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
60,167
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
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
SUP-2177062
$123,619
SET TRAUMA FIXATION 3.5MM DISTAL HUMERAL F/LCP PLATE
Gross
$190,183
SUP-2183094
$113,938
SET IMPL PELV INT FIX W/ ST SCR
Gross
$175,289
SUP-2817736
$104,091
UNIVERS II HUMERAL INSTRUMENTATION SET
Gross
$160,140
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
SUP-2540076
$92,782
LASER ENDOSCP 20 W HOLM
Gross
$142,741
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-2853216
$91,845
PUMP HEART IMPELLA 5.5 W/SMART ASSIST S2
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
CASE-37191
$82,620
HC Insert Ivc Filter
Gross
$137,700
CASE-37249
$82,620
Trlml Balo Angiop Open/Perq W/Img S&I Addl Vein
Gross
$137,700
SUP-2177061
$88,553
SET IMPL 3.5MM LO PROF PELV SYS
Gross
$136,236
SUP-2930358
$87,763
VALVE TRICSP EVOQUE SZ 44 MM NIT SELF EXPANDABLE THERMAFIX
Gross
$135,020
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
CASE-43659
$77,061
Unlisted Laparoscopy Procedure Stomach
Gross
$128,436
SUP-2177067
$83,221
SET ORTH GRPHC CA W/ K WIRE FOR MOD MINI FRAG INSTR AND
Gross
$128,032
CASE-43282
$75,551
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/Mesh
Gross
$125,918
SUP-2126246
$81,699
IMPLANT BIO TISS W18 25XL450MM THCK CLLGN DERM MTRX XENMTRX
Gross
$125,690
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-C9765
$72,437
HC Revasc Intra Lithotrip-Stent
Gross
$120,728
CASE-11720
$72,339
Debridement Nail Any Method 1-5
Gross
$120,566
SUP-2912824
$77,558
KIT CAGE SPINAL APREVO 3-LEVEL
Gross
$119,320
PX-4803324900
$75,057
HC Ins/Repos Leads/Gen Cd Sin/Dual
Gross
$115,473
SUP-2183070
$73,936
SET IMPL GRPHC CA INSTR W/ DRL BIT COUNTSINK SCR HNDL SL
Gross
$113,747
SUP-2496129
$73,711
SET IMPL PELVIC PRO STRYKER
Gross
$113,401
CASE-50543
$67,455
Laparoscopy Surg Partial Nephrectomy|RIGHT SIDE
Gross
$112,425
CASE-55866
$67,388
Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot
Gross
$112,313
SUP-2183074
$72,968
SET INSTR IMPL S STL W/ 2.4MM DSTL RAD PLT LCP
Gross
$112,258
SUP-2177071
$72,172
SET ORTH IMPL 3.5MM MEDL PROX TIB S STL PLT LCP
Gross
$111,033
SUP-2177076
$71,805
PLATE BONE S STL FOR 5MM SCR PERIARTC SYS LCP
Gross
$110,470
CASE-51990
$66,011
Laparoscopy Urethral Suspension Stress Incont
Gross
$110,019
| 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 |
| 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 |
| SUP-2177062 | SET TRAUMA FIXATION 3.5MM DISTAL HUMERAL F/LCP PLATE | $190,183 | $123,619 | — | — | 0 |
| SUP-2183094 | SET IMPL PELV INT FIX W/ ST SCR | $175,289 | $113,938 | — | — | 0 |
| SUP-2817736 | UNIVERS II HUMERAL INSTRUMENTATION SET | $160,140 | $104,091 | — | — | 0 |
| 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 |
| SUP-2540076 | LASER ENDOSCP 20 W HOLM | $142,741 | $92,782 | — | — | 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-2853216 | PUMP HEART IMPELLA 5.5 W/SMART ASSIST S2 | $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 |
| CASE-37191 | HC Insert Ivc Filter | $137,700 | $82,620 | — | — | 3 |
| CASE-37249 | Trlml Balo Angiop Open/Perq W/Img S&I Addl Vein | $137,700 | $82,620 | — | — | 5 |
| SUP-2177061 | SET IMPL 3.5MM LO PROF PELV SYS | $136,236 | $88,553 | — | — | 0 |
| SUP-2930358 | VALVE TRICSP EVOQUE SZ 44 MM NIT SELF EXPANDABLE THERMAFIX | $135,020 | $87,763 | — | — | 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 |
| CASE-43659 | Unlisted Laparoscopy Procedure Stomach | $128,436 | $77,061 | — | — | 3 |
| SUP-2177067 | SET ORTH GRPHC CA W/ K WIRE FOR MOD MINI FRAG INSTR AND | $128,032 | $83,221 | — | — | 0 |
| CASE-43282 | Laps Rpr Paraesphgl Hrna Incl Fundplsty W/Mesh | $125,918 | $75,551 | — | — | 4 |
| SUP-2126246 | IMPLANT BIO TISS W18 25XL450MM THCK CLLGN DERM MTRX XENMTRX | $125,690 | $81,699 | — | — | 0 |
| 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-C9765 | HC Revasc Intra Lithotrip-Stent | $120,728 | $72,437 | — | — | 7 |
| CASE-11720 | Debridement Nail Any Method 1-5 | $120,566 | $72,339 | — | — | 4 |
| SUP-2912824 | KIT CAGE SPINAL APREVO 3-LEVEL | $119,320 | $77,558 | — | — | 0 |
| PX-4803324900 | HC Ins/Repos Leads/Gen Cd Sin/Dual | $115,473 | $75,057 | — | — | 0 |
| SUP-2183070 | SET IMPL GRPHC CA INSTR W/ DRL BIT COUNTSINK SCR HNDL SL | $113,747 | $73,936 | — | — | 0 |
| SUP-2496129 | SET IMPL PELVIC PRO STRYKER | $113,401 | $73,711 | — | — | 0 |
| CASE-50543 | Laparoscopy Surg Partial Nephrectomy|RIGHT SIDE | $112,425 | $67,455 | — | — | 7 |
| CASE-55866 | Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot | $112,313 | $67,388 | — | — | 4 |
| SUP-2183074 | SET INSTR IMPL S STL W/ 2.4MM DSTL RAD PLT LCP | $112,258 | $72,968 | — | — | 0 |
| SUP-2177071 | SET ORTH IMPL 3.5MM MEDL PROX TIB S STL PLT LCP | $111,033 | $72,172 | — | — | 0 |
| SUP-2177076 | PLATE BONE S STL FOR 5MM SCR PERIARTC SYS LCP | $110,470 | $71,805 | — | — | 0 |
| CASE-51990 | Laparoscopy Urethral Suspension Stress Incont | $110,019 | $66,011 | — | — | 7 |
Showing top 50 of 60,167 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.