45 CFR § 180 compliance
F · 55
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
23,284
Insurances with rates
7
CPT / HCPCS codes
15,206
Source MRF
Most expensive procedures (gross)
RX-167804
$87,547
GLUCARPIDASE 1000 UNITS IV SOLR
Gross
$116,729
RX-141608
$74,810
IPILIMUMAB 200 MG/40ML IV SOLN
Gross
$99,747
RX-139647
$62,255
PEGLOTICASE 8 MG/ML IV SOLN
Gross
$83,006
RX-159329
$61,983
USTEKINUMAB 90 MG/ML SC SOSY
Gross
$82,644
PX-3610290
$60,293
HC Mech Thromb Pulmonary Bil
Gross
$80,390
PX-2781502
$56,250
HC Implant Mitral Clip W Accessories
Gross
$75,000
RX-182408
$43,971
OCRELIZUMAB 300 MG/10ML IV SOLN
Gross
$58,629
PX-2780008
$42,188
HC Device Pulmonary Pressure Sensor
Gross
$56,250
PX-6240004
$42,188
HC Cupid Device Impella
Gross
$56,250
PX-4812930
$40,196
HC Stent/Ptca Coronary/Branches 2+ Vessels
Gross
$53,594
PX-3617271
$40,195
HC Sf Ather/Pta Fem/Pop Uni Incl All Img/Vessl Sel
Gross
$53,594
PX-3617273
$40,195
HC Cplx Athr/Pta Fem/Pop Uni Incl All Img/Vessel Sel.
Gross
$53,594
PX-3617275
$40,195
HC Sf Stent/Ather/Pta Fem/Pop Uni Incl All Img/Vessl Sel
Gross
$53,594
PX-3617277
$40,195
HC Cplx Stent/Ather/Pta Fem/Pop Uni Incl All Img/Vessel Sel.
Gross
$53,594
PX-3617284
$40,195
HC Sf Stent Tibial/Peroneal Uni Incl All Img/Vessl Sel
Gross
$53,594
PX-3617286
$40,195
HC Cplx Stent Tibial/Peroneal Uni Incl All Img/Vessel Sel.
Gross
$53,594
PX-3617288
$40,195
HC Sf Ather/Pta Tibial/Peroneal Uni Incl All Img/Vessl Sel
Gross
$53,594
PX-3617290
$40,195
HC Cplx Athr/Pta Tibial/Peroneal Uni Incl All Img/Vessel Sel.
Gross
$53,594
PX-3617292
$40,195
HC Sf Stent/Ather/Pta Tibial/Peroneal Uni Incl All Img/Vessl Sel
Gross
$53,594
PX-3617294
$40,195
HC Cplx Stent/Ather/Pta Tibial/Peroneal Uni Incl All Img/Vessel Sel.
Gross
$53,594
PX-3610603
$40,195
HC Embolization Intracranial
Gross
$53,593
RX-191981
$39,949
POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR
Gross
$53,266
PX-3440002
$39,938
HC Yttrium 90 Microsphere
Gross
$53,250
PX-3617322
$37,969
HC Sf Pta Inframalleolar Uni Incl All Img/Vessl Sel
Gross
$50,625
PX-4811100
$37,125
HC Insert/Replc Subq Icd W Elect
Gross
$49,500
PX-4810110
$35,324
HC Comp Ep Eval W Abl a-Fib W Transptl/3d Map
Gross
$47,098
PX-4810108
$34,506
HC Comp Ep Eval W Ablation Vt/3d Mapping/Lv Pace/Rec
Gross
$46,008
PX-3615276
$34,437
HC Insert Phrenic Nerve Stim System Gen/Leads
Gross
$45,916
PX-3420003
$33,457
HC Samarium 153 Lexidronamm per Tx Dose A9604
Gross
$44,609
PX-2780300
$31,875
HC Implant Watchman Laa
Gross
$42,500
PX-2726800
$31,388
HC Travprost /Idose Up 75 Mcgj7355 (Ndc25357010001)
Gross
$41,850
RX-159328
$30,992
USTEKINUMAB 45 MG/0.5ML SC SOSY
Gross
$41,322
PX-2780552
$30,225
HC Implant Generator Inspire
Gross
$40,300
RX-116198
$29,808
CABAZITAXEL 60 MG/1.5ML IV SOLN
Gross
$39,744
PX-3610062
$28,265
HC Ather/Pta Tibprnl Bil Comp
Gross
$37,686
PX-3610063
$28,265
HC Stent/Pta Tibprnl Bil Comp
Gross
$37,686
PX-3616499
$27,282
HC Endovasc Venous /Art Tibial
Gross
$36,375
PX-3610060
$27,228
HC Stnt/Athr/Pta Fem Pop Bil Comp
Gross
$36,304
PX-3610064
$27,228
HC Stnt/Ather/Pta Tibprnl Bil Comp
Gross
$36,304
PX-4810107
$26,168
HC Comp Ep Eval W Ablation Svt Incls 3d Mapping
Gross
$34,891
RX-143050
$26,078
LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT
Gross
$34,771
RX-190873
$25,785
TREPROSTINIL 200 MG/20ML IJ SOLN
Gross
$34,380
PX-3617258
$25,313
HC Sf Iliac Stent Uni Incl All Img/Vessel Sel
Gross
$33,750
PX-3617260
$25,313
HC Cplx Iliac Stent Uni Incl All Img/Vessel Sel
Gross
$33,750
PX-3617267
$25,313
HC Sf Stent Fem/Pop Uni Incl All Img/Vessl Sel
Gross
$33,750
PX-3617269
$25,313
HC Cplx Stent Fem/Pop Uni Incl All Img/Vessel Sel.
