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
60,271
Insurances with rates
29
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
RX-155561
$2,291,289
AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP
Gross
$3,525,060
RX-151536
$2,102,100
BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP
Gross
$3,234,000
RX-156489
$2,102,100
BREXUCABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP
Gross
$3,234,000
SUP-2713805
$325,029
LASER SURG W/ SCANNER ULTRAPULSE DUO
Gross
$500,045
SUP-2713804
$304,619
LASER SURG ULTRAPULSE DUO
Gross
$468,645
SUP-2356026
$220,263
KIT VENT ASST FOR HEARTMATE III IMPL
Gross
$338,866
SUP-2927338
$195,936
IMPLANT HUM TISS L 11 X W 10 CM PLCNTA MEMBRN MULTILAYERED
Gross
$301,440
SUP-2713770
$193,895
LASER SURG SELECTA TRIO
Gross
$298,300
SUP-2356020
$178,588
DEVICE VENTRICULAR ASST KT
Gross
$274,750
CASE-38999
$154,436
Unlisted Procedure Hemic or Lymphatic System
Gross
$257,393
SUP-2356046
$162,260
KIT PMP LT VENT ASST DEV W/ PKT CTRL HEARTMATE II
Gross
$249,630
SUP-2721188
$152,643
AMSCO 7052HP 460 480V 3 PH 60 HZ STEAM HEATED
Gross
$234,835
SUP-2282536
$152,361
PUMP VENT ASST BLD L PERICARD MINIATURIZED FULL OUTPT LESS
Gross
$234,401
SUP-2713806
$142,870
LASER SURG W/ 3 YR WARR SELECTA DUET
Gross
$219,800
SUP-2448641
$137,106
STEM FEM CONE 125 DEG 135 DEG HIP WAGNER
Gross
$210,933
RX-157859
$133,724
LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN
Gross
$205,730
SUP-2177062
$123,619
SET TRAUMA FIXATION 3.5MM DISTAL HUMERAL F/LCP PLATE
Gross
$190,183
RX-158762
$114,429
VUTRISIRAN SODIUM 25 MG/0.5ML SC SOSY
Gross
$176,044
SUP-2183094
$113,938
SET IMPL PELV INT FIX W/ ST SCR
Gross
$175,289
RX-157520
$111,329
GALLIUM GA 68 GOZETOTIDE (GOZELLIX) 25 MCG IV KIT
Gross
$171,275
SUP-2817736
$104,091
UNIVERS II HUMERAL INSTRUMENTATION SET
Gross
$160,140
CASE-49595
$96,080
Rpr Aa Hernia 1st > 10 Cm Reducible
Gross
$160,133
SUP-2912826
$102,050
KIT CAGE SPINAL APREVO 5-LEVEL
Gross
$157,000
SUP-2462704
$100,946
FIBER LASER 30 W SM FLX POWERFUL ENERGY FOR COAG HOLM
Gross
$155,301
CASE-21145
$86,950
Rcnstj Midface Lefort I 1 Piece W/Bone Grafts
Gross
$144,916
CASE-21196
$86,950
Rcnstj Mndblr Rami&/Bdy Sgtl Splt W/Int Rgd Fi
Gross
$144,916
CASE-21120
$86,950
Genioplasty Augmentation
Gross
$144,916
SUP-2540076
$92,782
LASER ENDOSCP 20 W HOLM
Gross
$142,741
SUP-2853216
$91,845
PUMP HEART IMPELLA 5.5 W/SMART ASSIST S2
Gross
$141,300
SUP-2713801
$91,845
LASER SURG FOR SLT GLAUCOMA THER W/ 3 YR WARR SELECTA II
Gross
$141,300
SUP-2106273
$91,845
CANNULA VENT ASST 32FR L10MM LT ART AB KT BYPS FOR BLD PMP
Gross
$141,300
SUP-2183060
$91,707
SET INSTR IMPL SCR DIA6.5/7.3MM COMBINED CANN
Gross
$141,088
SUP-2126235
$91,544
GRAFT BIO TISS W11.8XL17.7IN RECT ANTI BACT SURG PORCINE
Gross
$140,837
SUP-2912825
$89,804
KIT CAGE SPINAL APREVO 4-LEVEL
Gross
$138,160
RX-151014
$89,642
INEBILIZUMAB-CDON 100 MG/10ML IV SOLN
Gross
$137,911
SUP-2177061
$88,553
SET IMPL 3.5MM LO PROF PELV SYS
Gross
$136,236
CASE-22634
$81,723
Arthrodesis Cmbn Tq 1ntrspc Each Additional
Gross
$136,204
SUP-2930358
