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
194,567
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
SUP-5500-050-000-STRY
$155,474
SONOPET IQ CONSOLE
Gross
$239,190
SUP-0998-00-0800-83-GETI
$83,706
PUMP INTRAAORTIC BALLOON 1 TO 4 UAF LITHIUM ION BATTERY POWERED AC TRANSPORT POWER SUPPLY BACKLIT MO
Gross
$128,778
71336-1001-01
$81,448
GIVOSIRAN SODIUM 189 MG/ML SC SOLN
Gross
$125,304
RX-148519
$81,448
GIVOSIRAN SODIUM 189 MG/ML SC SOLN
Gross
$125,304
24338-0050-08
$80,729
CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR
Gross
$124,199
RX-25452
$80,729
CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR
Gross
$124,199
00310-4535-30
$77,548
TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN
Gross
$119,305
RX-158974
$77,548
TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN
Gross
$119,305
SUP-0998-00-0800-53-GETI
$72,160
PLUG TYPE B HYBRID CARDIOSAVE
Gross
$111,016
00003-2328-22
$67,864
IPILIMUMAB 200 MG/40ML IV SOLN
Gross
$104,407
RX-108297
$67,864
IPILIMUMAB 200 MG/40ML IV SOLN
Gross
$104,407
72187-0401-01
$64,516
TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN
Gross
$99,255
RX-144049
$64,516
TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN
Gross
$99,255
SUP-423801-ZIMM
$63,913
CONSOLE ULTRASONIC REVISION SYSTEM MODEL 50 ULTRA-DRIVE
Gross
$98,328
SUP-381103-INTU
$62,563
FLUORESCENCE CAMERA HEAD (INCLUDES CAMERA CABLE AND LIGHT GUIDE CABLE)
Gross
$96,250
75987-0080-10
$57,379
PEGLOTICASE 8 MG/ML IV SOLN
Gross
$88,275
RX-106836
$57,379
PEGLOTICASE 8 MG/ML IV SOLN
Gross
$88,275
SUP-423955-ZIMM
$56,161
SET FOR ULTRASONIC REVISION SYSTEM ULTRA-DRIVE 3
Gross
$86,401
SUP-380982-INTU
$54,031
CAMERA HEAD (INCLUDES CAMERA CABLE AND LIGHT GUIDE CABLE)
Gross
$83,125
00597-0035-10
$53,329
SPESOLIMAB-SBZO 450 MG/7.5ML IV SOLN
Gross
$82,044
RX-158182
$53,329
SPESOLIMAB-SBZO 450 MG/7.5ML IV SOLN
Gross
$82,044
72694-0954-01
$51,249
PEGASPARGASE 750 UNIT/ML IJ SOLN
Gross
$78,845
RX-118398
$51,249
PEGASPARGASE 750 UNIT/ML IJ SOLN
Gross
$78,845
SUP-150150-STRY
$50,252
KIT LOANER INSTRUMENT MCK
Gross
$77,311
SUP-380628-INTU
$47,775
CAMERA W/CABLE, PANASONIC HD, JAPAN
Gross
$73,500
SUP-1195050-BARD
$46,638
MESH HERNIA 19.5X19.5IN POLY-4-HYDROXYBUTYRATE SYNTHETIC SQUARE WOVEN MULTIFILAMENT SOFT TISSUE RECO
Gross
$71,750
SUP-380630-INTU
$46,410
8.5 MM SI ENDOSCOPE STARTER KIT
Gross
$71,400
SUP-2709-05-000-JJ
$44,974
SET SURGICAL TREPHINE
Gross
$69,191
76128-0155-75
$44,575
PORFIMER SODIUM 75 MG IV SOLR
Gross
$68,577
RX-17143
$44,575
PORFIMER SODIUM 75 MG IV SOLR
Gross
$68,577
SUP-1000-LIVA
$44,527
STIM NRV VAGUS PRGM PLS GENTR EPLP M1000 SENTIVA
Gross
$68,504
SUP-5400-210-000-STRY
$44,275
DRILL SURGICAL H0.S MAESTRO ARIA
Gross
$68,116
SUP-259807024-JJ
$44,079
SET HIP INSTRUMENT MATTA AA
Gross
$67,813
SUP-10-100-BRAS
$42,998
VERSADRIVER PNEUMATIC OSTEOTOME SYSTEM
Gross
$66,150
SUP-14505-BCK
$42,998
ANALYZER URINALYSIS AUTION MAX AX-4030
Gross
$66,150
SUP-1420-0005-STRY
$41,083
KIT INDICATION PLUS
Gross
$63,205
SUP-3610-MERT
$40,950
CONTROLLER VERTABRAL AUGMENTATION MULTIPLEX
Gross
$63,000
SUP-1688011002P-STRY