Gross
$33,750
PX-3617280
$25,313
HC Sf Pta Tibial/Peroneal Uni Incl All Img/Vessl Sel
Gross
$33,750
PX-3617282
$25,313
HC Cplx Pta Tibial/Peroneal Uni Incl All Img/Vessel Sel.
Gross
$33,750
PX-3617298
$25,313
HC Cplx Pta Inframalleolar Uni Incl All Img/Vessel Sel.
Gross
$33,750
PX-4812945
$25,313
HC Cto Coronary/ Branches/Svg
Gross
$33,750
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-167804 | GLUCARPIDASE 1000 UNITS IV SOLR | $116,729 | $87,547 | — | — | 0 |
| RX-141608 | IPILIMUMAB 200 MG/40ML IV SOLN | $99,747 | $74,810 | — | — | 0 |
| RX-139647 | PEGLOTICASE 8 MG/ML IV SOLN | $83,006 | $62,255 | — | — | 0 |
| RX-159329 | USTEKINUMAB 90 MG/ML SC SOSY | $82,644 | $61,983 | — | — | 0 |
| PX-3610290 | HC Mech Thromb Pulmonary Bil | $80,390 | $60,293 | — | — | 0 |
| PX-2781502 | HC Implant Mitral Clip W Accessories | $75,000 | $56,250 | — | — | 0 |
| RX-182408 | OCRELIZUMAB 300 MG/10ML IV SOLN | $58,629 | $43,971 | — | — | 0 |
| PX-2780008 | HC Device Pulmonary Pressure Sensor | $56,250 | $42,188 | — | — | 0 |
| PX-6240004 | HC Cupid Device Impella | $56,250 | $42,188 | — | — | 0 |
| PX-4812930 | HC Stent/Ptca Coronary/Branches 2+ Vessels | $53,594 | $40,196 | — | — | 0 |
| PX-3617271 | HC Sf Ather/Pta Fem/Pop Uni Incl All Img/Vessl Sel | $53,594 | $40,195 | — | — | 0 |
| PX-3617273 | HC Cplx Athr/Pta Fem/Pop Uni Incl All Img/Vessel Sel. | $53,594 | $40,195 | — | — | 0 |
| PX-3617275 | HC Sf Stent/Ather/Pta Fem/Pop Uni Incl All Img/Vessl Sel | $53,594 | $40,195 | — | — | 0 |
| PX-3617277 | HC Cplx Stent/Ather/Pta Fem/Pop Uni Incl All Img/Vessel Sel. | $53,594 | $40,195 | — | — | 0 |
| PX-3617284 | HC Sf Stent Tibial/Peroneal Uni Incl All Img/Vessl Sel | $53,594 | $40,195 | — | — | 0 |
| PX-3617286 | HC Cplx Stent Tibial/Peroneal Uni Incl All Img/Vessel Sel. | $53,594 | $40,195 | — | — | 0 |
| PX-3617288 | HC Sf Ather/Pta Tibial/Peroneal Uni Incl All Img/Vessl Sel | $53,594 | $40,195 | — | — | 0 |
| PX-3617290 | HC Cplx Athr/Pta Tibial/Peroneal Uni Incl All Img/Vessel Sel. | $53,594 | $40,195 | — | — | 0 |
| PX-3617292 | HC Sf Stent/Ather/Pta Tibial/Peroneal Uni Incl All Img/Vessl Sel | $53,594 | $40,195 | — | — | 0 |
| PX-3617294 | HC Cplx Stent/Ather/Pta Tibial/Peroneal Uni Incl All Img/Vessel Sel. | $53,594 | $40,195 | — | — | 0 |
| PX-3610603 | HC Embolization Intracranial | $53,593 | $40,195 | — | — | 0 |
| RX-191981 | POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR | $53,266 | $39,949 | — | — | 0 |
| PX-3440002 | HC Yttrium 90 Microsphere | $53,250 | $39,938 | — | — | 0 |
