45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●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
6,010
Insurances with rates
13
CPT / HCPCS codes
4,016
Most expensive procedures (gross)
C1882
$96,493
ICD Bi-V Momentum X4 1S4 DF1
Gross
$107,214
C1882
$96,493
ICD Bi-V Momentum X4 1S4 DF1
Gross
$107,214
C1781
$91,854
Graft Sft Tis 40X30CM Srg Mtrx
Gross
$102,060
C1781
$91,854
Graft Sft Tis 40X30CM Srg Mtrx
Gross
$102,060
C1721
$69,031
Defib Cardic Dynagen Df4 D152
Gross
$76,701
C1721
$69,031
Defib Cardic Dynagen Df4 D152
Gross
$76,701
L8614
$45,900
Imp Coclr Ncl Slm Str C1622
Gross
$51,000
L8614
$45,900
Imp Coclr Ncl Slm Str C1622
Gross
$51,000
33264
$45,644
Removal of Implantable Defib
Gross
$50,716
33264
$45,644
Removal of Implantable Defib
Gross
$50,716
Q4130
$41,872
Matrix Tiss Strat 600SqCM Rcon
Gross
$46,524
Q4130
$41,872
Matrix Tiss Strat 600SqCM Rcon
Gross
$46,524
C9607
$31,854
Chronic Ttl Occl DES PCI
Gross
$35,393
C9607
$31,854
Chronic Ttl Occl DES PCI
Gross
$35,393
C1767
$31,458
Neurostimulator Non-Rchrg
Gross
$34,953
C1767
$31,458
Neurostimulator Non-Rchrg
Gross
$34,953
C9606
$29,979
Acute MI DES PCI
Gross
$33,310
C9606
$29,979
Acute MI DES PCI
Gross
$33,310
J3101
$28,426
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
J3101
$28,426
Tenecteplase 50 Mg/10 Ml Syrng
Gross
$31,584
92941
$26,680
Pci Acute Mi
Gross
$29,644
92941
$26,680
Pci Acute Mi
Gross
$29,644
C1786
$25,107
Pacemaker Acld Mri 1 Chmb
Gross
$27,897
C1786
$25,107
Pacemaker Acld Mri 1 Chmb
Gross
$27,897
C9604
$24,591
DES Graft PCI
Gross
$27,323
C9604
$24,591
DES Graft PCI
Gross
$27,323
C9600
$20,953
DES PTCA
Gross
$23,281
C9600
$20,953
DES PTCA
Gross
$23,281
C9601
$20,552
DES PTCA Each Add
Gross
$22,835
C9601
$20,552
DES PTCA Each Add
Gross
$22,835
93461
$18,566
R/LHC WWO LV SCA Bypass Graft
Gross
$20,629
93461
$18,566
R/LHC WWO LV SCA Bypass Graft
Gross
$20,629
0152U
$17,083
Karius
Gross
$18,981
0152U
$17,083
Karius
Gross
$18,981
36906
$16,856
PTA Periph Dial Seg W Stent
Gross
$18,729
36906
$16,856
PTA Periph Dial Seg W Stent
Gross
$18,729
93453
$14,334
Rt Lt Hrt Cath
Gross
$15,927
93453
$14,334
Rt Lt Hrt Cath
Gross
$15,927
93458
$14,243
LT Heart Cath WWO Lv SCA
Gross
$15,825
93458
$14,243
LT Heart Cath WWO Lv SCA
Gross
$15,825
Q4104
$13,647
Dressing Bio Intgr 125SqCM Msh
Gross
$15,163
Q4104
$13,647
Dressing Bio Intgr 125SqCM Msh
Gross
$15,163
C1764
$13,487
System Card Mntr Rvl Linq 2
Gross
$14,985
C1764
$13,487
System Card Mntr Rvl Linq 2
Gross
$14,985
92973
$13,160
Thrombectomy
Gross
$14,622
92973
$13,160
Thrombectomy
Gross
$14,622
22514
$13,134
Kyphoplasty Lumbar
Gross
$14,593
22514
$13,134
Kyphoplasty Lumbar
Gross
$14,593
92920
$12,873
Angioplasty
Gross
$14,303
92920
$12,873
Angioplasty
Gross
$14,303
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1882 | ICD Bi-V Momentum X4 1S4 DF1 | $107,214 | $96,493 | — | — | 3 |
| C1882 | ICD Bi-V Momentum X4 1S4 DF1 | $107,214 | $96,493 | — | — | 5 |
| C1781 | Graft Sft Tis 40X30CM Srg Mtrx | $102,060 | $91,854 | — | — | 3 |
| C1781 | Graft Sft Tis 40X30CM Srg Mtrx | $102,060 | $91,854 | — | — | 10 |
