45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
6,511
Insurances with rates
28
CPT / HCPCS codes
2,968
Most expensive procedures (gross)
71336-1003-01
$138,143
Amvuttra
Gross
$238,177
50242-0150-01
$90,679
Ocrevus
Gross
$156,343
J7330
$86,979
AUTOLOGOUS CULTURED CHONDROCYTES; IMPLANT
Gross
$149,963
25682-0028-01
$83,166
Ultomiris
Gross
$143,390
75705
$80,481
REVIEW BY RADIOLOGIST OF SPINAL ARTERY IMAGE
Gross
$138,760
75987-0080-10
$66,374
Krystexxa
Gross
$114,438
00003-7125-11
$65,690
Opdualag
Gross
$113,259
33289
$56,059
INSERTION OF WIRELESS PRESSURE SENSOR INTO LUNG ARTERY THROUGH TUBE WITH REVIEW BY RADIOLOGIST
Gross
$96,653
37238
$55,278
INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST; INITIAL VEIN
Gross
$95,307
25682-0001-01
$54,480
Soliris
Gross
$93,931
93654
$51,432
COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY OF LOWER CHAMBE
Gross
$88,676
42747-0761-01
$50,927
Poteligeo
Gross
$87,805
00310-4535-30
$46,964
Imjudo
Gross
$80,973
58571
$43,770
REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS
Gross
$75,465
47335-0177-95
$43,754
Ilumya Prefilled Syringe
Gross
$75,438
C2616
$41,748
BRACHYTHERAPY SOURCE; NON-STRANDED; YTTRIUM-90; PER SOURCE
Gross
$71,980
51144-0050-01
$41,066
Adcetris
Gross
$70,803
82705-0010-01
$40,949
Epkinly
Gross
$70,602
37221
$40,837
INSERTION OF STENT IN GROIN ARTERY; INITIAL VESSEL
Gross
$70,408
73475-3102-03
$39,975
Vyvgart Hytrulo
Gross
$68,923
00003-6120-01
$39,473
Opdivo Qvantig
Gross
$68,056
00003-3734-13
$39,473
Opdivo
Gross
$68,056
C1776
$39,067
JOINT DEVICE (IMPLANTABLE)
Gross
$67,358
72903-0853-01
$39,058
Elahere
Gross
$67,342
00003-2327-11
$37,797
Yervoy
Gross
$65,168
50881-0006-03
$36,633
Zynyz
Gross
$63,160
93653
$36,503
COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY OF UPPER CHAMBE
Gross
$62,936
C1813
$35,789
PROSTHESIS; PENILE; INFLATABLE
Gross
$61,705
49650
$35,287
REPAIR OF GROIN HERNIA USING AN ENDOSCOPE
Gross
$60,840
Q4116
$33,419
ALLODERM; PER SQUARE CENTIMETER
Gross
$57,618
Q4116
$33,419
ALLODERM; PER SQUARE CENTIMETER
Gross
$57,618
C9773
$33,060
REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCUL
Gross
$57,000
10122-0160-01
$33,012
Elfabrio
Gross
$56,918
10122-0160-02
$33,012
Elfabrio
Gross
$56,918
C1767
$32,668
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE
Gross
$56,324
50419-0208-01
$32,562
Xofigo
Gross
$56,142
C9767
$32,537
REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; LOWER EXTREMITY ARTERY(IES); EXCEPT TIBIAL/PE
Gross
$56,099
L8614
$32,193
COCHLEAR DEVICE; INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS
Gross
$55,506
00310-4611-50
$32,170
Imfinzi
Gross
$55,466
65597-0406-01
$31,578
Enhertu
Gross
$54,445
C1815
$31,261
PROSTHESIS; URINARY SPHINCTER (IMPLANTABLE)
Gross
$53,899
33249
$31,198
INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM
Gross
$53,790
59572-0775-01
$30,660
Reblozyl
Gross
$52,862
24430
$30,531
REPAIR OF NONHEALED BROKEN UPPER ARM BONE
Gross
$52,640
L8688
$30,337
IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR; DUAL ARRAY; NON-RECHARGEABLE; INCLUDES EXTENSION
Gross
$52,306
C1820
$30,337
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING
Gross
$52,306
L8690
$29,997
AUDITORY OSSEOINTEGRATED DEVICE; INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS
Gross
$51,720
00006-3026-04
$29,308
Keytruda
Gross
$50,532
00006-3026-01
$29,308
Keytruda
Gross
$50,532
50242-0917-01
$29,079
Tecentriq
Gross
$50,136
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 71336-1003-01 | Amvuttra | $238,177 | $138,143 | — | — | 11 |
| 50242-0150-01 | Ocrevus | $156,343 | $90,679 | — | — | 15 |
| J7330 | AUTOLOGOUS CULTURED CHONDROCYTES; IMPLANT | $149,963 | $86,979 | — | — | 3 |
| 25682-0028-01 | Ultomiris | $143,390 | $83,166 | — | — | 11 |
| 75705 | REVIEW BY RADIOLOGIST OF SPINAL ARTERY IMAGE | $138,760 | $80,481 | — | — | 13 |