| PX-3617322 | HC Sf Pta Inframalleolar Uni Incl All Img/Vessl Sel | $50,625 | $37,969 | — | — | 0 |
| PX-4811100 | HC Insert/Replc Subq Icd W Elect | $49,500 | $37,125 | — | — | 0 |
| PX-4810110 | HC Comp Ep Eval W Abl a-Fib W Transptl/3d Map | $47,098 | $35,324 | — | — | 0 |
| PX-4810108 | HC Comp Ep Eval W Ablation Vt/3d Mapping/Lv Pace/Rec | $46,008 | $34,506 | — | — | 0 |
| PX-3615276 | HC Insert Phrenic Nerve Stim System Gen/Leads | $45,916 | $34,437 | — | — | 0 |
| PX-3420003 | HC Samarium 153 Lexidronamm per Tx Dose A9604 | $44,609 | $33,457 | — | — | 0 |
| PX-2780300 | HC Implant Watchman Laa | $42,500 | $31,875 | — | — | 0 |
| PX-2726800 | HC Travprost /Idose Up 75 Mcgj7355 (Ndc25357010001) | $41,850 | $31,388 | — | — | 0 |
| RX-159328 | USTEKINUMAB 45 MG/0.5ML SC SOSY | $41,322 | $30,992 | — | — | 0 |
| PX-2780552 | HC Implant Generator Inspire | $40,300 | $30,225 | — | — | 0 |
| RX-116198 | CABAZITAXEL 60 MG/1.5ML IV SOLN | $39,744 | $29,808 | — | — | 0 |
| PX-3610062 | HC Ather/Pta Tibprnl Bil Comp | $37,686 | $28,265 | — | — | 0 |
| PX-3610063 | HC Stent/Pta Tibprnl Bil Comp | $37,686 | $28,265 | — | — | 0 |
| PX-3616499 | HC Endovasc Venous /Art Tibial | $36,375 | $27,282 | — | — | 0 |
| PX-3610060 | HC Stnt/Athr/Pta Fem Pop Bil Comp | $36,304 | $27,228 | — | — | 0 |
| PX-3610064 | HC Stnt/Ather/Pta Tibprnl Bil Comp | $36,304 | $27,228 | — | — | 0 |
| PX-4810107 | HC Comp Ep Eval W Ablation Svt Incls 3d Mapping | $34,891 | $26,168 | — | — | 0 |
| RX-143050 | LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT | $34,771 | $26,078 | — | — | 0 |
| RX-190873 | TREPROSTINIL 200 MG/20ML IJ SOLN | $34,380 | $25,785 | — | — | 0 |
| PX-3617258 | HC Sf Iliac Stent Uni Incl All Img/Vessel Sel | $33,750 | $25,313 | — | — | 0 |
| PX-3617260 | HC Cplx Iliac Stent Uni Incl All Img/Vessel Sel | $33,750 | $25,313 | — | — | 0 |
| PX-3617267 | HC Sf Stent Fem/Pop Uni Incl All Img/Vessl Sel | $33,750 | $25,313 | — | — | 0 |
| PX-3617269 | HC Cplx Stent Fem/Pop Uni Incl All Img/Vessel Sel. | $33,750 | $25,313 | — | — | 0 |
| PX-3617280 | HC Sf Pta Tibial/Peroneal Uni Incl All Img/Vessl Sel | $33,750 | $25,313 | — | — | 0 |
| PX-3617282 | HC Cplx Pta Tibial/Peroneal Uni Incl All Img/Vessel Sel. | $33,750 | $25,313 | — | — | 0 |
| PX-3617298 | HC Cplx Pta Inframalleolar Uni Incl All Img/Vessel Sel. | $33,750 | $25,313 | — | — | 0 |
| PX-4812945 | HC Cto Coronary/ Branches/Svg | $33,750 | $25,313 | — | — | 0 |
Showing top 50 of 23,284 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.