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: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
22,275
Insurances with rates
12
CPT / HCPCS codes
13,626
Most expensive procedures (gross)
2568202801
$139,287
ULTOMIRIS 1100 MG/11ML IV SOLN
Gross
$278,574
2568200101
$58,707
SOLIRIS 300 MG/30ML IV SOLN
Gross
$117,414
36100040-19-2267
$55,316
Ins/Rplcmt Icd Sngl/Dual Implant
Gross
$110,632
36100044-19-2263
$52,285
Ins/Rpl Subq Defib W/ Electrodes
Gross
$104,571
36100032-19-2275
$43,736
Ins Pulse Gen W Exist Dual Leads
Gross
$87,473
36100033-19-2274
$43,736
Inspulse Gen W Exist Multiple Leads
Gross
$87,473
36100043-19-2264
$42,986
Icd Biv Gen Change
Gross
$85,972
36100042-19-2265
$42,986
Icd Dual Gen Change
Gross
$85,972
36100041-19-2266
$42,986
Icd Single Gen Change
Gross
$85,972
36100037-19-2270
$41,768
Ins Defib Pls Gen W Existing Sgl Lead
Gross
$83,537
7347530415
$40,392
VYVGART 400 MG/20ML IV SOLN
Gross
$80,784
6383382502
$39,375
BERINERT 500 UNITS IV KIT
Gross
$78,750
27800571-19-4409
$32,921
C-Defib,Dual Chamber Implant
Gross
$65,842
27500004-19-4526
$29,828
Bi-V Defibrillator
Gross
$59,657
5063312011
$28,854
DIGIFAB 40 MG IV SOLR
Gross
$57,707
5063311011
$27,823
CROFAB IV SOLR
Gross
$55,645
0169720501
$26,970
NOVOSEVEN RT 5 MG IV SOLR
Gross
$53,940
36100123-19-2194
$25,836
Tib per Revasc Stnt Ath Sed
Gross
$51,673
36100195-19-2124
$24,941
Intracranial Prlng Admin Rx Agnt Init
Gross
$49,883
36100194-19-2125
$24,941
Mech Thromb/Inf Intracranial
Gross
$49,883
36100119-19-2198
$24,602
Fem Pop Revas Stnt Ather Sed
Gross
$49,203
48000002-19-1582
$23,554
Insj/Rpl Perm Leadless Pacemaker Rv W/Img
Gross
$47,109
27801355-19-4373
$22,000
Ventricular Assist Device - Impella 2.5 Liter
Gross
$44,000
27801354-19-4374
$22,000
Ventricular Assist Device - Impella Cp 3.5 Liter
Gross
$44,000
48003534-19-1533
$21,668
Vt Intracardiac Ep and Ablation
Gross
$43,337
0074501501
$21,328
SKYRIZI 600 MG/10ML IV SOLN
Gross
$42,656
5024205306
$20,435
RITUXAN 500 MG/50ML IV SOLN
Gross
$40,869
33000004-19-2644
$19,661
Mrgfus Stereotactic Ablation Lesion Intercranial
Gross
$39,323
27800485-19-4439
$18,963
C-Aicd and Single Chamber
Gross
$37,926
27801375-19-4358
$18,963
Micra Transcatheter Pacing System
Gross
$37,926
6345910450
$18,391
TRUXIMA 500 MG/50ML IV SOLN
Gross
$36,781
76101966-19-336
$17,840
Insert Trial Spinal Stimulator
Gross
$35,680
76101872-19-372
$16,991
Implant Neurostimulator
Gross
$33,981
6476430020
$16,776
ENTYVIO 300 MG IV SOLR
Gross
$33,553
36100230-19-2093
$16,712
Perc Trs Mch Thrmb Tba Img Rsi
Gross
$33,424
36100111-19-2206
$16,690
Stent Plcmt Ante Carotid
Gross
$33,379
36100228-19-2095
$16,356
Intro Ndl/Cath Stent Img Rsi
Gross
$32,712
36000227-19-2376
$16,309
Avf Use Magnetic/Art/Ven
Gross
$32,618
33300838-19-2625
$16,141
Cobalt Based Radiosurgery
Gross
$32,283
36100203-19-2116
