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
7,320
Insurances with rates
26
CPT / HCPCS codes
2,688
Source MRF
Most expensive procedures (gross)
25682-0028-01
$42,249
Ultomiris
Gross
$140,832
25682-0025-01
$34,568
Ultomiris
Gross
$115,226
73150-0150-06
$19,598
Briumvi
Gross
$65,327
C1820
$14,190
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING
Gross
$47,300
J1303
$13,807
INJ., RAVULIZUMAB-CWVZ 10 MG
Gross
$46,023
64582
$13,710
INSERTION OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR AND BREATHING SENSOR ELECTROD
Gross
$45,700
J9332
$13,116
INJ EFGARTIGIMOD 2MG
Gross
$43,720
73475-3041-05
$12,940
Vyvgart
Gross
$43,133
3205266
$12,479
STENT& ATHER TIBIAL/PERO-PTA
Gross
$41,598
3203921
$12,479
TIB/PER REVASC W/STENT
Gross
$41,598
3203917
$12,479
FEM/POPL -STNT & ATHER W PTA
Gross
$41,598
3203919
$12,479
ATHERECT TIB/PERO W PTA-UNIL
Gross
$41,598
J2350
$12,347
INJECTION, OCRELIZUMAB, 1 MG
Gross
$41,158
C1822
$12,213
GEN, NEURO, HF, RECHG BAT
Gross
$40,711
3607049
$12,025
SACROILIAC JOINT FUSION
Gross
$40,082
Q4128
$11,907
FLEXHD/ALLOPATCHHD/SQ CM
Gross
$39,690
3605045
$11,042
INS PENILE PROSTHESIS-INFLA
Gross
$36,808
3605488
$11,039
SPINAL FUSION-POSTERIOR
Gross
$36,797
3605466
$10,671
TLIF ONE INTERSPACE
Gross
$35,570
3605478
$8,590
NECK SPINE FUSE&REMOV BEL C2
Gross
$28,634
3203948
$8,542
DECLOTW ANGIOPLASTY/STENT
Gross
$28,473
36906
$8,542
REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEG
Gross
$28,473
C1767
$8,505
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE
Gross
$28,350
3606045
$8,360
VASC EMBOLIZE/OCCLUDE BLEED
Gross
$27,865
3203931
$8,093
PTA REVASC W/STENT-ILIAC
Gross
$26,976
3603201
$8,093
PTA TIB/PER ATHER W/TLA
Gross
$26,976
3203916
$8,093
STENT-FEM/POPL W PTA-UNILAT
Gross
$26,976
3203918
$8,093
PTA TIB/PER ATHER W/TLA
Gross
$26,976
3203915
$8,093
FEM/POPL REVAS W/ATHER
Gross
$26,976
3604489
$7,875
PERCUTANEOUS LUMBAR FUSION
Gross
$26,250
C1772
$7,502
INFUSION PUMP; PROGRAMMABLE (IMPLANTABLE)
Gross
$25,005
3603249
$7,403
DAVINCI GASTRIC SLEEVE
Gross
$24,675
43775
$7,403
PARTIAL REMOVAL OF STOMACH FOR WEIGHT LOSS USING AN ENDOSCOPE
Gross
$24,675
3606443
$7,253
LIGAMENT AUG KNEE-INTRA ART
Gross
$24,178
25682002801
$7,044
Ultomiris
Gross
$23,481
C1763
$6,883
CONN TISS, NON-HUMAN
Gross
$22,942
3603065
$6,862
PERC NEPHROSTOLITHOTOMY
Gross
$22,874
3603057
$6,862
UROLIFT W/IMPLANT 4 OR MORE
Gross
$22,874
C9740
$6,862
CYSTOURETHROSCOPY; WITH INSERTION OF TRANSPROSTATIC IMPLANT; 4 OR MORE IMPLANTS
Gross
$22,874
59572-0775-01
$6,840
Reblozyl
Gross
$22,800
3603238
$6,502
DAVINCI W/SLING/UPHOLD/LYNX
Gross
$21,672
C1785
$6,482
PMKR, DUAL, RATE-RESP
Gross
$21,608
J2329
$6,158
INJ UBLITUXIMAB-XIIY, 1 MG
Gross
$20,526
3603234
$5,996
DAVINCI W/SLING PROC- W/LYNX
Gross
$19,988
3603236
$5,996
DAVINCI W/SLING W UPHOLD
Gross
$19,988
3603239
$5,996
DAVINCI W/SLING -COLOPLAST
Gross
$19,988
63459-0104-50
$5,966
Truxima
Gross
$19,887
50242015001
$5,881
Ocrevus
Gross
$19,604
C1786
$5,731
PMKR, SINGLE, RATE-RESP
Gross
$19,104
3203943
$5,666
FISTULAGRAM W STENT
Gross
$18,887
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25682-0028-01 | Ultomiris | $140,832 | $42,249 | — | — | 10 |
| 25682-0025-01 | Ultomiris | $115,226 | $34,568 | — | — | 10 |
| 73150-0150-06 | Briumvi | $65,327 | $19,598 | — | — | 10 |
| C1820 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING | $47,300 | $14,190 | — | — | 1 |
| J1303 | INJ., RAVULIZUMAB-CWVZ 10 MG | $46,023 | $13,807 | — | — | 11 |
