45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
2,811
Insurances with rates
16
CPT / HCPCS codes
2,169
Most expensive procedures (gross)
A9543
$51,828
Y-90 Ibritu Tiu Up To 40 Mci
Gross
$51,828
92943
$9,750
Coronary Occlusion (Cto)
Gross
$9,750
J3101
$8,793
Tenecteplase 50 Mg Kit
Gross
$8,793
A9604
$8,517
Sm-153 Lexidrona Up To 150 Mci
Gross
$8,517
250001463
$8,323
Ramucirumab 500 Mg/50 Ml Vial
Gross
$8,323
G2170
$7,800
Catheter Vascular Ellipsys
Gross
$7,800
33619
$7,000
Repair Single Ventricle - Sin
Gross
$7,000
33670
$6,500
Repair Of Heart Chambers - At
Gross
$6,500
2066304
$6,400
Uso Equipo Litotripsia
Gross
$6,400
33617
$5,500
Repair Single Ventricle - Com
Gross
$5,500
4444000603
$5,500
Eps 3d Mapping W/O Cat
Gross
$5,500
J1162
$5,459
Digoxin Immune Fab 40 Mg Vial
Gross
$5,459
33505
$5,325
Repair Artery W/Tunnel
Gross
$5,325
33305
$5,300
Repair Of Heart Wound
Gross
$5,300
33475
$4,875
Replacement Pulmonary Valve
Gross
$4,875
33877
$4,800
Resect Of Thoraco Abdominal
Gross
$4,800
J1569
$4,742
Immunoglobulin 20gm/200ml
Gross
$4,742
33391
$4,600
Valvuloplasty Aortic Complex
Gross
$4,600
969033400
$4,600
Repair Of Aortic Valve - Valv
Gross
$4,600
339000005
$4,500
Tipps
Gross
$4,500
78814
$4,500
T Ct Fusion Limited Area
Gross
$4,500
78815
$4,500
T Ct Fusion Skull To Thigh
Gross
$4,500
78816
$4,500
T Ct Fusion Whole Body
Gross
$4,500
J0135
$4,411
Humira 40mg/0.4ml Syringe
Gross
$4,411
33411
$4,400
Aortic Valve And Enlargement
Gross
$4,400
33863
$4,200
W/Coronary Reconstruction (Be
Gross
$4,200
33463
$4,100
Valvuloplasty W/Out Ring (Tri
Gross
$4,100
33545
$4,100
Cabg Myocardial Res Ventricul
Gross
$4,100
A9547
$4,077
In- 111 Oxyquinoli Per 0.5 Mci
Gross
$4,077
78811
$4,065
T Any Site Not Specified
Gross
$4,065
78812
$4,065
T Skull To Mid Thigh
Gross
$4,065
43122
$4,028
Prtl Esophagectomy Thor/Abd
Gross
$4,028
33548
$4,000
Aneurysm Resection Ventricula
Gross
$4,000
33851
$4,000
Remove Aorta Constriction
Gross
$4,000
33910
$4,000
Pulmonary Artery Embolectomy
Gross
$4,000
4444000562
$4,000
Electrophysiology Study Ipd
Gross
$4,000
33732
$3,750
Repair Heart-Vein Defect
Gross
$3,750
35642
$3,750
Byp Oth/Vein Carotid-Vertebra
Gross
$3,750
33430
$3,650
Mitral Valve Replacement
Gross
$3,650
33425
$3,600
Valvuloplasty Mitral Valve
Gross
$3,600
33465
$3,600
Tricuspid Valve Replacement
Gross
$3,600
33470
$3,600
Revision Of Pulpomary Valve -
Gross
$3,600
33875
$3,600
Resection Of Descending Aorta
Gross
$3,600
A9507
$3,569
In-111 Capromab Up To 10 Mci
Gross
$3,569
33512
$3,500
Cabg 3-Vein
Gross
$3,500
33513
$3,500
Cabg 4-Vein
Gross
$3,500
33514
$3,500
Cabg 5-Vein
Gross
$3,500
33516
$3,500
Cabg 6-Vein
Gross
$3,500
33722
$3,500
Closure Aortico-Left Ventricu
Gross
$3,500
33755
$3,500
Major Vessel Shunt - Asending
Gross
$3,500
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| A9543 | Y-90 Ibritu Tiu Up To 40 Mci | $51,828 | $51,828 | — | — | 2 |
| 92943 | Coronary Occlusion (Cto) | $9,750 | $9,750 | — | — | 8 |
| J3101 | Tenecteplase 50 Mg Kit | $8,793 | $8,793 | — | — | 14 |
| A9604 | Sm-153 Lexidrona Up To 150 Mci | $8,517 | $8,517 | — | — | 2 |
| 250001463 | Ramucirumab 500 Mg/50 Ml Vial | $8,323 | $8,323 | — | — | 14 |
