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
13,355
Insurances with rates
1
CPT / HCPCS codes
2
Source MRF
Most expensive procedures (gross)
5609900500
$120,388
SIPULEUCEL-T/LACT RING 250ML B
Gross
$171,982
5604607635
$69,615
Tremelimumab-actl 300 mg/15 ml
Gross
$99,450
5604603210
$59,727
IPILIMUMAB 200 MG/40 ML VIAL
Gross
$85,325
5500300098
$41,125
Pacer CRT-D Cobalt Medtronic
Gross
$58,750
5500300011
$38,105
IMPLANTED DEFIBRILLATOR W/LEAD
Gross
$54,436
5500300172
$36,085
Pacer TPS Micra VR2
Gross
$51,550
5604604500
$35,190
OCRELIZUMAB 300MG/10ML VIAL
Gross
$50,272
5500300089
$33,670
Gallant Resynch Therapy Defib
Gross
$48,100
5604606365
$29,542
Polatuzumab Vedotin PIIQ 140mg
Gross
$42,203
3850007685
$28,652
Ablation ventriclr tachycardia
Gross
$40,932
3850007695
$28,652
Atrial fibrillation ablation
Gross
$40,932
5500300160
$28,000
Spyral Multielectrode RDN Cath
Gross
$40,000
3850007680
$26,862
Ablation SV tachycardia
Gross
$38,374
5500812297
$26,530
MESH,MATRIX THICK 20X30CM
Gross
$37,900
5604604325
$25,432
Nivol relatlimab-rmbw 240/80mg
Gross
$36,331
3850006510
$25,384
HVC Stent Iliac Artery bil
Gross
$36,262
5500300010
$25,200
CARDIOVERTER-DEFIBRILLATOR
Gross
$36,000
5500300088
$24,570
Gallant DR Cardioverter Defib
Gross
$35,100
5608501280
$24,035
CABAZITAXEL 60 MG VIAL
Gross
$34,336
3850007525
$23,638
Insert pulse gen w/mult leads
Gross
$33,769
3850007550
$23,280
Remv/rplc multi lead defib gen
Gross
$33,257
3850007555
$23,280
Ins/Rep SQ Defibrillator
Gross
$33,257
3850001630
$23,100
HVC ICD insert w 1 or 2 Leads
Gross
$33,000
3850007285
$22,206
Revasc Tib/Per stent & Ather
Gross
$31,722
5500300074
$22,113
Gallant VR Defibrillator
Gross
$31,590
5500833795
$21,977
DERMASPAN .9MM-1.99MM 16X20CM
Gross
$31,396
3850008065
$21,489
Revasc Lithtrip/stent/atherect
Gross
$30,699
3850008075
$21,489
Revasc lithotr-stent tib/per
Gross
$30,699
3850008085
$21,489
Revasc lith-sten-ath tib/per
Gross
$30,699
5500856015
$21,263
Neurostimulator, Non-Recharge
Gross
$30,375
5604603375
$20,755
LUSPATERCEPT-AAMT 75MG/1.5ML
Gross
$29,651
5500833804
$20,301
Condyle,Fem lat hemi fresh
Gross
$29,001
5500856003
$20,149
SNS PULSE GENERATOR-IMPLANTED
Gross
$28,785
5601007350
$20,120
LEUPROLIDE ACETATE DEPO 45MG
Gross
$28,743
3850008070
$20,057
Revasc lithotrip tibi/perone
Gross
$28,652
5604603160
$19,839
Dostarlimab-gxly 500 mg/10 ml
Gross
$28,341
5500856016
$19,618
Neurostimulator R20 rechargabl
Gross
$28,025
5604601585
$19,417
Brentuximab 50 mg/10 ml vial
Gross
$27,739
3850007225
$19,340
Atherectomy iliac artery each
Gross
$27,629
3850005290
$19,078
HVC Atherectomy/Stent Fem/Pop
Gross
$27,254
5604604102
$18,932
ATEZOLIZUMAB 1200MG/20ML VIAL
Gross
$27,045
3850007195
$17,908
Insert stent vertebral art int
Gross
$25,583
3850007375
$17,908
Thrombectomy dialysis circuit
Gross
$25,583
3850007385
$17,908
Insert epcrdl electrode(s) opn
Gross
$25,583
3850008060
$17,908
Revasc IV Lithotrip w/atherect
Gross
$25,583
3850008080
$17,908
Revasc lithotr-ather tib/per
Gross
$25,583
5500833794
$17,857
DERMASPAN .9MM-1.99MM 12X12CM
Gross
$25,510
5604602100
$17,846
CEMIPLIMAB-RWLC 350MG/7ML VIAL
Gross
$25,495
5500833642
$17,759
INTEGRA BILAYER MATRIX 20X25CM
Gross
$25,369
5500300312
$17,255
Penumbra Flash 16frx115cm HT
Gross
$24,650
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 5609900500 | SIPULEUCEL-T/LACT RING 250ML B | $171,982 | $120,388 | — | — | 0 |
| 5604607635 | Tremelimumab-actl 300 mg/15 ml | $99,450 | $69,615 | — | — | 0 |
| 5604603210 | IPILIMUMAB 200 MG/40 ML VIAL | $85,325 | $59,727 | — | — | 0 |
| 5500300098 | Pacer CRT-D Cobalt Medtronic | $58,750 | $41,125 | — | — | 0 |
