45 CFR § 180 compliance
D · 65
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
61,226
Insurances with rates
21
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-155564
$1,906,815
TISAGENLECLEUCEL 600000000 CELLS IV SUSP
Gross
$3,178,025
SUP-2713805
$417,907
LASER SURG W/ SCANNER ULTRAPULSE DUO
Gross
$696,512
SUP-2713804
$391,665
LASER SURG ULTRAPULSE DUO
Gross
$652,775
SUP-2356026
$283,203
KIT VENT ASST FOR HEARTMATE III IMPL
Gross
$472,005
SUP-2927338
$251,925
IMPLANT HUM TISS L 11 X W 10 CM PLCNTA MEMBRN MULTILAYERED
Gross
$419,875
SUP-2713770
$249,301
LASER SURG SELECTA TRIO
Gross
$415,502
SUP-2356020
$229,619
DEVICE VENTRICULAR ASST KT
Gross
$382,699
SUP-2356046
$208,625
KIT PMP LT VENT ASST DEV W/ PKT CTRL HEARTMATE II
Gross
$347,709
SUP-2721188
$196,261
AMSCO 7052HP 460 480V 3 PH 60 HZ STEAM HEATED
Gross
$327,101
SUP-2282536
$195,898
PUMP VENT ASST BLD L PERICARD MINIATURIZED FULL OUTPT LESS
Gross
$326,497
SUP-2713806
$183,695
LASER SURG W/ 3 YR WARR SELECTA DUET
Gross
$306,159
SUP-2705836
$162,763
INSTRUMENT SET HOFFMANN3 MILITARY EXTERNAL FIXATOR
Gross
$271,272
SUP-2177062
$158,944
SET TRAUMA FIXATION 3.5MM DISTAL HUMERAL F/LCP PLATE
Gross
$264,906
SUP-2183094
$146,496
SET IMPL PELV INT FIX W/ ST SCR
Gross
$244,160
SUP-2496129
$134,902
SET IMPL PELVIC PRO STRYKER
Gross
$224,837
SUP-2817736
$133,835
UNIVERS II HUMERAL INSTRUMENTATION SET
Gross
$223,059
SUP-2912826
$131,211
KIT CAGE SPINAL APREVO 5-LEVEL
Gross
$218,685
SUP-2462704
$129,791
FIBER LASER 30 W SM FLX POWERFUL ENERGY FOR COAG HOLM
Gross
$216,319
SUP-2838623
$121,160
GRAFT HUMAN TISSUE 45X25 CM BIOLOGIC TISSUE MATRIX STERILE X
Gross
$201,934
SUP-2540076
$119,294
LASER ENDOSCP 20 W HOLM
Gross
$198,824
SUP-2853216
$118,090
PUMP HEART IMPELLA 5.5 W/SMART ASSIST S2
Gross
$196,817
SUP-2713801
$118,090
LASER SURG FOR SLT GLAUCOMA THER W/ 3 YR WARR SELECTA II
Gross
$196,817
SUP-2106273
$118,090
CANNULA VENT ASST 32FR L10MM LT ART AB KT BYPS FOR BLD PMP
Gross
$196,817
SUP-2183060
$117,913
SET INSTR IMPL SCR DIA6.5/7.3MM COMBINED CANN
Gross
$196,521
SUP-2912825
$115,466
KIT CAGE SPINAL APREVO 4-LEVEL
Gross
$192,443
SUP-2177061
$113,858
SET IMPL 3.5MM LO PROF PELV SYS
Gross
$189,763
SUP-2930358
$112,841
VALVE TRICSP EVOQUE SZ 44 MM NIT SELF EXPANDABLE THERMAFIX
Gross
$188,069
SUP-CP5A0222
$112,395
IMPL SHOULDER CUSTOM SCAPULA RT
Gross
$187,326
SUP-2420211
$110,978
ALLOGRAFT HUM TISS PORCINE CLLGN MEMBRN VERICEL MACI
Gross
$184,964
SUP-2859842
$107,882
PLATE BNE RADIAL DSTL
Gross
$179,803
SUP-2838622
$107,697
GRAFT HUMAN TISSUE 40X25 CM BIOLOGIC TISSUE MATRIX STERILE X
Gross
$179,496
SUP-2177067
$107,001
SET ORTH GRPHC CA W/ K WIRE FOR MOD MINI FRAG INSTR AND
Gross
$178,336
SUP-2895994
$102,345
SYSTEM VLV REP TRICLIP G4 TRICSP VLV TRANSCATHETER EDGE TO
Gross
$170,574
SUP-2175903
$102,132
GENERATOR NEUROSTIMULATOR W/SINGLE LEAD FOR MODEL 1000
Gross
$170,220
SUP-2912824
$99,720
KIT CAGE SPINAL APREVO 3-LEVEL
Gross
$166,201
SUP-2183070
$95,063
SET IMPL GRPHC CA INSTR W/ DRL BIT COUNTSINK SCR HNDL SL
Gross
$158,439
SUP-2183074
