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
181,769
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
Rx64406005801
$551,250
NUSINERSEN INTRATHECAL SOLN 12 MG/5ML (2.4 MG/ML)
Gross
$787,500
Sx0570500-001
$258,647
TRL HEART ARTFCL TAH-T KT 50CC
Gross
$369,495
Sx000106524US
$156,375
IMP KIT LVAD HEARTMATE3
Gross
$223,392
Rx30237890006
$146,116
SIPULEUCEL-T IV SUSP 50,000,000 CELLS
Gross
$208,737
Sx00000106015
$126,788
KIT FULL HRTMTE II VAD
Gross
$181,125
Rx67979000201
$123,005
HISTRELIN ACETATE (CPP) IMPLANT KIT 50 MG
Gross
$175,721
Sx000005500US
$117,596
SET HVAD IMP STRL
Gross
$167,995
Rx50242055401
$117,312
OCRELIZUMAB-HYALURONIDASE-OCSQ INJ 920-23000 MG-UNIT/23ML
Gross
$167,588
Sx00000107801
$115,196
KIT PARTIAL HRTMTE II VAD
Gross
$164,565
Rx50633021011
$101,588
GLUCARPIDASE FOR IV INJ 1000 UNIT
Gross
$145,126
Rx00003232822
$99,897
IPILIMUMAB SOLN FOR IV INFUSION 200 MG/40ML (5 MG/ML)
Gross
$142,710
Rx72694051501
$67,034
CALASPARGASE PEGOL-MKNL IV SOLN 3750 UNIT/5ML (750 UNIT/ML)
Gross
$95,763
Sx0EVQ1A2US44
$62,307
VALVE TRICUSPID TRANSCATHETER REPL EVOQUE EVQ1A2US44 44MM
Gross
$89,010
Sx0EVQ1A2US48
$62,307
VALVE TRICUSPID TRANSCATHETER REPL EVOQUE EVQ1A2US48 48MM
Gross
$89,010
Sx0EVQ1A2US52
$62,307
VALVE TRICUSPID TRANSCATHETER REPL EVOQUE EVQ1A2US52 52MM
Gross
$89,010
Sx0EVQ1A2US56
$62,307
VALVE TRICUSPID REPLACEMENT SYSTEM 56MM EVQ1A2US56
Gross
$89,010
Rx00078073461
$60,768
CANAKINUMAB SUBCUTANEOUS INJ 150 MG/ML
Gross
$86,812
Rx58468020001
$60,743
ALEMTUZUMAB IV INJ 12 MG/1.2ML (10 MG/ML)
Gross
$86,776
Sx0S3PAS4045A
$60,134
KIT HRT VLV TPV SAPIEN 3 29MM
Gross
$85,905
Sx00001000100
$59,409
KIT VENTRICULAR ASSIST DEVICE PUMP IMPELLA 5.5 SMARTASSIST 1000100
Gross
$84,870
Sx009999.3414
$56,430
NAIL INTRAMEDULLARY BONE FEMORAL P2 99993414 TITANIUM
Gross
$80,614
Sx009999.3419
$56,430
NAIL INTRAMEDULLARY BONE TIBIAL P2 99993419 TITANIUM
Gross
$80,614
Sx009999.3424
$56,430
NAIL INTRAMEDULLARY BONE HUMERAL BILATERAL UNYTE 99993424
Gross
$80,614
Rx72694095401
$56,102
PEGASPARGASE INJ 750 UNIT/ML
Gross
$80,146
Sx00000001000
$54,650
GENRTR VIPG VNS SENTIVA
Gross
$78,071
Sx0000001000D
$54,650
GENERATOR NEUROSTIMULATOR EPILEPSY VAGUS NERVE SENTIVA DUO 1000D
Gross
$78,071
Rx76128015575
$53,375
PORFIMER SODIUM FOR INJ 75 MG
Gross
$76,250
Sx000TCG40100
$52,164
KIT TRICLIP G4 SYSTEM TCG40100
Gross
$74,520
Sx000TCG50100
$52,164
KIT TRICLIP G5 SYSTEM TCG50100
Gross
$74,520
Px00048100044
$50,929
HC PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL CDM
Gross
$72,756
Sx000550-0008
$50,715
KIT CATH ACCESS IMPELLA 5.5
Gross
$72,450
Sx00S3URCM20A
$49,266
KIT VLV CORONARY 20MM AORTIC SAPIEN3 ULTRA RESILIA
Gross
$70,380
Sx00S3URCM23A
$49,266
KIT VLV CORONARY 23MM AORTIC SAPIEN3 ULTRA RESILIA
Gross
$70,380
Sx00S3URCM26A
$49,266
KIT VLV CORONARY 26MM AORTIC SAPIEN3 ULTRA RESILIA
Gross
$70,380
Sx00S3URCM29A
$49,266
KIT VLV CORONARY 29MM AORTIC SAPIEN3 ULTRA RESILIA
Gross
$70,380