$40,706
UNIT CAMERA CONTROL L11IN LIGHT SOURCE HDMI TO DVI CABLE AIM
Gross
$62,625
SUP-100069-202-CVRX
$39,813
BAROSTIM NEO2 SYSTEM
Gross
$61,250
SUP-1700250-JJ
$39,813
OSSEODUO CONSOLE + S120
Gross
$61,250
SUP-1420-0000-STRY
$39,788
KIT INDICATION GAMMA
Gross
$61,213
50242-0150-01
$39,449
OCRELIZUMAB 300 MG/10ML IV SOLN
Gross
$60,691
RX-137306
$39,449
OCRELIZUMAB 300 MG/10ML IV SOLN
Gross
$60,691
SUP-150688-STRY
$39,315
TRAY STERILIZATION MANUAL FOR TKA
Gross
$60,484
SUP-150290-STRY
$39,213
KIT INSTRUMENT 2 HIP FEMORAL RESTORIS Z
Gross
$60,328
SUP-127238
$38,675
VLV THV 29MM BVN PERICARD TIS CMNDR SYS SAPIEN 3 ULT RESILIA
Gross
$59,500
SUP-132072
$38,675
VALVE AORTIC 26MM TRANSCATHETER WITH COMMANDER SYSTEM EDWARDS SAPIEN 3 ULTRA RESILIA
Gross
$59,500
SUP-132074
$38,675
VALVE AORTIC 20MM TRANSCATHETER WITH COMMANDER SYSTEM EDWARDS SAPIEN 3 ULTRA RESILIA
Gross
$59,500
SUP-132080
$38,675
VALVE AORTIC 23MM TRANSCATHETER WITH COMMANDER SYSTEM EDWARDS SAPIEN 3 ULTRA RESILIA
Gross
$59,500
SUP-1194545-BARD
$37,776
MESH HERNIA 18X18IN POLY-4-HYDROXYBUTYRATE SYNTHETIC SQUARE WOVEN MULTIFILAMENT SOFT TISSUE RECONSTR
Gross
$58,118
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| SUP-5500-050-000-STRY | SONOPET IQ CONSOLE | $239,190 | $155,474 | — | — | 0 |
| SUP-0998-00-0800-83-GETI | PUMP INTRAAORTIC BALLOON 1 TO 4 UAF LITHIUM ION BATTERY POWERED AC TRANSPORT POWER SUPPLY BACKLIT MO | $128,778 | $83,706 | — | — | 0 |
| 71336-1001-01 | GIVOSIRAN SODIUM 189 MG/ML SC SOLN | $125,304 | $81,448 | — | — | 0 |
| RX-148519 | GIVOSIRAN SODIUM 189 MG/ML SC SOLN | $125,304 | $81,448 | — | — | 0 |
| 24338-0050-08 | CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR | $124,199 | $80,729 | — | — | 0 |
| RX-25452 | CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR | $124,199 | $80,729 | — | — | 0 |
| 00310-4535-30 | TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN | $119,305 | $77,548 | — | — | 0 |
| RX-158974 | TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN | $119,305 | $77,548 | — | — | 0 |
| SUP-0998-00-0800-53-GETI | PLUG TYPE B HYBRID CARDIOSAVE | $111,016 | $72,160 | — | — | 0 |
| 00003-2328-22 | IPILIMUMAB 200 MG/40ML IV SOLN | $104,407 | $67,864 | — | — | 0 |
| RX-108297 | IPILIMUMAB 200 MG/40ML IV SOLN | $104,407 | $67,864 | — | — | 0 |
| 72187-0401-01 | TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN | $99,255 | $64,516 | — | — | 0 |
| RX-144049 | TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN | $99,255 | $64,516 | — | — | 0 |
| SUP-423801-ZIMM | CONSOLE ULTRASONIC REVISION SYSTEM MODEL 50 ULTRA-DRIVE | $98,328 | $63,913 | — | — | 0 |
| SUP-381103-INTU | FLUORESCENCE CAMERA HEAD (INCLUDES CAMERA CABLE AND LIGHT GUIDE CABLE) | $96,250 | $62,563 | — | — | 0 |
| 75987-0080-10 | PEGLOTICASE 8 MG/ML IV SOLN | $88,275 | $57,379 | — | — | 0 |
| RX-106836 | PEGLOTICASE 8 MG/ML IV SOLN | $88,275 | $57,379 | — | — | 0 |
| SUP-423955-ZIMM | SET FOR ULTRASONIC REVISION SYSTEM ULTRA-DRIVE 3 | $86,401 | $56,161 | — | — | 0 |
| SUP-380982-INTU | CAMERA HEAD (INCLUDES CAMERA CABLE AND LIGHT GUIDE CABLE) | $83,125 | $54,031 | — | — | 0 |
