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
192,400
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
Rx64406005801
$590,625
NUSINERSEN INTRATHECAL SOLN 12 MG/5ML (2.4 MG/ML)
Gross
$787,500
Sx00000500101
$353,430
HEART ARTIFICIAL TAH-T KT 70CC
Gross
$471,240
Rx68152010303
$239,249
IBRITUMOMAB TIUXETAN FOR YTTRIUM-90 (Y-90) KIT 3.2 MG/2ML
Gross
$318,999
Sx000106524US
$213,680
IMP KIT LVAD HEARTMATE3
Gross
$284,906
Rx50633021011
$196,525
GLUCARPIDASE FOR IV INJ 1000 UNIT
Gross
$262,033
Px00081200002
$187,500
HC ORGAN ACQ CADAVERIC DONOR HEART CDM
Gross
$250,000
Rx24338005008
$176,911
CARMUSTINE IN POLIFEPROSAN INTRACRANIAL IMPLANT WAFER 7.7 MG
Gross
$235,882
Sx00000001355
$173,250
IMP CARD LVAS HRTMTE II
Gross
$231,000
Sx00000106015
$173,250
KIT FULL HRTMTE II VAD
Gross
$231,000
Rx57902086001
$169,641
SAMARIUM SM 153 LEXIDRONAM INJ 1850 MBQ/ML (50 MCI/ML)
Gross
$226,188
Sx000005500US
$160,691
SET HVAD IMP STRL
Gross
$214,254
Sx00000107801
$157,410
KIT PARTIAL HRTMTE II VAD
Gross
$209,880
Rx62592072050
$149,568
SODIUM BENZOATE & SODIUM PHENYLACETATE IV SOLN 10-10%
Gross
$199,424
Sx00000001103
$141,782
KIT HVAD PUMP IMP
Gross
$189,042
Rx67979000201
$141,078
HISTRELIN ACETATE (CPP) IMPLANT KIT 50 MG
Gross
$188,104
Px00048110060
$106,222
HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS CDM
Gross
$141,629
Px00036110258
$106,103
HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR
Gross
$141,471
Px00036111228
$97,512
HC INS/REP SUBQ DEFIBRILLATOR INCLUDING EVAL WHEN PERFORMED
Gross
$130,016
Px00048010147
$88,108
HC EP STUDY W 3D W VT ABL COMPL
Gross
$117,477
Px00048010148
$88,108
HC EP STUDY W AFIB ABL COMPL
Gross
$117,477
Px00048010149
$88,108
HC EP STUDY W SVT ABL COMPL
Gross
$117,477
Px00048100070
$85,525
HC INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD CDM
Gross
$114,033
Rx17156052401
$85,200
STRONTIUM-89 CHLORIDE INJ 1 MCI/ML
Gross
$113,600
Sx00001000100
$81,180
IDE G210059 IMPELLA 5.5 CATHETER - GEN 2 1000100
Gross
$108,240
Sx00000001000
$74,677
GENRTR VIPG VNS SENTIVA
Gross
$99,569
Sx0000001000D
$74,677
GENERATOR NEUROSTIMULATOR EPILEPSY VAGUS NERVE SENTIVA DUO 1000D
Gross
$99,569
Rx54482030101
$72,218
PEGASPARGASE INJ 750 UNIT/ML
Gross
$96,290
Sx000TCG40100
$71,280
KIT TRICLIP G4 SYSTEM TCG40100
Gross
$95,040
Sx000TCG50100
$71,280
KIT TRICLIP G5 SYSTEM TCG50100
Gross
$95,040
Sx00000ETF-25
$69,300
IDE G190117 J VALVE TF BIOPROSTHESIS 25MM ETF25
Gross
$92,400
Sx00000ETF-28
$69,300
IDE G190117 J VALVE TF BIOPROSTHESIS 28MM ETF28
Gross
$92,400
Sx00000ETF-31
$69,300
IDE G190117 J VALVE TF BIOPROSTHESIS 31MM ETF31
Gross
$92,400
Sx00000ETF-34
$69,300
IDE G190117 J VALVE TF BIOPROSTHESIS 34MM ETF34
Gross
$92,400
Sx000550-0008
$69,300
KIT CATH ACCESS IMPELLA 5.5
Gross
$92,400
Px00048110435
$66,789
HC PTC CLOS PARA LEAK MITRAL
Gross
$89,052
Px00048110436
$66,789
