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
21,037
Insurances with rates
6
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
73002889
—
ipilimumab 200 mg/40 mL Soln
Gross
$92,461
9598766
—
STIMULATOR VAGUS NERVE 1/EA
Gross
$77,049
95101234
—
KIT 3664 4 LEAD 1 each
Gross
$61,875
73002963
—
pegloticase 8 mg/mL Soln
Gross
$61,074
9594828
—
GENERATOR NEURO STIM PROCLAIM 1 each
Gross
$60,811
95101233
—
KIT 3664 3 LEAD 1 each
Gross
$60,750
73003094
—
ocrelizumab 300 mg/10 mL Soln
Gross
$58,978
95101232
—
KIT 3664 2 LEAD 1 each
Gross
$57,825
95101231
—
KIT 3664 1 LEAD 1 each
Gross
$52,875
95101229
—
GEN PROCLAIM DRG IPG/W CONTROL 1 each
Gross
$46,061
95103247
—
PULSE GENERATOR NIPG3000 1/EACH
Gross
$45,527
9598750
—
GENERATOR SPECTRA WAVEWRITER 1/EACH
Gross
$42,102
9598683
—
STENT GRAFT AORTIC CUFF 1 EA
Gross
$41,614
95100928
—
OMNIA IMP PULSE GENERATOR 1/EACH
Gross
$39,094
95100047
—
WAVEWRITER ALPHA 32 IPG KIT 1/EACH
Gross
$38,250
95101815
—
WAVEWRITER ALPHA PRIME 32 IPG 1/EACH
Gross
$38,250
6600016
—
OR Level 7D
Gross
$37,737
9599463
—
STENT GRAFT THORACIC 1 EA
Gross
$34,844
9598072
—
STIMULATOR INTELLIS ADAPTIVEST 1 each
Gross
$34,650
73001936
—
cabazitaxel 60 mg/1.5 mL Soln
Gross
$34,326
73003168
—
antihemophilic factor recombinant fc fusion protein Powd
Gross
$33,958
9595921
—
POLY LGN HI/FLEX SZ 3-4 11MM 1 EA
Gross
$33,406
95101070
—
PNS ONLY DUAL 8 IPG DUAL 40CM 1EA
Gross
$32,333
73003120
—
luspatercept-aamt 75 mg Powd
Gross
$31,340
9593331
—
FEMORAL PROX FLUTED STEM SZ14 1 each
Gross
$30,373
73002887
—
leuprolide 45 mg/6 months PWDI
Gross
$30,002
73003067
—
atezolizumab 1200 mg/20 mL Soln
Gross
$28,347
9594514
—
INTERSPINOUS FIX ULTRA 8 X 35 1 each
Gross
$28,295
73003343
—
risankizumab-rzaa 600 mg/10 mL IV Sol
Gross
$27,813
73002213
—
brentuximab vedotin 50 mg Powd
Gross
$27,765
248336482
—
ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEINS BY TRANSCATHETER DELIVERY OF CHEMICAL ADHESIVE
Gross
$27,446
95102787
—
CARTIFORM, 20 X 25MM DISC 1EA
Gross
$27,225
258763650
—
PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, EPIDURAL
Gross
$26,654
322063650
—
PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, EPIDURA
Gross
$26,654
332763650
—
PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, EPIDURA
Gross
$26,654
73002846
—
lanreotide 120 mg/0.5 mL Soln
Gross
$26,190
9595983
—
STEM REDAPT PF SZ 12 1 each
Gross
$26,116
73002840
—
vedolizumab 300 mg Powd
Gross
$25,945
6600015
—
OR Level 7C
Gross
$25,385
9595058
—
VEIN SAPHENSEUS 5MX6MX86CM 1 EA
Gross
$25,213
73000053
—
alteplase 100 mg IV Inj Powd
Gross
$25,095
6781007
—
Proc-Level 2 Pacemaker and Similar Procedures
Gross
$25,052
95102580
—
NONRECHRGEABLE NEUROSTIMULATOR 1/EA
Gross
$24,428
9595869
—
FEM ASSM LGN SZ4 RT 1 EA
Gross
$24,358
9596226
—
STENT GRAFT SYS BIFUR 3614 1 EA
Gross
$24,273
9596322
—
STENT GRAFT BIFURCATED 2814 1 EA
Gross
$24,273
9593634
—
SONOPET CONSOLE&HANDPIECE RENT 1 each
Gross
$24,143
73003117
—
lurbinectedin 4 mg IV Sol
Gross
$23,803
9590489
—
MESH HERNIA SURGISIS 20 X 30 1 EA
Gross
$23,780
73002888
—
ipilimumab 50 mg/10 mL Soln
Gross
$23,139
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 73002889 | ipilimumab 200 mg/40 mL Soln | $92,461 | — | — | — | 10 |
| 9598766 | STIMULATOR VAGUS NERVE 1/EA | $77,049 | — | — | — | 10 |
| 95101234 | KIT 3664 4 LEAD 1 each | $61,875 | — | — | — | 10 |
| 73002963 | pegloticase 8 mg/mL Soln | $61,074 | — | — | — | 10 |
| 9594828 | GENERATOR NEURO STIM PROCLAIM 1 each | $60,811 | — | — | — | 10 |