| 00597-0035-10 | SPESOLIMAB-SBZO 450 MG/7.5ML IV SOLN | $82,044 | $53,329 | — | — | 0 |
| RX-158182 | SPESOLIMAB-SBZO 450 MG/7.5ML IV SOLN | $82,044 | $53,329 | — | — | 0 |
| 72694-0954-01 | PEGASPARGASE 750 UNIT/ML IJ SOLN | $78,845 | $51,249 | — | — | 0 |
| RX-118398 | PEGASPARGASE 750 UNIT/ML IJ SOLN | $78,845 | $51,249 | — | — | 0 |
| SUP-150150-STRY | KIT LOANER INSTRUMENT MCK | $77,311 | $50,252 | — | — | 0 |
| SUP-380628-INTU | CAMERA W/CABLE, PANASONIC HD, JAPAN | $73,500 | $47,775 | — | — | 0 |
| SUP-1195050-BARD | MESH HERNIA 19.5X19.5IN POLY-4-HYDROXYBUTYRATE SYNTHETIC SQUARE WOVEN MULTIFILAMENT SOFT TISSUE RECO | $71,750 | $46,638 | — | — | 0 |
| SUP-380630-INTU | 8.5 MM SI ENDOSCOPE STARTER KIT | $71,400 | $46,410 | — | — | 0 |
| SUP-2709-05-000-JJ | SET SURGICAL TREPHINE | $69,191 | $44,974 | — | — | 0 |
| 76128-0155-75 | PORFIMER SODIUM 75 MG IV SOLR | $68,577 | $44,575 | — | — | 0 |
| RX-17143 | PORFIMER SODIUM 75 MG IV SOLR | $68,577 | $44,575 | — | — | 0 |
| SUP-1000-LIVA | STIM NRV VAGUS PRGM PLS GENTR EPLP M1000 SENTIVA | $68,504 | $44,527 | — | — | 0 |
| SUP-5400-210-000-STRY | DRILL SURGICAL H0.S MAESTRO ARIA | $68,116 | $44,275 | — | — | 0 |
| SUP-259807024-JJ | SET HIP INSTRUMENT MATTA AA | $67,813 | $44,079 | — | — | 0 |
| SUP-10-100-BRAS | VERSADRIVER PNEUMATIC OSTEOTOME SYSTEM | $66,150 | $42,998 | — | — | 0 |
| SUP-14505-BCK | ANALYZER URINALYSIS AUTION MAX AX-4030 | $66,150 | $42,998 | — | — | 0 |
| SUP-1420-0005-STRY | KIT INDICATION PLUS | $63,205 | $41,083 | — | — | 0 |
| SUP-3610-MERT | CONTROLLER VERTABRAL AUGMENTATION MULTIPLEX | $63,000 | $40,950 | — | — | 0 |
| SUP-1688011002P-STRY | UNIT CAMERA CONTROL L11IN LIGHT SOURCE HDMI TO DVI CABLE AIM | $62,625 | $40,706 | — | — | 0 |
| SUP-100069-202-CVRX | BAROSTIM NEO2 SYSTEM | $61,250 | $39,813 | — | — | 0 |
| SUP-1700250-JJ | OSSEODUO CONSOLE + S120 | $61,250 | $39,813 | — | — | 0 |
| SUP-1420-0000-STRY | KIT INDICATION GAMMA | $61,213 | $39,788 | — | — | 0 |
| 50242-0150-01 | OCRELIZUMAB 300 MG/10ML IV SOLN | $60,691 | $39,449 | — | — | 0 |
| RX-137306 | OCRELIZUMAB 300 MG/10ML IV SOLN | $60,691 | $39,449 | — | — | 0 |
| SUP-150688-STRY | TRAY STERILIZATION MANUAL FOR TKA | $60,484 | $39,315 | — | — | 0 |
| SUP-150290-STRY | KIT INSTRUMENT 2 HIP FEMORAL RESTORIS Z | $60,328 | $39,213 | — | — | 0 |
| SUP-127238 | VLV THV 29MM BVN PERICARD TIS CMNDR SYS SAPIEN 3 ULT RESILIA | $59,500 | $38,675 | — | — | 0 |
| SUP-132072 | VALVE AORTIC 26MM TRANSCATHETER WITH COMMANDER SYSTEM EDWARDS SAPIEN 3 ULTRA RESILIA | $59,500 | $38,675 | — | — | 0 |
| SUP-132074 | VALVE AORTIC 20MM TRANSCATHETER WITH COMMANDER SYSTEM EDWARDS SAPIEN 3 ULTRA RESILIA | $59,500 | $38,675 | — | — | 0 |
| SUP-132080 | VALVE AORTIC 23MM TRANSCATHETER WITH COMMANDER SYSTEM EDWARDS SAPIEN 3 ULTRA RESILIA | $59,500 | $38,675 | — | — | 0 |
| SUP-1194545-BARD | MESH HERNIA 18X18IN POLY-4-HYDROXYBUTYRATE SYNTHETIC SQUARE WOVEN MULTIFILAMENT SOFT TISSUE RECONSTR | $58,118 | $37,776 | — | — | 0 |
Showing top 50 of 194,567 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.