| 64582 | INSERTION OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR AND BREATHING SENSOR ELECTROD | $45,700 | $13,710 | — | — | 10 |
| J9332 | INJ EFGARTIGIMOD 2MG | $43,720 | $13,116 | — | — | 11 |
| 73475-3041-05 | Vyvgart | $43,133 | $12,940 | — | — | 11 |
| 3205266 | STENT& ATHER TIBIAL/PERO-PTA | $41,598 | $12,479 | — | — | 1 |
| 3203921 | TIB/PER REVASC W/STENT | $41,598 | $12,479 | — | — | 1 |
| 3203917 | FEM/POPL -STNT & ATHER W PTA | $41,598 | $12,479 | — | — | 1 |
| 3203919 | ATHERECT TIB/PERO W PTA-UNIL | $41,598 | $12,479 | — | — | 1 |
| J2350 | INJECTION, OCRELIZUMAB, 1 MG | $41,158 | $12,347 | — | — | 10 |
| C1822 | GEN, NEURO, HF, RECHG BAT | $40,711 | $12,213 | — | — | 1 |
| 3607049 | SACROILIAC JOINT FUSION | $40,082 | $12,025 | — | — | 1 |
| Q4128 | FLEXHD/ALLOPATCHHD/SQ CM | $39,690 | $11,907 | — | — | 11 |
| 3605045 | INS PENILE PROSTHESIS-INFLA | $36,808 | $11,042 | — | — | 1 |
| 3605488 | SPINAL FUSION-POSTERIOR | $36,797 | $11,039 | — | — | 1 |
| 3605466 | TLIF ONE INTERSPACE | $35,570 | $10,671 | — | — | 1 |
| 3605478 | NECK SPINE FUSE&REMOV BEL C2 | $28,634 | $8,590 | — | — | 1 |
| 3203948 | DECLOTW ANGIOPLASTY/STENT | $28,473 | $8,542 | — | — | 1 |
| 36906 | REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEG | $28,473 | $8,542 | — | — | 10 |
| C1767 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON-RECHARGEABLE | $28,350 | $8,505 | — | — | 1 |
| 3606045 | VASC EMBOLIZE/OCCLUDE BLEED | $27,865 | $8,360 | — | — | 1 |
| 3203931 | PTA REVASC W/STENT-ILIAC | $26,976 | $8,093 | — | — | 1 |
| 3603201 | PTA TIB/PER ATHER W/TLA | $26,976 | $8,093 | — | — | 1 |
| 3203916 | STENT-FEM/POPL W PTA-UNILAT | $26,976 | $8,093 | — | — | 1 |
| 3203918 | PTA TIB/PER ATHER W/TLA | $26,976 | $8,093 | — | — | 1 |
| 3203915 | FEM/POPL REVAS W/ATHER | $26,976 | $8,093 | — | — | 1 |
| 3604489 | PERCUTANEOUS LUMBAR FUSION | $26,250 | $7,875 | — | — | 1 |
| C1772 | INFUSION PUMP; PROGRAMMABLE (IMPLANTABLE) | $25,005 | $7,502 | — | — | 1 |
| 3603249 | DAVINCI GASTRIC SLEEVE | $24,675 | $7,403 | — | — | 1 |
| 43775 | PARTIAL REMOVAL OF STOMACH FOR WEIGHT LOSS USING AN ENDOSCOPE | $24,675 | $7,403 | — | — | 10 |
| 3606443 | LIGAMENT AUG KNEE-INTRA ART | $24,178 | $7,253 | — | — | 1 |
| 25682002801 | Ultomiris | $23,481 | $7,044 | — | — | 11 |
| C1763 | CONN TISS, NON-HUMAN | $22,942 | $6,883 | — | — | 1 |
| 3603065 | PERC NEPHROSTOLITHOTOMY | $22,874 | $6,862 | — | — | 1 |
| 3603057 | UROLIFT W/IMPLANT 4 OR MORE | $22,874 | $6,862 | — | — | 1 |
| C9740 | CYSTOURETHROSCOPY; WITH INSERTION OF TRANSPROSTATIC IMPLANT; 4 OR MORE IMPLANTS | $22,874 | $6,862 | — | — | 10 |
| 59572-0775-01 | Reblozyl | $22,800 | $6,840 | — | — | 10 |
| 3603238 | DAVINCI W/SLING/UPHOLD/LYNX | $21,672 | $6,502 | — | — | 1 |
| C1785 | PMKR, DUAL, RATE-RESP | $21,608 | $6,482 | — | — | 1 |
| J2329 | INJ UBLITUXIMAB-XIIY, 1 MG | $20,526 | $6,158 | — | — | 10 |
| 3603234 | DAVINCI W/SLING PROC- W/LYNX | $19,988 | $5,996 | — | — | 1 |
| 3603236 | DAVINCI W/SLING W UPHOLD | $19,988 | $5,996 | — | — | 1 |
| 3603239 | DAVINCI W/SLING -COLOPLAST | $19,988 | $5,996 | — | — | 1 |
| 63459-0104-50 | Truxima | $19,887 | $5,966 | — | — | 10 |
| 50242015001 | Ocrevus | $19,604 | $5,881 | — | — | 11 |
| C1786 | PMKR, SINGLE, RATE-RESP | $19,104 | $5,731 | — | — | 1 |
| 3203943 | FISTULAGRAM W STENT | $18,887 | $5,666 | — | — | 1 |
Showing top 50 of 7,320 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.