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)
| 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.