45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●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
2,292
Insurances with rates
8
CPT / HCPCS codes
2,246
Most expensive procedures (gross)
J7330
$99,699
MEMBRANE MACI AUTO CULTURED
Gross
$142,427
C1889
$98,000
IMPLANT/INSERT DEVICE, NOC
Gross
$140,000
C1767
$68,300
GENERATOR, NEURO NON-RECHARG
Gross
$97,571
C1712
$50,750
SYSTEM ICD DYNAGEN EL DR DF4
Gross
$72,500
C1882
$49,000
AICD, OTHER THAN SING/DUAL
Gross
$70,000
C1820
$44,100
KIT IPG WAVEWRITER SC-1232
Gross
$63,000
C2624
$42,998
SYSTEM CARDIO MEMS PA SENSOR
Gross
$61,425
C2616
$41,672
BRACHYTX, NON-STR,YTTRIUM-90
Gross
$59,532
C1721
$36,750
AICD, DUAL CHAMBER
Gross
$52,500
C1722
$35,000
AICD, SINGLE CHAMBER
Gross
$50,000
C1772
$33,516
INFUSION PUMP, PROGRAMMABLE
Gross
$47,880
C9610
$31,640
CATH CORONARY DRUG-DELIVERY
Gross
$45,200
C1761
$26,320
CATH, TRANS INTRA LITHO/CORO
Gross
$37,600
C1733
$24,255
CATH, EP, OTHR THAN COOL-TIP
Gross
$34,650
37244
$20,344
HC EMBO OR OCCLUDE VASCULAR HEMORRHAGE S&I
Gross
$29,063
Q4130
$19,649
MATRIX TISSUE STRATTICE 16X20
Gross
$28,070
C1817
$19,378
SEPTAL DEFECT IMP SYS
Gross
$27,682
C1813
$18,613
PROSTHESIS, PENILE, INFLATAB
Gross
$26,590
E0749
$17,812
STIMULATOR OSTEOGEN-20
Gross
$25,446
C2621
$17,500
PMKR, OTHER THAN SING/DUAL
Gross
$25,000
C1982
$17,089
CATH, PRESSURE,VALVE-OCCLU
Gross
$24,413
C1815
$14,861
SPHINCTER URINARY 3.5CM
Gross
$21,230
C1757
$14,822
CATH, THROMBECTOMY/EMBOLECT
Gross
$21,174
C1778
$14,729
LEAD, NEUROSTIMULATOR
Gross
$21,042
81223
$13,475
HC CFTR GENE ANALY FULL GENE SEQ
Gross
$19,250
Q4128
$13,170
FLEX HD PERF THIN SM 10X17 BIL
Gross
$18,814
C1768
$11,855
GRAFT, VASCULAR
Gross
$16,935
C1885
$10,798
CATH, TRANSLUMIN ANGIO LASER
Gross
$15,425
J0517
$10,755
BENRALIZUMAB 30 MG/ML SC WRAP
Gross
$15,364
C1777
$10,500
LEAD, AICD, ENDO SINGLE COIL
Gross
$15,000
C1785
$10,500
PMKR, DUAL, RATE-RESP
Gross
$15,000
C1878
$10,297
KIT DEPTH LEAD 30CM X 10MM
Gross
$14,711
Q4107
$10,165
GRAFTJACKET MAXFORCE EXTRE 4X7
Gross
$14,522
L8614
$9,940
IMPL COCHLEAR OSIA MDL OSI300
Gross
$14,199
C1764
$9,923
EVENT RECORDER, CARDIAC
Gross
$14,175
C1895
$9,800
LEAD, AICD, ENDO DUAL COIL
Gross
$14,000
C1786
$9,625
PMKR, SINGLE, RATE-RESP
Gross
$13,750
Q4114
$9,517
DRSG FLOWABLE WOUND MATRIX
Gross
$13,596
J2506
$9,180
PEGFILGRASTIM 6 MG/0.6ML SC SOSY
Gross
$13,114
C1732
$8,985
CATH, EP, DIAG/ABL, 3D/VECT
Gross
$12,836
C1874
$8,946
STENT, COATED/COV W/DEL SYS
Gross
$12,780
C2625
$8,575
STENT, NON-COR, TEM W/DEL SY
Gross
$12,250
81292
$8,530
HC MLH1 GENE ANALY FULL SEQ ANALY
Gross
$12,185
C1760
$8,050
CLOSURE DEV, VASC
Gross
$11,500
C2629
$7,629
INTRO/SHEATH, LASER
Gross
$10,899
81295
$7,585
HC MSH2 GENE ANALY FULL SEQ ANALY
Gross
$10,836
J1306
$7,531
INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY
Gross
$10,759
C1886
$7,257
CATHETER, ABLATION
Gross
$10,367
C9356
$7,188
PROTECTOR TENDON TENOGLIDE 4X5
Gross
$10,269
C1714
$6,935
CATH, TRANS ATHERECTOMY, DIR
Gross
$9,907
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J7330 | MEMBRANE MACI AUTO CULTURED | $142,427 | $99,699 | — | — | 24 |
| C1889 | IMPLANT/INSERT DEVICE, NOC | $140,000 | $98,000 | — | — | 1080 |
| C1767 | GENERATOR, NEURO NON-RECHARG | $97,571 | $68,300 | — | — | 72 |
| C1712 | SYSTEM ICD DYNAGEN EL DR DF4 | $72,500 | $50,750 | — | — | 24 |
| C1882 | AICD, OTHER THAN SING/DUAL | $70,000 | $49,000 | — | — | 72 |