| 95101233 | KIT 3664 3 LEAD 1 each | $60,750 | — | — | — | 10 |
| 73003094 | ocrelizumab 300 mg/10 mL Soln | $58,978 | — | — | — | 10 |
| 95101232 | KIT 3664 2 LEAD 1 each | $57,825 | — | — | — | 10 |
| 95101231 | KIT 3664 1 LEAD 1 each | $52,875 | — | — | — | 10 |
| 95101229 | GEN PROCLAIM DRG IPG/W CONTROL 1 each | $46,061 | — | — | — | 10 |
| 95103247 | PULSE GENERATOR NIPG3000 1/EACH | $45,527 | — | — | — | 10 |
| 9598750 | GENERATOR SPECTRA WAVEWRITER 1/EACH | $42,102 | — | — | — | 10 |
| 9598683 | STENT GRAFT AORTIC CUFF 1 EA | $41,614 | — | — | — | 10 |
| 95100928 | OMNIA IMP PULSE GENERATOR 1/EACH | $39,094 | — | — | — | 10 |
| 95100047 | WAVEWRITER ALPHA 32 IPG KIT 1/EACH | $38,250 | — | — | — | 10 |
| 95101815 | WAVEWRITER ALPHA PRIME 32 IPG 1/EACH | $38,250 | — | — | — | 10 |
| 6600016 | OR Level 7D | $37,737 | — | — | — | 10 |
| 9599463 | STENT GRAFT THORACIC 1 EA | $34,844 | — | — | — | 10 |
| 9598072 | STIMULATOR INTELLIS ADAPTIVEST 1 each | $34,650 | — | — | — | 10 |
| 73001936 | cabazitaxel 60 mg/1.5 mL Soln | $34,326 | — | — | — | 10 |
| 73003168 | antihemophilic factor recombinant fc fusion protein Powd | $33,958 | — | — | — | 12 |
| 9595921 | POLY LGN HI/FLEX SZ 3-4 11MM 1 EA | $33,406 | — | — | — | 10 |
| 95101070 | PNS ONLY DUAL 8 IPG DUAL 40CM 1EA | $32,333 | — | — | — | 10 |
| 73003120 | luspatercept-aamt 75 mg Powd | $31,340 | — | — | — | 12 |
| 9593331 | FEMORAL PROX FLUTED STEM SZ14 1 each | $30,373 | — | — | — | 10 |
| 73002887 | leuprolide 45 mg/6 months PWDI | $30,002 | — | — | — | 12 |
| 73003067 | atezolizumab 1200 mg/20 mL Soln | $28,347 | — | — | — | 10 |
| 9594514 | INTERSPINOUS FIX ULTRA 8 X 35 1 each | $28,295 | — | — | — | 10 |
| 73003343 | risankizumab-rzaa 600 mg/10 mL IV Sol | $27,813 | — | — | — | 10 |
| 73002213 | brentuximab vedotin 50 mg Powd | $27,765 | — | — | — | 10 |
| 248336482 | ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEINS BY TRANSCATHETER DELIVERY OF CHEMICAL ADHESIVE | $27,446 | — | — | — | 3 |
| 95102787 | CARTIFORM, 20 X 25MM DISC 1EA | $27,225 | — | — | — | 10 |
| 258763650 | PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, EPIDURAL | $26,654 | — | — | — | 3 |
| 322063650 | PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, EPIDURA | $26,654 | — | — | — | 3 |
| 332763650 | PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, EPIDURA | $26,654 | — | — | — | 3 |
| 73002846 | lanreotide 120 mg/0.5 mL Soln | $26,190 | — | — | — | 10 |
| 9595983 | STEM REDAPT PF SZ 12 1 each | $26,116 | — | — | — | 10 |
| 73002840 | vedolizumab 300 mg Powd | $25,945 | — | — | — | 12 |
| 6600015 | OR Level 7C | $25,385 | — | — | — | 10 |
| 9595058 | VEIN SAPHENSEUS 5MX6MX86CM 1 EA | $25,213 | — | — | — | 10 |
| 73000053 | alteplase 100 mg IV Inj Powd | $25,095 | — | — | — | 12 |
| 6781007 | Proc-Level 2 Pacemaker and Similar Procedures | $25,052 | — | — | — | 10 |
| 95102580 | NONRECHRGEABLE NEUROSTIMULATOR 1/EA | $24,428 | — | — | — | 10 |
| 9595869 | FEM ASSM LGN SZ4 RT 1 EA | $24,358 | — | — | — | 10 |
| 9596226 | STENT GRAFT SYS BIFUR 3614 1 EA | $24,273 | — | — | — | 10 |
| 9596322 | STENT GRAFT BIFURCATED 2814 1 EA | $24,273 | — | — | — | 10 |
| 9593634 | SONOPET CONSOLE&HANDPIECE RENT 1 each | $24,143 | — | — | — | 10 |
| 73003117 | lurbinectedin 4 mg IV Sol | $23,803 | — | — | — | 10 |
| 9590489 | MESH HERNIA SURGISIS 20 X 30 1 EA | $23,780 | — | — | — | 10 |
| 73002888 | ipilimumab 50 mg/10 mL Soln | $23,139 | — | — | — | 10 |
Showing top 50 of 21,037 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.