| C1721 | Defib Cardic Dynagen Df4 D152 | $76,701 | $69,031 | — | — | 3 |
| C1721 | Defib Cardic Dynagen Df4 D152 | $76,701 | $69,031 | — | — | 5 |
| L8614 | Imp Coclr Ncl Slm Str C1622 | $51,000 | $45,900 | — | — | 3 |
| L8614 | Imp Coclr Ncl Slm Str C1622 | $51,000 | $45,900 | — | — | 7 |
| 33264 | Removal of Implantable Defib | $50,716 | $45,644 | — | — | 3 |
| 33264 | Removal of Implantable Defib | $50,716 | $45,644 | — | — | 5 |
| Q4130 | Matrix Tiss Strat 600SqCM Rcon | $46,524 | $41,872 | — | — | 3 |
| Q4130 | Matrix Tiss Strat 600SqCM Rcon | $46,524 | $41,872 | — | — | 4 |
| C9607 | Chronic Ttl Occl DES PCI | $35,393 | $31,854 | — | — | 3 |
| C9607 | Chronic Ttl Occl DES PCI | $35,393 | $31,854 | — | — | 5 |
| C1767 | Neurostimulator Non-Rchrg | $34,953 | $31,458 | — | — | 3 |
| C1767 | Neurostimulator Non-Rchrg | $34,953 | $31,458 | — | — | 7 |
| C9606 | Acute MI DES PCI | $33,310 | $29,979 | — | — | 3 |
| C9606 | Acute MI DES PCI | $33,310 | $29,979 | — | — | 5 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $28,426 | — | — | 3 |
| J3101 | Tenecteplase 50 Mg/10 Ml Syrng | $31,584 | $28,426 | — | — | 6 |
| 92941 | Pci Acute Mi | $29,644 | $26,680 | — | — | 3 |
| 92941 | Pci Acute Mi | $29,644 | $26,680 | — | — | 5 |
| C1786 | Pacemaker Acld Mri 1 Chmb | $27,897 | $25,107 | — | — | 3 |
| C1786 | Pacemaker Acld Mri 1 Chmb | $27,897 | $25,107 | — | — | 5 |
| C9604 | DES Graft PCI | $27,323 | $24,591 | — | — | 3 |
| C9604 | DES Graft PCI | $27,323 | $24,591 | — | — | 5 |
| C9600 | DES PTCA | $23,281 | $20,953 | — | — | 3 |
| C9600 | DES PTCA | $23,281 | $20,953 | — | — | 5 |
| C9601 | DES PTCA Each Add | $22,835 | $20,552 | — | — | 3 |
| C9601 | DES PTCA Each Add | $22,835 | $20,552 | — | — | 5 |
| 93461 | R/LHC WWO LV SCA Bypass Graft | $20,629 | $18,566 | — | — | 3 |
| 93461 | R/LHC WWO LV SCA Bypass Graft | $20,629 | $18,566 | — | — | 7 |
| 0152U | Karius | $18,981 | $17,083 | — | — | 3 |
| 0152U | Karius | $18,981 | $17,083 | — | — | 5 |
| 36906 | PTA Periph Dial Seg W Stent | $18,729 | $16,856 | — | — | 3 |
| 36906 | PTA Periph Dial Seg W Stent | $18,729 | $16,856 | — | — | 5 |
| 93453 | Rt Lt Hrt Cath | $15,927 | $14,334 | — | — | 3 |
| 93453 | Rt Lt Hrt Cath | $15,927 | $14,334 | — | — | 5 |
| 93458 | LT Heart Cath WWO Lv SCA | $15,825 | $14,243 | — | — | 3 |
| 93458 | LT Heart Cath WWO Lv SCA | $15,825 | $14,243 | — | — | 9 |
| Q4104 | Dressing Bio Intgr 125SqCM Msh | $15,163 | $13,647 | — | — | 3 |
| Q4104 | Dressing Bio Intgr 125SqCM Msh | $15,163 | $13,647 | — | — | 8 |
| C1764 | System Card Mntr Rvl Linq 2 | $14,985 | $13,487 | — | — | 3 |
| C1764 | System Card Mntr Rvl Linq 2 | $14,985 | $13,487 | — | — | 7 |
| 92973 | Thrombectomy | $14,622 | $13,160 | — | — | 3 |
| 92973 | Thrombectomy | $14,622 | $13,160 | — | — | 5 |
| 22514 | Kyphoplasty Lumbar | $14,593 | $13,134 | — | — | 3 |
| 22514 | Kyphoplasty Lumbar | $14,593 | $13,134 | — | — | 7 |
| 92920 | Angioplasty | $14,303 | $12,873 | — | — | 3 |
| 92920 | Angioplasty | $14,303 | $12,873 | — | — | 7 |
Showing top 50 of 6,010 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.