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
4,634
Insurances with rates
8
CPT / HCPCS codes
2,513
Most expensive procedures (gross)
Q2043
$105,175
PROVENGE INFUSION BAG 1 unit, 250 mL
Gross
$150,250
C1764
$24,826
REVEAL - LINQ CARDIAC MONITOR
Gross
$35,465
C1762
$15,344
HYDROSET XT 10CC
Gross
$21,920
23412
$12,520
REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; CHRONIC
Gross
$17,886
Q4118
$11,621
MICRO MATRIX 1000
Gross
$16,602
J0840
$11,025
CROFAB VIAL 1 g, 1 each
Gross
$15,750
C1783
$10,376
ISTENT TRABECULAR
Gross
$14,823
C9361
$8,267
NEUROMEND COLLAGEN MATRIX
Gross
$11,810
47534
$8,045
PLACEMENT OF BILIARY DRAINAGE CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY WHEN PERF
Gross
$11,493
22513
$7,936
DX SP VERTEBRAL AUGMENTATION, THORACIC
Gross
$11,337
L8630
$7,567
METATARSAL JOINT IMPLANT LESSER
Gross
$10,810
52001
$7,418
CYSTOURETHROSCOPY WITH IRRIGATION AND EVACUATION OF MULTIPLE OBSTRUCTING CLOTS
Gross
$10,596
33285
$7,245
INSERTION, SUBCUTANEOUS CARDIAC RHYTHM MONITOR, INCLUDING PROGRAMMING
Gross
$10,350
22514
$7,102
DX SP VERTEBRAL AUGMENTATION, LUMBAR
Gross
$10,146
26951
$6,832
AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, SINGLE, INCLUDING NEURECTOM
Gross
$9,760
25260
$6,761
REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON OR MUSCLE
Gross
$9,659
63650
$6,555
DX SP SPINAL CORD STIMULATOR
Gross
$9,364
37193
$5,839
DX SP IVC FILTER RETRIEVAL
Gross
$8,341
C1714
$5,688
PLATE RIGHT 3HR/VUR
Gross
$8,126
30130
$5,675
EXCISION INFERIOR TURBINATE, PARTIAL OR COMPLETE, ANY METHOD
Gross
$8,107
23120
$5,634
CLAVICULECTOMY; PARTIAL
Gross
$8,049
V2632
$5,575
LENS-IOL
Gross
$7,964
81455
$5,527
NEXT GENERATION SEQUENCING (NGS)
Gross
$7,896
0200T
$5,509
DX SP SACROPLASTY UNILAT
Gross
$7,870
A9584
$5,432
DATSCAN VIAL 1 ea, 2.5 mL
Gross
$7,760
Q4163
$5,211
ALLOGRAFT REVITA 2 X 3CM
Gross
$7,444
11771
$4,891
EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE
Gross
$6,987
42804
$4,890
BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE
Gross
$6,985
L8699
$4,868
MARKER BIOZORB
Gross
$6,954
0201T
$4,787
DX SP SACROPLASTY BILAT
Gross
$6,839
J3240
$4,630
THYROGEN 0.9 MG VIAL 0.9 mg, 1 each
Gross
$6,614
40810
$4,540
EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITHOUT REPAIR
Gross
$6,486
C1729
$4,345
PLEURZ CATH. KIT STARTER
Gross
$6,207
72142
$4,284
MRI CERVICAL W
Gross
$6,120
J3590
$4,270
DUPIXENT 300 MG/2 ML SYRINGE 300 mcg, 2 mL
Gross
$6,100
78452
$4,176
NM MYO PERF IMAGING
Gross
$5,965
36561
$4,167
DX SP CV ACCESS DEVICE INSERTION
Gross
$5,953
22514
$4,164
PERCUTANEOUS VERTEBRAL AUGMENTATION ONE VERTEBRAL BODY UNILAT OR BILAT INCLUDES IMAGING; THORACIC
