45 CFR § 180 compliance
C · 70
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
9,397
Insurances with rates
17
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
1010312
—
MEMBRANE MACI IMPLANT
Gross
$171,482
1010129
—
GENERATOR,16 CHANNEL MRI IPG
Gross
$73,227
6916334
$68.77
OCRELIZUMAB 300MG INJ OCREVUS
Gross
$64,496
1010214
—
STENT, THORATIC GRAFT SYSTEM
Gross
$63,945
1010098
—
NEUROSTIM,INTERSTIM STAGE 2
Gross
$41,206
1010293
—
TOUCH SCROTAL ZERO DEG TITAN
Gross
$40,874
1010228
—
MICROSTIMULATOR, RECHARGEABLE
Gross
$39,602
1010254
—
GRAFT, CARTIFORM 20X25MM
Gross
$38,808
0400049
—
PACEMAKER DC INTEGRITY AFX
Gross
$36,090
1010325
—
INTERSPINOUS DISTRACTION DEVIC
Gross
$35,280
1010246
—
STENT, AAA GRAFT 28X16X145MM
Gross
$35,192
6915050
$105
ALTEPLASE RECOMBINANT 100 MG
Gross
$32,146
0400068
—
PACEMAKER SC ACCENT
Gross
$31,557
1010133
—
NEUROSTIMULATOR,GASTRIC SYSTEM
Gross
$31,311
0400046
—
PACEMAKER DC INSIGNIA
Gross
$31,083
6915512
$3,194
RETEPLASE(2 SNGL VIALS) 36.2MG
Gross
$30,499
1097790
—
JET X CENTRAL ANKLE KIT
Gross
$28,907
6600070
—
AMBULANCE BASE RATE NIGHT CALL
Gross
$25,914
6916446
$258
ECULIZUMAB 300MG
Gross
$25,889
6915867
$247
SANDOSTATIN LAR 30MG INJ
Gross
$25,136
6916281
$203
IPILIMUMAB, YERVOY 50MG VIAL
Gross
$24,592
6915889
$203
LUPRON DEPOT 30MG
Gross
$24,045
1084335
—
GENERATOR - EVENT RECORDER
Gross
$23,616
0400075
—
PACEMAKER SC
Gross
$23,382
6600035
—
AMBULANCE ROTOR WING
Gross
$23,346
0400028
—
PACEMAKER
Gross
$23,222
4200010
$3,987
LT HEART CATH / PERCUTANEOUS
Gross
$23,133
4200011
$3,987
LT HEART CATH / PLACEMENT
Gross
$23,133
0400065
—
PACEMAKER DC ACCENT
Gross
$22,967
0400034
—
PACEMAKER DC KAPPA
Gross
$22,737
0400057
—
PACEMAKER DC VICTORY PULSE
Gross
$22,271
6916266
$203
LEUPROLIDE ACETATE 45MG LUPRON
Gross
$22,109
6915635
$181
TENECTEPLASE (TNKase)
Gross
$21,747
0400052
—
PACEMAKER DC IDENTITY ADXD
Gross
$21,625
0400053
—
PACEMAKER DC IDENTITY ADX X
Gross
$21,625
6916363
$152
ANDEXANET ALFA INJ 200 MG
Gross
$21,393
0400066
—
PACEMAKER DC ALTRUA 60
Gross
$21,366
0400060
—
PACEMAKER DC INSIGNIA
Gross
$21,352
6916525
$66.95
PEMBROLIZUMAB 100MG/4ML
Gross
$21,326
0400230
—
PACEMAKER, DC ADVISA DR MRI
Gross
$21,218
0400045
—
PACEMAKER DC INSIGNIA 1
Gross
$20,501
0400047
—
PACEMAKER DC INSIGNIA
Gross
$20,501
0400200
—
PACEMAKER,SC REVO MRI SURESCAN
Gross
$20,322
6915736
$35.81
NEULASTA 6MG
Gross
$20,302
0400270
—
PACEMAKER,DC ADVISA MRI SYSTEM
Gross
$20,236
4879996
—
MINOR PROCEDURE 5
Gross
$20,133
0400058
—
PACEMAKER SC IDENTITY SR PKGD/
Gross
$20,078
0400061
—
PACEMAKER VICTORY SR
Gross
$20,010
0400048
—
PACEMAKER DC INSIGNIA I PLUS D
Gross
$19,701
1010242
—
FLEX HD PLIABLE SHAPE
Gross
$19,663
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1010312 | MEMBRANE MACI IMPLANT | $171,482 | — | — | — | 20 |
| 1010129 | GENERATOR,16 CHANNEL MRI IPG | $73,227 | — | — | — | 20 |
| 6916334 | OCRELIZUMAB 300MG INJ OCREVUS | $64,496 | $68.77 | — | — | 24 |
| 1010214 | STENT, THORATIC GRAFT SYSTEM | $63,945 | — | — | — | 20 |
| 1010098 | NEUROSTIM,INTERSTIM STAGE 2 | $41,206 | — | — | — | 20 |