Sx00000000106
$48,575
GENERATOR NERVE STIM 14CC VNS 106
Gross
$69,393
Sx000CP562286
$47,884
IMP HUM EXP CMPR SRS 174MM LT
Gross
$68,406
Sx0HARMONY-22
$47,817
VALVE PULMONARY TRANSCATHETER RVOT HARMONY HARMONY22 25FRX22MM
Gross
$68,310
Sx0HARMONY-25
$47,817
VALVE PULMONARY TRANSCATHETER RVOT HARMONY HARMONY25 25FRX25MM
Gross
$68,310
Sx00001195050
$47,440
MESH PHASIX SQ 50X50CM
Gross
$67,772
Sx009355NF23A
$47,093
KIT HRT VLV SAPIEN XT FEM 23MM
Gross
$67,275
Sx009355NF26A
$47,093
KIT HRT VLV SAPIEN XT FEM 26MM
Gross
$67,275
Sx009355NF29A
$47,093
KIT HRT VLV SAPIEN XT FEM 29MM
Gross
$67,275
Sx009600CM20A
$47,093
KIT HRT VLV TAVR SAPIEN 3 20MM
Gross
$67,275
Sx009600CM23A
$47,093
KIT HRT VLV TAVR SAPIEN 3 23MM
Gross
$67,275
Sx009600CM26A
$47,093
KIT HRT VLV TAVR SAPIEN 3 26MM
Gross
$67,275
Sx009600CM29A
$47,093
KIT HRT VLV TAVR SAPIEN 3 29MM
Gross
$67,275
Sx009600CT20A
$47,093
KIT VLV TRNSCATH SAPIEN 3 20MM
Gross
$67,275
Sx009600CT23A
$47,093
KIT VLV TRNSCATH SAPIEN 3 23MM
Gross
$67,275
Sx009600CT26A
$47,093
KIT VLV TRNSCATH SAPIEN 3 26MM
Gross
$67,275
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Rx64406005801 | NUSINERSEN INTRATHECAL SOLN 12 MG/5ML (2.4 MG/ML) | $787,500 | $551,250 | — | — | 0 |
| Sx0570500-001 | TRL HEART ARTFCL TAH-T KT 50CC | $369,495 | $258,647 | — | — | 0 |
| Sx000106524US | IMP KIT LVAD HEARTMATE3 | $223,392 | $156,375 | — | — | 0 |
| Rx30237890006 | SIPULEUCEL-T IV SUSP 50,000,000 CELLS | $208,737 | $146,116 | — | — | 0 |
| Sx00000106015 | KIT FULL HRTMTE II VAD | $181,125 | $126,788 | — | — | 0 |
| Rx67979000201 | HISTRELIN ACETATE (CPP) IMPLANT KIT 50 MG | $175,721 | $123,005 | — | — | 0 |
| Sx000005500US | SET HVAD IMP STRL | $167,995 | $117,596 | — | — | 0 |
| Rx50242055401 | OCRELIZUMAB-HYALURONIDASE-OCSQ INJ 920-23000 MG-UNIT/23ML | $167,588 | $117,312 | — | — | 0 |
| Sx00000107801 | KIT PARTIAL HRTMTE II VAD | $164,565 | $115,196 | — | — | 0 |
| Rx50633021011 | GLUCARPIDASE FOR IV INJ 1000 UNIT | $145,126 | $101,588 | — | — | 0 |
| Rx00003232822 | IPILIMUMAB SOLN FOR IV INFUSION 200 MG/40ML (5 MG/ML) | $142,710 | $99,897 | — | — | 0 |
| Rx72694051501 | CALASPARGASE PEGOL-MKNL IV SOLN 3750 UNIT/5ML (750 UNIT/ML) | $95,763 | $67,034 | — | — | 0 |
| Sx0EVQ1A2US44 | VALVE TRICUSPID TRANSCATHETER REPL EVOQUE EVQ1A2US44 44MM | $89,010 | $62,307 | — | — | 0 |
| Sx0EVQ1A2US48 | VALVE TRICUSPID TRANSCATHETER REPL EVOQUE EVQ1A2US48 48MM | $89,010 | $62,307 | — | — | 0 |
| Sx0EVQ1A2US52 | VALVE TRICUSPID TRANSCATHETER REPL EVOQUE EVQ1A2US52 52MM | $89,010 | $62,307 | — | — | 0 |
| Sx0EVQ1A2US56 | VALVE TRICUSPID REPLACEMENT SYSTEM 56MM EVQ1A2US56 | $89,010 | $62,307 | — | — | 0 |
| Rx00078073461 | CANAKINUMAB SUBCUTANEOUS INJ 150 MG/ML | $86,812 | $60,768 | — | — | 0 |
| Rx58468020001 | ALEMTUZUMAB IV INJ 12 MG/1.2ML (10 MG/ML) | $86,776 | $60,743 | — | — | 0 |
| Sx0S3PAS4045A | KIT HRT VLV TPV SAPIEN 3 29MM | $85,905 | $60,134 | — | — | 0 |
