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
2,373
Insurances with rates
312
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-137245
$295,981
NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION
Gross
$455,356
RX-190594
$38,470
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION
Gross
$59,184
PX-48193653001
$35,470
HC Evaluation Electrophysiologic W/Svt Ablation
Gross
$54,569
SUP-220555
$35,362
GENERATOR EMBLEM SICD PULSE
Gross
$54,403
SUP-984582
$25,851
DEFIBRILLATOR GALLANT BIPOLAR DF4 HF
Gross
$39,771
SUP-220346
$24,839
ICD ITREVIA HF-T DF-1 HGH ENRG W/CLS HOME MONITORING
Gross
$38,214
PX-481C9602001
$22,768
HC Ptca W/Drug Eluting Stent W/Angioplasty Single Artery Branch
Gross
$35,028
PX-481C9606001
$22,768
HC Revascularization Acute/Total/Subtotal to Ami/Drug Eluting Coronary Stent Percutaneous Single
Gross
$35,028
SUP-203975
$21,774
VEIN SAPHENOUS 60-79CM
Gross
$33,498
SUP-1122.0045
$17,644
ELSA SPACER 20X45X7-14MM
Gross
$27,145
SUP-10010741
$17,160
KIT CATH ASPIR 12 100CM XT
Gross
$26,400
SUP-217730
$17,077
DEFIB DEV FORTIFY SNGL VR DF1 SINGLE CHAMBER FORTIFY ASSURA
Gross
$26,272
RX-9002
$16,560
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$25,477
SUP-219707
$16,475
STENT ENDUR AAA BIF 28X14X103
Gross
$25,345
RX-196642
$16,400
LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION
Gross
$25,230
PX-481C9604001
$15,273
HC Revascularization Cabg/Drug Eluting Coronary Stent Atherectomy/Angioplasty Single Vessel
Gross
$23,497
PX-481C9600001
$15,273
HC Placement Percutaneous Drug Eluting Stent Intracoronary W/Angiography 1 Artery/Branch
Gross
$23,497
SUP-202189
$14,284
VEIN SAPHENOUS TISSUE >80CM
Gross
$21,975
SUP-10005701
$14,050
SPACER IDENTITI NANOTEC LIF POROUS TI 10 X 18 X 55 MM 10DEG
Gross
$21,615
PX-48193580001
$13,783
HC Closure Percutaneous Transcatheter Congenital Interatrial Communication W/Implant
Gross
$21,205
SUP-10000557
$12,961
IMPL CAGE CERV CRPCTMY SCREW ST 13X16MM 32-46MM 0DEG 0-20DEG
Gross
$19,940
SUP-10005711
$12,926
SPACER IDENTITI NANOTEC LIF POROUS TI 6 X 22 X 55 MM 15DEG
Gross
$19,886
SUP-10014746
$12,926
SPACER IDENTITI 6X22X45MM 10DEG NANOTEC LIF POROUS
Gross
$19,886
SUP-10005712
$12,785
SPACER IDENTITI NANOTEC LIF POROUS TI 8 X 22 X 45 MM 10DEG
Gross
$19,670
SUP-972874
$12,513
KIT SHEATH POUNCE VENOUS THROMB SYS
Gross
$19,250
SUP-974653
$12,513
SYSTEM LINQ SI JOINT FUSION W/DELIVERY UNILAT
Gross
$19,250
SUP-10005669
$12,468
SPACER IDENTITI ALIF SA 9 X 42 X 30 MM 10DEG
Gross
$19,181
SUP-10000441
$12,446
CAGE LUMBAR ANT 14X25X33MM 15DEG MONTEREY
Gross
$19,147
SUP-218771
$12,439
RETRIEVER TREVO XP 3X20 PROVUE RETRIEVAL SYSTEM
Gross
$19,138
SUP-982737
$11,985
SPACER IDENTITI ALIF SA 15DEG 8X42X30MM
Gross
$18,438
SUP-983712
$11,985
SPACER IDENTITI ALIF SA 15DEG 10X42X30MM
Gross
$18,438
SUP-10000433
$11,970
CAGE LUMBAR ANT 12X31X36MM 15DEG MONTEREY
Gross
$18,415
SUP-151.103
$11,444
FORTIFY 16X28-41MM
Gross
$17,606
SUP-10005769
$11,162
SPACER IDENTITI LIF 6 H 22 W 50 L 10DEG
Gross
$17,172
PX-481C9603001
$11,014
HC Ptca W/Drug Eluting Stent W/Angioplasty Each Additional Branch Major Coronary Artery
Gross
$16,944
SUP-981632
$10,889
SPACER IDENTITI LIF 8X22X60MM 10DEG
Gross
$16,752
SUP-L98116
$10,851
CORAIL REVISION STEM HO 16
Gross
$16,694
SUP-212228
$10,582
STENT NEUROFORM EZ 3.5X30MM
Gross
$16,280
SUP-101396
$10,393
CUFF BELT URNRY 4.0CM
Gross
$15,989
SUP-1124.1032
$10,370
EXPANDABLE SPACER 10X26X9-13MM 15?