| 1010293 | TOUCH SCROTAL ZERO DEG TITAN | $40,874 | — | — | — | 20 |
| 1010228 | MICROSTIMULATOR, RECHARGEABLE | $39,602 | — | — | — | 20 |
| 1010254 | GRAFT, CARTIFORM 20X25MM | $38,808 | — | — | — | 20 |
| 0400049 | PACEMAKER DC INTEGRITY AFX | $36,090 | — | — | — | 20 |
| 1010325 | INTERSPINOUS DISTRACTION DEVIC | $35,280 | — | — | — | 20 |
| 1010246 | STENT, AAA GRAFT 28X16X145MM | $35,192 | — | — | — | 20 |
| 6915050 | ALTEPLASE RECOMBINANT 100 MG | $32,146 | $105 | — | — | 24 |
| 0400068 | PACEMAKER SC ACCENT | $31,557 | — | — | — | 20 |
| 1010133 | NEUROSTIMULATOR,GASTRIC SYSTEM | $31,311 | — | — | — | 20 |
| 0400046 | PACEMAKER DC INSIGNIA | $31,083 | — | — | — | 20 |
| 6915512 | RETEPLASE(2 SNGL VIALS) 36.2MG | $30,499 | $3,194 | — | — | 24 |
| 1097790 | JET X CENTRAL ANKLE KIT | $28,907 | — | — | — | 20 |
| 6600070 | AMBULANCE BASE RATE NIGHT CALL | $25,914 | — | — | — | 20 |
| 6916446 | ECULIZUMAB 300MG | $25,889 | $258 | — | — | 24 |
| 6915867 | SANDOSTATIN LAR 30MG INJ | $25,136 | $247 | — | — | 24 |
| 6916281 | IPILIMUMAB, YERVOY 50MG VIAL | $24,592 | $203 | — | — | 24 |
| 6915889 | LUPRON DEPOT 30MG | $24,045 | $203 | — | — | 24 |
| 1084335 | GENERATOR - EVENT RECORDER | $23,616 | — | — | — | 20 |
| 0400075 | PACEMAKER SC | $23,382 | — | — | — | 20 |
| 6600035 | AMBULANCE ROTOR WING | $23,346 | — | — | — | 20 |
| 0400028 | PACEMAKER | $23,222 | — | — | — | 20 |
| 4200010 | LT HEART CATH / PERCUTANEOUS | $23,133 | $3,987 | — | — | 24 |
| 4200011 | LT HEART CATH / PLACEMENT | $23,133 | $3,987 | — | — | 24 |
| 0400065 | PACEMAKER DC ACCENT | $22,967 | — | — | — | 20 |
| 0400034 | PACEMAKER DC KAPPA | $22,737 | — | — | — | 20 |
| 0400057 | PACEMAKER DC VICTORY PULSE | $22,271 | — | — | — | 20 |
| 6916266 | LEUPROLIDE ACETATE 45MG LUPRON | $22,109 | $203 | — | — | 24 |
| 6915635 | TENECTEPLASE (TNKase) | $21,747 | $181 | — | — | 24 |
| 0400052 | PACEMAKER DC IDENTITY ADXD | $21,625 | — | — | — | 20 |
| 0400053 | PACEMAKER DC IDENTITY ADX X | $21,625 | — | — | — | 20 |
| 6916363 | ANDEXANET ALFA INJ 200 MG | $21,393 | $152 | — | — | 24 |
| 0400066 | PACEMAKER DC ALTRUA 60 | $21,366 | — | — | — | 20 |
| 0400060 | PACEMAKER DC INSIGNIA | $21,352 | — | — | — | 20 |
| 6916525 | PEMBROLIZUMAB 100MG/4ML | $21,326 | $66.95 | — | — | 24 |
| 0400230 | PACEMAKER, DC ADVISA DR MRI | $21,218 | — | — | — | 20 |
| 0400045 | PACEMAKER DC INSIGNIA 1 | $20,501 | — | — | — | 20 |
| 0400047 | PACEMAKER DC INSIGNIA | $20,501 | — | — | — | 20 |
| 0400200 | PACEMAKER,SC REVO MRI SURESCAN | $20,322 | — | — | — | 20 |
| 6915736 | NEULASTA 6MG | $20,302 | $35.81 | — | — | 24 |
| 0400270 | PACEMAKER,DC ADVISA MRI SYSTEM | $20,236 | — | — | — | 20 |
| 4879996 | MINOR PROCEDURE 5 | $20,133 | — | — | — | 20 |
| 0400058 | PACEMAKER SC IDENTITY SR PKGD/ | $20,078 | — | — | — | 20 |
| 0400061 | PACEMAKER VICTORY SR | $20,010 | — | — | — | 20 |
| 0400048 | PACEMAKER DC INSIGNIA I PLUS D | $19,701 | — | — | — | 20 |
| 1010242 | FLEX HD PLIABLE SHAPE | $19,663 | — | — | — | 20 |
Showing top 50 of 9,397 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.