$16,135
Place Stent Intrav Art Initial
Gross
$32,271
36100204-19-2115
$16,135
Place Stent Intrav Vein Initial
Gross
$32,271
36100131-19-2186
$15,645
Emboilize Vasc Occlude Artery
Gross
$31,290
36100132-19-2185
$15,645
Emboilize Vasc Tum/Org Isch
Gross
$31,290
36100133-19-2184
$15,645
Embolize Vasc Hem/Lymph Extrav
Gross
$31,290
48003347-19-1535
$15,637
Tx Atrial Fib Pulm Vein Isol
Gross
$31,274
48001381-19-1565
$15,591
Ep and Ablate Supravent Arr
Gross
$31,182
36100014-19-2293
$15,461
Insert or Replace Pacemaker Dual
Gross
$30,923
36100017-19-2290
$15,461
Upgrade Implant Pacemaker System
Gross
$30,923
36100130-19-2187
$15,312
Embolize Vasc Occlude Venous
Gross
$30,624
36100117-19-2200
$14,982
Fem Pop Revas W Ather Sed
Gross
$29,963
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 2568202801 | ULTOMIRIS 1100 MG/11ML IV SOLN | $278,574 | $139,287 | $225 | $201,548 | 21 |
| 2568200101 | SOLIRIS 300 MG/30ML IV SOLN | $117,414 | $58,707 | $451 | $84,949 | 21 |
| 36100040-19-2267 | Ins/Rplcmt Icd Sngl/Dual Implant | $110,632 | $55,316 | $13,680 | $110,632 | 21 |
| 36100044-19-2263 | Ins/Rpl Subq Defib W/ Electrodes | $104,571 | $52,285 | $5,087 | $104,571 | 21 |
| 36100032-19-2275 | Ins Pulse Gen W Exist Dual Leads | $87,473 | $43,736 | $5,087 | $82,851 | 21 |
| 36100033-19-2274 | Inspulse Gen W Exist Multiple Leads | $87,473 | $43,736 | $5,087 | $87,473 | 21 |
| 36100043-19-2264 | Icd Biv Gen Change | $85,972 | $42,986 | $5,087 | $85,972 | 21 |
| 36100042-19-2265 | Icd Dual Gen Change | $85,972 | $42,986 | $5,087 | $82,851 | 21 |
| 36100041-19-2266 | Icd Single Gen Change | $85,972 | $42,986 | $5,087 | $82,851 | 21 |
| 36100037-19-2270 | Ins Defib Pls Gen W Existing Sgl Lead | $83,537 | $41,768 | $13,680 | $82,851 | 21 |
| 7347530415 | VYVGART 400 MG/20ML IV SOLN | $80,784 | $40,392 | $32.15 | $58,165 | 21 |
| 6383382502 | BERINERT 500 UNITS IV KIT | $78,750 | $39,375 | $75.86 | $56,700 | 21 |
| 27800571-19-4409 | C-Defib,Dual Chamber Implant | $65,842 | $32,921 | $22,384 | $47,636 | 22 |
| 27500004-19-4526 | Bi-V Defibrillator | $59,657 | $29,828 | $22,013 | $43,162 | 22 |
| 5063312011 | DIGIFAB 40 MG IV SOLR | $57,707 | $28,854 | $4,969 | $41,549 | 21 |
| 5063311011 | CROFAB IV SOLR | $55,645 | $27,823 | $1,829 | $40,065 | 21 |
| 0169720501 | NOVOSEVEN RT 5 MG IV SOLR | $53,940 | $26,970 | $2.65 | $38,837 | 21 |
| 36100123-19-2194 | Tib per Revasc Stnt Ath Sed | $51,673 | $25,836 | $7,266 | $51,673 | 21 |
| 36100195-19-2124 | Intracranial Prlng Admin Rx Agnt Init | $49,883 | $24,941 | $3,620 | $36,115 | 21 |
| 36100194-19-2125 | Mech Thromb/Inf Intracranial | $49,883 | $24,941 | $786 | $36,115 | 21 |
| 36100119-19-2198 | Fem Pop Revas Stnt Ather Sed | $49,203 | $24,602 | $7,266 | $49,203 | 21 |
| 48000002-19-1582 | Insj/Rpl Perm Leadless Pacemaker Rv W/Img | $47,109 | $23,554 | $894 | $47,109 | 21 |
