45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
12,085
Insurances with rates
11
CPT / HCPCS codes
11,385
Most expensive procedures (gross)
C1882
$23,950
GENERATOR GALLANT
Gross
$23,950
93653
$10,500
EPS Ablation 3DMapp w/o IrrigC
Gross
$10,500
93656
$10,500
EPS Ablation 3DMapp W IrrigCat
Gross
$10,500
36836
$10,000
Interventional Radiology Biopsy & Aspiration
Gross
$10,000
36836
$10,000
Ellipsys AVF
Gross
$10,000
L8699
$8,836
PO Spider Cervical Plate
Gross
$8,836
93613
$8,500
EPS Ablation 3D Mapping
Gross
$8,500
C9047
$8,110
Cablivi 11 MG Kit
Gross
$8,110
92928
$8,000
Ptca With Stent Implant
Gross
$8,000
J3101
$7,828
Tenecteplase 50 Mg Kit
Gross
$7,828
C1786
$7,110
MARCAPASO ASSURITY
Gross
$7,110
93650
$7,000
EPS + Ablation
Gross
$7,000
0275
$6,700
ACCULADE MR SR IS-1 MARCAPASO
Gross
$6,700
92920
$6,500
TransluCoronBalloonAngio;First
Gross
$6,500
C2620
$6,400
Marcapaso Addr01
Gross
$6,400
81408
$6,185
FBN1 (Marfan Syndrome)
Gross
$6,185
J9310
$4,698
RITUXAN 500 MG VIAL
Gross
$4,698
J1162
$4,525
Digoxin Immune Fab 40 Mg Vial
Gross
$4,525
27445
$4,500
Knee Replacement
Gross
$4,500
27130
$4,500
HIP Replacement Package
Gross
$4,500
J2997
$4,400
ALTEPLASE (ACTIVASE) 50MG VIAL
Gross
$4,400
J7639
$3,896
DORNASE (PULMOZYME) 2.5 MG SOL
Gross
$3,896
J0714
$3,867
AVYCAZ 2.5 GM VIAL
Gross
$3,867
J0565
$3,739
ZINPLAVIA (BEZLOTOXUMAB25MG/ML
Gross
$3,739
92921
$3,600
TransluCoronBalloonAngio;EaAdd
Gross
$3,600
81401
$3,570
Melas MTDNA Mutation
Gross
$3,570
J7198
$3,528
FEIBA ANTI-INHIBITOR COAGULANT
Gross
$3,528
81284
$3,200
Friedreich Ataxia (FXN) Repeat
Gross
$3,200
81292
$3,198
Lynch Syndrome MLH1 Sequencing
Gross
$3,198
J1442
$3,076
Filgrastim 300 Mcg/Ml Vial
Gross
$3,076
81162
$3,069
BRCAdvantage Comprehensive
Gross
$3,069
44204
$3,049
Laparoscopy Other
Gross
$3,049
81229
$3,000
Chromosome Microarray ($)
Gross
$3,000
36514
$2,910
Plasmapheresis
Gross
$2,910
81187
$2,760
MYOTONIC DISTROPHY TYPE 2
Gross
$2,760
J2783
$2,673
Rasburicase (Elitek) 1.5mg inj
Gross
$2,673
J8499
$2,639
BARICITINIB 2 GM TABLET
Gross
$2,639
C1880
$2,614
VENA CAVA FILTER
Gross
$2,614
J3262
$2,613
TOCILIZUMAB (ACTEMRA) 400MG/20
Gross
$2,613
37191
$2,500
PercPlmntOfIvcFilterRadSup&Int
Gross
$2,500
86695
$2,262
ENCEPHALITIS ANTBODY PANEL CSF
Gross
$2,262
J0885
$2,258
Epoetin Alfa 40000 Unit/Ml Vi
Gross
$2,258
63047
$2,238
Neuro - Spinal Surgery
Gross
$2,238
31090
$2,235
ENT Latera Procedure Bilateral
Gross
$2,235
J7189
$2,217
NOVOSEVEN RT COAG FACT VIIA1MG
Gross
$2,217
L8670
$2,172
Vascular Graft 6Mm X 70Cm / Li
Gross
$2,172
87632
$2,115
Respiratory Virus Pcr Panel 1
Gross
$2,115
37217
$2,099
Interventional Radiology Biopsy & Aspiration
Gross
$2,099
37217
$2,099
Transcath Plcmt IntrStentRetro
Gross
$2,099
30465
$2,069
ENT Propel Procedure
Gross
$2,069
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1882 | GENERATOR GALLANT | $23,950 | $23,950 | — | — | 0 |
| 93653 | EPS Ablation 3DMapp w/o IrrigC | $10,500 | $10,500 | — | — | 4 |
| 93656 | EPS Ablation 3DMapp W IrrigCat | $10,500 | $10,500 | — | — | 4 |
| 36836 | Interventional Radiology Biopsy & Aspiration | $10,000 | $10,000 | — | — | 14 |
| 36836 | Ellipsys AVF | $10,000 | $10,000 | — | — | 7 |
