45 CFR § 180 compliance
B · 85
This hospital published most 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: assessment threshold met
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
19,497
Insurances with rates
14
CPT / HCPCS codes
11,124
Most expensive procedures (gross)
A9607
$27,137
DRUG - PLUVICTO 200 MCI
Gross
$54,719
A9607
$27,137
DRUG - PLUVICTO 200 MCI
Gross
$54,719
J2350
$25,003
OCREVUS 300 MG
Gross
$50,416
J2350
$25,003
OCREVUS 300 MG
Gross
$50,416
62004582
$22,565
20MM HEART VALVE ULTRA TAVR
Gross
$45,500
62004582
$22,565
20MM HEART VALVE ULTRA TAVR
Gross
$45,500
C9399
$20,578
OPDUALAG 240-80MG/20ML
Gross
$41,494
C9399
$20,578
OPDUALAG 240-80MG/20ML
Gross
$41,494
33249
$20,343
INSJ/RPLCMT DEFIB W/LEAD(S)
Gross
$41,019
33249
$20,343
INSJ/RPLCMT DEFIB W/LEAD(S)
Gross
$41,019
93654
$19,837
PVC/VT WITH EP COMPLETE
Gross
$40,000
93654
$19,837
PVC/VT WITH EP COMPLETE
Gross
$40,000
93656
$19,299
ATRIAL FIB ABLATION W EP
Gross
$38,914
93656
$19,299
ATRIAL FIB ABLATION W EP
Gross
$38,914
C1722
$18,174
7 VR-T DX SINGLE CHAMBER AIC
Gross
$36,647
C1722
$18,174
7 VR-T DX SINGLE CHAMBER AIC
Gross
$36,647
36906
$18,149
THROMBEC AV FISTU W/STENT PE
Gross
$36,596
36906
$18,149
THROMBEC AV FISTU W/STENT PE
Gross
$36,596
62004612
$17,358
IMPELLA CATHETER KIT PUMP I
Gross
$35,000
62004612
$17,358
IMPELLA CATHETER KIT PUMP I
Gross
$35,000
C9602
$15,900
ATHERECTOMY WITH DES
Gross
$32,061
C9602
$15,900
ATHERECTOMY WITH DES
Gross
$32,061
93653
$15,776
EP COMPLETE W SVT ABLATION
Gross
$31,810
93653
$15,776
EP COMPLETE W SVT ABLATION
Gross
$31,810
C1767
$15,545
GENERATOR NEURO NON-RECHARG
Gross
$31,346
C1767
$15,545
GENERATOR NEURO NON-RECHARG
Gross
$31,346
J2327
$14,735
SKYRIZI 600MG INJ
Gross
$29,712
J2327
$14,735
SKYRIZI 600MG INJ
Gross
$29,712
62005386
$14,705
RODFIXATION DISTRACTION 30M
Gross
$29,652
62005386
$14,705
RODFIXATION DISTRACTION 30M
Gross
$29,652
C1822
$14,580
IPG KIT PROGRAMMER
Gross
$29,400
C1822
$14,580
IPG KIT PROGRAMMER
Gross
$29,400
61051115
$14,534
CVOR - 12 HOURS & OVER
Gross
$29,307
61051115
$14,534
CVOR - 12 HOURS & OVER
Gross
$29,307
37226
$14,023
REVAS FEN/POP W/STENT-RAD
Gross
$28,277
37226
$14,023
REVAS FEN/POP W/STENT-RAD
Gross
$28,277
61051110
$13,945
CVOR - 11.5 HOURS
Gross
$28,119
61051110
$13,945
CVOR - 11.5 HOURS
Gross
$28,119
J1440
$13,727
FECAL MICROBIOTA JSLM 150 ML
Gross
$27,679
J1440
$13,727
FECAL MICROBIOTA JSLM 150 ML
Gross
$27,679
61051105
$13,354
CVOR - 11 HOURS
Gross
$26,928
61051105
$13,354
CVOR - 11 HOURS
Gross
$26,928
0238T
$13,022
REVAS ILIAC ART W/ATHERECTOM
Gross
$26,258
0238T
$13,022
REVAS ILIAC ART W/ATHERECTOM
Gross
$26,258
J2997
$12,949
ACTIVASE (TPA) 100 MG VIAL
Gross
$26,111
J2997
$12,949
ACTIVASE (TPA) 100 MG VIAL
Gross
$26,111
61051100
$12,767
CVOR - 10.5 HOURS
Gross
$25,743
61051100
$12,767
CVOR - 10.5 HOURS
Gross
$25,743
37231
$12,766
REVAS TIB W/STENT&ATH-OTH MD
Gross
$25,741
37231
$12,766
REVAS TIB W/STENT&ATH-OTH MD
Gross
$25,741
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| A9607 | DRUG - PLUVICTO 200 MCI | $54,719 | $27,137 | — | — | 0 |
| A9607 | DRUG - PLUVICTO 200 MCI | $54,719 | $27,137 | $32,831 | $42,134 | 2 |
| J2350 | OCREVUS 300 MG | $50,416 | $25,003 | — | — | 0 |
| J2350 | OCREVUS 300 MG | $50,416 | $25,003 | $53.41 | $38,820 | 25 |
| 62004582 | 20MM HEART VALVE ULTRA TAVR | $45,500 | $22,565 | $31,850 | $31,850 | 3 |
| 62004582 | 20MM HEART VALVE ULTRA TAVR | $45,500 | $22,565 | $27,300 | $35,035 | 3 |
