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
15,683
Insurances with rates
7
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
250002362
$44,019
Iodixanol 320mg/ml Vial
Gross
$44,019
250002352
$36,097
Gadodiamide 287 Mg/ml Syr 20ml
Gross
$36,097
250002354
$32,610
Iohexol 300mg/ml Vial 100ml
Gross
$32,610
278006202
$28,500
Urotech Ams 650
Gross
$28,500
278006055
$27,000
Endologix 28-16-140ri
Gross
$27,000
278001389
$25,500
Relay Pro Thoracic Stent Graf
Gross
$25,500
278008176
$24,000
Boston Emblem S-icd Model A209
Gross
$24,000
278000321
$22,100
Bmt E1 Act Artic Head 28x48
Gross
$22,100
278007604
$21,900
Aneurisma Stent Graft
Gross
$21,900
278001536
$21,750
Intellis Adaptivestim Surescan
Gross
$21,750
278000069
$20,500
Spinal Funsion
Gross
$20,500
278008026
$18,995
Guidant Reliance 0180-307265
Gross
$18,995
278008082
$18,995
B S Endotak Reliance 0295
Gross
$18,995
250002351
$18,699
Gadodiamide 287 Mg/ml Syr 15ml
Gross
$18,699
278070164
$18,600
Medtronic Aneu Rx Aaa
Gross
$18,600
252000116
$18,079
Pemetrexed Disodium 100mg Inj
Gross
$18,079
278007845
$18,000
Boston Scientific Ref Sc-1132
Gross
$18,000
278008617
$18,000
Boston Precision Mntge Sc-1200
Gross
$18,000
278040149
$18,000
Boston Precision Spectra Ipg K
Gross
$18,000
278008342
$17,775
Medtronic Claria Mri Dtma1d4
Gross
$17,775
278008613
$17,325
Proclaim Drg Therapy Neuro Sys
Gross
$17,325
250002353
$16,642
Iohexol 300mg/ml Vial 50ml
Gross
$16,642
278006108
$16,500
Wl Gore Trunk
Gross
$16,500
278007486
$16,493
Precision Novi Ipg Kit
Gross
$16,493
278001763
$16,425
Abbott Gallant Vr Cdvra500q
Gross
$16,425
278006149
$16,223
Medtronic N595253
Gross
$16,223
278000085
$16,200
St Jude Proclaim 5 Elite
Gross
$16,200
278000943
$16,200
Abbott Proclaim Drg
Gross
$16,200
278000946
$16,200
Abbott Proclaim Xr 5
Gross
$16,200
278007494
$16,200
St Jude Ref 3771
Gross
$16,200
278009066
$16,200
Sj Jude Prodigy Mri 3772
Gross
$16,200
278001802
$15,750
Medtronic Evera Mri Sure Scan
Gross
$15,750
270070146
$15,600
Medtronic Bomba Infuc Morfina
Gross
$15,600
278070146
$15,600
Medtronic Bomba Infuc Morfina
Gross
$15,600
278000364
$15,450
Medtronic D314trg
Gross
$15,450
278004472
$15,405
Medtronic Visia Af Mri Vr Sure
Gross
$15,405
278008045
$14,625
Urotech 700cx Iz Ms Pump
Gross
$14,625
278006107
$14,400
Urotech Ams700cx Iz Acc
Gross
$14,400
278000178
$14,265
St Jude Eclipse Dr Cd 2311-36q
Gross
$14,265
278000592
$14,265
St Jude Cd1311-36q
Gross
$14,265
278000929
$14,250
Medtronic Dvbb1d4
Gross
$14,250
278001726
$14,250
Abbott Ellipse Vr
Gross
$14,250
278008299
$14,250
Medtronic Dvfb1d4 Visia Mri
Gross
$14,250
278009060
$14,025
Medtronic Xt Dr Ddbb1d1
Gross
$14,025
278001728
$13,800
Medtronic Interstim Neurostimu
Gross
$13,800
278001524
$13,673
Medtronic Lead Neuroestmu Impl
Gross
$13,673
278006200
$13,500
Medtronic Aaa Bifurcated
Gross
$13,500
278001307
$13,062
Gore Ref Rlt311413
Gross
$13,062
278001324
$13,062
Gore Ref Rlt281414 Excluder
Gross
$13,062
278008010
$13,050
Urotech Ams 800
Gross
$13,050
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 250002362 | Iodixanol 320mg/ml Vial | $44,019 | $44,019 | — | — | 0 |
| 250002352 | Gadodiamide 287 Mg/ml Syr 20ml | $36,097 | $36,097 | — | — | 0 |
| 250002354 | Iohexol 300mg/ml Vial 100ml | $32,610 | $32,610 | — | — | 0 |
| 278006202 | Urotech Ams 650 | $28,500 | $28,500 | — | — | 0 |
| 278006055 | Endologix 28-16-140ri | $27,000 | $27,000 | — | — | 0 |
