45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●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
17,203
Insurances with rates
5
CPT / HCPCS codes
7,239
Most expensive procedures (gross)
02351415
$140,000
Hc Custom Hip Right Trabeculink
Gross
$280,000
02351011
$112,500
Hc Impella Pump Set
Gross
$225,000
02350164
$107,075
Hc Custom Hip Implant
Gross
$214,150
Q2043
$95,897
SIPULEUCEL-T-LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSP
Gross
$191,794
02351365
$87,500
Hc Custom Implant - Left Trabeculink
Gross
$175,000
02349194
$84,738
Hc Sentiva Neurostimulator
Gross
$169,475
02351083
$83,200
Hc Hip Pelvis Custom Implant
Gross
$166,400
02347054
$81,250
Hc Valve Transcath Sapien W/Deliv System
Gross
$162,500
02351338
$80,000
Hc Valve Aortic
Gross
$160,000
02351448
$80,000
Hc Stent Graft Thoracic
Gross
$160,000
02351311
$75,520
Hc Custom Pelvis Triflange
Gross
$151,040
02349637
$75,000
Hc Mitraclip
Gross
$150,000
02350826
$75,000
Hc Valve Aortic Evolut
Gross
$150,000
02350464
$68,750
Hc Pulse Nerve Stimulator
Gross
$137,500
02350789
$67,500
Hc Senza Omnia Ipg
Gross
$135,000
02351673
$66,033
Hc Custom Pelvis
Gross
$132,066
02350292
$63,750
Hc Pulse Generator Phrenic Remede
Gross
$127,500
02349198
$62,500
Hc Impella Pump Set
Gross
$125,000
02351416
$62,500
Hc Mandible Reconstruction Guide
Gross
$125,000
02350994
$60,000
Hc Opra Implant Fixture
Gross
$120,000
02347686
$58,750
Hc Cardiomem Delivery System
Gross
$117,500
A9607
$57,873
LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN
Gross
$115,746
02349154
$57,500
Hc Prclaim Elite 5 Nerve Stimulator
Gross
$115,000
02351247
$55,015
Hc Nail
Gross
$110,030
J0223
$53,788
GIVOSIRAN 189 MG/ML SUBQ SOLN
Gross
$107,575
C9293
$53,526
GLUCARPIDASE (VORAXAZE) IV SYRINGE
Gross
$107,052
01653264
$53,011
Hc Remv&Replc Cvd Gen Mult Lead
Gross
$106,021
01659001
$53,011
Hc Biventricular Defib Implant
Gross
$106,021
02350477
$51,188
Hc Stent Graft Thoracic
Gross
$102,375
J9999
$50,378
CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR
Gross
$100,756
02351324
$50,000
Hc Inceptiv Pulse Generator Kit
Gross
$100,000
02350294
$48,925
Hc Femoral Confyle Hemi
Gross
$97,850
02349412
$48,699
Hc Ear Implant Hires Ultra 3D
Gross
$97,397
02347639
$48,500
Hc Defibrillator, Single Chamber
Gross
$97,000
02342717
$47,659
Hc Defib Biventricular
Gross
$95,318
02348440
$46,575
Hc Defib Biventricular
Gross
$93,150
02348267
$45,900
Hc Defib Biventricular
Gross
$91,800
02348624
$45,900
Hc Defib Biventricular
Gross
$91,800
02347870
$45,784
Hc Graft Endovascular Zenith
Gross
$91,567
02346040
$45,750
Hc Spectra Pulse Generator Kit
Gross
$91,500
02346040_114037
$45,750
Hc Spectra Pulse Generator Kit
Gross
$91,500
02346040_115533
$45,750
Hc Spectra Pulse Generator Kit
Gross
$91,500
02346040_124795
$45,750
Hc Spectra Pulse Generator Kit
Gross
$91,500
02351782
$44,850
Hc Cage Llif Patient Specific
Gross
$89,700
02350825
$44,769
Hc Defib Biventricular
Gross
$89,538
02351728
$44,084
Hc Totak Knee System
Gross
$88,168
02351738
$44,084
Hc Custom Total Knee
Gross
$88,168
02348352
$43,699
Hc Cochlear Implant System
Gross
$87,397
02349322
$43,250
Hc Pulse Generator Kit Implantable
Gross
$86,500
02349322_111229
$43,250
Hc Pulse Generator Kit Implantable
Gross
$86,500
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 02351415 | Hc Custom Hip Right Trabeculink | $280,000 | $140,000 | — | — | 0 |
| 02351011 | Hc Impella Pump Set | $225,000 | $112,500 | — | — | 0 |
| 02350164 | Hc Custom Hip Implant | $214,150 | $107,075 | — | — | 0 |
| Q2043 | SIPULEUCEL-T-LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSP | $191,794 | $95,897 | — | — | 0 |