| 5500300011 | IMPLANTED DEFIBRILLATOR W/LEAD | $54,436 | $38,105 | — | — | 0 |
| 5500300172 | Pacer TPS Micra VR2 | $51,550 | $36,085 | — | — | 0 |
| 5604604500 | OCRELIZUMAB 300MG/10ML VIAL | $50,272 | $35,190 | — | — | 0 |
| 5500300089 | Gallant Resynch Therapy Defib | $48,100 | $33,670 | — | — | 0 |
| 5604606365 | Polatuzumab Vedotin PIIQ 140mg | $42,203 | $29,542 | — | — | 0 |
| 3850007685 | Ablation ventriclr tachycardia | $40,932 | $28,652 | — | — | 0 |
| 3850007695 | Atrial fibrillation ablation | $40,932 | $28,652 | — | — | 0 |
| 5500300160 | Spyral Multielectrode RDN Cath | $40,000 | $28,000 | — | — | 0 |
| 3850007680 | Ablation SV tachycardia | $38,374 | $26,862 | — | — | 0 |
| 5500812297 | MESH,MATRIX THICK 20X30CM | $37,900 | $26,530 | — | — | 0 |
| 5604604325 | Nivol relatlimab-rmbw 240/80mg | $36,331 | $25,432 | — | — | 0 |
| 3850006510 | HVC Stent Iliac Artery bil | $36,262 | $25,384 | — | — | 0 |
| 5500300010 | CARDIOVERTER-DEFIBRILLATOR | $36,000 | $25,200 | — | — | 0 |
| 5500300088 | Gallant DR Cardioverter Defib | $35,100 | $24,570 | — | — | 0 |
| 5608501280 | CABAZITAXEL 60 MG VIAL | $34,336 | $24,035 | — | — | 0 |
| 3850007525 | Insert pulse gen w/mult leads | $33,769 | $23,638 | — | — | 0 |
| 3850007550 | Remv/rplc multi lead defib gen | $33,257 | $23,280 | — | — | 0 |
| 3850007555 | Ins/Rep SQ Defibrillator | $33,257 | $23,280 | — | — | 0 |
| 3850001630 | HVC ICD insert w 1 or 2 Leads | $33,000 | $23,100 | — | — | 0 |
| 3850007285 | Revasc Tib/Per stent & Ather | $31,722 | $22,206 | — | — | 0 |
| 5500300074 | Gallant VR Defibrillator | $31,590 | $22,113 | — | — | 0 |
| 5500833795 | DERMASPAN .9MM-1.99MM 16X20CM | $31,396 | $21,977 | — | — | 0 |
| 3850008065 | Revasc Lithtrip/stent/atherect | $30,699 | $21,489 | — | — | 0 |
| 3850008075 | Revasc lithotr-stent tib/per | $30,699 | $21,489 | — | — | 0 |
| 3850008085 | Revasc lith-sten-ath tib/per | $30,699 | $21,489 | — | — | 0 |
| 5500856015 | Neurostimulator, Non-Recharge | $30,375 | $21,263 | — | — | 0 |
| 5604603375 | LUSPATERCEPT-AAMT 75MG/1.5ML | $29,651 | $20,755 | — | — | 0 |
| 5500833804 | Condyle,Fem lat hemi fresh | $29,001 | $20,301 | — | — | 0 |
| 5500856003 | SNS PULSE GENERATOR-IMPLANTED | $28,785 | $20,149 | — | — | 0 |
| 5601007350 | LEUPROLIDE ACETATE DEPO 45MG | $28,743 | $20,120 | — | — | 0 |
| 3850008070 | Revasc lithotrip tibi/perone | $28,652 | $20,057 | — | — | 0 |
| 5604603160 | Dostarlimab-gxly 500 mg/10 ml | $28,341 | $19,839 | — | — | 0 |
| 5500856016 | Neurostimulator R20 rechargabl | $28,025 | $19,618 | — | — | 0 |
| 5604601585 | Brentuximab 50 mg/10 ml vial | $27,739 | $19,417 | — | — | 0 |
| 3850007225 | Atherectomy iliac artery each | $27,629 | $19,340 | — | — | 0 |
| 3850005290 | HVC Atherectomy/Stent Fem/Pop | $27,254 | $19,078 | — | — | 0 |
| 5604604102 | ATEZOLIZUMAB 1200MG/20ML VIAL | $27,045 | $18,932 | — | — | 0 |
| 3850007195 | Insert stent vertebral art int | $25,583 | $17,908 | — | — | 0 |
| 3850007375 | Thrombectomy dialysis circuit | $25,583 | $17,908 | — | — | 0 |
| 3850007385 | Insert epcrdl electrode(s) opn | $25,583 | $17,908 | — | — | 0 |
| 3850008060 | Revasc IV Lithotrip w/atherect | $25,583 | $17,908 | — | — | 0 |
| 3850008080 | Revasc lithotr-ather tib/per | $25,583 | $17,908 | — | — | 0 |
| 5500833794 | DERMASPAN .9MM-1.99MM 12X12CM | $25,510 | $17,857 | — | — | 0 |
| 5604602100 | CEMIPLIMAB-RWLC 350MG/7ML VIAL | $25,495 | $17,846 | — | — | 0 |
| 5500833642 | INTEGRA BILAYER MATRIX 20X25CM | $25,369 | $17,759 | — | — | 0 |
| 5500300312 | Penumbra Flash 16frx115cm HT | $24,650 | $17,255 | — | — | 0 |
Showing top 50 of 13,355 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.