| G2170 | Catheter Vascular Ellipsys | $7,800 | $7,800 | — | — | 3 |
| 33619 | Repair Single Ventricle - Sin | $7,000 | $7,000 | — | — | 2 |
| 33670 | Repair Of Heart Chambers - At | $6,500 | $6,500 | — | — | 2 |
| 2066304 | Uso Equipo Litotripsia | $6,400 | $6,400 | — | — | 1 |
| 33617 | Repair Single Ventricle - Com | $5,500 | $5,500 | — | — | 1 |
| 4444000603 | Eps 3d Mapping W/O Cat | $5,500 | $5,500 | — | — | 1 |
| J1162 | Digoxin Immune Fab 40 Mg Vial | $5,459 | $5,459 | — | — | 1 |
| 33505 | Repair Artery W/Tunnel | $5,325 | $5,325 | — | — | 1 |
| 33305 | Repair Of Heart Wound | $5,300 | $5,300 | — | — | 2 |
| 33475 | Replacement Pulmonary Valve | $4,875 | $4,875 | — | — | 2 |
| 33877 | Resect Of Thoraco Abdominal | $4,800 | $4,800 | — | — | 3 |
| J1569 | Immunoglobulin 20gm/200ml | $4,742 | $4,742 | — | — | 6 |
| 33391 | Valvuloplasty Aortic Complex | $4,600 | $4,600 | — | — | 2 |
| 969033400 | Repair Of Aortic Valve - Valv | $4,600 | $4,600 | — | — | 2 |
| 339000005 | Tipps | $4,500 | $4,500 | — | — | 1 |
| 78814 | T Ct Fusion Limited Area | $4,500 | $4,500 | — | — | 13 |
| 78815 | T Ct Fusion Skull To Thigh | $4,500 | $4,500 | — | — | 14 |
| 78816 | T Ct Fusion Whole Body | $4,500 | $4,500 | — | — | 14 |
| J0135 | Humira 40mg/0.4ml Syringe | $4,411 | $4,411 | — | — | 3 |
| 33411 | Aortic Valve And Enlargement | $4,400 | $4,400 | — | — | 2 |
| 33863 | W/Coronary Reconstruction (Be | $4,200 | $4,200 | — | — | 2 |
| 33463 | Valvuloplasty W/Out Ring (Tri | $4,100 | $4,100 | — | — | 2 |
| 33545 | Cabg Myocardial Res Ventricul | $4,100 | $4,100 | — | — | 3 |
| A9547 | In- 111 Oxyquinoli Per 0.5 Mci | $4,077 | $4,077 | — | — | 4 |
| 78811 | T Any Site Not Specified | $4,065 | $4,065 | — | — | 14 |
| 78812 | T Skull To Mid Thigh | $4,065 | $4,065 | — | — | 14 |
| 43122 | Prtl Esophagectomy Thor/Abd | $4,028 | $4,028 | — | — | 1 |
| 33548 | Aneurysm Resection Ventricula | $4,000 | $4,000 | — | — | 2 |
| 33851 | Remove Aorta Constriction | $4,000 | $4,000 | — | — | 1 |
| 33910 | Pulmonary Artery Embolectomy | $4,000 | $4,000 | — | — | 2 |
| 4444000562 | Electrophysiology Study Ipd | $4,000 | $4,000 | — | — | 2 |
| 33732 | Repair Heart-Vein Defect | $3,750 | $3,750 | — | — | 2 |
| 35642 | Byp Oth/Vein Carotid-Vertebra | $3,750 | $3,750 | — | — | 5 |
| 33430 | Mitral Valve Replacement | $3,650 | $3,650 | — | — | 2 |
| 33425 | Valvuloplasty Mitral Valve | $3,600 | $3,600 | — | — | 3 |
| 33465 | Tricuspid Valve Replacement | $3,600 | $3,600 | — | — | 3 |
| 33470 | Revision Of Pulpomary Valve - | $3,600 | $3,600 | — | — | 3 |
| 33875 | Resection Of Descending Aorta | $3,600 | $3,600 | — | — | 2 |
| A9507 | In-111 Capromab Up To 10 Mci | $3,569 | $3,569 | — | — | 4 |
| 33512 | Cabg 3-Vein | $3,500 | $3,500 | — | — | 2 |
| 33513 | Cabg 4-Vein | $3,500 | $3,500 | — | — | 3 |
| 33514 | Cabg 5-Vein | $3,500 | $3,500 | — | — | 2 |
| 33516 | Cabg 6-Vein | $3,500 | $3,500 | — | — | 3 |
| 33722 | Closure Aortico-Left Ventricu | $3,500 | $3,500 | — | — | 1 |
| 33755 | Major Vessel Shunt - Asending | $3,500 | $3,500 | — | — | 2 |
Showing top 50 of 2,811 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.