45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
26,254
Insurances with rates
1
CPT / HCPCS codes
968
Most expensive procedures (gross)
15200019
$73,673
Insrt/Redo Spine N Generator
Gross
$92,091
40013438
$72,000
Kit Impella 5.5 W/Smart Assist
Gross
$90,000
80004701
$57,351
Rhc, Impl Pressure Sensor W/Angio
Gross
$71,689
80005440
$55,317
Neurostimulator Insertion Sleep Apnea
Gross
$69,146
80005261
$49,891
Revasc Intra Lithotrip-Atherectomy/Pta
Gross
$62,363
40002457
$44,800
Catheter Impella
Gross
$56,000
40013436
$44,800
Kit Impella Cp9 W/ Smart Assist
Gross
$56,000
40013437
$44,800
Kit Impella Rp Flex W/Smart Assist
Gross
$56,000
30803085
$44,688
Insert Pacing Cardio-Defib Pulse Gen
Gross
$55,860
30801975
$43,202
Inse/Rep Lead Sing/Dual Icd
Gross
$54,002
40011866
$40,800
Implantable Pulse Generator
Gross
$51,000
40010077
$40,416
Crt-D Momentum X4
Gross
$50,520
40009853
$40,280
Emblem Mri S-Icd
Gross
$50,350
40002457_278
$40,000
Catheter Impella
Gross
$50,000
80000139
$40,000
2.5 Set Impella
Gross
$50,000
40006703
$39,600
Inogen X4 Crt-D Is-1/Df4/Is4
Gross
$49,500
40007360
$38,768
Icd Crt-D Quadra Assura Cd3369-40Q
Gross
$48,460
40011907
$37,760
Beq-Hls 7050 Usa Set Advanced 7.0
Gross
$47,200
80005283
$37,725
Revasc Intra Lithotrip-Atherectomy/Stent
Gross
$47,157
80005262
$37,725
Revasc Intra Lithotrip-Stent
Gross
$47,156
40000440
$37,616
Icd-D314Trg Protecta Xt
Gross
$47,020
40009497
$36,875
Dynagen X4 Df4
Gross
$46,094
15200012
$36,379
Implant Spine Infusion Pump
Gross
$45,474
40012456
$36,374
Crt-D Momentum
Gross
$45,468
40000290
$35,308
Icd Inergen Crt-D Is
Gross
$44,135
40000193
$34,920
N118 Cognis Is (Bsi
Gross
$43,650
40007333
$34,891
Icd Crt-D Quadra Assura
Gross
$43,614
40007562
$34,848
Cardiomems Pa Sensor And Delivery Sys
Gross
$43,560
40006562
$34,120
Ipg Kit
Gross
$42,650
40010163
$34,080
Aicd Momentum El Dr Icd
Gross
$42,600
80005029
$33,920
Ins/Rep Subq Defibrillator
Gross
$42,401
40000305
$33,408
Icd-Protecta Dr Us
Gross
$41,760
30802888
$32,698
Tib/Per Unil Init Ves Stent(+/- Pta)
Gross
$40,873
80004765
$32,208
Transcath Insert/Replace Leadless Pacer
Gross
$40,260
80005259
$32,128
Revasc Lithotr-Stent Tib Per
Gross
$40,160
80005264
$32,128
Revasc Lith-Sten-Ath Tib Per
Gross
$40,160
80005265
$32,128
Revasc Lithotr-Ather Tib Per
Gross
$40,160
40006359
$31,680
Crtd Dtmb1D1 Amplia Mir Us Dfi
Gross
$39,600
40006420
$31,680
Crtd Amplia Mri Quad Df4 Dtmb1Qq
Gross
$39,600
30802898
$31,631
Atherectomy Iliac Artery(Each Vessel)
Gross
$39,539
40007347
$31,360
Crtd Dtmb1D4 Amplia Mri Us Dfi
Gross
$39,200
40007561
$31,360
Crt-D Amplia Mri Is4/Df-1
Gross
$39,200
40010968
$31,307
Aicd Momentum El Vr
Gross
$39,134
40003297_C1882_278
$31,227
Icd Hv Generator Cd3357-40C
Gross
$39,034
40008308
$31,227
Crt-D Unify Assura
Gross
$39,034
30803082
$30,851
Insertion Pacemaker Pulse Gen
Gross
$38,563
40011312_C1721_278
$30,672
Aicd Dr Df-4
Gross
$38,340
30802878
$30,512
Iliac Vessel Initial Pta
Gross
$38,140
40004942
$30,491
Defib Inogen El Icd Is-1/Df-1 Vr
Gross
$38,114
40001816
$30,400
Icd Crt Protecta Crt-D Us Mr D334Trg
Gross
$38,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 15200019 | Insrt/Redo Spine N Generator | $92,091 | $73,673 | — | — | 0 |
| 40013438 | Kit Impella 5.5 W/Smart Assist | $90,000 | $72,000 | — | — | 0 |
| 80004701 | Rhc, Impl Pressure Sensor W/Angio | $71,689 | $57,351 | — | — | 0 |
| 80005440 | Neurostimulator Insertion Sleep Apnea | $69,146 | $55,317 | — | — | 0 |