$93,818
SET INSTR IMPL S STL W/ 2.4MM DSTL RAD PLT LCP
Gross
$156,364
SUP-2177071
$92,795
SET ORTH IMPL 3.5MM MEDL PROX TIB S STL PLT LCP
Gross
$154,658
SUP-2177076
$92,324
PLATE BONE S STL FOR 5MM SCR PERIARTC SYS LCP
Gross
$153,873
SUP-2815582
$91,848
UNIVERS II GLENOID INSTRUMENTATION SET
Gross
$153,080
SUP-2894037
$91,848
KIT NERVE STIM BARORECEPTOR NEUROMODULATION GENRTR CSL LD
Gross
$153,080
SUP-2882185
$89,223
KIT AORT VLV SAPIEN 3 ULTRA RESILIA DIA29 MM BOV PERICARD
Gross
$148,706
RX-137884
$89,169
OCRELIZUMAB 300 MG/10ML IV SOLN
Gross
$148,615
CASE-64582
$88,999
Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor|BILATERAL PROCEDURE
Gross
$148,332
SUP-2265164
$88,909
STIMULATOR NERVE VAGEL ASPIRE GEN
Gross
$148,181
SUP-2397725
$88,399
SCREW BNE COMPR 3-4.3 MM MULTI-USE CHARLOTTE
Gross
$147,332
SUP-2875397
$88,202
NAIL IM TROCHANTERIC 9X265 MM STRL FITBONE
Gross
$147,004
SUP-2811209
$87,636
TIBIAL NAIL INSTRUMENTS
Gross
$146,060
SUP-2660820
$86,599
SYSTEM VLV REP MITRACLIP G4 EDGE TO EDGE BNDL SGC0701 STEER
Gross
$144,332
SUP-2838620
$86,156
GRAFT HUMAN TISSUE 40X20 CM BIOLOGIC TISSUE MATRIX STERILE X
Gross
$143,594
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-155564 | TISAGENLECLEUCEL 600000000 CELLS IV SUSP | $3,178,025 | $1,906,815 | — | — | 0 |
| SUP-2713805 | LASER SURG W/ SCANNER ULTRAPULSE DUO | $696,512 | $417,907 | — | — | 0 |
| SUP-2713804 | LASER SURG ULTRAPULSE DUO | $652,775 | $391,665 | — | — | 0 |
| SUP-2356026 | KIT VENT ASST FOR HEARTMATE III IMPL | $472,005 | $283,203 | — | — | 0 |
| SUP-2927338 | IMPLANT HUM TISS L 11 X W 10 CM PLCNTA MEMBRN MULTILAYERED | $419,875 | $251,925 | — | — | 0 |
| SUP-2713770 | LASER SURG SELECTA TRIO | $415,502 | $249,301 | — | — | 0 |
| SUP-2356020 | DEVICE VENTRICULAR ASST KT | $382,699 | $229,619 | — | — | 0 |
| SUP-2356046 | KIT PMP LT VENT ASST DEV W/ PKT CTRL HEARTMATE II | $347,709 | $208,625 | — | — | 0 |
| SUP-2721188 | AMSCO 7052HP 460 480V 3 PH 60 HZ STEAM HEATED | $327,101 | $196,261 | — | — | 0 |
| SUP-2282536 | PUMP VENT ASST BLD L PERICARD MINIATURIZED FULL OUTPT LESS | $326,497 | $195,898 | — | — | 0 |
| SUP-2713806 | LASER SURG W/ 3 YR WARR SELECTA DUET | $306,159 | $183,695 | — | — | 0 |
| SUP-2705836 | INSTRUMENT SET HOFFMANN3 MILITARY EXTERNAL FIXATOR | $271,272 | $162,763 | — | — | 0 |
| SUP-2177062 | SET TRAUMA FIXATION 3.5MM DISTAL HUMERAL F/LCP PLATE | $264,906 | $158,944 | — | — | 0 |
| SUP-2183094 | SET IMPL PELV INT FIX W/ ST SCR | $244,160 | $146,496 | — | — | 0 |
| SUP-2496129 | SET IMPL PELVIC PRO STRYKER | $224,837 | $134,902 | — | — | 0 |
| SUP-2817736 | UNIVERS II HUMERAL INSTRUMENTATION SET | $223,059 | $133,835 | — | — | 0 |
| SUP-2912826 | KIT CAGE SPINAL APREVO 5-LEVEL | $218,685 | $131,211 | — | — | 0 |
| SUP-2462704 | FIBER LASER 30 W SM FLX POWERFUL ENERGY FOR COAG HOLM | $216,319 | $129,791 | — | — | 0 |
| SUP-2838623 | GRAFT HUMAN TISSUE 45X25 CM BIOLOGIC TISSUE MATRIX STERILE X | $201,934 | $121,160 | — | — | 0 |
| SUP-2540076 | LASER ENDOSCP 20 W HOLM | $198,824 | $119,294 | — | — | 0 |
