | $40,804 | $6,529 | — | — | 0 |
| SUP-712331 | MATRIX TISSUE BIO4 CELLULAR BONE MATRIX ALLOGRAFT | $35,133 | $5,621 | — | — | 0 |
| SUP-711468 | GRAFT STENT 8CM 10MM GORE VIATORR TIPS 2CM | $34,847 | $5,575 | — | — | 0 |
| SUP-219196 | VALVE AORTIC 17.5MM 25MM 33MM 22.5MM MOSAIC AOA CINCH II PORCINE BIOPROSTHESIS STENT HOLDER SUTURE R | $34,093 | $5,455 | — | — | 0 |
| SUP-219195 | VALVE AORTIC 16MM 23MM 30MM 20.5MM MOSAIC AOA CINCH II PORCINE BIOPROSTHESIS STENT HOLDER SUTURE RIN | $34,093 | $5,455 | — | — | 0 |
| SUP-219197 | VALVE AORTIC 18.5MM 27MM 36MM 24MM MOSAIC AOA CINCH II PORCINE BIOPROSTHESIS STENT HOLDER SUTURE RIN | $34,093 | $5,455 | — | — | 0 |
| SUP-219204 | VALVE MITRAL 19MM 27MM 35MM 24MM MOSAIC CINCH HEART BIOLOGICAL STENT SCALLOP SEWN HOLDER MODEL 310 S | $34,093 | $5,455 | — | — | 0 |
| SUP-219198 | VALVE AORTIC 20MM 29MM 39MM 26MM MOSAIC AOA CINCH II PORCINE BIOPROSTHESIS STENT HOLDER SUTURE RING | $34,093 | $5,455 | — | — | 0 |
| SUP-219205 | VALVE MITRAL 22MM 31MM 41MM 28MM MOSAIC CINCH AOA RING HEART POLYMER STENT NONMETALLIC FRAME MOUNT L | $34,093 | $5,455 | — | — | 0 |
| SUP-714780 | VALVE AORTIC 10CM 21MM 22MM 18.6MM MASTERS HP GELWEAVE VALSALVA ANNULUS MECHANICAL EXPAND CUFF | $32,468 | $5,195 | — | — | 0 |
| SUP-225091 | VALVE AORTIC 17MM 23MM 31MM 24.5MM EPIC MAX 13MM TISSUE PORCINE STENT RAPID EXCHANGE | $31,460 | $5,034 | — | — | 0 |
| SUP-225089 | VALVE AORTIC 15MM 19MM 27.5MM 20.8MM EPIC MAX 11MM TISSUE PORCINE STENT RAPID EXCHANGE | $31,460 | $5,034 | — | — | 0 |
| SUP-225092 | VALVE AORTIC 19MM 25MM 33MM 26.3MM EPIC MAX 14MM TISSUE PORCINE STENT RAPID EXCHANGE | $31,460 | $5,034 | — | — | 0 |
| SUP-225090 | VALVE AORTIC 16MM 21MM 29MM 22.6MM EPIC MAX 13MM TISSUE PORCINE STENT RAPID EXCHANGE | $31,460 | $5,034 | — | — | 0 |
| SUP-708461 | VALVE MITRAL 20MM 33MM 31MM EPIC FLEXFIT LOW PROFILE PORCINE PERICARDIAL BIOPROSTHESIS STENT HOLDER | $30,875 | $4,940 | — | — | 0 |
| SUP-708460 | VALVE MITRAL 20MM 31MM 29MM EPIC 10MM ANNULUS TISSUE BIOPROSTHESIS STENT SEWING CUFF LOW PROFILE STE | $30,875 | $4,940 | — | — | 0 |
| SUP-720875 | GRAFT ENDOVASCULAR 11.5CM 20MM 16.5-18.5MM GORE EXCLUDER CONTRALATERAL LEG EPTFE NITINOL SINUSOIDAL | $29,965 | $4,794 | — | — | 0 |
| SUP-720872 | GRAFT ENDOVASCULAR 12CM 12MM 10-11MM EXCLUDER CONTRALATERAL LEG EPTFE NITINOL SINUSOIDAL STENT SEAL | $29,965 | $4,794 | — | — | 0 |
| SUP-712977 | GRAFT STENT 115MM 28MM AFX VELA STRATA AORTIC EXTENSION 28MM AAA STERILE LATEX FREE | $29,640 | $4,742 | — | — | 0 |
| SUP-706715 | SHUNT NEUROSURGICAL STRATA II REGULAR 90CM CSF PERITONEAL CATHETER BARIUM IMPREGNATED STERILE | $29,311 | $4,690 | — | — | 0 |
Showing top 50 of 1,198 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.