| 02351365 | Hc Custom Implant - Left Trabeculink | $175,000 | $87,500 | — | — | 0 |
| 02349194 | Hc Sentiva Neurostimulator | $169,475 | $84,738 | — | — | 0 |
| 02351083 | Hc Hip Pelvis Custom Implant | $166,400 | $83,200 | — | — | 0 |
| 02347054 | Hc Valve Transcath Sapien W/Deliv System | $162,500 | $81,250 | — | — | 0 |
| 02351338 | Hc Valve Aortic | $160,000 | $80,000 | — | — | 0 |
| 02351448 | Hc Stent Graft Thoracic | $160,000 | $80,000 | — | — | 0 |
| 02351311 | Hc Custom Pelvis Triflange | $151,040 | $75,520 | — | — | 0 |
| 02349637 | Hc Mitraclip | $150,000 | $75,000 | — | — | 0 |
| 02350826 | Hc Valve Aortic Evolut | $150,000 | $75,000 | — | — | 0 |
| 02350464 | Hc Pulse Nerve Stimulator | $137,500 | $68,750 | — | — | 0 |
| 02350789 | Hc Senza Omnia Ipg | $135,000 | $67,500 | — | — | 0 |
| 02351673 | Hc Custom Pelvis | $132,066 | $66,033 | — | — | 0 |
| 02350292 | Hc Pulse Generator Phrenic Remede | $127,500 | $63,750 | — | — | 0 |
| 02349198 | Hc Impella Pump Set | $125,000 | $62,500 | — | — | 0 |
| 02351416 | Hc Mandible Reconstruction Guide | $125,000 | $62,500 | — | — | 0 |
| 02350994 | Hc Opra Implant Fixture | $120,000 | $60,000 | — | — | 0 |
| 02347686 | Hc Cardiomem Delivery System | $117,500 | $58,750 | — | — | 0 |
| A9607 | LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN | $115,746 | $57,873 | — | — | 0 |
| 02349154 | Hc Prclaim Elite 5 Nerve Stimulator | $115,000 | $57,500 | — | — | 0 |
| 02351247 | Hc Nail | $110,030 | $55,015 | — | — | 0 |
| J0223 | GIVOSIRAN 189 MG/ML SUBQ SOLN | $107,575 | $53,788 | — | — | 0 |
| C9293 | GLUCARPIDASE (VORAXAZE) IV SYRINGE | $107,052 | $53,526 | — | — | 0 |
| 01653264 | Hc Remv&Replc Cvd Gen Mult Lead | $106,021 | $53,011 | — | — | 0 |
| 01659001 | Hc Biventricular Defib Implant | $106,021 | $53,011 | — | — | 0 |
| 02350477 | Hc Stent Graft Thoracic | $102,375 | $51,188 | — | — | 0 |
| J9999 | CARMUSTINE IN POLIFEPROSAN 7.7 MG IMPL WAFR | $100,756 | $50,378 | — | — | 0 |
| 02351324 | Hc Inceptiv Pulse Generator Kit | $100,000 | $50,000 | — | — | 0 |
| 02350294 | Hc Femoral Confyle Hemi | $97,850 | $48,925 | — | — | 0 |
| 02349412 | Hc Ear Implant Hires Ultra 3D | $97,397 | $48,699 | — | — | 0 |
| 02347639 | Hc Defibrillator, Single Chamber | $97,000 | $48,500 | — | — | 0 |
| 02342717 | Hc Defib Biventricular | $95,318 | $47,659 | — | — | 0 |
| 02348440 | Hc Defib Biventricular | $93,150 | $46,575 | — | — | 0 |
| 02348267 | Hc Defib Biventricular | $91,800 | $45,900 | — | — | 0 |
| 02348624 | Hc Defib Biventricular | $91,800 | $45,900 | — | — | 0 |
| 02347870 | Hc Graft Endovascular Zenith | $91,567 | $45,784 | — | — | 0 |
| 02346040 | Hc Spectra Pulse Generator Kit | $91,500 | $45,750 | — | — | 0 |
| 02346040_114037 | Hc Spectra Pulse Generator Kit | $91,500 | $45,750 | — | — | 0 |
| 02346040_115533 | Hc Spectra Pulse Generator Kit | $91,500 | $45,750 | — | — | 0 |
| 02346040_124795 | Hc Spectra Pulse Generator Kit | $91,500 | $45,750 | — | — | 0 |
| 02351782 | Hc Cage Llif Patient Specific | $89,700 | $44,850 | — | — | 0 |
| 02350825 | Hc Defib Biventricular | $89,538 | $44,769 | — | — | 0 |
| 02351728 | Hc Totak Knee System | $88,168 | $44,084 | — | — | 0 |
| 02351738 | Hc Custom Total Knee | $88,168 | $44,084 | — | — | 0 |
| 02348352 | Hc Cochlear Implant System | $87,397 | $43,699 | — | — | 0 |
| 02349322 | Hc Pulse Generator Kit Implantable | $86,500 | $43,250 | — | — | 0 |
| 02349322_111229 | Hc Pulse Generator Kit Implantable | $86,500 | $43,250 | — | — | 0 |
Showing top 50 of 17,203 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.