| 278001389 | Relay Pro Thoracic Stent Graf | $25,500 | $25,500 | — | — | 0 |
| 278008176 | Boston Emblem S-icd Model A209 | $24,000 | $24,000 | — | — | 0 |
| 278000321 | Bmt E1 Act Artic Head 28x48 | $22,100 | $22,100 | — | — | 0 |
| 278007604 | Aneurisma Stent Graft | $21,900 | $21,900 | — | — | 0 |
| 278001536 | Intellis Adaptivestim Surescan | $21,750 | $21,750 | — | — | 0 |
| 278000069 | Spinal Funsion | $20,500 | $20,500 | — | — | 0 |
| 278008026 | Guidant Reliance 0180-307265 | $18,995 | $18,995 | — | — | 0 |
| 278008082 | B S Endotak Reliance 0295 | $18,995 | $18,995 | — | — | 0 |
| 250002351 | Gadodiamide 287 Mg/ml Syr 15ml | $18,699 | $18,699 | — | — | 0 |
| 278070164 | Medtronic Aneu Rx Aaa | $18,600 | $18,600 | — | — | 0 |
| 252000116 | Pemetrexed Disodium 100mg Inj | $18,079 | $18,079 | — | — | 0 |
| 278007845 | Boston Scientific Ref Sc-1132 | $18,000 | $18,000 | — | — | 0 |
| 278008617 | Boston Precision Mntge Sc-1200 | $18,000 | $18,000 | — | — | 0 |
| 278040149 | Boston Precision Spectra Ipg K | $18,000 | $18,000 | — | — | 0 |
| 278008342 | Medtronic Claria Mri Dtma1d4 | $17,775 | $17,775 | — | — | 0 |
| 278008613 | Proclaim Drg Therapy Neuro Sys | $17,325 | $17,325 | — | — | 0 |
| 250002353 | Iohexol 300mg/ml Vial 50ml | $16,642 | $16,642 | — | — | 0 |
| 278006108 | Wl Gore Trunk | $16,500 | $16,500 | — | — | 0 |
| 278007486 | Precision Novi Ipg Kit | $16,493 | $16,493 | — | — | 0 |
| 278001763 | Abbott Gallant Vr Cdvra500q | $16,425 | $16,425 | — | — | 0 |
| 278006149 | Medtronic N595253 | $16,223 | $16,223 | — | — | 0 |
| 278000085 | St Jude Proclaim 5 Elite | $16,200 | $16,200 | — | — | 0 |
| 278000943 | Abbott Proclaim Drg | $16,200 | $16,200 | — | — | 0 |
| 278000946 | Abbott Proclaim Xr 5 | $16,200 | $16,200 | — | — | 0 |
| 278007494 | St Jude Ref 3771 | $16,200 | $16,200 | — | — | 0 |
| 278009066 | Sj Jude Prodigy Mri 3772 | $16,200 | $16,200 | — | — | 0 |
| 278001802 | Medtronic Evera Mri Sure Scan | $15,750 | $15,750 | — | — | 0 |
| 270070146 | Medtronic Bomba Infuc Morfina | $15,600 | $15,600 | — | — | 0 |
| 278070146 | Medtronic Bomba Infuc Morfina | $15,600 | $15,600 | — | — | 0 |
| 278000364 | Medtronic D314trg | $15,450 | $15,450 | — | — | 0 |
| 278004472 | Medtronic Visia Af Mri Vr Sure | $15,405 | $15,405 | — | — | 0 |
| 278008045 | Urotech 700cx Iz Ms Pump | $14,625 | $14,625 | — | — | 0 |
| 278006107 | Urotech Ams700cx Iz Acc | $14,400 | $14,400 | — | — | 0 |
| 278000178 | St Jude Eclipse Dr Cd 2311-36q | $14,265 | $14,265 | — | — | 0 |
| 278000592 | St Jude Cd1311-36q | $14,265 | $14,265 | — | — | 0 |
| 278000929 | Medtronic Dvbb1d4 | $14,250 | $14,250 | — | — | 0 |
| 278001726 | Abbott Ellipse Vr | $14,250 | $14,250 | — | — | 0 |
| 278008299 | Medtronic Dvfb1d4 Visia Mri | $14,250 | $14,250 | — | — | 0 |
| 278009060 | Medtronic Xt Dr Ddbb1d1 | $14,025 | $14,025 | — | — | 0 |
| 278001728 | Medtronic Interstim Neurostimu | $13,800 | $13,800 | — | — | 0 |
| 278001524 | Medtronic Lead Neuroestmu Impl | $13,673 | $13,673 | — | — | 0 |
| 278006200 | Medtronic Aaa Bifurcated | $13,500 | $13,500 | — | — | 0 |
| 278001307 | Gore Ref Rlt311413 | $13,062 | $13,062 | — | — | 0 |
| 278001324 | Gore Ref Rlt281414 Excluder | $13,062 | $13,062 | — | — | 0 |
| 278008010 | Urotech Ams 800 | $13,050 | $13,050 | — | — | 0 |
Showing top 50 of 15,683 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.