45 CFR § 180 compliance
B · 85
This hospital published most 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
12,025
Insurances with rates
34
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4122094
$52,429
ICD GEN/LEAD IMPLANT DUAL
Gross
$87,381
4122096
$52,429
ICD GEN/LEAD IMPLANT SING
Gross
$87,381
4123203
$43,639
INSERT/REPLACE SQ S-ICD & EVALUATION
Gross
$72,732
4122206
$36,887
REM & REPL ICD GEN SINGLE
Gross
$61,478
3621064
$35,100
CATHETER SET LV ASSIST
Gross
$58,500
4123211
$29,338
INSERT/REPLACE PACER LEADLESS SINGLE
Gross
$48,896
4123215
$29,338
INSERT/REPLACE PACER LEADLESS DUAL
Gross
$48,896
4122192
$25,887
ARTHERECTOMY TIB PERO PRIM UNILAT
Gross
$43,145
3619479
$24,960
SYS TAVR VALVE
Gross
$41,600
3615433
$22,461
STIMULATOR NEURO
Gross
$37,435
3615391
$21,840
CATHETER SET RV ASSIST
Gross
$36,400
3621062
$21,840
CATHETER SET LV ASSIST
Gross
$36,400
4123226
$21,820
INTRAVAS LITHOTRIPSY TIB/PERONEAL wSTENT
Gross
$36,367
4123227
$21,820
INTRAVAS LITHOTRIP TIB/PERONEAL wATHREC
Gross
$36,367
4123228
$21,820
INTRAVS LITHOTRIP TIB/PERON wATHREC/STNT
Gross
$36,367
4123223
$21,572
INTRVS LITHO LOW EXT NOT TP w ATHRE/STNT
Gross
$35,953
4123133
$19,500
LV ASSIST 2.5 CATHETER
Gross
$32,500
5546906
$19,421
DECLOT BALLOON /STENT
Gross
$32,369
4123136
$18,900
LV ASSIST CP CATHETER
Gross
$31,500
4121176
$18,440
ABLATION SVT AVNRT AP AT W EP
Gross
$30,734
3615434
$17,901
STIMULATOR NEURO
Gross
$29,835
4123172
$16,770
ICD GEN BI VENT
Gross
$27,950
4121144
$16,649
INS NEW/REP PM W/DUAL LEAD
Gross
$27,749
4122077
$16,649
BI-V PACER/ICD EXISTING
Gross
$27,749
4122118
$16,092
THROMBECT PERI MECH INT ARTERIAL
Gross
$26,820
4122144
$16,092
STENT PERPHRL OPEN/PERC ARTERY
Gross
$26,820
4122182
$16,092
STENT ILIAC PRIMARY UNILATERAL
Gross
$26,820
4122185
$16,092
STENT FEMORAL POPLITEAL UNILAT
Gross
$26,820
4122186
$16,092
ATHERECTOMY FEM/ POPLITEAL UNILAT
Gross
$26,820
4122188
$16,092
PTA TIB PERO PRIMARY UNILATERAL
Gross
$26,820
4123204
$15,932
INSERT SQ S-ICD LEAD
Gross
$26,553
4123171
$15,600
ICD GEN BI VENT
Gross
$26,000
4123207
$15,600
S-ICD SQ GENERATOR
Gross
$26,000
3636669
$15,524
STIMULATOR NEURO
Gross
$25,874
4123130
$15,268
LV ASSIST INSERT ARTERIAL
Gross
$25,446
4123170
$14,820
ICD GEN BI VENT
Gross
$24,700
4122103
$14,040
ICD GEN BI VENT
Gross
$23,400
3615338
$13,935
BONE FLAP
Gross
$23,225
4122208
$13,860
REM & REPL ICD GEN MULT
Gross
$23,100
4123225
$13,642
INTRAVAS LITHOTRIPSY TIB/PERONEAL wPTA
Gross
$22,736
3635004
$13,516
PUMP
Gross
$22,527
4123221
$13,409
INTRAVAS LITHOTRIP LOW EXT NOT TP wSTENT
Gross
$22,349
4123222
$13,409
INTRAVAS LITHOTRIP LOW EXT NOT TP w ATHR
Gross
$22,349
4122142
$13,260
THORACIC STENT GRAFT
Gross
$22,100
4123169
$13,260
ICD GEN DUAL
Gross
$22,100
4122207
$13,200
REM & REPL ICD GEN DUAL
Gross
$22,000
4123168
$12,480
ICD GEN DUAL
Gross
$20,800
4121445
$12,411
TEMP-PACEMAKER-INSERT
Gross
$20,685
4121651
$12,411
REMOVE PM GEN ONLY
Gross
$20,685
4220593
$12,099
CT GUIDED CRYO ABLATION RENAL
Gross
$20,165
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4122094 | ICD GEN/LEAD IMPLANT DUAL | $87,381 | $52,429 | — | — | 38 |
| 4122096 | ICD GEN/LEAD IMPLANT SING | $87,381 | $52,429 | — | — | 38 |
| 4123203 | INSERT/REPLACE SQ S-ICD & EVALUATION | $72,732 | $43,639 | — | — | 35 |
| 4122206 | REM & REPL ICD GEN SINGLE | $61,478 | $36,887 | — | — | 35 |
| 3621064 | CATHETER SET LV ASSIST | $58,500 | $35,100 | — | — | 18 |