HC PTC CLOS PARA LEAK AORTIC
Gross
$89,052
Px00036114038
$66,590
HC THROMBECT DIALY CIRC W/STNT AN
Gross
$88,786
Px00048100091
$66,580
HC INSERT/REPLACE VALVE TTVI PERC W RT HRT CATH & ANGIO CDM
Gross
$88,773
Sx00000000106
$66,376
GENERATOR NERVE STIM 14CC VNS 106
Gross
$88,501
Px00036012007
$65,816
HC RMV&RPLC ICD GEN SING LEAD SYST
Gross
$87,754
Px00036012008
$65,816
HC RMV&RPLC ICD GEN DUAL LEAD SYST
Gross
$87,754
Sx00001195050
$64,825
MESH PHASIX SQ 50X50CM
Gross
$86,434
Sx00001163045
$63,509
XGRFT XENMTRX RECT 30X45CM
Gross
$84,678
Sx000CP562009
$63,501
IMP HUM EXP CUST SRS 16CM RT
Gross
$84,667
Px00048110002
$61,330
HC TMVI PERCUTANEOUS APPROACH
Gross
$81,773
Sx00000PAS2MA
$60,588
KIT VLV CORONARY AORTIC PASCAL PRECISION PAS2MA
Gross
$80,784
Rx24208041601
$59,780
FLUOCINOLONE ACETONIDE INTRAVITREAL IMPLANT 0.59 MG
Gross
$79,707
Sx000CP562286
$59,526
IMP HUM EXP CMPR SRS 174MM LT
Gross
$79,368
Sx0000MBR0101
$59,400
KIT MTRACLP 1/SGC 1/NTR
Gross
$79,200
Sx0000MBR0102
$59,400
KIT MTRACLP 1/SGC 2/NTR
Gross
$79,200
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Rx64406005801 | NUSINERSEN INTRATHECAL SOLN 12 MG/5ML (2.4 MG/ML) | $787,500 | $590,625 | — | — | 0 |
| Sx00000500101 | HEART ARTIFICIAL TAH-T KT 70CC | $471,240 | $353,430 | — | — | 0 |
| Rx68152010303 | IBRITUMOMAB TIUXETAN FOR YTTRIUM-90 (Y-90) KIT 3.2 MG/2ML | $318,999 | $239,249 | — | — | 0 |
| Sx000106524US | IMP KIT LVAD HEARTMATE3 | $284,906 | $213,680 | — | — | 0 |
| Rx50633021011 | GLUCARPIDASE FOR IV INJ 1000 UNIT | $262,033 | $196,525 | — | — | 0 |
| Px00081200002 | HC ORGAN ACQ CADAVERIC DONOR HEART CDM | $250,000 | $187,500 | — | — | 0 |
| Rx24338005008 | CARMUSTINE IN POLIFEPROSAN INTRACRANIAL IMPLANT WAFER 7.7 MG | $235,882 | $176,911 | — | — | 0 |
| Sx00000001355 | IMP CARD LVAS HRTMTE II | $231,000 | $173,250 | — | — | 0 |
| Sx00000106015 | KIT FULL HRTMTE II VAD | $231,000 | $173,250 | — | — | 0 |
| Rx57902086001 | SAMARIUM SM 153 LEXIDRONAM INJ 1850 MBQ/ML (50 MCI/ML) | $226,188 | $169,641 | — | — | 0 |
| Sx000005500US | SET HVAD IMP STRL | $214,254 | $160,691 | — | — | 0 |
| Sx00000107801 | KIT PARTIAL HRTMTE II VAD | $209,880 | $157,410 | — | — | 0 |
| Rx62592072050 | SODIUM BENZOATE & SODIUM PHENYLACETATE IV SOLN 10-10% | $199,424 | $149,568 | — | — | 0 |
| Sx00000001103 | KIT HVAD PUMP IMP | $189,042 | $141,782 | — | — | 0 |
| Rx67979000201 | HISTRELIN ACETATE (CPP) IMPLANT KIT 50 MG | $188,104 | $141,078 | — | — | 0 |
| Px00048110060 | HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS CDM | $141,629 | $106,222 | — | — | 0 |
| Px00036110258 | HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR | $141,471 | $106,103 | — | — | 0 |
| Px00036111228 | HC INS/REP SUBQ DEFIBRILLATOR INCLUDING EVAL WHEN PERFORMED | $130,016 | $97,512 | — | — | 0 |
| Px00048010147 | HC EP STUDY W 3D W VT ABL COMPL | $117,477 | $88,108 | — | — | 0 |
