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
13,599
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
578642
$190,264
YTTRIUM Y-90
Gross
$317,106
57894006103
$123,701
STELARA 90 MG/ML SYRINGE
Gross
$206,169
25682002801
$120,090
ULTOMIRIS
Gross
$200,150
596499
$114,555
VALVE TRANSCATH HEART
Gross
$190,925
594955
$114,100
CATHETER IMPELLA
Gross
$190,166
594953
$100,648
CATHETER 5.0 IMPELLA
Gross
$167,746
50242015001
$99,944
OCREVUS
Gross
$166,573
598145
$90,520
VALVE SAPIEN 3 ULTRA
Gross
$150,866
595608
$88,120
CATHETER IMPELLA
Gross
$146,866
15054112004
$81,525
Somatuline Depot: 1 Pouch In 1 Carton (15054-1120-4) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe
Gross
$135,876
598282
$81,137
ENDOPROSTHESIS AORTIC
Gross
$135,229
75987013015
$80,386
TEPEZZA
Gross
$133,976
598026
$79,870
VALVE TRANSCATHETER
Gross
$133,116
598523
$77,273
STENT GRAFT AORTIC BRANCH
Gross
$128,789
595362
$75,694
ICD ENERGEN DF4 DR
Gross
$126,157
594952
$75,486
CATHETER 2.5 IMPELLA
Gross
$125,810
597069
$74,020
NEUROSTIM 7 ELITE
Gross
$123,367
595782
$73,150
DEFIB VIVA CRT-DXT
Gross
$121,917
578098
$72,263
PLUVICTO (LUT 177 VIP) PER MCI
Gross
$120,439
597180
$71,883
COCHLEAR NUCLEUS PROFILE PLUS
Gross
$119,805
597949
$71,285
COCHLEAR SLIM
Gross
$118,809
598714
$66,694
GRAFT EXCLUDER TAMBE
Gross
$111,157
596429
$65,746
DEFIB AMPLIA MRI XT QUAD
Gross
$109,576
598709
$64,394
CATHETER IMPELLA RP FLEX
Gross
$107,324
596469
$63,500
DEFIB AMPLIA MRI
Gross
$105,834
596417
$63,446
NEUROSTIM PROCLAIM 5 ELITE
Gross
$105,744
594315
$61,106
BATTERY RECHARGEABLE NEUROSTIM
Gross
$101,844
595232
$60,994
GRAFT XENMATRIX 19X35MM
Gross
$101,657
597672
$60,763
NEUROSTIM PROCLAIM PROGRAMMER
Gross
$101,272
598521
$60,008
STIMULATOR EVOKE SYSTEM
Gross
$100,013
595740
$59,621
STENT VALIANT 200 LGTH
Gross
$99,368
596348
$59,621
STENT VALIANT 150 LGTH
Gross
$99,368
00169720501
$59,544
NOVOSEVEN RT
Gross
$99,240
595150
$57,466
ICD INOGEN MINI DF4 VR
Gross
$95,777
595778
$57,389
DEFIB EVERA XT DR
Gross
$95,649
595529
$57,079
GRAFT TAG CONFORMABLE 26X10
Gross
$95,132
597162
$57,007
NERVE STIMULATOR URINARY
Gross
$95,011
597635
$56,315
GRAFT THORACIC STENT
Gross
$93,858
595779
$55,879
DEFIB EVERA S DR
Gross
$93,132
596386
$55,534
DEFIBRILLATOR UNIFY ASSURA
Gross
$92,557
596366
$55,303
GRAFT XENAB 19X35
Gross
$92,172
598256
$54,515
KIT TANDEM LUNG LIFESPARC
Gross
$90,858
00074347303
$54,110
LUPRON DEPOT (26-WEEK)
Gross
$90,183
73150015006
$53,886
BRIUMVI
Gross
$89,810
596674
$53,577
GENERATOR+BATTERY RECHARG NEUR
Gross
$89,295
597941
$53,114
STIMULATOR NERVE
Gross
$88,524
598313
$52,487
IMPLANT CRANIAL PEEK
Gross
$87,478
596301
$52,174
DEFIB EVERA MRI DUAL
Gross
$86,956
597332
$52,164
DEFIB CRTD COBALT
Gross
$86,940
590657
$51,990
PROCLAIM PLUS 5 IPG
Gross
$86,650
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 578642 | YTTRIUM Y-90 | $317,106 | $190,264 | — | — | 0 |
| 57894006103 | STELARA 90 MG/ML SYRINGE | $206,169 | $123,701 | — | — | 0 |
| 25682002801 | ULTOMIRIS | $200,150 | $120,090 | — | — | 0 |
| 596499 | VALVE TRANSCATH HEART | $190,925 | $114,555 | — | — | 0 |
| 594955 | CATHETER IMPELLA | $190,166 | $114,100 | — | — | 0 |