| C9399 | OPDUALAG 240-80MG/20ML | $41,494 | $20,578 | — | — | 0 |
| C9399 | OPDUALAG 240-80MG/20ML | $41,494 | $20,578 | $24,896 | $31,950 | 4 |
| 33249 | INSJ/RPLCMT DEFIB W/LEAD(S) | $41,019 | $20,343 | — | — | 0 |
| 33249 | INSJ/RPLCMT DEFIB W/LEAD(S) | $41,019 | $20,343 | $0.58 | $126,885 | 22 |
| 93654 | PVC/VT WITH EP COMPLETE | $40,000 | $19,837 | — | — | 0 |
| 93654 | PVC/VT WITH EP COMPLETE | $40,000 | $19,837 | $13,642 | $91,601 | 19 |
| 93656 | ATRIAL FIB ABLATION W EP | $38,914 | $19,299 | — | — | 0 |
| 93656 | ATRIAL FIB ABLATION W EP | $38,914 | $19,299 | $13,642 | $91,601 | 19 |
| C1722 | 7 VR-T DX SINGLE CHAMBER AIC | $36,647 | $18,174 | $25,653 | $25,653 | 3 |
| C1722 | 7 VR-T DX SINGLE CHAMBER AIC | $36,647 | $18,174 | $21,988 | $28,218 | 3 |
| 36906 | THROMBEC AV FISTU W/STENT PE | $36,596 | $18,149 | — | — | 0 |
| 36906 | THROMBEC AV FISTU W/STENT PE | $36,596 | $18,149 | $0.58 | $67,629 | 22 |
| 62004612 | IMPELLA CATHETER KIT PUMP I | $35,000 | $17,358 | — | — | 0 |
| 62004612 | IMPELLA CATHETER KIT PUMP I | $35,000 | $17,358 | $21,000 | $26,950 | 2 |
| C9602 | ATHERECTOMY WITH DES | $32,061 | $15,900 | — | — | 0 |
| C9602 | ATHERECTOMY WITH DES | $32,061 | $15,900 | $0.58 | $67,629 | 20 |
| 93653 | EP COMPLETE W SVT ABLATION | $31,810 | $15,776 | — | — | 0 |
| 93653 | EP COMPLETE W SVT ABLATION | $31,810 | $15,776 | $13,642 | $91,601 | 19 |
| C1767 | GENERATOR NEURO NON-RECHARG | $31,346 | $15,545 | $21,942 | $21,942 | 3 |
| C1767 | GENERATOR NEURO NON-RECHARG | $31,346 | $15,545 | $18,808 | $24,136 | 3 |
| J2327 | SKYRIZI 600MG INJ | $29,712 | $14,735 | — | — | 0 |
| J2327 | SKYRIZI 600MG INJ | $29,712 | $14,735 | $17,827 | $22,878 | 4 |
| 62005386 | RODFIXATION DISTRACTION 30M | $29,652 | $14,705 | $20,756 | $20,756 | 3 |
| 62005386 | RODFIXATION DISTRACTION 30M | $29,652 | $14,705 | $17,791 | $22,832 | 3 |
| C1822 | IPG KIT PROGRAMMER | $29,400 | $14,580 | $20,580 | $20,580 | 3 |
| C1822 | IPG KIT PROGRAMMER | $29,400 | $14,580 | $17,640 | $22,638 | 3 |
| 61051115 | CVOR - 12 HOURS & OVER | $29,307 | $14,534 | — | — | 0 |
| 61051115 | CVOR - 12 HOURS & OVER | $29,307 | $14,534 | $17,584 | $25,204 | 8 |
| 37226 | REVAS FEN/POP W/STENT-RAD | $28,277 | $14,023 | — | — | 0 |
| 37226 | REVAS FEN/POP W/STENT-RAD | $28,277 | $14,023 | $0.58 | $42,429 | 22 |
| 61051110 | CVOR - 11.5 HOURS | $28,119 | $13,945 | — | — | 0 |
| 61051110 | CVOR - 11.5 HOURS | $28,119 | $13,945 | $16,871 | $24,182 | 8 |
| J1440 | FECAL MICROBIOTA JSLM 150 ML | $27,679 | $13,727 | — | — | 0 |
| J1440 | FECAL MICROBIOTA JSLM 150 ML | $27,679 | $13,727 | $16,607 | $21,313 | 4 |
| 61051105 | CVOR - 11 HOURS | $26,928 | $13,354 | — | — | 0 |
| 61051105 | CVOR - 11 HOURS | $26,928 | $13,354 | $16,157 | $23,158 | 8 |
| 0238T | REVAS ILIAC ART W/ATHERECTOM | $26,258 | $13,022 | — | — | 0 |
| 0238T | REVAS ILIAC ART W/ATHERECTOM | $26,258 | $13,022 | $0.58 | $67,629 | 22 |
| J2997 | ACTIVASE (TPA) 100 MG VIAL | $26,111 | $12,949 | — | — | 0 |
| J2997 | ACTIVASE (TPA) 100 MG VIAL | $26,111 | $12,949 | $79.41 | $20,105 | 25 |
| 61051100 | CVOR - 10.5 HOURS | $25,743 | $12,767 | — | — | 0 |
| 61051100 | CVOR - 10.5 HOURS | $25,743 | $12,767 | $15,446 | $22,139 | 8 |
| 37231 | REVAS TIB W/STENT&ATH-OTH MD | $25,741 | $12,766 | — | — | 0 |
| 37231 | REVAS TIB W/STENT&ATH-OTH MD | $25,741 | $12,766 | $0.58 | $67,629 | 22 |
Showing top 50 of 19,497 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.