45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
3,361
Insurances with rates
9
CPT / HCPCS codes
3,229
Most expensive procedures (gross)
J9226
$75,272
SUPPRELIN LA IMPLANT
Gross
$150,543
J9029
$69,210
INSTILL ADSTILADRIN, TX DOSE
Gross
$138,420
33270
$8,735
INS/REP SUBQ DEFIBRILLATOR
Gross
$17,470
33202
$8,158
INSERT EPICARD ELTRD OPEN
Gross
$16,316
24341
$7,099
RPR TDN/MUSC UPR A/E EACH
Gross
$14,198
J2787
$6,840
RIBOFLAVIN PHOTREXA/VISCOUS
Gross
$13,680
J0480
$6,732
BASILIXIMAB
Gross
$13,463
27278
$6,540
ARTHRD SI JT PLMT IARTIC DEV
Gross
$13,080
27279
$6,540
ARTHRD SI JT PLMT TARTCLR DV
Gross
$13,080
20982
$6,540
ABLATE BONE TUMOR(S) PERQ
Gross
$13,080
0627T
$6,332
PERQ NJX ALGC FLUOR LMBR 1ST
Gross
$12,664
64628
$6,332
TRML DSTRJ IOS BVN 1ST 2 L/S
Gross
$12,664
27130
$6,332
TOTAL HIP ARTHROPLASTY
Gross
$12,663
63685
$4,998
INS/RPLC SPI NPG/RCVR POCKET
Gross
$9,996
62330
$4,834
DCMPRN PRQ RMV LIG FLV 1LMBR
Gross
$9,668
22513
$4,834
PERQ VERTEBRAL AUGMENTATION
Gross
$9,668
22514
$4,834
PERQ VERTEBRAL AUGMENTATION
Gross
$9,668
C9807
$4,619
NERVE STIM NON-OPIOID DEV
Gross
$9,238
33224
$4,157
INSERT PACING LEAD & CONNECT
Gross
$8,314
33214
$4,157
UPGRADE OF PACEMAKER SYSTEM
Gross
$8,314
33213
$4,157
INSERT PULSE GEN DUAL LEADS
Gross
$8,314
C1776
$4,039
JOINT DEVICE (IMPLANTABLE)
Gross
$8,078
0054T
$3,973
BONE SRGRY CMPTR FLUOR IMAGE
Gross
$7,945
300003211
$3,819
HCHG DELIVERY CHARGE
Gross
$7,638
19101
$3,750
BIOPSY OF BREAST OPEN
Gross
$7,500
54600
$3,428
REDUCE TESTIS TORSION
Gross
$6,856
19081
$3,419
BX BREAST 1ST LESION STRTCTC
Gross
$6,837
32556
$3,361
INSERT CATH PLEURA W/O IMAGE
Gross
$6,722
31613
$3,176
TRACHEOSTOMA REVJ SIMPLE
Gross
$6,351
31600
$3,176
PLANNED TRACHEOSTOMY
Gross
$6,351
57415
$3,160
REMOVE VAGINAL FOREIGN BODY
Gross
$6,320
59612
$3,160
VBAC DELIVERY ONLY
Gross
$6,320
28113
$3,134
PART REMOVAL OF METATARSAL
Gross
$6,268
22510
$3,134
PERQ CERVICOTHORACIC INJECT
Gross
$6,268
22511
$3,134
PERQ LUMBOSACRAL INJECTION
Gross
$6,268
J3240
$3,034
THYROTROPIN INJECTION
Gross
$6,067
64555
$3,018
IMPLANT NEUROELECTRODES
Gross
$6,036
63650
$3,018
IMPLANT NEUROELECTRODES
Gross
$6,036
63663
$3,018
REVISE SPINE ELTRD PERQ ARAY
Gross
$6,036
78832
$3,018
RP LOCLZJ TUM SPECT W/CT 2
Gross
$6,036
78452
$2,989
HT MUSCLE IMAGE SPECT MULT
Gross
$5,977
64489
$2,913
TAP BLOCK BI BY INFUSION
Gross
$5,825
52001
$2,881
CYSTO W/IRRG&EVAC MLT CLOTS
Gross
$5,762
63688
$2,843
REV/RMV IMP SP NPG/R DTCH CN
Gross
$5,686
27337
$2,783
EXC THIGH/KNEE LES SC 3 CM/>
Gross
$5,565
10180
$2,783
I&D COMPLEX PO WOUND INFCTJ
Gross
$5,565
21932
$2,782
EXC BACK TUM DEEP < 5 CM
Gross
$5,564
27047
$2,782
EXC HIP/PELVIS LES SC < 3 CM
Gross
$5,564
90378
$2,731
RSV MAB IM 50MG
Gross
$5,462
78830
$2,661
RP LOCLZJ TUM SPECT W/CT 1
Gross
$5,322
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9226 | SUPPRELIN LA IMPLANT | $150,543 | $75,272 | — | — | 1 |
| J9029 | INSTILL ADSTILADRIN, TX DOSE | $138,420 | $69,210 | — | — | 1 |
| 33270 | INS/REP SUBQ DEFIBRILLATOR | $17,470 | $8,735 | — | — | 0 |
| 33202 | INSERT EPICARD ELTRD OPEN | $16,316 | $8,158 | — | — | 0 |
| 24341 | RPR TDN/MUSC UPR A/E EACH | $14,198 | $7,099 | — | — | 1 |
