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
22,931
Insurances with rates
22
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| SUP-2713805 | LASER SURG W/ SCANNER ULTRAPULSE DUO | $696,512 | $417,907 | — | — | 0 |
| SUP-2713770 | LASER SURG SELECTA TRIO | $415,502 | $249,301 | — | — | 0 |
| SUP-2721188 | AMSCO 7052HP 460 480V 3 PH 60 HZ STEAM HEATED | $327,101 | $196,261 | — | — | 0 |
| SUP-2705836 | INSTRUMENT SET HOFFMANN3 MILITARY EXTERNAL FIXATOR | $271,272 | $162,763 | — | — | 0 |
| SUP-2183094 | SET IMPL PELV INT FIX W/ ST SCR | $244,160 | $146,496 | — | — | 0 |
| RX-104774 | IPILIMUMAB 200 MG/40ML IV SOLN | $224,557 | $134,734 | — | — | 0 |
| SUP-2817736 | UNIVERS II HUMERAL INSTRUMENTATION SET | $223,059 | $133,835 | — | — | 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-2838622 | GRAFT HUMAN TISSUE 40X25 CM BIOLOGIC TISSUE MATRIX STERILE X | $179,496 | $107,697 | — | — | 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-2177076 | PLATE BONE S STL FOR 5MM SCR PERIARTC SYS LCP | $153,873 | $92,324 | — | — | 0 |
| SUP-2265164 | STIMULATOR NERVE VAGEL ASPIRE GEN | $148,181 | $88,909 | — | — | 0 |
| SUP-2875397 | NAIL IM TROCHANTERIC 9X265 MM STRL FITBONE | $147,004 | $88,202 | — | — | 0 |
| SUP-2838620 | GRAFT HUMAN TISSUE 40X20 CM BIOLOGIC TISSUE MATRIX STERILE X | $143,594 | $86,156 | — | — | 0 |
| SUP-GT06 | IMPL DEVICE RADIATION GAMMA TILE STER PK OF 6 | $139,958 | $83,975 | — | — | 0 |
| SUP-2855595 | GORE TAG THORACIC BRANCH ENDOPROSTHESIS 21MMX8MMX10CM 20FR | $139,958 | $83,975 | — | — | 0 |
| SUP-2860070 | PLATE CRAN PT SPEC IMPL TI NS SD420.553 | $139,758 | $83,855 | — | — | 0 |
| RX-157520 | GALLIUM GA 68 GOZETOTIDE (GOZELLIX) 25 MCG IV KIT | $138,125 | $82,875 | — | — | 0 |
| SUP-2881052 | GENERATOR NEUROSTIMULATOR MODEL 2104 BAROSTIM NEO2 | $137,772 | $82,663 | — | — | 0 |
| SUP-2883003 | BRAIN STIM IMPL BRAINSENSE TECHNOLOGY RECHARGEABLE MRI | $135,300 | $81,180 | — | — | 0 |
| SUP-2860017 | PLATE CRAN PT SPEC IMPL TI NS SD420.453 | $132,939 | $79,763 | — | — | 0 |
| SUP-2860069 | PLATE CRAN PT SPEC IMPL TI NS SD420.552 | $131,570 | $78,942 | — | — | 0 |
| SUP-2106212 | SYSTEM DEL 1 CLP MITRACLP | $131,211 | $78,727 | — | — | 0 |
| SUP-2418291 | VALVE AORT EVOLUT PRO + DIA23 MM ANNULUS 17/18-20 MM PORCINE | $131,211 | $78,727 | — | — | 0 |
| SUP-2126235 | GRAFT BIO TISS W11.8XL17.7IN RECT ANTI BACT SURG PORCINE | $129,462 | $77,677 | — | — | 0 |
| SUP-2236359 | PACEMAKER CRD UPLR/BPLR SINGLE CHMBR IS-1 CONN LEGEND SR | $128,456 | $77,073 | — | — | 0 |
| SUP-2356596 | DEFIBRILLATOR CARD 36J RESYNCHRONIZATION THER 2 CHMBR ATLS | $125,744 | $75,446 | — | — | 0 |
| SUP-2140351 | DEFIBRILLATOR CRD 2 CHMBR | $125,613 | $75,368 | — | — | 0 |
| SUP-2860067 | PLATE CRAN PT SPEC IMPL TI NS SD420.550 | $123,512 | $74,107 | — | — | 0 |
| SUP-2873749 | BUNDLE GRFT ENDURANT II NIT POLYESTER 4 PC HELI-FX | $122,464 | $73,478 | — | — | 0 |
| SUP-2860234 | PLATE CRAN PT SPEC IMPL PEEK SD800.553 | $121,360 | $72,816 | — | — | 0 |
| SUP-2113043 | GRAFT BIO TISS W30XL30CM RECON TISS MTRX FIRM STRATTICE | $120,526 | $72,316 | — | — | 0 |
| SUP-2138468 | DEFIBRILLATOR IMPL INVENTRA HF-T W 58.5 X H 65 MM D 12.5 MM | $119,949 | $71,969 | — | — | 0 |
| SUP-2149228 | DEFIBRILLATOR IMPL CONTAK RENEWAL III RF W 6.6 X H 8.26 CM D | $118,965 | $71,379 | — | — | 0 |
| SUP-2236355 | DEFIBRILLATOR CARD 2 CHMBR W/O ATR LD TIERED THER ADAPTIVE | $116,865 | $70,119 | — | — | 0 |
| SUP-2236358 | DEFIBRILLATOR CARD SGL CHMBR CARDIOVERTER STD BPLR REMOT MON | $116,428 | $69,857 | — | — | 0 |
| SUP-2149224 | DEFIBRILLATOR IMPL CONTAK RENEWAL III W 5.94 X H 7.75 CM D | $115,579 | $69,348 | — | — | 0 |
| SUP-2719958 | GENERATOR NEUROSTIMULATOR PULSE SENZA OMNIA | $115,466 | $69,279 | — | — | 0 |
| SUP-2149259 | DEFIBRILLATOR IMPL COGNIS TI CRT BPLR RV IS1 LV DF1 CONN | $114,591 | $68,755 | — | — | 0 |
| SUP-2265093 | PROSTHESIS KNEE M W65MM LT FEM TIB ENDODUR POREX MOD | $113,847 | $68,308 | — | — | 0 |
| SUP-2860233 | PLATE CRAN PT SPEC IMPL PEEK SD800.552 | $113,783 | $68,270 | — | — | 0 |
| SUP-2860060 | PLATE CRAN PT SPEC IMPL TI NS SD420.543 | $113,765 | $68,259 | — | — | 0 |
| SUP-2929880 | VALVE AORTIC TRANSCATH SYS NAVITOR RDPQ MRKRS 27MM | $113,716 | $68,230 | — | — | 0 |
| SUP-2854408 | OPTIMIZER SMART MINI IPG 10-B501-2-XX | $113,716 | $68,230 | — | — | 0 |
| SUP-2236368 | DEFIBRILLATOR PECTORAL 2 CHMBR BPLR RENEWAL | $113,716 | $68,230 | — | — | 0 |
| SUP-2419569 | GENERATOR NEUROSTIMULATOR PULSE SENZA II | $111,967 | $67,180 | — | — | 0 |
| SUP-2138409 | DEFIBRILLATOR IMPL LUMAX 500 HF-T 59X 66MM 12MM 30J LANDLINE | $110,436 | $66,262 | — | — | 0 |
| SUP-2496346 | GRAFT SFT TISS X THCK 40X20 CM RECON TISS MTRX STRATTICE | $110,322 | $66,193 | — | — | 0 |
Showing top 50 of 22,931 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.