| Sx00001000100 | KIT VENTRICULAR ASSIST DEVICE PUMP IMPELLA 5.5 SMARTASSIST 1000100 | $84,870 | $59,409 | — | — | 0 |
| Sx009999.3414 | NAIL INTRAMEDULLARY BONE FEMORAL P2 99993414 TITANIUM | $80,614 | $56,430 | — | — | 0 |
| Sx009999.3419 | NAIL INTRAMEDULLARY BONE TIBIAL P2 99993419 TITANIUM | $80,614 | $56,430 | — | — | 0 |
| Sx009999.3424 | NAIL INTRAMEDULLARY BONE HUMERAL BILATERAL UNYTE 99993424 | $80,614 | $56,430 | — | — | 0 |
| Rx72694095401 | PEGASPARGASE INJ 750 UNIT/ML | $80,146 | $56,102 | — | — | 0 |
| Sx00000001000 | GENRTR VIPG VNS SENTIVA | $78,071 | $54,650 | — | — | 0 |
| Sx0000001000D | GENERATOR NEUROSTIMULATOR EPILEPSY VAGUS NERVE SENTIVA DUO 1000D | $78,071 | $54,650 | — | — | 0 |
| Rx76128015575 | PORFIMER SODIUM FOR INJ 75 MG | $76,250 | $53,375 | — | — | 0 |
| Sx000TCG40100 | KIT TRICLIP G4 SYSTEM TCG40100 | $74,520 | $52,164 | — | — | 0 |
| Sx000TCG50100 | KIT TRICLIP G5 SYSTEM TCG50100 | $74,520 | $52,164 | — | — | 0 |
| Px00048100044 | HC PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL CDM | $72,756 | $50,929 | — | — | 0 |
| Sx000550-0008 | KIT CATH ACCESS IMPELLA 5.5 | $72,450 | $50,715 | — | — | 0 |
| Sx00S3URCM20A | KIT VLV CORONARY 20MM AORTIC SAPIEN3 ULTRA RESILIA | $70,380 | $49,266 | — | — | 0 |
| Sx00S3URCM23A | KIT VLV CORONARY 23MM AORTIC SAPIEN3 ULTRA RESILIA | $70,380 | $49,266 | — | — | 0 |
| Sx00S3URCM26A | KIT VLV CORONARY 26MM AORTIC SAPIEN3 ULTRA RESILIA | $70,380 | $49,266 | — | — | 0 |
| Sx00S3URCM29A | KIT VLV CORONARY 29MM AORTIC SAPIEN3 ULTRA RESILIA | $70,380 | $49,266 | — | — | 0 |
| Sx00000000106 | GENERATOR NERVE STIM 14CC VNS 106 | $69,393 | $48,575 | — | — | 0 |
| Sx000CP562286 | IMP HUM EXP CMPR SRS 174MM LT | $68,406 | $47,884 | — | — | 0 |
| Sx0HARMONY-22 | VALVE PULMONARY TRANSCATHETER RVOT HARMONY HARMONY22 25FRX22MM | $68,310 | $47,817 | — | — | 0 |
| Sx0HARMONY-25 | VALVE PULMONARY TRANSCATHETER RVOT HARMONY HARMONY25 25FRX25MM | $68,310 | $47,817 | — | — | 0 |
| Sx00001195050 | MESH PHASIX SQ 50X50CM | $67,772 | $47,440 | — | — | 0 |
| Sx009355NF23A | KIT HRT VLV SAPIEN XT FEM 23MM | $67,275 | $47,093 | — | — | 0 |
| Sx009355NF26A | KIT HRT VLV SAPIEN XT FEM 26MM | $67,275 | $47,093 | — | — | 0 |
| Sx009355NF29A | KIT HRT VLV SAPIEN XT FEM 29MM | $67,275 | $47,093 | — | — | 0 |
| Sx009600CM20A | KIT HRT VLV TAVR SAPIEN 3 20MM | $67,275 | $47,093 | — | — | 0 |
| Sx009600CM23A | KIT HRT VLV TAVR SAPIEN 3 23MM | $67,275 | $47,093 | — | — | 0 |
| Sx009600CM26A | KIT HRT VLV TAVR SAPIEN 3 26MM | $67,275 | $47,093 | — | — | 0 |
| Sx009600CM29A | KIT HRT VLV TAVR SAPIEN 3 29MM | $67,275 | $47,093 | — | — | 0 |
| Sx009600CT20A | KIT VLV TRNSCATH SAPIEN 3 20MM | $67,275 | $47,093 | — | — | 0 |
| Sx009600CT23A | KIT VLV TRNSCATH SAPIEN 3 23MM | $67,275 | $47,093 | — | — | 0 |
| Sx009600CT26A | KIT VLV TRNSCATH SAPIEN 3 26MM | $67,275 | $47,093 | — | — | 0 |
Showing top 50 of 181,769 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.