Gross
$15,954
SUP-217031
$10,296
STENT ENDUR II LIMB 16X16X156 CONTRALATERAL LIMB
Gross
$15,840
SUP-982598
$10,225
SPACER SABLE 15X22MM 8DEG STER LF
Gross
$15,730
SUP-179982
$10,189
VALVE AORT PERICARD 23MM
Gross
$15,675
SUP-10014811
$10,009
SPACER TRANSCEND LIF PEEK 60X22X10MM 10DEG
Gross
$15,398
SUP-154923
$9,448
SHEATH INTRODCR TEAR AWAY 8FR DISP
Gross
$14,536
SUP-221657
$9,402
TALAR DOME SZ 2
Gross
$14,465
SUP-162451
$9,295
CONDUIT VALVED AORTIC 23MM V ACCEND VALSALVA CARBO SEAL
Gross
$14,300
SUP-982970
$9,186
BOLT SPINAL INTERFIX ALIF 6X38X28MM 15DEG
Gross
$14,132
SUP-198789
$9,163
HIP FEM HEAD RESURF CMNT 42MM
Gross
$14,097
SUP-10013477
$8,938
IMPLANT CNCLC REV HYB CEM PAT J2
Gross
$13,750
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-137245 | NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION | $455,356 | $295,981 | — | — | 55 |
| RX-190594 | POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION | $59,184 | $38,470 | — | — | 152 |
| PX-48193653001 | HC Evaluation Electrophysiologic W/Svt Ablation | $54,569 | $35,470 | — | — | 118 |
| SUP-220555 | GENERATOR EMBLEM SICD PULSE | $54,403 | $35,362 | — | — | 45 |
| SUP-984582 | DEFIBRILLATOR GALLANT BIPOLAR DF4 HF | $39,771 | $25,851 | — | — | 45 |
| SUP-220346 | ICD ITREVIA HF-T DF-1 HGH ENRG W/CLS HOME MONITORING | $38,214 | $24,839 | — | — | 45 |
| PX-481C9602001 | HC Ptca W/Drug Eluting Stent W/Angioplasty Single Artery Branch | $35,028 | $22,768 | — | — | 152 |
| PX-481C9606001 | HC Revascularization Acute/Total/Subtotal to Ami/Drug Eluting Coronary Stent Percutaneous Single | $35,028 | $22,768 | — | — | 44 |
| SUP-203975 | VEIN SAPHENOUS 60-79CM | $33,498 | $21,774 | — | — | 45 |
| SUP-1122.0045 | ELSA SPACER 20X45X7-14MM | $27,145 | $17,644 | — | — | 45 |
| SUP-10010741 | KIT CATH ASPIR 12 100CM XT | $26,400 | $17,160 | — | — | 44 |
| SUP-217730 | DEFIB DEV FORTIFY SNGL VR DF1 SINGLE CHAMBER FORTIFY ASSURA | $26,272 | $17,077 | — | — | 45 |
| RX-9002 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $25,477 | $16,560 | — | — | 54 |
| SUP-219707 | STENT ENDUR AAA BIF 28X14X103 | $25,345 | $16,475 | — | — | 45 |
| RX-196642 | LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION | $25,230 | $16,400 | — | — | 91 |
| PX-481C9604001 | HC Revascularization Cabg/Drug Eluting Coronary Stent Atherectomy/Angioplasty Single Vessel | $23,497 | $15,273 | — | — | 152 |
| PX-481C9600001 | HC Placement Percutaneous Drug Eluting Stent Intracoronary W/Angiography 1 Artery/Branch | $23,497 | $15,273 | — | — | 42 |
| SUP-202189 | VEIN SAPHENOUS TISSUE >80CM | $21,975 | $14,284 | — | — | 45 |
| SUP-10005701 | SPACER IDENTITI NANOTEC LIF POROUS TI 10 X 18 X 55 MM 10DEG | $21,615 | $14,050 | — | — | 45 |
| PX-48193580001 | HC Closure Percutaneous Transcatheter Congenital Interatrial Communication W/Implant | $21,205 | $13,783 | — | — | 152 |
