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
8,545
Insurances with rates
25
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
3202644
$54,544
NF-STELARA 90MG/1ML SUBCUTANEOUS SOLUTIO
Gross
$72,725
5800089
$38,679
INSERTION/REPOSITION OF ICD SYSTEM
Gross
$51,572
5800088
$31,892
INSERTION OF SINGLE OR DUAL CHAM ICD GEN
Gross
$42,522
5800158
$31,892
REMOVL AND REPLACE AICD GEN. DUEL CHAM
Gross
$42,522
90006823
$27,780
ICD-DR DDBC3D4 EVERA DEVICE
Gross
$37,040
5890030
$25,230
MEDTRONIC ICD-VR DVFB1D1 VISIA AF MRI US
Gross
$33,640
5890029
$25,125
PACEMAKER FORTIFYASSURA DR_ICD_UMRI_PR
Gross
$33,500
3203612
$24,929
NF-LUPRON DEPOT IM 6 MONTH PWD FOR SUSP
Gross
$33,238
5800086
$24,816
INSERTION BIV ELECTRODE/NEW GEN PLACED
Gross
$33,088
5800087
$24,816
INSERTION BIV-ELECTRODE/PREV PLAC GEN
Gross
$33,088
5890001
$24,375
DYNAGEN MINI ICD DR SYSTEM MODEL D022
Gross
$32,500
5890048
$23,250
INOGEN EL ICD DF4-VR
Gross
$31,000
400167
$22,500
LEVEL 3-CARDIAC
Gross
$30,000
5890011
$22,125
PACEMAKER FORTIFYASSURA ICD UMRI PR SYST
Gross
$29,500
5890039
$22,125
PACEMAKER CD1411-36Q ELLIPSE VR_ICD_UMRI
Gross
$29,500
90005704
$22,125
PACEMAKER ELLIPSE CD1411-36Q
Gross
$29,500
5890117
$20,963
VISIA AF MRI S VR SYSTEM
Gross
$27,950
5800075
$19,500
ICD DUEL/SING GENERATOR
Gross
$26,000
5890002
$19,125
GENERATOR HV #CD1411-36C ELLIPSE VR_ICD_
Gross
$25,500
5800132
$18,750
PTA FEM/POP W/STENT/ATHR
Gross
$25,000
5800147
$18,750
PTA TIBIO/PERONL W/STENT/ ATHRE
Gross
$25,000
3205951
$18,038
NF-Animas Insulin Pump R1000
Gross
$24,050
3204257
$15,422
NF-Nystatin Powder
Gross
$20,562
5800113
$13,379
PACER DUAL CHAMBER SYSTEM
Gross
$17,838
5800192
$13,379
UPGRADE FROM SINGLE TO DUAL CHAMBER
Gross
$17,838
3205432
$12,991
NF-Lupron Depot 3 Month Pwd for Susp 11.