| 75987-0080-10 | Krystexxa | $114,438 | $66,374 | — | — | 11 |
| 00003-7125-11 | Opdualag | $113,259 | $65,690 | — | — | 11 |
| 33289 | INSERTION OF WIRELESS PRESSURE SENSOR INTO LUNG ARTERY THROUGH TUBE WITH REVIEW BY RADIOLOGIST | $96,653 | $56,059 | — | — | 13 |
| 37238 | INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST; INITIAL VEIN | $95,307 | $55,278 | — | — | 13 |
| 25682-0001-01 | Soliris | $93,931 | $54,480 | — | — | 11 |
| 93654 | COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY OF LOWER CHAMBE | $88,676 | $51,432 | — | — | 14 |
| 42747-0761-01 | Poteligeo | $87,805 | $50,927 | — | — | 11 |
| 00310-4535-30 | Imjudo | $80,973 | $46,964 | — | — | 13 |
| 58571 | REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $75,465 | $43,770 | — | — | 15 |
| 47335-0177-95 | Ilumya Prefilled Syringe | $75,438 | $43,754 | — | — | 11 |
| C2616 | BRACHYTHERAPY SOURCE; NON-STRANDED; YTTRIUM-90; PER SOURCE | $71,980 | $41,748 | — | — | 13 |
| 51144-0050-01 | Adcetris | $70,803 | $41,066 | — | — | 13 |
| 82705-0010-01 | Epkinly | $70,602 | $40,949 | — | — | 11 |
| 37221 | INSERTION OF STENT IN GROIN ARTERY; INITIAL VESSEL | $70,408 | $40,837 | — | — | 5 |
| 73475-3102-03 | Vyvgart Hytrulo | $68,923 | $39,975 | — | — | 11 |
| 00003-6120-01 | Opdivo Qvantig | $68,056 | $39,473 | — | — | 11 |
| 00003-3734-13 | Opdivo | $68,056 | $39,473 | — | — | 13 |
| C1776 | JOINT DEVICE (IMPLANTABLE) | $67,358 | $39,067 | — | — | 5 |
| 72903-0853-01 | Elahere | $67,342 | $39,058 | — | — | 13 |
| 00003-2327-11 | Yervoy | $65,168 | $37,797 | — | — | 13 |
| 50881-0006-03 | Zynyz | $63,160 | $36,633 | — | — | 11 |
| 93653 | COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY OF UPPER CHAMBE | $62,936 | $36,503 | — | — | 16 |
| C1813 | PROSTHESIS; PENILE; INFLATABLE | $61,705 | $35,789 | — | — | 3 |
| 49650 | REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $60,840 | $35,287 | — | — | 18 |
| Q4116 | ALLODERM; PER SQUARE CENTIMETER | $57,618 | $33,419 | — | — | 0 |
| Q4116 | ALLODERM; PER SQUARE CENTIMETER | $57,618 | $33,419 | — | — | 13 |
| C9773 | REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; TIBIAL/PERONEAL ARTERY(IES); WITH INTRAVASCUL | $57,000 | $33,060 | — | — | 13 |
| 10122-0160-01 | Elfabrio | $56,918 | $33,012 | — | — | 11 |
| 10122-0160-02 | Elfabrio | $56,918 | $33,012 | — | — | 11 |
| C1767 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE | $56,324 | $32,668 | — | — | 3 |
| 50419-0208-01 | Xofigo | $56,142 | $32,562 | — | — | 11 |
| C9767 | REVASCULARIZATION; ENDOVASCULAR; OPEN OR PERCUTANEOUS; LOWER EXTREMITY ARTERY(IES); EXCEPT TIBIAL/PE | $56,099 | $32,537 | — | — | 13 |
| L8614 | COCHLEAR DEVICE; INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS | $55,506 | $32,193 | — | — | 3 |
| 00310-4611-50 | Imfinzi | $55,466 | $32,170 | — | — | 13 |
| 65597-0406-01 | Enhertu | $54,445 | $31,578 | — | — | 13 |
| C1815 | PROSTHESIS; URINARY SPHINCTER (IMPLANTABLE) | $53,899 | $31,261 | — | — | 3 |
| 33249 | INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM | $53,790 | $31,198 | — | — | 14 |
| 59572-0775-01 | Reblozyl | $52,862 | $30,660 | — | — | 11 |
| 24430 | REPAIR OF NONHEALED BROKEN UPPER ARM BONE | $52,640 | $30,531 | — | — | 13 |
| L8688 | IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR; DUAL ARRAY; NON-RECHARGEABLE; INCLUDES EXTENSION | $52,306 | $30,337 | — | — | 3 |
| C1820 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING | $52,306 | $30,337 | — | — | 3 |
| L8690 | AUDITORY OSSEOINTEGRATED DEVICE; INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS | $51,720 | $29,997 | — | — | 3 |
| 00006-3026-04 | Keytruda | $50,532 | $29,308 | — | — | 13 |
| 00006-3026-01 | Keytruda | $50,532 | $29,308 | — | — | 13 |
| 50242-0917-01 | Tecentriq | $50,136 | $29,079 | — | — | 13 |
Showing top 50 of 6,511 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.