| SUP-2853216 | PUMP HEART IMPELLA 5.5 W/SMART ASSIST S2 | $196,817 | $118,090 | — | — | 0 |
| SUP-2713801 | LASER SURG FOR SLT GLAUCOMA THER W/ 3 YR WARR SELECTA II | $196,817 | $118,090 | — | — | 0 |
| SUP-2106273 | CANNULA VENT ASST 32FR L10MM LT ART AB KT BYPS FOR BLD PMP | $196,817 | $118,090 | — | — | 0 |
| SUP-2183060 | SET INSTR IMPL SCR DIA6.5/7.3MM COMBINED CANN | $196,521 | $117,913 | — | — | 0 |
| SUP-2912825 | KIT CAGE SPINAL APREVO 4-LEVEL | $192,443 | $115,466 | — | — | 0 |
| SUP-2177061 | SET IMPL 3.5MM LO PROF PELV SYS | $189,763 | $113,858 | — | — | 0 |
| SUP-2930358 | VALVE TRICSP EVOQUE SZ 44 MM NIT SELF EXPANDABLE THERMAFIX | $188,069 | $112,841 | — | — | 0 |
| SUP-CP5A0222 | IMPL SHOULDER CUSTOM SCAPULA RT | $187,326 | $112,395 | — | — | 0 |
| SUP-2420211 | ALLOGRAFT HUM TISS PORCINE CLLGN MEMBRN VERICEL MACI | $184,964 | $110,978 | — | — | 0 |
| SUP-2859842 | PLATE BNE RADIAL DSTL | $179,803 | $107,882 | — | — | 0 |
| SUP-2838622 | GRAFT HUMAN TISSUE 40X25 CM BIOLOGIC TISSUE MATRIX STERILE X | $179,496 | $107,697 | — | — | 0 |
| SUP-2177067 | SET ORTH GRPHC CA W/ K WIRE FOR MOD MINI FRAG INSTR AND | $178,336 | $107,001 | — | — | 0 |
| SUP-2895994 | SYSTEM VLV REP TRICLIP G4 TRICSP VLV TRANSCATHETER EDGE TO | $170,574 | $102,345 | — | — | 0 |
| SUP-2175903 | GENERATOR NEUROSTIMULATOR W/SINGLE LEAD FOR MODEL 1000 | $170,220 | $102,132 | — | — | 0 |
| SUP-2912824 | KIT CAGE SPINAL APREVO 3-LEVEL | $166,201 | $99,720 | — | — | 0 |
| SUP-2183070 | SET IMPL GRPHC CA INSTR W/ DRL BIT COUNTSINK SCR HNDL SL | $158,439 | $95,063 | — | — | 0 |
| SUP-2183074 | SET INSTR IMPL S STL W/ 2.4MM DSTL RAD PLT LCP | $156,364 | $93,818 | — | — | 0 |
| SUP-2177071 | SET ORTH IMPL 3.5MM MEDL PROX TIB S STL PLT LCP | $154,658 | $92,795 | — | — | 0 |
| SUP-2177076 | PLATE BONE S STL FOR 5MM SCR PERIARTC SYS LCP | $153,873 | $92,324 | — | — | 0 |
| SUP-2815582 | UNIVERS II GLENOID INSTRUMENTATION SET | $153,080 | $91,848 | — | — | 0 |
| SUP-2894037 | KIT NERVE STIM BARORECEPTOR NEUROMODULATION GENRTR CSL LD | $153,080 | $91,848 | — | — | 0 |
| SUP-2882185 | KIT AORT VLV SAPIEN 3 ULTRA RESILIA DIA29 MM BOV PERICARD | $148,706 | $89,223 | — | — | 0 |
| RX-137884 | OCRELIZUMAB 300 MG/10ML IV SOLN | $148,615 | $89,169 | — | — | 0 |
| CASE-64582 | Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor|BILATERAL PROCEDURE | $148,332 | $88,999 | — | — | 8 |
| SUP-2265164 | STIMULATOR NERVE VAGEL ASPIRE GEN | $148,181 | $88,909 | — | — | 0 |
| SUP-2397725 | SCREW BNE COMPR 3-4.3 MM MULTI-USE CHARLOTTE | $147,332 | $88,399 | — | — | 0 |
| SUP-2875397 | NAIL IM TROCHANTERIC 9X265 MM STRL FITBONE | $147,004 | $88,202 | — | — | 0 |
| SUP-2811209 | TIBIAL NAIL INSTRUMENTS | $146,060 | $87,636 | — | — | 0 |
| SUP-2660820 | SYSTEM VLV REP MITRACLIP G4 EDGE TO EDGE BNDL SGC0701 STEER | $144,332 | $86,599 | — | — | 0 |
| SUP-2838620 | GRAFT HUMAN TISSUE 40X20 CM BIOLOGIC TISSUE MATRIX STERILE X | $143,594 | $86,156 | — | — | 0 |
Showing top 50 of 61,226 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.