| 80005261 | Revasc Intra Lithotrip-Atherectomy/Pta | $62,363 | $49,891 | — | — | 0 |
| 40002457 | Catheter Impella | $56,000 | $44,800 | — | — | 0 |
| 40013436 | Kit Impella Cp9 W/ Smart Assist | $56,000 | $44,800 | — | — | 0 |
| 40013437 | Kit Impella Rp Flex W/Smart Assist | $56,000 | $44,800 | — | — | 0 |
| 30803085 | Insert Pacing Cardio-Defib Pulse Gen | $55,860 | $44,688 | — | — | 0 |
| 30801975 | Inse/Rep Lead Sing/Dual Icd | $54,002 | $43,202 | — | — | 0 |
| 40011866 | Implantable Pulse Generator | $51,000 | $40,800 | — | — | 0 |
| 40010077 | Crt-D Momentum X4 | $50,520 | $40,416 | — | — | 0 |
| 40009853 | Emblem Mri S-Icd | $50,350 | $40,280 | — | — | 0 |
| 40002457_278 | Catheter Impella | $50,000 | $40,000 | — | — | 0 |
| 80000139 | 2.5 Set Impella | $50,000 | $40,000 | — | — | 0 |
| 40006703 | Inogen X4 Crt-D Is-1/Df4/Is4 | $49,500 | $39,600 | — | — | 0 |
| 40007360 | Icd Crt-D Quadra Assura Cd3369-40Q | $48,460 | $38,768 | — | — | 0 |
| 40011907 | Beq-Hls 7050 Usa Set Advanced 7.0 | $47,200 | $37,760 | — | — | 0 |
| 80005283 | Revasc Intra Lithotrip-Atherectomy/Stent | $47,157 | $37,725 | — | — | 0 |
| 80005262 | Revasc Intra Lithotrip-Stent | $47,156 | $37,725 | — | — | 0 |
| 40000440 | Icd-D314Trg Protecta Xt | $47,020 | $37,616 | — | — | 0 |
| 40009497 | Dynagen X4 Df4 | $46,094 | $36,875 | — | — | 0 |
| 15200012 | Implant Spine Infusion Pump | $45,474 | $36,379 | — | — | 0 |
| 40012456 | Crt-D Momentum | $45,468 | $36,374 | — | — | 0 |
| 40000290 | Icd Inergen Crt-D Is | $44,135 | $35,308 | — | — | 0 |
| 40000193 | N118 Cognis Is (Bsi | $43,650 | $34,920 | — | — | 0 |
| 40007333 | Icd Crt-D Quadra Assura | $43,614 | $34,891 | — | — | 0 |
| 40007562 | Cardiomems Pa Sensor And Delivery Sys | $43,560 | $34,848 | — | — | 0 |
| 40006562 | Ipg Kit | $42,650 | $34,120 | — | — | 0 |
| 40010163 | Aicd Momentum El Dr Icd | $42,600 | $34,080 | — | — | 0 |
| 80005029 | Ins/Rep Subq Defibrillator | $42,401 | $33,920 | — | — | 0 |
| 40000305 | Icd-Protecta Dr Us | $41,760 | $33,408 | — | — | 0 |
| 30802888 | Tib/Per Unil Init Ves Stent(+/- Pta) | $40,873 | $32,698 | — | — | 0 |
| 80004765 | Transcath Insert/Replace Leadless Pacer | $40,260 | $32,208 | — | — | 0 |
| 80005259 | Revasc Lithotr-Stent Tib Per | $40,160 | $32,128 | — | — | 0 |
| 80005264 | Revasc Lith-Sten-Ath Tib Per | $40,160 | $32,128 | — | — | 0 |
| 80005265 | Revasc Lithotr-Ather Tib Per | $40,160 | $32,128 | — | — | 0 |
| 40006359 | Crtd Dtmb1D1 Amplia Mir Us Dfi | $39,600 | $31,680 | — | — | 0 |
| 40006420 | Crtd Amplia Mri Quad Df4 Dtmb1Qq | $39,600 | $31,680 | — | — | 0 |
| 30802898 | Atherectomy Iliac Artery(Each Vessel) | $39,539 | $31,631 | — | — | 0 |
| 40007347 | Crtd Dtmb1D4 Amplia Mri Us Dfi | $39,200 | $31,360 | — | — | 0 |
| 40007561 | Crt-D Amplia Mri Is4/Df-1 | $39,200 | $31,360 | — | — | 0 |
| 40010968 | Aicd Momentum El Vr | $39,134 | $31,307 | — | — | 0 |
| 40003297_C1882_278 | Icd Hv Generator Cd3357-40C | $39,034 | $31,227 | — | — | 0 |
| 40008308 | Crt-D Unify Assura | $39,034 | $31,227 | — | — | 0 |
| 30803082 | Insertion Pacemaker Pulse Gen | $38,563 | $30,851 | — | — | 0 |
| 40011312_C1721_278 | Aicd Dr Df-4 | $38,340 | $30,672 | — | — | 0 |
| 30802878 | Iliac Vessel Initial Pta | $38,140 | $30,512 | — | — | 0 |
| 40004942 | Defib Inogen El Icd Is-1/Df-1 Vr | $38,114 | $30,491 | — | — | 0 |
| 40001816 | Icd Crt Protecta Crt-D Us Mr D334Trg | $38,000 | $30,400 | — | — | 0 |
Showing top 50 of 26,254 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.