| SUP-10000557 | IMPL CAGE CERV CRPCTMY SCREW ST 13X16MM 32-46MM 0DEG 0-20DEG | $19,940 | $12,961 | — | — | 45 |
| SUP-10005711 | SPACER IDENTITI NANOTEC LIF POROUS TI 6 X 22 X 55 MM 15DEG | $19,886 | $12,926 | — | — | 45 |
| SUP-10014746 | SPACER IDENTITI 6X22X45MM 10DEG NANOTEC LIF POROUS | $19,886 | $12,926 | — | — | 45 |
| SUP-10005712 | SPACER IDENTITI NANOTEC LIF POROUS TI 8 X 22 X 45 MM 10DEG | $19,670 | $12,785 | — | — | 45 |
| SUP-972874 | KIT SHEATH POUNCE VENOUS THROMB SYS | $19,250 | $12,513 | — | — | 44 |
| SUP-974653 | SYSTEM LINQ SI JOINT FUSION W/DELIVERY UNILAT | $19,250 | $12,513 | — | — | 45 |
| SUP-10005669 | SPACER IDENTITI ALIF SA 9 X 42 X 30 MM 10DEG | $19,181 | $12,468 | — | — | 45 |
| SUP-10000441 | CAGE LUMBAR ANT 14X25X33MM 15DEG MONTEREY | $19,147 | $12,446 | — | — | 45 |
| SUP-218771 | RETRIEVER TREVO XP 3X20 PROVUE RETRIEVAL SYSTEM | $19,138 | $12,439 | — | — | 44 |
| SUP-982737 | SPACER IDENTITI ALIF SA 15DEG 8X42X30MM | $18,438 | $11,985 | — | — | 10 |
| SUP-983712 | SPACER IDENTITI ALIF SA 15DEG 10X42X30MM | $18,438 | $11,985 | — | — | 45 |
| SUP-10000433 | CAGE LUMBAR ANT 12X31X36MM 15DEG MONTEREY | $18,415 | $11,970 | — | — | 45 |
| SUP-151.103 | FORTIFY 16X28-41MM | $17,606 | $11,444 | — | — | 8 |
| SUP-10005769 | SPACER IDENTITI LIF 6 H 22 W 50 L 10DEG | $17,172 | $11,162 | — | — | 45 |
| PX-481C9603001 | HC Ptca W/Drug Eluting Stent W/Angioplasty Each Additional Branch Major Coronary Artery | $16,944 | $11,014 | — | — | 44 |
| SUP-981632 | SPACER IDENTITI LIF 8X22X60MM 10DEG | $16,752 | $10,889 | — | — | 45 |
| SUP-L98116 | CORAIL REVISION STEM HO 16 | $16,694 | $10,851 | — | — | 45 |
| SUP-212228 | STENT NEUROFORM EZ 3.5X30MM | $16,280 | $10,582 | — | — | 45 |
| SUP-101396 | CUFF BELT URNRY 4.0CM | $15,989 | $10,393 | — | — | 45 |
| SUP-1124.1032 | EXPANDABLE SPACER 10X26X9-13MM 15? | $15,954 | $10,370 | — | — | 45 |
| SUP-217031 | STENT ENDUR II LIMB 16X16X156 CONTRALATERAL LIMB | $15,840 | $10,296 | — | — | 45 |
| SUP-982598 | SPACER SABLE 15X22MM 8DEG STER LF | $15,730 | $10,225 | — | — | 33 |
| SUP-179982 | VALVE AORT PERICARD 23MM | $15,675 | $10,189 | — | — | 32 |
| SUP-10014811 | SPACER TRANSCEND LIF PEEK 60X22X10MM 10DEG | $15,398 | $10,009 | — | — | 45 |
| SUP-154923 | SHEATH INTRODCR TEAR AWAY 8FR DISP | $14,536 | $9,448 | — | — | 44 |
| SUP-221657 | TALAR DOME SZ 2 | $14,465 | $9,402 | — | — | 45 |
| SUP-162451 | CONDUIT VALVED AORTIC 23MM V ACCEND VALSALVA CARBO SEAL | $14,300 | $9,295 | — | — | 45 |
| SUP-982970 | BOLT SPINAL INTERFIX ALIF 6X38X28MM 15DEG | $14,132 | $9,186 | — | — | 35 |
| SUP-198789 | HIP FEM HEAD RESURF CMNT 42MM | $14,097 | $9,163 | — | — | 45 |
| SUP-10013477 | IMPLANT CNCLC REV HYB CEM PAT J2 | $13,750 | $8,938 | — | — | 14 |
Showing top 50 of 2,373 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.