45 CFR § 180 compliance
C · 70
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
34,370
Insurances with rates
35
CPT / HCPCS codes
12,231
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 30237-8900-06 | PROVENGE 50 MILLION CELL/250 ML INTRAVENOUS SUSPENSION | $508,402 | $305,041 | — | — | 32 |
| 40861-1027-92 | DIALYSATE 4K/3CA WITH BICARB AND CALCIUM (NXSTAGE 401) | $307,111 | $184,266 | — | — | 5 |
| 40861-1027-61 | DIALYSATE 0K/3CA WITH BICARB AND CALCIUM (NXSTAGE 402) | $307,111 | $184,266 | — | — | 5 |
| 40861-1027-78 | DIALYSATE 2K/3CA WITH BICARB CRRT SOLUTION (NXSTAGE 400) | $307,111 | $184,266 | — | — | 5 |
| 8120000011 | HC CADAVER DONOR -KIDNEY/PANCREAS | $304,500 | $182,700 | — | — | 5 |
| 50633-0210-11 | VORAXAZE 1,000 UNIT INTRAVENOUS SOLUTION | $272,788 | $163,673 | — | — | 10 |
| 00003-2328-22 | YERVOY 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION | $228,536 | $137,121 | — | — | 32 |
| 75987-0080-10 | KRYSTEXXA 8 MG/ML INTRAVENOUS SOLUTION | $193,987 | $116,392 | — | — | 32 |
| 18478 | KIT,CATHETER,IMPELLA 5.5 | $184,500 | $110,700 | — | — | 11 |
| 57894-0061-03 | STELARA 90 MG/ML SUBCUTANEOUS SYRINGE | $178,940 | $107,364 | — | — | 32 |
| 50292 | MESH,DUAL,SYNTH,OVAL,26X34CM | $177,940 | $106,764 | — | — | 11 |
| 00597-0035-10 | SPEVIGO 60 MG/ML INTRAVENOUS SOLUTION | $176,071 | $105,643 | — | — | 32 |
| 60011 | SYSTEM,TRICLIP,G4 | $159,900 | $95,940 | — | — | 11 |
| 72493-0103-03 | JELMYTO 40 MG X 2 INTRA-PYELOCALYCEAL KIT | $152,825 | $91,695 | — | — | 32 |
| 72493-0101-40 | JELMYTO 40 MG X 2 INTRA-PYELOCALYCEAL KIT | $152,825 | $91,695 | — | — | 32 |
| 25682-0028-01 | ULTOMIRIS 100 MG/ML INTRAVENOUS SOLUTION | $152,354 | $91,413 | — | — | 32 |
| 00008-0100-01 | BESPONSA 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) INTRAVENOUS SOLUTION | $150,915 | $90,549 | — | — | 32 |
| 00187-0007-14 | VIRAZOLE 6 GRAM SOLUTION FOR INHALATION | $148,572 | $89,143 | — | — | 5 |
| 76128-0155-75 | PHOTOFRIN 75 MG INTRAVENOUS SOLUTION | $148,360 | $89,016 | — | — | 32 |
| 8120000005 | HC CADAVER DONOR - PANCREAS | $147,000 | $88,200 | — | — | 5 |
| 8120000004 | HC KIDNEY ACQUISITION-BILATERAL-CADV | $144,174 | $86,504 | — | — | 5 |
| 3370 | DEFIB,AMPLIA MRI,SINGLE | $142,701 | $85,620 | — | — | 11 |
| 8110000002 | HC LIVING DONOR - LIVER | $142,023 | $85,214 | — | — | 5 |
| 8120000001 | HC CADAVER DONOR - HEART | $141,225 | $84,735 | — | — | 5 |
| 50478 | KIT,HEART VALVE,SAPIEN3,20MM | $139,400 | $83,640 | — | — | 6 |
| 50479 | KIT,HEART VALVE,SAPIEN3,23MM | $139,400 | $83,640 | — | — | 6 |
| 50480 | KIT,HEART VALVE,SAPIEN3,26MM | $139,400 | $83,640 | — | — | 6 |
| 50481 | KIT,HEART VALVE,SAPIEN3,29MM | $139,400 | $83,640 | — | — | 6 |
| 8110000001 | HC LIVING DONOR - KIDNEY | $138,821 | $83,293 | — | — | 5 |
| 8120000002 | HC CADAVER DONOR - KIDNEY | $138,821 | $83,293 | — | — | 5 |
| 00078-0734-61 | ILARIS (PF) 150 MG/ML SUBCUTANEOUS SOLUTION | $134,943 | $80,966 | — | — | 32 |
| 3437 | VALVE,HEART,TRANSCATHETER,20MM | $133,250 | $79,950 | — | — | 6 |
| 5216 | VALVE,HEART,TRANSCATHETER,23MM | $133,250 | $79,950 | — | — | 6 |
| 5217 | VALVE,HEART,TRANSCATHETER,26MM | $133,250 | $79,950 | — | — | 6 |
| 5218 | VALVE,HEART,TRANSCATHETER,29MM | $133,250 | $79,950 | — | — | 10 |
| 50242-0150-01 | OCREVUS 30 MG/ML INTRAVENOUS SOLUTION | $131,303 | $78,782 | — | — | 31 |
| 8120000003 | HC CADAVER DONOR - LIVER | $123,472 | $74,083 | — | — | 5 |
| 10314 | CATHETER,MITRACLIP,STEER GUIDE | $123,000 | $73,800 | — | — | 11 |
| 10500 | SYSTEM,MITRACLIP,G4,XTW | $123,000 | $73,800 | — | — | 11 |
| 10501 | SYSTEM,MITRACLIP,G4 | $123,000 | $73,800 | — | — | 11 |
| 15983 | EVOLUT FX 26mm Valve | $123,000 | $73,800 | — | — | 6 |
| 15985 | EVLOLUTFX-26 | $123,000 | $73,800 | — | — | 6 |
| 17503 | Evolut FX Transcatheter Aortic Valve 26mm | $123,000 | $73,800 | — | — | 6 |
| 23390 | SYSTEM,MITRACLIP,G4,NTW | $123,000 | $73,800 | — | — | 11 |
| 23391 | SYSTEM,MITRACLIP,G4,XT | $123,000 | $73,800 | — | — | 11 |
| 23392 | SYSTEM,MITRACLIP,G4,NT | $123,000 | $73,800 | — | — | 11 |
| 24389 | Evolut FX Transcatheter Aortic Valve 34mm | $123,000 | $73,800 | — | — | 6 |
| 24405 | Evolut FX Transcatheter Aortic Valve 29mm | $123,000 | $73,800 | — | — | 6 |
| 50071 | VALVE,AORTIC,EVOLUTFX+,23MM | $123,000 | $73,800 | — | — | 6 |
| 50072 | VALVE,AORTIC,EVOLUTFX+,26MM | $123,000 | $73,800 | — | — | 6 |
Showing top 50 of 34,370 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.