| J2787 | RIBOFLAVIN PHOTREXA/VISCOUS | $13,680 | $6,840 | — | — | 1 |
| J0480 | BASILIXIMAB | $13,463 | $6,732 | — | — | 1 |
| 27278 | ARTHRD SI JT PLMT IARTIC DEV | $13,080 | $6,540 | — | — | 0 |
| 27279 | ARTHRD SI JT PLMT TARTCLR DV | $13,080 | $6,540 | — | — | 0 |
| 20982 | ABLATE BONE TUMOR(S) PERQ | $13,080 | $6,540 | — | — | 0 |
| 0627T | PERQ NJX ALGC FLUOR LMBR 1ST | $12,664 | $6,332 | — | — | 0 |
| 64628 | TRML DSTRJ IOS BVN 1ST 2 L/S | $12,664 | $6,332 | — | — | 0 |
| 27130 | TOTAL HIP ARTHROPLASTY | $12,663 | $6,332 | — | — | 0 |
| 63685 | INS/RPLC SPI NPG/RCVR POCKET | $9,996 | $4,998 | — | — | 0 |
| 62330 | DCMPRN PRQ RMV LIG FLV 1LMBR | $9,668 | $4,834 | — | — | 0 |
| 22513 | PERQ VERTEBRAL AUGMENTATION | $9,668 | $4,834 | — | — | 0 |
| 22514 | PERQ VERTEBRAL AUGMENTATION | $9,668 | $4,834 | — | — | 0 |
| C9807 | NERVE STIM NON-OPIOID DEV | $9,238 | $4,619 | — | — | 0 |
| 33224 | INSERT PACING LEAD & CONNECT | $8,314 | $4,157 | — | — | 0 |
| 33214 | UPGRADE OF PACEMAKER SYSTEM | $8,314 | $4,157 | — | — | 0 |
| 33213 | INSERT PULSE GEN DUAL LEADS | $8,314 | $4,157 | — | — | 0 |
| C1776 | JOINT DEVICE (IMPLANTABLE) | $8,078 | $4,039 | — | — | 0 |
| 0054T | BONE SRGRY CMPTR FLUOR IMAGE | $7,945 | $3,973 | — | — | 0 |
| 300003211 | HCHG DELIVERY CHARGE | $7,638 | $3,819 | — | — | 15 |
| 19101 | BIOPSY OF BREAST OPEN | $7,500 | $3,750 | — | — | 0 |
| 54600 | REDUCE TESTIS TORSION | $6,856 | $3,428 | — | — | 1 |
| 19081 | BX BREAST 1ST LESION STRTCTC | $6,837 | $3,419 | — | — | 0 |
| 32556 | INSERT CATH PLEURA W/O IMAGE | $6,722 | $3,361 | — | — | 1 |
| 31613 | TRACHEOSTOMA REVJ SIMPLE | $6,351 | $3,176 | — | — | 0 |
| 31600 | PLANNED TRACHEOSTOMY | $6,351 | $3,176 | — | — | 0 |
| 57415 | REMOVE VAGINAL FOREIGN BODY | $6,320 | $3,160 | — | — | 1 |
| 59612 | VBAC DELIVERY ONLY | $6,320 | $3,160 | — | — | 1 |
| 28113 | PART REMOVAL OF METATARSAL | $6,268 | $3,134 | — | — | 0 |
| 22510 | PERQ CERVICOTHORACIC INJECT | $6,268 | $3,134 | — | — | 0 |
| 22511 | PERQ LUMBOSACRAL INJECTION | $6,268 | $3,134 | — | — | 0 |
| J3240 | THYROTROPIN INJECTION | $6,067 | $3,034 | — | — | 1 |
| 64555 | IMPLANT NEUROELECTRODES | $6,036 | $3,018 | — | — | 0 |
| 63650 | IMPLANT NEUROELECTRODES | $6,036 | $3,018 | — | — | 0 |
| 63663 | REVISE SPINE ELTRD PERQ ARAY | $6,036 | $3,018 | — | — | 0 |
| 78832 | RP LOCLZJ TUM SPECT W/CT 2 | $6,036 | $3,018 | — | — | 0 |
| 78452 | HT MUSCLE IMAGE SPECT MULT | $5,977 | $2,989 | — | — | 0 |
| 64489 | TAP BLOCK BI BY INFUSION | $5,825 | $2,913 | — | — | 0 |
| 52001 | CYSTO W/IRRG&EVAC MLT CLOTS | $5,762 | $2,881 | — | — | 0 |
| 63688 | REV/RMV IMP SP NPG/R DTCH CN | $5,686 | $2,843 | — | — | 0 |
| 27337 | EXC THIGH/KNEE LES SC 3 CM/> | $5,565 | $2,783 | — | — | 0 |
| 10180 | I&D COMPLEX PO WOUND INFCTJ | $5,565 | $2,783 | — | — | 0 |
| 21932 | EXC BACK TUM DEEP < 5 CM | $5,564 | $2,782 | — | — | 0 |
| 27047 | EXC HIP/PELVIS LES SC < 3 CM | $5,564 | $2,782 | — | — | 0 |
| 90378 | RSV MAB IM 50MG | $5,462 | $2,731 | — | — | 1 |
| 78830 | RP LOCLZJ TUM SPECT W/CT 1 | $5,322 | $2,661 | — | — | 0 |
Showing top 50 of 3,361 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.