Gross
$17,321
3205773
$12,635
NF-LMR Plus Top Kit 5%;0.5%-0.5%
Gross
$16,846
5800119
$11,622
PACER SINGLE CHAMBER SYS ATRIAL
Gross
$15,496
5800120
$11,622
PACER SINGLE CHAMBER SYS VENTRICULAR
Gross
$15,496
3207913
$11,526
NF-Humira Subcutaneous Solution 40MG/0.4
Gross
$15,368
3208791
$11,526
NF-Humira Subcutaneous Solution 40MG/0.4
Gross
$15,368
400166
$11,250
LEVEL 2-CARDIAC
Gross
$15,000
5800143
$11,250
PTA TIBIO/PERONL W/ ATHRE
Gross
$15,000
5800144
$11,250
PTA TIBIO/PERONL W/ATHRE EA ADD
Gross
$15,000
5800145
$11,250
PTA TIBIO/PERONL W/STENT
Gross
$15,000
5800133
$10,500
PTA FEM/POP/W ATHRECTOMY
Gross
$14,000
5800150
$10,500
PTA/ FEM/POP W/STENT
Gross
$14,000
5800114
$10,440
PACER DUAL GENERATOR ONLY
Gross
$13,920
3206513
$9,937
NF-Humira SubQ Kit 40MG/0.8ML
Gross
$13,249
5800121
$9,633
PACER SINGLE GENERATOR ONLY
Gross
$12,844
5890159
$9,443
LOOP RECORDER LNQ22
Gross
$12,590
5800027
$9,000
ATHRECTOMY ILLIAC
Gross
$12,000
400157
$8,700
LEVEL 5 OB/GYN
Gross
$11,600
3205111
$8,615
NF-Humira Subcutaneous Solution 20MG/0.2
Gross
$11,486
3205360
$8,615
NF-Humira SubQ Kit 40MG/0.8ML
Gross
$11,486
3205530
$8,615
NF-Humira Subcutaneous Solution 40MG/0.8
Gross
$11,486
490060
$8,606
MESH VERITAS COLLAGEN MATRIX 10CMX16CM
Gross
$11,475
5800182
$8,459
STENT PLACED EACH ADD
Gross
$11,278
3204403
$8,111
NF-Humira SubQ Kit 40MG/0.8ML
Gross
$10,815
3204606
$8,111
NF-Humira Subcutaneous Solution 40MG/0.8
Gross
$10,815
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 3202644 | NF-STELARA 90MG/1ML SUBCUTANEOUS SOLUTIO | $72,725 | $54,544 | — | — | 16 |
| 5800089 | INSERTION/REPOSITION OF ICD SYSTEM | $51,572 | $38,679 | — | — | 16 |
| 5800088 | INSERTION OF SINGLE OR DUAL CHAM ICD GEN | $42,522 | $31,892 | — | — | 16 |
| 5800158 | REMOVL AND REPLACE AICD GEN. DUEL CHAM | $42,522 | $31,892 | — | — | 16 |
| 90006823 | ICD-DR DDBC3D4 EVERA DEVICE | $37,040 | $27,780 | — | — | 16 |
| 5890030 | MEDTRONIC ICD-VR DVFB1D1 VISIA AF MRI US | $33,640 | $25,230 | — | — | 16 |
| 5890029 | PACEMAKER FORTIFYASSURA DR_ICD_UMRI_PR | $33,500 | $25,125 | — | — | 16 |
| 3203612 | NF-LUPRON DEPOT IM 6 MONTH PWD FOR SUSP | $33,238 | $24,929 | — | — | 16 |
| 5800086 | INSERTION BIV ELECTRODE/NEW GEN PLACED | $33,088 | $24,816 | — | — | 16 |
| 5800087 | INSERTION BIV-ELECTRODE/PREV PLAC GEN | $33,088 | $24,816 | — | — | 16 |
| 5890001 | DYNAGEN MINI ICD DR SYSTEM MODEL D022 | $32,500 | $24,375 | — | — | 16 |
| 5890048 | INOGEN EL ICD DF4-VR | $31,000 | $23,250 | — | — | 16 |
| 400167 | LEVEL 3-CARDIAC | $30,000 | $22,500 | — | — | 16 |
| 5890011 | PACEMAKER FORTIFYASSURA ICD UMRI PR SYST | $29,500 | $22,125 | — | — | 16 |
| 5890039 | PACEMAKER CD1411-36Q ELLIPSE VR_ICD_UMRI | $29,500 | $22,125 | — | — | 16 |
