45 CFR § 180 compliance
A · 100
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: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
23,289
Insurances with rates
63
CPT / HCPCS codes
15,872
Most expensive procedures (gross)
38241
$175,000
Transplt autol hct/donor
Gross
$175,000
38241
$175,000
Transplt autol hct/donor
Gross
$175,000
87905
$72,166
Ia nzmtc actv oth/thn virus
Gross
$72,166
87905
$72,166
Ia nzmtc actv oth/thn virus
Gross
$72,166
A9543
$51,828
Y90 ibritumomab, rx
Gross
$51,828
A9543
$51,828
Y90 ibritumomab, rx
Gross
$51,828
C1882
$50,000
Aicd, other than sing/dual
Gross
$50,000
75339
$45,000
STEREOTACTIC IMPLANTATION OF DEPTH INTO THE CEREBR
Gross
$45,000
J9266
$40,647
Pegaspargase injection
Gross
$40,647
E0617
$37,990
Automatic ext defibrillator
Gross
$37,990
59672
$37,000
CAT BOST DESFIBRILADOR TELIGEN DUAL ICD E110 SYST
Gross
$37,000
59672
$37,000
CAT BOST DESFIBRILADOR TELIGEN DUAL ICD E110 SYST
Gross
$37,000
C1882
$33,000
Aicd, other than sing/dual
Gross
$33,000
C1884
$32,488
Embolization protect syst
Gross
$32,488
C2616
$32,000
Brachytx, non-str,yttrium-90
Gross
$32,000
60668
$32,000
BEE ENERGEN E141/E140 SYSTEM
Gross
$32,000
E0617
$31,800
Automatic ext defibrillator
Gross
$31,800
J9042
$31,251
Brentuximab vedotin inj
Gross
$31,251
J9042
$31,251
Brentuximab vedotin inj
Gross
$31,251
C1721
$30,600
Aicd, dual chamber
Gross
$30,600
59693
$27,900
STJ DEFIBRILADOR UNIFY CD3231-40Q SISTEMA
Gross
$27,900
59693
$27,900
STJ DEFIBRILADOR UNIFY CD3231-40Q SISTEMA
Gross
$27,900
59712
$27,000
STJ NEUROESTIMULADOR EON MINI C/PENTA
Gross
$27,000
59712
$27,000
STJ NEUROESTIMULADOR EON MINI C/PENTA
Gross
$27,000
C1722
$25,610
Aicd, single chamber
Gross
$25,610
C1783
$25,128
Ocular imp, aqueous drain de
Gross
$25,128
59713
$25,000
STJ NEUROESTIMULADOR EON MINI C/LEADS
Gross
$25,000
59713
$25,000
STJ NEUROESTIMULADOR EON MINI C/LEADS
Gross
$25,000
J9266
$24,453
Pegaspargase injection
Gross
$24,453
33413
$23,700
Replacement of aortic valve
Gross
$23,700
J9999
$23,099
Chemotherapy drug
Gross
$23,099
93613
$22,500
Intracardiac ephys 3d mapg
Gross
$22,500
93654
$20,435
Compre ep eval tx vt
Gross
$20,435
65351
$20,000
CYBERKNIFE (5) FRACCIONES
Gross
$20,000
56835
$19,500
CYBER STEREOTACTIC RADIOSURGERY
Gross
$19,500
J2562
$19,477
Plerixafor injection
Gross
$19,477
J2562
$19,477
Plerixafor injection
Gross
$19,477
54852
$18,973
CYBER KNIFE 5 FRACC INTRAC W/COMP MED-ONCOLOGO
Gross
$18,973
93656
$18,750
Compre ep eval abltj atr fib
Gross
$18,750
93613
$18,750
Intracardiac ephys 3d mapg
Gross
$18,750
93656
$18,750
Compre ep eval abltj atr fib
Gross
$18,750
75369
$18,000
Multiple valve replacement, Includes valve.
Gross
$18,000
J7187
$17,338
Humate-p, inj
Gross
$17,338
J7189
$17,295
Factor viia recomb novoseven
Gross
$17,295
J7189
$17,295
Factor viia recomb novoseven
Gross
$17,295
G0339
$17,000
Robot lin-radsurg com, first
Gross
$17,000
G0339
$17,000
Robot lin-radsurg com, first
Gross
$17,000
37275
$15,940
Rvsc evsc fpvt st athrc sf 1
Gross
$15,940
37284
$15,940
Revsc evasc tpvt st sf 1st
Gross
$15,940
36906
$15,940
Thrmbc/nfs dialysis circuit
Gross
$15,940
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 38241 | Transplt autol hct/donor | $175,000 | $175,000 | $13,650 | $204,954 | 1 |
| 38241 | Transplt autol hct/donor | $175,000 | $175,000 | $13,650 | $204,954 | 1 |
| 87905 | Ia nzmtc actv oth/thn virus | $72,166 | $72,166 | $11.65 | $72,166 | 1 |
| 87905 | Ia nzmtc actv oth/thn virus | $72,166 | $72,166 | $11.65 | $72,166 | 1 |
| A9543 | Y90 ibritumomab, rx | $51,828 | $51,828 | $20,731 | $73,939 | 1 |
| A9543 | Y90 ibritumomab, rx | $51,828 | $51,828 | $20,731 | $73,939 | 1 |
| C1882 | Aicd, other than sing/dual | $50,000 | $50,000 | $27,500 | $50,000 | 1 |