Gross
$5,949
Q4166
$4,140
SURGICAL MATRIX 5X5 CM
Gross
$5,915
13160
$4,132
SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE
Gross
$5,902
77049
$3,967
MRI BREAST BILAT WO/W
Gross
$5,667
78816
$3,947
PET/CT WHOLE BODY
Gross
$5,638
95811
$3,928
SLEEP STUDY FULL W/CPAP TITRAT
Gross
$5,611
64633
$3,902
DX SP RF ABLATION CERV/THOR SINGLE BILAT
Gross
$5,575
69706
$3,892
NASOPHARYNGOSCOPY, SURGICAL, WITH DILATION OF EUSTACHIAN TUBE (IE, BALLOON DILATION); BILATERAL
Gross
$5,560
J9355
$3,850
TRASTUZUMAB 440MG INJ
Gross
$5,500
C1897
$3,843
LEAD KIT INFINION 16 TRIAL 50CM
Gross
$5,490
Q4133
$3,817
GRAFIX PRIME AND GRAFIXPL PRIME, 1.5X2 CM PER SQ CM
Gross
$5,453
22513
$3,786
PERCUTANEOUS VERTEBRAL AUGENTATION ONE VERTEBRAL BODY UNILAT OR BILAT INCLUDES IMAGING; LUMBAR
Gross
$5,408
77047
$3,762
MRI BREAST BILAT WO
Gross
$5,374
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Q2043 | PROVENGE INFUSION BAG 1 unit, 250 mL | $150,250 | $105,175 | — | — | 34 |
| C1764 | REVEAL - LINQ CARDIAC MONITOR | $35,465 | $24,826 | — | — | 10 |
| C1762 | HYDROSET XT 10CC | $21,920 | $15,344 | — | — | 10 |
| 23412 | REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; CHRONIC | $17,886 | $12,520 | — | — | 31 |
| Q4118 | MICRO MATRIX 1000 | $16,602 | $11,621 | — | — | 10 |
| J0840 | CROFAB VIAL 1 g, 1 each | $15,750 | $11,025 | — | — | 34 |
| C1783 | ISTENT TRABECULAR | $14,823 | $10,376 | — | — | 10 |
| C9361 | NEUROMEND COLLAGEN MATRIX | $11,810 | $8,267 | — | — | 10 |
| 47534 | PLACEMENT OF BILIARY DRAINAGE CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY WHEN PERF | $11,493 | $8,045 | — | — | 17 |
| 22513 | DX SP VERTEBRAL AUGMENTATION, THORACIC | $11,337 | $7,936 | — | — | 17 |
| L8630 | METATARSAL JOINT IMPLANT LESSER | $10,810 | $7,567 | — | — | 17 |
| 52001 | CYSTOURETHROSCOPY WITH IRRIGATION AND EVACUATION OF MULTIPLE OBSTRUCTING CLOTS | $10,596 | $7,418 | — | — | 17 |
| 33285 | INSERTION, SUBCUTANEOUS CARDIAC RHYTHM MONITOR, INCLUDING PROGRAMMING | $10,350 | $7,245 | — | — | 48 |
| 22514 | DX SP VERTEBRAL AUGMENTATION, LUMBAR | $10,146 | $7,102 | — | — | 17 |
| 26951 | AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, SINGLE, INCLUDING NEURECTOM | $9,760 | $6,832 | — | — | 17 |
| 25260 | REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON OR MUSCLE | $9,659 | $6,761 | — | — | 17 |
| 63650 | DX SP SPINAL CORD STIMULATOR | $9,364 | $6,555 | — | — | 17 |
| 37193 | DX SP IVC FILTER RETRIEVAL | $8,341 | $5,839 | — | — | 17 |
| C1714 | PLATE RIGHT 3HR/VUR | $8,126 | $5,688 | — | — | 10 |