| 4123211 | INSERT/REPLACE PACER LEADLESS SINGLE | $48,896 | $29,338 | — | — | 38 |
| 4123215 | INSERT/REPLACE PACER LEADLESS DUAL | $48,896 | $29,338 | — | — | 38 |
| 4122192 | ARTHERECTOMY TIB PERO PRIM UNILAT | $43,145 | $25,887 | — | — | 36 |
| 3619479 | SYS TAVR VALVE | $41,600 | $24,960 | — | — | 23 |
| 3615433 | STIMULATOR NEURO | $37,435 | $22,461 | — | — | 22 |
| 3615391 | CATHETER SET RV ASSIST | $36,400 | $21,840 | — | — | 23 |
| 3621062 | CATHETER SET LV ASSIST | $36,400 | $21,840 | — | — | 18 |
| 4123226 | INTRAVAS LITHOTRIPSY TIB/PERONEAL wSTENT | $36,367 | $21,820 | — | — | 36 |
| 4123227 | INTRAVAS LITHOTRIP TIB/PERONEAL wATHREC | $36,367 | $21,820 | — | — | 35 |
| 4123228 | INTRAVS LITHOTRIP TIB/PERON wATHREC/STNT | $36,367 | $21,820 | — | — | 35 |
| 4123223 | INTRVS LITHO LOW EXT NOT TP w ATHRE/STNT | $35,953 | $21,572 | — | — | 35 |
| 4123133 | LV ASSIST 2.5 CATHETER | $32,500 | $19,500 | — | — | 23 |
| 5546906 | DECLOT BALLOON /STENT | $32,369 | $19,421 | — | — | 27 |
| 4123136 | LV ASSIST CP CATHETER | $31,500 | $18,900 | — | — | 23 |
| 4121176 | ABLATION SVT AVNRT AP AT W EP | $30,734 | $18,440 | — | — | 35 |
| 3615434 | STIMULATOR NEURO | $29,835 | $17,901 | — | — | 22 |
| 4123172 | ICD GEN BI VENT | $27,950 | $16,770 | — | — | 22 |
| 4121144 | INS NEW/REP PM W/DUAL LEAD | $27,749 | $16,649 | — | — | 38 |
| 4122077 | BI-V PACER/ICD EXISTING | $27,749 | $16,649 | — | — | 35 |
| 4122118 | THROMBECT PERI MECH INT ARTERIAL | $26,820 | $16,092 | — | — | 37 |
| 4122144 | STENT PERPHRL OPEN/PERC ARTERY | $26,820 | $16,092 | — | — | 38 |
| 4122182 | STENT ILIAC PRIMARY UNILATERAL | $26,820 | $16,092 | — | — | 38 |
| 4122185 | STENT FEMORAL POPLITEAL UNILAT | $26,820 | $16,092 | — | — | 39 |
| 4122186 | ATHERECTOMY FEM/ POPLITEAL UNILAT | $26,820 | $16,092 | — | — | 37 |
| 4122188 | PTA TIB PERO PRIMARY UNILATERAL | $26,820 | $16,092 | — | — | 36 |
| 4123204 | INSERT SQ S-ICD LEAD | $26,553 | $15,932 | — | — | 35 |
| 4123171 | ICD GEN BI VENT | $26,000 | $15,600 | — | — | 22 |
| 4123207 | S-ICD SQ GENERATOR | $26,000 | $15,600 | — | — | 22 |
| 3636669 | STIMULATOR NEURO | $25,874 | $15,524 | — | — | 22 |
| 4123130 | LV ASSIST INSERT ARTERIAL | $25,446 | $15,268 | — | — | 37 |
| 4123170 | ICD GEN BI VENT | $24,700 | $14,820 | — | — | 22 |
| 4122103 | ICD GEN BI VENT | $23,400 | $14,040 | — | — | 22 |
| 3615338 | BONE FLAP | $23,225 | $13,935 | — | — | 23 |
| 4122208 | REM & REPL ICD GEN MULT | $23,100 | $13,860 | — | — | 36 |
| 4123225 | INTRAVAS LITHOTRIPSY TIB/PERONEAL wPTA | $22,736 | $13,642 | — | — | 35 |
| 3635004 | PUMP | $22,527 | $13,516 | — | — | 23 |
| 4123221 | INTRAVAS LITHOTRIP LOW EXT NOT TP wSTENT | $22,349 | $13,409 | — | — | 35 |
| 4123222 | INTRAVAS LITHOTRIP LOW EXT NOT TP w ATHR | $22,349 | $13,409 | — | — | 35 |
| 4122142 | THORACIC STENT GRAFT | $22,100 | $13,260 | — | — | 23 |
| 4123169 | ICD GEN DUAL | $22,100 | $13,260 | — | — | 23 |
| 4122207 | REM & REPL ICD GEN DUAL | $22,000 | $13,200 | — | — | 37 |
| 4123168 | ICD GEN DUAL | $20,800 | $12,480 | — | — | 23 |
| 4121445 | TEMP-PACEMAKER-INSERT | $20,685 | $12,411 | — | — | 36 |
| 4121651 | REMOVE PM GEN ONLY | $20,685 | $12,411 | — | — | 36 |
| 4220593 | CT GUIDED CRYO ABLATION RENAL | $20,165 | $12,099 | — | — | 35 |
Showing top 50 of 12,025 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.