| Px00048010148 | HC EP STUDY W AFIB ABL COMPL | $117,477 | $88,108 | — | — | 0 |
| Px00048010149 | HC EP STUDY W SVT ABL COMPL | $117,477 | $88,108 | — | — | 0 |
| Px00048100070 | HC INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD CDM | $114,033 | $85,525 | — | — | 0 |
| Rx17156052401 | STRONTIUM-89 CHLORIDE INJ 1 MCI/ML | $113,600 | $85,200 | — | — | 0 |
| Sx00001000100 | IDE G210059 IMPELLA 5.5 CATHETER - GEN 2 1000100 | $108,240 | $81,180 | — | — | 0 |
| Sx00000001000 | GENRTR VIPG VNS SENTIVA | $99,569 | $74,677 | — | — | 0 |
| Sx0000001000D | GENERATOR NEUROSTIMULATOR EPILEPSY VAGUS NERVE SENTIVA DUO 1000D | $99,569 | $74,677 | — | — | 0 |
| Rx54482030101 | PEGASPARGASE INJ 750 UNIT/ML | $96,290 | $72,218 | — | — | 0 |
| Sx000TCG40100 | KIT TRICLIP G4 SYSTEM TCG40100 | $95,040 | $71,280 | — | — | 0 |
| Sx000TCG50100 | KIT TRICLIP G5 SYSTEM TCG50100 | $95,040 | $71,280 | — | — | 0 |
| Sx00000ETF-25 | IDE G190117 J VALVE TF BIOPROSTHESIS 25MM ETF25 | $92,400 | $69,300 | — | — | 0 |
| Sx00000ETF-28 | IDE G190117 J VALVE TF BIOPROSTHESIS 28MM ETF28 | $92,400 | $69,300 | — | — | 0 |
| Sx00000ETF-31 | IDE G190117 J VALVE TF BIOPROSTHESIS 31MM ETF31 | $92,400 | $69,300 | — | — | 0 |
| Sx00000ETF-34 | IDE G190117 J VALVE TF BIOPROSTHESIS 34MM ETF34 | $92,400 | $69,300 | — | — | 0 |
| Sx000550-0008 | KIT CATH ACCESS IMPELLA 5.5 | $92,400 | $69,300 | — | — | 0 |
| Px00048110435 | HC PTC CLOS PARA LEAK MITRAL | $89,052 | $66,789 | — | — | 0 |
| Px00048110436 | HC PTC CLOS PARA LEAK AORTIC | $89,052 | $66,789 | — | — | 0 |
| Px00036114038 | HC THROMBECT DIALY CIRC W/STNT AN | $88,786 | $66,590 | — | — | 0 |
| Px00048100091 | HC INSERT/REPLACE VALVE TTVI PERC W RT HRT CATH & ANGIO CDM | $88,773 | $66,580 | — | — | 0 |
| Sx00000000106 | GENERATOR NERVE STIM 14CC VNS 106 | $88,501 | $66,376 | — | — | 0 |
| Px00036012007 | HC RMV&RPLC ICD GEN SING LEAD SYST | $87,754 | $65,816 | — | — | 0 |
| Px00036012008 | HC RMV&RPLC ICD GEN DUAL LEAD SYST | $87,754 | $65,816 | — | — | 0 |
| Sx00001195050 | MESH PHASIX SQ 50X50CM | $86,434 | $64,825 | — | — | 0 |
| Sx00001163045 | XGRFT XENMTRX RECT 30X45CM | $84,678 | $63,509 | — | — | 0 |
| Sx000CP562009 | IMP HUM EXP CUST SRS 16CM RT | $84,667 | $63,501 | — | — | 0 |
| Px00048110002 | HC TMVI PERCUTANEOUS APPROACH | $81,773 | $61,330 | — | — | 0 |
| Sx00000PAS2MA | KIT VLV CORONARY AORTIC PASCAL PRECISION PAS2MA | $80,784 | $60,588 | — | — | 0 |
| Rx24208041601 | FLUOCINOLONE ACETONIDE INTRAVITREAL IMPLANT 0.59 MG | $79,707 | $59,780 | — | — | 0 |
| Sx000CP562286 | IMP HUM EXP CMPR SRS 174MM LT | $79,368 | $59,526 | — | — | 0 |
| Sx0000MBR0101 | KIT MTRACLP 1/SGC 1/NTR | $79,200 | $59,400 | — | — | 0 |
| Sx0000MBR0102 | KIT MTRACLP 1/SGC 2/NTR | $79,200 | $59,400 | — | — | 0 |
Showing top 50 of 192,400 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.