| 30130 | EXCISION INFERIOR TURBINATE, PARTIAL OR COMPLETE, ANY METHOD | $8,107 | $5,675 | — | — | 31 |
| 23120 | CLAVICULECTOMY; PARTIAL | $8,049 | $5,634 | — | — | 31 |
| V2632 | LENS-IOL | $7,964 | $5,575 | — | — | 20 |
| 81455 | NEXT GENERATION SEQUENCING (NGS) | $7,896 | $5,527 | — | — | 17 |
| 0200T | DX SP SACROPLASTY UNILAT | $7,870 | $5,509 | — | — | 17 |
| A9584 | DATSCAN VIAL 1 ea, 2.5 mL | $7,760 | $5,432 | — | — | 17 |
| Q4163 | ALLOGRAFT REVITA 2 X 3CM | $7,444 | $5,211 | — | — | 17 |
| 11771 | EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE | $6,987 | $4,891 | — | — | 17 |
| 42804 | BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE | $6,985 | $4,890 | — | — | 31 |
| L8699 | MARKER BIOZORB | $6,954 | $4,868 | — | — | 10 |
| 0201T | DX SP SACROPLASTY BILAT | $6,839 | $4,787 | — | — | 17 |
| J3240 | THYROGEN 0.9 MG VIAL 0.9 mg, 1 each | $6,614 | $4,630 | — | — | 34 |
| 40810 | EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITHOUT REPAIR | $6,486 | $4,540 | — | — | 17 |
| C1729 | PLEURZ CATH. KIT STARTER | $6,207 | $4,345 | — | — | 10 |
| 72142 | MRI CERVICAL W | $6,120 | $4,284 | — | — | 17 |
| J3590 | DUPIXENT 300 MG/2 ML SYRINGE 300 mcg, 2 mL | $6,100 | $4,270 | — | — | 20 |
| 78452 | NM MYO PERF IMAGING | $5,965 | $4,176 | — | — | 17 |
| 36561 | DX SP CV ACCESS DEVICE INSERTION | $5,953 | $4,167 | — | — | 17 |
| 22514 | PERCUTANEOUS VERTEBRAL AUGMENTATION ONE VERTEBRAL BODY UNILAT OR BILAT INCLUDES IMAGING; THORACIC | $5,949 | $4,164 | — | — | 14 |
| Q4166 | SURGICAL MATRIX 5X5 CM | $5,915 | $4,140 | — | — | 17 |
| 13160 | SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE | $5,902 | $4,132 | — | — | 17 |
| 77049 | MRI BREAST BILAT WO/W | $5,667 | $3,967 | — | — | 17 |
| 78816 | PET/CT WHOLE BODY | $5,638 | $3,947 | — | — | 17 |
| 95811 | SLEEP STUDY FULL W/CPAP TITRAT | $5,611 | $3,928 | — | — | 20 |
| 64633 | DX SP RF ABLATION CERV/THOR SINGLE BILAT | $5,575 | $3,902 | — | — | 17 |
| 69706 | NASOPHARYNGOSCOPY, SURGICAL, WITH DILATION OF EUSTACHIAN TUBE (IE, BALLOON DILATION); BILATERAL | $5,560 | $3,892 | — | — | 14 |
| J9355 | TRASTUZUMAB 440MG INJ | $5,500 | $3,850 | — | — | 34 |
| C1897 | LEAD KIT INFINION 16 TRIAL 50CM | $5,490 | $3,843 | — | — | 10 |
| Q4133 | GRAFIX PRIME AND GRAFIXPL PRIME, 1.5X2 CM PER SQ CM | $5,453 | $3,817 | — | — | 17 |
| 22513 | PERCUTANEOUS VERTEBRAL AUGENTATION ONE VERTEBRAL BODY UNILAT OR BILAT INCLUDES IMAGING; LUMBAR | $5,408 | $3,786 | — | — | 14 |
| 77047 | MRI BREAST BILAT WO | $5,374 | $3,762 | — | — | 17 |
Showing top 50 of 4,634 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.