| 90005704 | PACEMAKER ELLIPSE CD1411-36Q | $29,500 | $22,125 | — | — | 16 |
| 5890117 | VISIA AF MRI S VR SYSTEM | $27,950 | $20,963 | — | — | 16 |
| 5800075 | ICD DUEL/SING GENERATOR | $26,000 | $19,500 | — | — | 16 |
| 5890002 | GENERATOR HV #CD1411-36C ELLIPSE VR_ICD_ | $25,500 | $19,125 | — | — | 16 |
| 5800132 | PTA FEM/POP W/STENT/ATHR | $25,000 | $18,750 | — | — | 16 |
| 5800147 | PTA TIBIO/PERONL W/STENT/ ATHRE | $25,000 | $18,750 | — | — | 16 |
| 3205951 | NF-Animas Insulin Pump R1000 | $24,050 | $18,038 | — | — | 16 |
| 3204257 | NF-Nystatin Powder | $20,562 | $15,422 | — | — | 16 |
| 5800113 | PACER DUAL CHAMBER SYSTEM | $17,838 | $13,379 | — | — | 17 |
| 5800192 | UPGRADE FROM SINGLE TO DUAL CHAMBER | $17,838 | $13,379 | — | — | 16 |
| 3205432 | NF-Lupron Depot 3 Month Pwd for Susp 11. | $17,321 | $12,991 | — | — | 16 |
| 3205773 | NF-LMR Plus Top Kit 5%;0.5%-0.5% | $16,846 | $12,635 | — | — | 16 |
| 5800119 | PACER SINGLE CHAMBER SYS ATRIAL | $15,496 | $11,622 | — | — | 16 |
| 5800120 | PACER SINGLE CHAMBER SYS VENTRICULAR | $15,496 | $11,622 | — | — | 16 |
| 3207913 | NF-Humira Subcutaneous Solution 40MG/0.4 | $15,368 | $11,526 | — | — | 16 |
| 3208791 | NF-Humira Subcutaneous Solution 40MG/0.4 | $15,368 | $11,526 | — | — | 16 |
| 400166 | LEVEL 2-CARDIAC | $15,000 | $11,250 | — | — | 16 |
| 5800143 | PTA TIBIO/PERONL W/ ATHRE | $15,000 | $11,250 | — | — | 16 |
| 5800144 | PTA TIBIO/PERONL W/ATHRE EA ADD | $15,000 | $11,250 | — | — | 16 |
| 5800145 | PTA TIBIO/PERONL W/STENT | $15,000 | $11,250 | — | — | 16 |
| 5800133 | PTA FEM/POP/W ATHRECTOMY | $14,000 | $10,500 | — | — | 16 |
| 5800150 | PTA/ FEM/POP W/STENT | $14,000 | $10,500 | — | — | 16 |
| 5800114 | PACER DUAL GENERATOR ONLY | $13,920 | $10,440 | — | — | 16 |
| 3206513 | NF-Humira SubQ Kit 40MG/0.8ML | $13,249 | $9,937 | — | — | 16 |
| 5800121 | PACER SINGLE GENERATOR ONLY | $12,844 | $9,633 | — | — | 16 |
| 5890159 | LOOP RECORDER LNQ22 | $12,590 | $9,443 | — | — | 16 |
| 5800027 | ATHRECTOMY ILLIAC | $12,000 | $9,000 | — | — | 16 |
| 400157 | LEVEL 5 OB/GYN | $11,600 | $8,700 | — | — | 16 |
| 3205111 | NF-Humira Subcutaneous Solution 20MG/0.2 | $11,486 | $8,615 | — | — | 16 |
| 3205360 | NF-Humira SubQ Kit 40MG/0.8ML | $11,486 | $8,615 | — | — | 16 |
| 3205530 | NF-Humira Subcutaneous Solution 40MG/0.8 | $11,486 | $8,615 | — | — | 16 |
| 490060 | MESH VERITAS COLLAGEN MATRIX 10CMX16CM | $11,475 | $8,606 | — | — | 16 |
| 5800182 | STENT PLACED EACH ADD | $11,278 | $8,459 | — | — | 16 |
| 3204403 | NF-Humira SubQ Kit 40MG/0.8ML | $10,815 | $8,111 | — | — | 16 |
| 3204606 | NF-Humira Subcutaneous Solution 40MG/0.8 | $10,815 | $8,111 | — | — | 16 |
Showing top 50 of 8,545 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.