$87,763
VALVE TRICSP EVOQUE SZ 44 MM NIT SELF EXPANDABLE THERMAFIX
Gross
$135,020
RX-1150551
$87,677
RAVULIZUMAB-CWVZ 100 MG/ML IV SOLN (MIXTURES ONLY)
Gross
$134,888
CASE-15777
$79,033
Implnt Bio Implnt for Soft Tissue Reinforcement|RIGHT SIDE
Gross
$131,722
CASE-19350
$79,033
Nipple/Areola Reconstruction|BILATERAL PROCEDURE
Gross
$131,722
SUP-2175903
$84,348
GENERATOR NEUROSTIMULATOR W/SINGLE LEAD FOR MODEL 1000
Gross
$129,767
SUP-2859842
$83,906
PLATE BNE RADIAL DSTL
Gross
$129,085
SUP-2177067
$83,221
SET ORTH GRPHC CA W/ K WIRE FOR MOD MINI FRAG INSTR AND
Gross
$128,032
SUP-2126246
$81,699
IMPLANT BIO TISS W18 25XL450MM THCK CLLGN DERM MTRX XENMTRX
Gross
$125,690
CASE-15879
$74,695
Suction Assisted Lipectomy Lower Extremity|BILATERAL PROCEDURE
Gross
$124,491
SUP-2448626
$80,879
LINER ACET CONSTRN 28 MM EPSILON
Gross
$124,429
SUP-2895994
$79,599
SYSTEM VLV REP TRICLIP G4 TRICSP VLV TRANSCATHETER EDGE TO
Gross
$122,460
CASE-19342
$72,103
Insj/Rplcmt Breast Implant Sep Day Mastectomy|BILATERAL PROCEDURE|UNUSUAL NON-OVERLAPPING SERVICE
Gross
$120,171
CASE-43282
$71,738
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/Mesh
Gross
$119,564
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| RX-155561 | AXICABTAGENE CILOLEUCEL 200000000 CELLS IV SUSP | $3,525,060 | $2,291,289 | — | — | 0 |
| RX-151536 | BREXUCABTAGENE AUTOLEUCEL 200000000 CELLS IV SUSP | $3,234,000 | $2,102,100 | — | — | 0 |
| RX-156489 | BREXUCABTAGENE AUTOLEUCEL 100000000 CELLS IV SUSP | $3,234,000 | $2,102,100 | — | — | 0 |
| SUP-2713805 | LASER SURG W/ SCANNER ULTRAPULSE DUO | $500,045 | $325,029 | — | — | 0 |
| SUP-2713804 | LASER SURG ULTRAPULSE DUO | $468,645 | $304,619 | — | — | 0 |
| SUP-2356026 | KIT VENT ASST FOR HEARTMATE III IMPL | $338,866 | $220,263 | — | — | 0 |
| SUP-2927338 | IMPLANT HUM TISS L 11 X W 10 CM PLCNTA MEMBRN MULTILAYERED | $301,440 | $195,936 | — | — | 0 |
| SUP-2713770 | LASER SURG SELECTA TRIO | $298,300 | $193,895 | — | — | 0 |
| SUP-2356020 | DEVICE VENTRICULAR ASST KT | $274,750 | $178,588 | — | — | 0 |
| CASE-38999 | Unlisted Procedure Hemic or Lymphatic System | $257,393 | $154,436 | — | — | 5 |
| SUP-2356046 | KIT PMP LT VENT ASST DEV W/ PKT CTRL HEARTMATE II | $249,630 | $162,260 | — | — | 0 |
| SUP-2721188 | AMSCO 7052HP 460 480V 3 PH 60 HZ STEAM HEATED | $234,835 | $152,643 | — | — | 0 |
| SUP-2282536 | PUMP VENT ASST BLD L PERICARD MINIATURIZED FULL OUTPT LESS | $234,401 | $152,361 | — | — | 0 |
| SUP-2713806 | LASER SURG W/ 3 YR WARR SELECTA DUET | $219,800 | $142,870 | — | — | 0 |
| SUP-2448641 | STEM FEM CONE 125 DEG 135 DEG HIP WAGNER | $210,933 | $137,106 | — | — | 0 |
| RX-157859 | LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN | $205,730 | $133,724 | — | — | 0 |
| SUP-2177062 | SET TRAUMA FIXATION 3.5MM DISTAL HUMERAL F/LCP PLATE | $190,183 | $123,619 | — | — | 0 |
| RX-158762 | VUTRISIRAN SODIUM 25 MG/0.5ML SC SOSY | $176,044 | $114,429 | — | — | 0 |
| SUP-2183094 | SET IMPL PELV INT FIX W/ ST SCR | $175,289 | $113,938 | — | — | 0 |
| RX-157520 | GALLIUM GA 68 GOZETOTIDE (GOZELLIX) 25 MCG IV KIT | $171,275 | $111,329 | — | — | 0 |