| C1820 | KIT IPG WAVEWRITER SC-1232 | $63,000 | $44,100 | — | — | 24 |
| C2624 | SYSTEM CARDIO MEMS PA SENSOR | $61,425 | $42,998 | — | — | 22 |
| C2616 | BRACHYTX, NON-STR,YTTRIUM-90 | $59,532 | $41,672 | — | — | 27 |
| C1721 | AICD, DUAL CHAMBER | $52,500 | $36,750 | — | — | 120 |
| C1722 | AICD, SINGLE CHAMBER | $50,000 | $35,000 | — | — | 96 |
| C1772 | INFUSION PUMP, PROGRAMMABLE | $47,880 | $33,516 | — | — | 48 |
| C9610 | CATH CORONARY DRUG-DELIVERY | $45,200 | $31,640 | — | — | 25 |
| C1761 | CATH, TRANS INTRA LITHO/CORO | $37,600 | $26,320 | — | — | 48 |
| C1733 | CATH, EP, OTHR THAN COOL-TIP | $34,650 | $24,255 | — | — | 110 |
| 37244 | HC EMBO OR OCCLUDE VASCULAR HEMORRHAGE S&I | $29,063 | $20,344 | — | — | 27 |
| Q4130 | MATRIX TISSUE STRATTICE 16X20 | $28,070 | $19,649 | — | — | 25 |
| C1817 | SEPTAL DEFECT IMP SYS | $27,682 | $19,378 | — | — | 44 |
| C1813 | PROSTHESIS, PENILE, INFLATAB | $26,590 | $18,613 | — | — | 44 |
| E0749 | STIMULATOR OSTEOGEN-20 | $25,446 | $17,812 | — | — | 22 |
| C2621 | PMKR, OTHER THAN SING/DUAL | $25,000 | $17,500 | — | — | 96 |
| C1982 | CATH, PRESSURE,VALVE-OCCLU | $24,413 | $17,089 | — | — | 24 |
| C1815 | SPHINCTER URINARY 3.5CM | $21,230 | $14,861 | — | — | 24 |
| C1757 | CATH, THROMBECTOMY/EMBOLECT | $21,174 | $14,822 | — | — | 396 |
| C1778 | LEAD, NEUROSTIMULATOR | $21,042 | $14,729 | — | — | 192 |
| 81223 | HC CFTR GENE ANALY FULL GENE SEQ | $19,250 | $13,475 | — | — | 27 |
| Q4128 | FLEX HD PERF THIN SM 10X17 BIL | $18,814 | $13,170 | — | — | 25 |
| C1768 | GRAFT, VASCULAR | $16,935 | $11,855 | — | — | 1254 |
| C1885 | CATH, TRANSLUMIN ANGIO LASER | $15,425 | $10,798 | — | — | 44 |
| J0517 | BENRALIZUMAB 30 MG/ML SC WRAP | $15,364 | $10,755 | — | — | 108 |
| C1777 | LEAD, AICD, ENDO SINGLE COIL | $15,000 | $10,500 | — | — | 48 |
| C1785 | PMKR, DUAL, RATE-RESP | $15,000 | $10,500 | — | — | 24 |
| C1878 | KIT DEPTH LEAD 30CM X 10MM | $14,711 | $10,297 | — | — | 24 |
| Q4107 | GRAFTJACKET MAXFORCE EXTRE 4X7 | $14,522 | $10,165 | — | — | 25 |
| L8614 | IMPL COCHLEAR OSIA MDL OSI300 | $14,199 | $9,940 | — | — | 24 |
| C1764 | EVENT RECORDER, CARDIAC | $14,175 | $9,923 | — | — | 48 |
| C1895 | LEAD, AICD, ENDO DUAL COIL | $14,000 | $9,800 | — | — | 48 |
| C1786 | PMKR, SINGLE, RATE-RESP | $13,750 | $9,625 | — | — | 72 |
| Q4114 | DRSG FLOWABLE WOUND MATRIX | $13,596 | $9,517 | — | — | 24 |
| J2506 | PEGFILGRASTIM 6 MG/0.6ML SC SOSY | $13,114 | $9,180 | — | — | 27 |
| C1732 | CATH, EP, DIAG/ABL, 3D/VECT | $12,836 | $8,985 | — | — | 154 |
| C1874 | STENT, COATED/COV W/DEL SYS | $12,780 | $8,946 | — | — | 912 |
| C2625 | STENT, NON-COR, TEM W/DEL SY | $12,250 | $8,575 | — | — | 120 |
| 81292 | HC MLH1 GENE ANALY FULL SEQ ANALY | $12,185 | $8,530 | — | — | 27 |
| C1760 | CLOSURE DEV, VASC | $11,500 | $8,050 | — | — | 144 |
| C2629 | INTRO/SHEATH, LASER | $10,899 | $7,629 | — | — | 22 |
| 81295 | HC MSH2 GENE ANALY FULL SEQ ANALY | $10,836 | $7,585 | — | — | 27 |
| J1306 | INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY | $10,759 | $7,531 | — | — | 54 |
| C1886 | CATHETER, ABLATION | $10,367 | $7,257 | — | — | 44 |
| C9356 | PROTECTOR TENDON TENOGLIDE 4X5 | $10,269 | $7,188 | — | — | 22 |
| C1714 | CATH, TRANS ATHERECTOMY, DIR | $9,907 | $6,935 | — | — | 22 |
Showing top 50 of 2,292 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.