| 27801355-19-4373 | Ventricular Assist Device - Impella 2.5 Liter | $44,000 | $22,000 | $16,236 | $31,834 | 22 |
| 27801354-19-4374 | Ventricular Assist Device - Impella Cp 3.5 Liter | $44,000 | $22,000 | $16,236 | $31,834 | 22 |
| 48003534-19-1533 | Vt Intracardiac Ep and Ablation | $43,337 | $21,668 | $894 | $43,337 | 21 |
| 0074501501 | SKYRIZI 600 MG/10ML IV SOLN | $42,656 | $21,328 | $14.84 | $30,712 | 21 |
| 5024205306 | RITUXAN 500 MG/50ML IV SOLN | $40,869 | $20,435 | $75.22 | $29,426 | 21 |
| 33000004-19-2644 | Mrgfus Stereotactic Ablation Lesion Intercranial | $39,323 | $19,661 | $8,418 | $39,323 | 21 |
| 27800485-19-4439 | C-Aicd and Single Chamber | $37,926 | $18,963 | $13,995 | $27,439 | 22 |
| 27801375-19-4358 | Micra Transcatheter Pacing System | $37,926 | $18,963 | $8,548 | $27,439 | 22 |
| 6345910450 | TRUXIMA 500 MG/50ML IV SOLN | $36,781 | $18,391 | $29.38 | $26,483 | 21 |
| 76101966-19-336 | Insert Trial Spinal Stimulator | $35,680 | $17,840 | $5,505 | $25,815 | 21 |
| 76101872-19-372 | Implant Neurostimulator | $33,981 | $16,991 | $5,505 | $24,586 | 21 |
| 6476430020 | ENTYVIO 300 MG IV SOLR | $33,553 | $16,776 | $21.31 | $24,158 | 21 |
| 36100230-19-2093 | Perc Trs Mch Thrmb Tba Img Rsi | $33,424 | $16,712 | $8,856 | $33,424 | 21 |
| 36100111-19-2206 | Stent Plcmt Ante Carotid | $33,379 | $16,690 | $3,620 | $24,166 | 21 |
| 36100228-19-2095 | Intro Ndl/Cath Stent Img Rsi | $32,712 | $16,356 | $8,856 | $32,712 | 21 |
| 36000227-19-2376 | Avf Use Magnetic/Art/Ven | $32,618 | $16,309 | $4,857 | $32,618 | 21 |
| 33300838-19-2625 | Cobalt Based Radiosurgery | $32,283 | $16,141 | $2,142 | $31,133 | 21 |
| 36100203-19-2116 | Place Stent Intrav Art Initial | $32,271 | $16,135 | $5,087 | $32,271 | 21 |
| 36100204-19-2115 | Place Stent Intrav Vein Initial | $32,271 | $16,135 | $5,087 | $32,271 | 21 |
| 36100131-19-2186 | Emboilize Vasc Occlude Artery | $31,290 | $15,645 | $5,087 | $31,290 | 21 |
| 36100132-19-2185 | Emboilize Vasc Tum/Org Isch | $31,290 | $15,645 | $5,087 | $31,290 | 21 |
| 36100133-19-2184 | Embolize Vasc Hem/Lymph Extrav | $31,290 | $15,645 | $5,087 | $31,290 | 21 |
| 48003347-19-1535 | Tx Atrial Fib Pulm Vein Isol | $31,274 | $15,637 | $894 | $31,274 | 21 |
| 48001381-19-1565 | Ep and Ablate Supravent Arr | $31,182 | $15,591 | $894 | $31,182 | 21 |
| 36100014-19-2293 | Insert or Replace Pacemaker Dual | $30,923 | $15,461 | $8,596 | $30,923 | 21 |
| 36100017-19-2290 | Upgrade Implant Pacemaker System | $30,923 | $15,461 | $8,596 | $30,923 | 21 |
| 36100130-19-2187 | Embolize Vasc Occlude Venous | $30,624 | $15,312 | $5,087 | $30,624 | 21 |
| 36100117-19-2200 | Fem Pop Revas W Ather Sed | $29,963 | $14,982 | $7,266 | $29,963 | 21 |
Showing top 50 of 22,275 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.