| L8699 | PO Spider Cervical Plate | $8,836 | $8,836 | — | — | 0 |
| 93613 | EPS Ablation 3D Mapping | $8,500 | $8,500 | — | — | 1 |
| C9047 | Cablivi 11 MG Kit | $8,110 | $8,110 | — | — | 3 |
| 92928 | Ptca With Stent Implant | $8,000 | $8,000 | — | — | 16 |
| J3101 | Tenecteplase 50 Mg Kit | $7,828 | $7,828 | — | — | 3 |
| C1786 | MARCAPASO ASSURITY | $7,110 | $7,110 | — | — | 0 |
| 93650 | EPS + Ablation | $7,000 | $7,000 | — | — | 4 |
| 0275 | ACCULADE MR SR IS-1 MARCAPASO | $6,700 | $6,700 | — | — | 0 |
| 92920 | TransluCoronBalloonAngio;First | $6,500 | $6,500 | — | — | 16 |
| C2620 | Marcapaso Addr01 | $6,400 | $6,400 | — | — | 0 |
| 81408 | FBN1 (Marfan Syndrome) | $6,185 | $6,185 | — | — | 3 |
| J9310 | RITUXAN 500 MG VIAL | $4,698 | $4,698 | — | — | 0 |
| J1162 | Digoxin Immune Fab 40 Mg Vial | $4,525 | $4,525 | — | — | 3 |
| 27445 | Knee Replacement | $4,500 | $4,500 | — | — | 8 |
| 27130 | HIP Replacement Package | $4,500 | $4,500 | — | — | 11 |
| J2997 | ALTEPLASE (ACTIVASE) 50MG VIAL | $4,400 | $4,400 | — | — | 3 |
| J7639 | DORNASE (PULMOZYME) 2.5 MG SOL | $3,896 | $3,896 | — | — | 0 |
| J0714 | AVYCAZ 2.5 GM VIAL | $3,867 | $3,867 | — | — | 3 |
| J0565 | ZINPLAVIA (BEZLOTOXUMAB25MG/ML | $3,739 | $3,739 | — | — | 3 |
| 92921 | TransluCoronBalloonAngio;EaAdd | $3,600 | $3,600 | — | — | 12 |
| 81401 | Melas MTDNA Mutation | $3,570 | $3,570 | — | — | 3 |
| J7198 | FEIBA ANTI-INHIBITOR COAGULANT | $3,528 | $3,528 | — | — | 3 |
| 81284 | Friedreich Ataxia (FXN) Repeat | $3,200 | $3,200 | — | — | 1 |
| 81292 | Lynch Syndrome MLH1 Sequencing | $3,198 | $3,198 | — | — | 3 |
| J1442 | Filgrastim 300 Mcg/Ml Vial | $3,076 | $3,076 | — | — | 3 |
| 81162 | BRCAdvantage Comprehensive | $3,069 | $3,069 | — | — | 3 |
| 44204 | Laparoscopy Other | $3,049 | $3,049 | — | — | 8 |
| 81229 | Chromosome Microarray ($) | $3,000 | $3,000 | — | — | 3 |
| 36514 | Plasmapheresis | $2,910 | $2,910 | — | — | 13 |
| 81187 | MYOTONIC DISTROPHY TYPE 2 | $2,760 | $2,760 | — | — | 1 |
| J2783 | Rasburicase (Elitek) 1.5mg inj | $2,673 | $2,673 | — | — | 3 |
| J8499 | BARICITINIB 2 GM TABLET | $2,639 | $2,639 | — | — | 0 |
| C1880 | VENA CAVA FILTER | $2,614 | $2,614 | — | — | 0 |
| J3262 | TOCILIZUMAB (ACTEMRA) 400MG/20 | $2,613 | $2,613 | — | — | 3 |
| 37191 | PercPlmntOfIvcFilterRadSup&Int | $2,500 | $2,500 | — | — | 15 |
| 86695 | ENCEPHALITIS ANTBODY PANEL CSF | $2,262 | $2,262 | — | — | 3 |
| J0885 | Epoetin Alfa 40000 Unit/Ml Vi | $2,258 | $2,258 | — | — | 3 |
| 63047 | Neuro - Spinal Surgery | $2,238 | $2,238 | — | — | 6 |
| 31090 | ENT Latera Procedure Bilateral | $2,235 | $2,235 | — | — | 8 |
| J7189 | NOVOSEVEN RT COAG FACT VIIA1MG | $2,217 | $2,217 | — | — | 3 |
| L8670 | Vascular Graft 6Mm X 70Cm / Li | $2,172 | $2,172 | — | — | 0 |
| 87632 | Respiratory Virus Pcr Panel 1 | $2,115 | $2,115 | — | — | 3 |
| 37217 | Interventional Radiology Biopsy & Aspiration | $2,099 | $2,099 | — | — | 14 |
| 37217 | Transcath Plcmt IntrStentRetro | $2,099 | $2,099 | — | — | 4 |
| 30465 | ENT Propel Procedure | $2,069 | $2,069 | — | — | 8 |
Showing top 50 of 12,085 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.