| 594953 | CATHETER 5.0 IMPELLA | $167,746 | $100,648 | — | — | 0 |
| 50242015001 | OCREVUS | $166,573 | $99,944 | — | — | 0 |
| 598145 | VALVE SAPIEN 3 ULTRA | $150,866 | $90,520 | — | — | 0 |
| 595608 | CATHETER IMPELLA | $146,866 | $88,120 | — | — | 0 |
| 15054112004 | Somatuline Depot: 1 Pouch In 1 Carton (15054-1120-4) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe | $135,876 | $81,525 | — | — | 0 |
| 598282 | ENDOPROSTHESIS AORTIC | $135,229 | $81,137 | — | — | 0 |
| 75987013015 | TEPEZZA | $133,976 | $80,386 | — | — | 0 |
| 598026 | VALVE TRANSCATHETER | $133,116 | $79,870 | — | — | 0 |
| 598523 | STENT GRAFT AORTIC BRANCH | $128,789 | $77,273 | — | — | 0 |
| 595362 | ICD ENERGEN DF4 DR | $126,157 | $75,694 | — | — | 0 |
| 594952 | CATHETER 2.5 IMPELLA | $125,810 | $75,486 | — | — | 0 |
| 597069 | NEUROSTIM 7 ELITE | $123,367 | $74,020 | — | — | 0 |
| 595782 | DEFIB VIVA CRT-DXT | $121,917 | $73,150 | — | — | 0 |
| 578098 | PLUVICTO (LUT 177 VIP) PER MCI | $120,439 | $72,263 | — | — | 0 |
| 597180 | COCHLEAR NUCLEUS PROFILE PLUS | $119,805 | $71,883 | — | — | 0 |
| 597949 | COCHLEAR SLIM | $118,809 | $71,285 | — | — | 0 |
| 598714 | GRAFT EXCLUDER TAMBE | $111,157 | $66,694 | — | — | 0 |
| 596429 | DEFIB AMPLIA MRI XT QUAD | $109,576 | $65,746 | — | — | 0 |
| 598709 | CATHETER IMPELLA RP FLEX | $107,324 | $64,394 | — | — | 0 |
| 596469 | DEFIB AMPLIA MRI | $105,834 | $63,500 | — | — | 0 |
| 596417 | NEUROSTIM PROCLAIM 5 ELITE | $105,744 | $63,446 | — | — | 0 |
| 594315 | BATTERY RECHARGEABLE NEUROSTIM | $101,844 | $61,106 | — | — | 0 |
| 595232 | GRAFT XENMATRIX 19X35MM | $101,657 | $60,994 | — | — | 0 |
| 597672 | NEUROSTIM PROCLAIM PROGRAMMER | $101,272 | $60,763 | — | — | 0 |
| 598521 | STIMULATOR EVOKE SYSTEM | $100,013 | $60,008 | — | — | 0 |
| 595740 | STENT VALIANT 200 LGTH | $99,368 | $59,621 | — | — | 0 |
| 596348 | STENT VALIANT 150 LGTH | $99,368 | $59,621 | — | — | 0 |
| 00169720501 | NOVOSEVEN RT | $99,240 | $59,544 | — | — | 0 |
| 595150 | ICD INOGEN MINI DF4 VR | $95,777 | $57,466 | — | — | 0 |
| 595778 | DEFIB EVERA XT DR | $95,649 | $57,389 | — | — | 0 |
| 595529 | GRAFT TAG CONFORMABLE 26X10 | $95,132 | $57,079 | — | — | 0 |
| 597162 | NERVE STIMULATOR URINARY | $95,011 | $57,007 | — | — | 0 |
| 597635 | GRAFT THORACIC STENT | $93,858 | $56,315 | — | — | 0 |
| 595779 | DEFIB EVERA S DR | $93,132 | $55,879 | — | — | 0 |
| 596386 | DEFIBRILLATOR UNIFY ASSURA | $92,557 | $55,534 | — | — | 0 |
| 596366 | GRAFT XENAB 19X35 | $92,172 | $55,303 | — | — | 0 |
| 598256 | KIT TANDEM LUNG LIFESPARC | $90,858 | $54,515 | — | — | 0 |
| 00074347303 | LUPRON DEPOT (26-WEEK) | $90,183 | $54,110 | — | — | 0 |
| 73150015006 | BRIUMVI | $89,810 | $53,886 | — | — | 0 |
| 596674 | GENERATOR+BATTERY RECHARG NEUR | $89,295 | $53,577 | — | — | 0 |
| 597941 | STIMULATOR NERVE | $88,524 | $53,114 | — | — | 0 |
| 598313 | IMPLANT CRANIAL PEEK | $87,478 | $52,487 | — | — | 0 |
| 596301 | DEFIB EVERA MRI DUAL | $86,956 | $52,174 | — | — | 0 |
| 597332 | DEFIB CRTD COBALT | $86,940 | $52,164 | — | — | 0 |
| 590657 | PROCLAIM PLUS 5 IPG | $86,650 | $51,990 | — | — | 0 |
Showing top 50 of 13,599 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.