45 CFR § 180 compliance
B · 85
This hospital published most 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
13,253
Insurances with rates
1
CPT / HCPCS codes
13,069
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 85146 | CATH INTRACARDIAC CIRC ASSIST AXL-PMP GEN 2 IMPELLA 5.5 | $92,400 | $87,780 | — | — | 8 |
| 75607 | Y90 IBRITUMOMAB, RX | $91,835 | $87,243 | — | — | 8 |
| 81556 | HISTRELIN 50. MG IMPLANT | $90,047 | $85,544 | — | — | 8 |
| 73639 | SIPULEUCEL-T,PER INFUSION | $75,805 | $72,015 | — | — | 10 |
| 80811 | SYSTEM BAROSTIM NEO IPG & CSL | $73,500 | $69,825 | — | — | 8 |
| 59612 | GAMMA KNIFE | $73,218 | $69,557 | — | — | 10 |
| 84679 | VLV HRT SAPIEN 3 RESILIA 26MM | $71,400 | $67,830 | — | — | 8 |
| 85493 | VLV HRT SAPIEN 3 RESILIA 20MM | $71,400 | $67,830 | — | — | 8 |
| 84284 | TEBENTAFUSP-TEBN 100 MCG/0.5 ML SOLN (KIMMTRACK) | $71,288 | $67,724 | — | — | 8 |
| 82781 | PLUVICTO PER DOSE | $71,282 | $67,718 | — | — | 8 |
| 83353 | NM PLUVICTO PER 200MCI | $71,282 | $67,718 | — | — | 8 |
| 85831 | AFLIBERCEPT SOLN 8 MG/0.07 ML (EYLEA) | $71,250 | $67,688 | — | — | 8 |
| 75311 | BROLUCIZUMAB-DBLL SOLN 6 MG/0.05 ML (BEOVU) | $70,300 | $66,785 | — | — | 8 |
| 84138 | AFLIBERCEPT SOLN 2 MG/0.05 ML (EYLEA) | $70,300 | $66,785 | — | — | 8 |
| 65047 | VALVE HRT H15.5MM MT DIA20MM BOV PERICARD TISS FRME COCR | $68,250 | $64,838 | — | — | 10 |
| 65050 | SYSTEM CARD 29MM BOV INCLUDE COMMND DEL ESHEATH INTRO SET | $68,250 | $64,838 | — | — | 10 |
| 65060 | VALVE AORT 20MM TRANSCATHETER W/ CERTITUDE SAPIEN 3 | $68,250 | $64,838 | — | — | 10 |
| 79563 | VALVE AORT 26MM ULT TRANSCATHETER HRT TRILEAFLET BOV | $68,250 | $64,838 | — | — | 8 |
| 79718 | SYSTEM AORT VLV H19MM DIA27MM NIT FRME BOV PERICARD DEPTH | $68,250 | $64,838 | — | — | 8 |
| 80351 | VALVE AORT 23MM ULT TRANSCATHETER HRT TRILEAFLET BOV | $68,250 | $64,838 | — | — | 8 |
| 85628 | GORE TAG THOR BRANCH ENDOPROS 40MMX8MMX15CM | $67,200 | $63,840 | — | — | 8 |
| 86099 | GENERATOR BAROSTIM NEO2 IPG | $66,150 | $62,843 | — | — | 8 |
| 80352 | CATHETER GUID STEER G4 MITRACLIP | $63,000 | $59,850 | — | — | 8 |
| 83814 | VALVE HEART EVOLUT FX 29MM | $63,000 | $59,850 | — | — | 8 |
| 83815 | VALVE HEART EVOLUT FX 34MM | $63,000 | $59,850 | — | — | 8 |
| 83853 | VLV HRT EVOLUT FX 26MM | $63,000 | $59,850 | — | — | 8 |
| 84019 | VLV HRT EVOLUT FX 23MM | $63,000 | $59,850 | — | — | 8 |
| 85846 | VALVE AORT TRANSCATHETER 29MM EVOLUT FX +. | $63,000 | $59,850 | — | — | 8 |
| 85888 | VALVE AORT TRANSCATHETER 34MM EVOLUT FX + | $63,000 | $59,850 | — | — | 8 |
| 85974 | VALVE AORT TRANSCATHETER 26MM EVOLUT FX + | $63,000 | $59,850 | — | — | 8 |
| 65420 | GLUCARPIDASE POWD-INJ 1000 UNITS | $60,150 | $57,143 | — | — | 10 |
| 15360 | OR LEVEL 10 GROUP | $59,703 | $56,718 | — | — | 10 |
| 57424 | OR LEVEL 10 | $59,703 | $56,718 | — | — | 10 |
| 80320 | ECMO CANNULATION BEDSIDE-TECH | $59,703 | $56,718 | — | — | 8 |
| 85384 | GNRTR REMEDE EL RESPICARDIA | $57,750 | $54,863 | — | — | 8 |
| 63237 | CATHETER AST 9.3IN 10-40C 17.4X13.8IN IMPELLA. | $56,700 | $53,865 | — | — | 10 |
| 82692 | SET VNTRC AST RT HRT IMPELLA RP PMP STRL LF DISP | $56,700 | $53,865 | — | — | 8 |
| 85741 | GENERATOR PLSE SMRT MINI W/ TORQ WRNCH AND. | $54,600 | $51,870 | — | — | 8 |
| 79506 | GENERATOR PLSE 2.9-2.95V H80XL47.5MM THK14.6MM IMPL REMEDE | $53,550 | $50,873 | — | — | 8 |
| 85380 | DEVICE LIMFLOW TADV | $52,500 | $49,875 | — | — | 8 |
| 85908 | INS B35300 DBS PERCEPT RC US EMANUAL | $51,282 | $48,718 | — | — | 8 |
| 81289 | LANREOTIDE SOLN 90 MG/0.3 ML (SOMATULINE DEPOT) | $49,140 | $46,683 | — | — | 8 |
| 85315 | LONCASTUXIMAB TESIRINE-LPYL POWD-INJ 10 MG (ZYNLONTA) | $48,515 | $46,089 | — | — | 8 |
| 50112 | RAD DEL STEREOTACTIC CRANL LINEAR-TECH | $47,476 | $45,102 | — | — | 10 |
| 60930 | RIBAVIRIN 6 G INH PWDR FOR RECON | $47,426 | $45,055 | — | — | 20 |
| 62843 | SYSTEM CRD CARDIOMEMS PA SNSR DLV | $47,250 | $44,888 | — | — | 10 |
| 63011 | DEFIBRILLATOR CARD W83.1XH69.1MM D12.7MM S-ICD TYP CONN INT | $46,200 | $43,890 | — | — | 10 |
| 58293 | USTEKINUMAB SUB CU INJ | $45,963 | $43,664 | — | — | 20 |
| 83239 | USTEKINUMAB SOLN 90 MG/ML (STELARA) | $45,963 | $43,664 | — | — | 8 |
| 85798 | SYSTEM EXTRAVASCULAR ICD AURORA EV-ICD MRI | $45,150 | $42,893 | — | — | 8 |
Showing top 50 of 13,253 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.