45 CFR § 180 compliance
F · 50
This hospital published little 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
15,275
Insurances with rates
23
CPT / HCPCS codes
2,225
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 22653179 | CH LOWER EXTREMITY LITHOTRIPSY | $159,222 | $159,222 | — | — | 0 |
| 55056931 | CH SPESOLIMAB-SBZO 450MG/7.5ML VL (SPEVIGO) | $114,742 | $114,742 | — | — | 0 |
| 55048714 | J9228 INJECTION, IPILIMUMAB, 1 MG | $76,587 | $76,587 | — | — | 0 |
| 41010018 | CH COCHLEAR IMPLANT | $57,800 | $57,800 | — | — | 0 |
| 22654795 | CH PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS | $57,208 | $57,208 | — | — | 0 |
| 22652525 | CH LIVANOVA VNS GENERATOR | $56,004 | $56,004 | — | — | 0 |
| 55054605 | JELMYTO 80MG (MITOMYCIN 2X40MG) KIT | $54,879 | $54,879 | — | — | 0 |
| 22654437 | CH ABBT - ETERNA SYSTEM 222ETPENSY33 | $54,500 | $54,500 | — | — | 0 |
| 22654425 | CH ABBT - PROCLAIM PLUS5/7 SYSTEM 222PP5/7PENSY33 | $54,000 | $54,000 | — | — | 0 |
| 22654416 | CH MDTR - INCEPTIVE NEUROSTIMULATOR SYSTEM | $54,000 | $54,000 | — | — | 0 |
| 55054639 | CH J1303 RAVULIZUMAB-CWVZ 1100MG/11ML INJ | $52,692 | $52,692 | — | — | 0 |
| 41111626 | CH COCHLEAR FREEDOM Z60353 | $51,786 | $51,786 | — | — | 0 |
| 41111964 | CH NUCLEAR COCHLEAR IMPLANT | $51,785 | $51,785 | — | — | 0 |
| 48022719 | CH UNITY QUADRA CD32494/4Q SJD | $51,449 | $51,449 | — | — | 0 |
| 48038459 | CH IMPELLA | $50,000 | $50,000 | — | — | 0 |
| 55055313 | CH J9269 TAGRAXOFUSP-ERZS 1,000 MCG/ML | $48,274 | $48,274 | — | — | 0 |
| 22654682 | CH REVASC LWR EXT ARTERY W INTRAVASCULAR LITHOTRIP | $47,136 | $47,136 | — | — | 0 |
| 22654426 | CH ABBT - PROCLAIM ELITE XR5 SYSTEMS3660PENSYS/TRI | $46,500 | $46,500 | — | — | 0 |
| 55054472 | J2350 CH: OCRELIZUMAB INJ 300 MG/10ML | $45,410 | $45,410 | — | — | 0 |
| 55054332 | J2507 PEGLOTICASE 8 MG/ML VIAL | $44,931 | $44,931 | — | — | 0 |
| 22654433 | CH ABBT - ETERNA 16-CHANNEL IPG (GENERATOR ONLY) | $44,500 | $44,500 | — | — | 0 |
| 22654435 | CH ABBT - ETERNA 16 -CH IPG FOR SYSTEM 222ETCTRSY | $44,500 | $44,500 | — | — | 0 |
| 22654391 | CH ORTHO JOINT DEVICE/COMPONENT C1776 >20000 COST | $44,068 | $44,068 | — | — | 0 |
| 22654354 | CH ORTHO JOINT DEVICE/COMPONENT C1776 >20000 COST | $44,068 | $44,068 | — | — | 0 |
| 22654487 | CH ALPHA IPG, CHARGING KIT,RC , 50CM ARTISAN LEAD | $43,000 | $43,000 | — | — | 0 |
| 48033732 | CH AICD OTHER THAN SINGLE/DUAL BS | $42,400 | $42,400 | — | — | 0 |
| 55049688 | J7311 INJ., RETISERT, 0.01 MG | $41,855 | $41,855 | — | — | 0 |
| 55057145 | CH POLATUZUMAB VEDOTIN-PII 140 MG (J9309) | $40,945 | $40,945 | — | — | 0 |
| 48035919 | CH ACID SINGLE CHAMBER SQRX | $40,000 | $40,000 | — | — | 0 |
| 22654446 | CH BSCI - ALPHA PRIME IPG, REMOTE, PADDLE SC1480ES | $40,000 | $40,000 | — | — | 0 |
| 22654418 | CH MDTR - INTELLIS SENSOR REPLMT - GENERATOR | $39,680 | $39,680 | — | — | 0 |
| 22654420 | CH MDTR - INTELLIS SENSOR MRI SURG - GENERATOR | $39,680 | $39,680 | — | — | 0 |
| 22654427 | CH ABBT - PROCLAIM DRG IPG GENERATOR | $39,163 | $39,163 | — | — | 0 |
| 41109919 | ICD MAXIMO 2 DR D284DRG | $38,700 | $38,700 | — | — | 0 |
| 22600450 | AICD,.OTHER THAN SING/DUAL MRI MDT | $38,224 | $38,224 | — | — | 0 |
| 22600453 | AICD,.OTHER THAN SING/DUAL MDT | $37,692 | $37,692 | — | — | 0 |
| 4853411 | WATCHMAN LAA PROCEDURE DEVICE | $37,000 | $37,000 | — | — | 0 |
| 55056394 | CH EMICIZUMAB-KXWH 150 MG/1ML INJ | $36,943 | $36,943 | — | — | 0 |
| 22654444 | CH BSCI - ALPHA IPG & CHARGING SYSTEM FOR SC1280LS | $36,480 | $36,480 | — | — | 0 |
| 55057426 | CH EPCORITAMAB-BYSP 48 MG/0.8 ML | $36,257 | $36,257 | — | — | 0 |
| 22600482 | ACID OTHER THAN SING/DUAL QUAD MDT | $35,846 | $35,846 | — | — | 0 |
| 41115049 | CH RESTORE ULTRA RECHARGABLE INS | $35,500 | $35,500 | — | — | 0 |
| 41198938 | CH RESTORE SENSOR IPG 97714 | $35,430 | $35,430 | — | — | 0 |
| 22654447 | CH BSCI - ALPHA PRIME GENERATOR FOR SC1482SYS | $35,150 | $35,150 | — | — | 0 |
| 48022420 | CH LUMAX 540DRT-BIO ICD | $34,832 | $34,832 | — | — | 0 |
| 41196361 | CH GENERATOR SPECTRA PLUSE | $34,600 | $34,600 | — | — | 0 |
| 47237508 | S2095 TRANSCATHETER OCCLUSION OR EMBOLIZATION FOR | $34,547 | $34,547 | — | — | 0 |
| 48037857 | 37227 REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM | $34,412 | $34,412 | — | — | 0 |
| 47233010 | 37227 REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM | $34,412 | $34,412 | — | — | 0 |
| 22654756 | CH REVASCULARIZATION ENDOVASCULAR FPVT STENT CPLX | $34,325 | $34,325 | — | — | 0 |
Showing top 50 of 15,275 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.