| 75339 | STEREOTACTIC IMPLANTATION OF DEPTH INTO THE CEREBR | $45,000 | $45,000 | $45,000 | $45,000 | 1 |
| J9266 | Pegaspargase injection | $40,647 | $40,647 | $1,672 | $44,712 | 1 |
| E0617 | Automatic ext defibrillator | $37,990 | $37,990 | $37,990 | $37,990 | 1 |
| 59672 | CAT BOST DESFIBRILADOR TELIGEN DUAL ICD E110 SYST | $37,000 | $37,000 | $19,425 | $37,000 | 1 |
| 59672 | CAT BOST DESFIBRILADOR TELIGEN DUAL ICD E110 SYST | $37,000 | $37,000 | $19,425 | $37,000 | 1 |
| C1882 | Aicd, other than sing/dual | $33,000 | $33,000 | $18,975 | $33,000 | 1 |
| C1884 | Embolization protect syst | $32,488 | $32,488 | $12,995 | $13,645 | 1 |
| C2616 | Brachytx, non-str,yttrium-90 | $32,000 | $32,000 | $1,545 | $32,000 | 1 |
| 60668 | BEE ENERGEN E141/E140 SYSTEM | $32,000 | $32,000 | $32,000 | $32,000 | 1 |
| E0617 | Automatic ext defibrillator | $31,800 | $31,800 | $15,900 | $31,800 | 1 |
| J9042 | Brentuximab vedotin inj | $31,251 | $31,251 | $165 | $9,557 | 1 |
| J9042 | Brentuximab vedotin inj | $31,251 | $31,251 | $165 | $9,557 | 1 |
| C1721 | Aicd, dual chamber | $30,600 | $30,600 | $16,830 | $30,600 | 1 |
| 59693 | STJ DEFIBRILADOR UNIFY CD3231-40Q SISTEMA | $27,900 | $27,900 | $14,648 | $27,900 | 1 |
| 59693 | STJ DEFIBRILADOR UNIFY CD3231-40Q SISTEMA | $27,900 | $27,900 | $14,648 | $27,900 | 1 |
| 59712 | STJ NEUROESTIMULADOR EON MINI C/PENTA | $27,000 | $27,000 | $14,175 | $27,000 | 1 |
| 59712 | STJ NEUROESTIMULADOR EON MINI C/PENTA | $27,000 | $27,000 | $14,175 | $27,000 | 1 |
| C1722 | Aicd, single chamber | $25,610 | $25,610 | $14,086 | $27,295 | 1 |
| C1783 | Ocular imp, aqueous drain de | $25,128 | $25,128 | $25,128 | $26,384 | 1 |
| 59713 | STJ NEUROESTIMULADOR EON MINI C/LEADS | $25,000 | $25,000 | $13,125 | $25,000 | 1 |
| 59713 | STJ NEUROESTIMULADOR EON MINI C/LEADS | $25,000 | $25,000 | $13,125 | $25,000 | 1 |
| J9266 | Pegaspargase injection | $24,453 | $24,453 | $1,900 | $23,554 | 1 |
| 33413 | Replacement of aortic valve | $23,700 | $23,700 | $855 | $14,925 | 1 |
| J9999 | Chemotherapy drug | $23,099 | $23,099 | $9,239 | $25,409 | 1 |
| 93613 | Intracardiac ephys 3d mapg | $22,500 | $22,500 | $338 | $22,226 | 1 |
| 93654 | Compre ep eval tx vt | $20,435 | $20,435 | $10,000 | $20,420 | 1 |
| 65351 | CYBERKNIFE (5) FRACCIONES | $20,000 | $20,000 | $20,000 | $20,000 | 1 |
| 56835 | CYBER STEREOTACTIC RADIOSURGERY | $19,500 | $19,500 | $540 | $540 | 1 |
| J2562 | Plerixafor injection | $19,477 | $19,477 | $354 | $21,425 | 1 |
| J2562 | Plerixafor injection | $19,477 | $19,477 | $354 | $21,425 | 1 |
| 54852 | CYBER KNIFE 5 FRACC INTRAC W/COMP MED-ONCOLOGO | $18,973 | $18,973 | $17,500 | $18,973 | 1 |
| 93656 | Compre ep eval abltj atr fib | $18,750 | $18,750 | $1,176 | $12,500 | 1 |
| 93613 | Intracardiac ephys 3d mapg | $18,750 | $18,750 | $338 | $17,433 | 1 |
| 93656 | Compre ep eval abltj atr fib | $18,750 | $18,750 | $1,176 | $12,500 | 1 |
| 75369 | Multiple valve replacement, Includes valve. | $18,000 | $18,000 | $18,000 | $23,153 | 1 |
| J7187 | Humate-p, inj | $17,338 | $17,338 | $1.21 | $19,071 | 1 |
| J7189 | Factor viia recomb novoseven | $17,295 | $17,295 | $2.25 | $19,024 | 1 |
| J7189 | Factor viia recomb novoseven | $17,295 | $17,295 | $2.25 | $19,024 | 1 |
| G0339 | Robot lin-radsurg com, first | $17,000 | $17,000 | $6,836 | $27,500 | 1 |
| G0339 | Robot lin-radsurg com, first | $17,000 | $17,000 | $7,545 | $31,149 | 1 |
| 37275 | Rvsc evsc fpvt st athrc sf 1 | $15,940 | $15,940 | $2,000 | $7,000 | 1 |
| 37284 | Revsc evasc tpvt st sf 1st | $15,940 | $15,940 | $2,000 | $5,292 | 1 |
| 36906 | Thrmbc/nfs dialysis circuit | $15,940 | $15,940 | $1,100 | $3,500 | 1 |
Showing top 50 of 23,289 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.