| SUP-2817736 | UNIVERS II HUMERAL INSTRUMENTATION SET | $160,140 | $104,091 | — | — | 0 |
| CASE-49595 | Rpr Aa Hernia 1st > 10 Cm Reducible | $160,133 | $96,080 | — | — | 4 |
| SUP-2912826 | KIT CAGE SPINAL APREVO 5-LEVEL | $157,000 | $102,050 | — | — | 0 |
| SUP-2462704 | FIBER LASER 30 W SM FLX POWERFUL ENERGY FOR COAG HOLM | $155,301 | $100,946 | — | — | 0 |
| CASE-21145 | Rcnstj Midface Lefort I 1 Piece W/Bone Grafts | $144,916 | $86,950 | — | — | 1 |
| CASE-21196 | Rcnstj Mndblr Rami&/Bdy Sgtl Splt W/Int Rgd Fi | $144,916 | $86,950 | — | — | 1 |
| CASE-21120 | Genioplasty Augmentation | $144,916 | $86,950 | — | — | 2 |
| SUP-2540076 | LASER ENDOSCP 20 W HOLM | $142,741 | $92,782 | — | — | 0 |
| SUP-2853216 | PUMP HEART IMPELLA 5.5 W/SMART ASSIST S2 | $141,300 | $91,845 | — | — | 0 |
| SUP-2713801 | LASER SURG FOR SLT GLAUCOMA THER W/ 3 YR WARR SELECTA II | $141,300 | $91,845 | — | — | 0 |
| SUP-2106273 | CANNULA VENT ASST 32FR L10MM LT ART AB KT BYPS FOR BLD PMP | $141,300 | $91,845 | — | — | 0 |
| SUP-2183060 | SET INSTR IMPL SCR DIA6.5/7.3MM COMBINED CANN | $141,088 | $91,707 | — | — | 0 |
| SUP-2126235 | GRAFT BIO TISS W11.8XL17.7IN RECT ANTI BACT SURG PORCINE | $140,837 | $91,544 | — | — | 0 |
| SUP-2912825 | KIT CAGE SPINAL APREVO 4-LEVEL | $138,160 | $89,804 | — | — | 0 |
| RX-151014 | INEBILIZUMAB-CDON 100 MG/10ML IV SOLN | $137,911 | $89,642 | — | — | 0 |
| SUP-2177061 | SET IMPL 3.5MM LO PROF PELV SYS | $136,236 | $88,553 | — | — | 0 |
| CASE-22634 | Arthrodesis Cmbn Tq 1ntrspc Each Additional | $136,204 | $81,723 | — | — | 3 |
| SUP-2930358 | VALVE TRICSP EVOQUE SZ 44 MM NIT SELF EXPANDABLE THERMAFIX | $135,020 | $87,763 | — | — | 0 |
| RX-1150551 | RAVULIZUMAB-CWVZ 100 MG/ML IV SOLN (MIXTURES ONLY) | $134,888 | $87,677 | — | — | 0 |
| CASE-15777 | Implnt Bio Implnt for Soft Tissue Reinforcement|RIGHT SIDE | $131,722 | $79,033 | — | — | 2 |
| CASE-19350 | Nipple/Areola Reconstruction|BILATERAL PROCEDURE | $131,722 | $79,033 | — | — | 0 |
| SUP-2175903 | GENERATOR NEUROSTIMULATOR W/SINGLE LEAD FOR MODEL 1000 | $129,767 | $84,348 | — | — | 0 |
| SUP-2859842 | PLATE BNE RADIAL DSTL | $129,085 | $83,906 | — | — | 0 |
| SUP-2177067 | SET ORTH GRPHC CA W/ K WIRE FOR MOD MINI FRAG INSTR AND | $128,032 | $83,221 | — | — | 0 |
| SUP-2126246 | IMPLANT BIO TISS W18 25XL450MM THCK CLLGN DERM MTRX XENMTRX | $125,690 | $81,699 | — | — | 0 |
| CASE-15879 | Suction Assisted Lipectomy Lower Extremity|BILATERAL PROCEDURE | $124,491 | $74,695 | — | — | 3 |
| SUP-2448626 | LINER ACET CONSTRN 28 MM EPSILON | $124,429 | $80,879 | — | — | 0 |
| SUP-2895994 | SYSTEM VLV REP TRICLIP G4 TRICSP VLV TRANSCATHETER EDGE TO | $122,460 | $79,599 | — | — | 0 |
| CASE-19342 | Insj/Rplcmt Breast Implant Sep Day Mastectomy|BILATERAL PROCEDURE|UNUSUAL NON-OVERLAPPING SERVICE | $120,171 | $72,103 | — | — | 5 |
| CASE-43282 | Laps Rpr Paraesphgl Hrna Incl Fundplsty W/Mesh | $119,564 | $71,738 | — | — | 4 |
Showing top 50 of 60,271 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.