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
36,595
Insurances with rates
3
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
89100001
$1,748,926
HC YESCARTA (INCLUDING APHERESIS)
Gross
$2,914,876
63602090-1194685
$597,056
HC Shell Q4121, Theraskin per Sqcm
Gross
$995,093
81200003
$189,831
HC STD ACQ CHG CADAVER KIDNEY/PANCREAS
Gross
$316,385
27801347-807157
$184,057
HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs)
Gross
$306,762
27500234
$176,867
HC HEARTMATE 3 LVAD IMPLANT
Gross
$294,779
81200017
$149,637
HC STD ACQ CHG CADAVER LIVER/KIDNEY
Gross
$249,395
27802052-445170
$140,115
Shell, No Hcpcs, for Lvad Implants Only
Gross
$233,525
81200004
$132,413
HC STD ACQ CHG CADAVER HEART
Gross
$220,689
27800187
$129,150
HC KIT, HEARTMATE II VAD IMPLANT
Gross
$215,250
27802052-778176
$129,150
Shell, No Hcpcs, for Lvad Implants Only
Gross
$215,250
27801850
$124,279
HC HEARTWARE HVAD PUMP
Gross
$207,132
27801347-1196342
$124,279
HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs)
Gross
$207,132
27801347-98612
$119,556
HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs)
Gross
$199,260
27500176-389049
$119,168
HC Shell Cardio-Defib Other Than Single or Dual Chamber
Gross
$198,614
81200001
$111,486
HC STD ACQ CHG CADAVER KIDNEY
Gross
$185,810
27201912-261835
$110,183
Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard)
Gross
$183,639
27802052-389434
$107,748
Shell, No Hcpcs, for Lvad Implants Only
Gross
$179,580
81100001
$74,105
HC STD ACQ CHG LIVE DONOR KIDNEY
Gross
$123,509
63600048
$65,707
sodium benzoate 10 %-sodium phenylacetate 10 % intravenous solution
Gross
$109,512
27500002
$64,074
HC CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER
Gross
$106,790
27500038
$64,074
HC GUIDANT DEFIB DUAL CHAMBER
Gross
$106,790
81200002
$61,459
HC STD ACQ CHG CADAVER PANCREAS
Gross
$102,432
27802052-1242630
$60,516
Shell, No Hcpcs, for Lvad Implants Only
Gross
$100,860
48000150
$59,661
HC INS/REP SUBQ DEFIBRILLLATOR
Gross
$99,435
27500009
$54,764
HC CARDIOVERTER-DEFIBRILLATOR
Gross
$91,273
27500092
$54,763
HC BI VENTRICULAR ICD GENERATOR
Gross
$91,272
27801276-1440093
$54,677
HC Shell C1767, Generator, Neurostimulator (Implt), Nonrechargeable
Gross
$91,129
27801347-1218340
$54,612
HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs)
Gross
$91,020
48000108
$53,512
HC REMOVE&REPLACE CVD GEN D (EP LAB)
Gross
$89,187
48100005
$53,512
HC REMOVE&REPLACE CVD GEN D
Gross
$89,187
27801347-1926393
$53,136
HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs)
Gross
$88,560
27800973
$53,100
HC COREVALUE AORTIC
Gross
$88,500
36100614
$51,998
HC INSJ/RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE
Gross
$86,664
36100735
$51,998
HC INSERTION PHRENIC NERVE STIMULATOR SYSTEM
Gross
$86,664
27500037
$51,735
HC MEDTRONIC ICD DUAL CHAMBER
Gross
$86,225
27801848
$51,660
HC IMPELLA 5.5
Gross
$86,100
27801347-1355910
$51,660
HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs)
Gross
$86,100
27801276-391601
$51,539
HC Shell C1767, Generator, Neurostimulator (Implt), Nonrechargeable
Gross
$85,898
27203217
$50,985
HC HEART VALVE SAPIEN EDWARDS
Gross
$84,975
27500105
$50,985
HC STJ UNIFY BI-V-ICD
Gross
$84,975
27500106
$50,985
HC ST JUDE UNIFY QUADRA CS3249-Q
Gross
$84,975
27500180
$50,985
HC ICD GENERATOR SJM 3257/3265/3357/3365
Gross
$84,975
27800190
$50,985
HC IMPELLA 5.0
Gross
$84,975
27800957
$50,985
HC CATHETER SET PUMP VENTRICULAR ASSIST IMPELLA
Gross
$84,975
27801815
$50,985
HC MITRACLIP DELIVERY SYSTEM KIT (W/GUIDING CATH)
Gross
$84,975
27802126-1835360
$50,985
Shell C1604, Pass-Through Device, Graft, Transmural Transvenous Arterial Bypass (Implantable), With
Gross
$84,975
27801276-1330067
$50,985
HC Shell C1767, Generator, Neurostimulator (Implt), Nonrechargeable
Gross
$84,975
27801277-1535058
$50,985
HC Shell C1768, Graft, Vascular
Gross
$84,975
27801283-1920827
$50,985
HC Shell C1776, Joint Device (Implantable)
Gross
$84,975
27801287-1187506
$50,985
HC Shell C1781, Mesh (Implantable)
Gross
$84,975
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 89100001 | HC YESCARTA (INCLUDING APHERESIS) | $2,914,876 | $1,748,926 | — | — | 4 |
| 63602090-1194685 | HC Shell Q4121, Theraskin per Sqcm | $995,093 | $597,056 | — | — | 3 |
| 81200003 | HC STD ACQ CHG CADAVER KIDNEY/PANCREAS | $316,385 | $189,831 | — | — | 3 |
| 27801347-807157 | HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs) | $306,762 | $184,057 | — | — | 6 |
| 27500234 | HC HEARTMATE 3 LVAD IMPLANT | $294,779 | $176,867 | — | — | 8 |
| 81200017 | HC STD ACQ CHG CADAVER LIVER/KIDNEY | $249,395 | $149,637 | — | — | 3 |
| 27802052-445170 | Shell, No Hcpcs, for Lvad Implants Only | $233,525 | $140,115 | — | — | 6 |
| 81200004 | HC STD ACQ CHG CADAVER HEART | $220,689 | $132,413 | — | — | 3 |
| 27800187 | HC KIT, HEARTMATE II VAD IMPLANT | $215,250 | $129,150 | — | — | 8 |
| 27802052-778176 | Shell, No Hcpcs, for Lvad Implants Only | $215,250 | $129,150 | — | — | 6 |
| 27801850 | HC HEARTWARE HVAD PUMP | $207,132 | $124,279 | — | — | 8 |
| 27801347-1196342 | HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs) | $207,132 | $124,279 | — | — | 6 |
| 27801347-98612 | HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs) | $199,260 | $119,556 | — | — | 6 |
| 27500176-389049 | HC Shell Cardio-Defib Other Than Single or Dual Chamber | $198,614 | $119,168 | — | — | 6 |
| 81200001 | HC STD ACQ CHG CADAVER KIDNEY | $185,810 | $111,486 | — | — | 3 |
| 27201912-261835 | Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard) | $183,639 | $110,183 | — | — | 3 |
| 27802052-389434 | Shell, No Hcpcs, for Lvad Implants Only | $179,580 | $107,748 | — | — | 6 |
| 81100001 | HC STD ACQ CHG LIVE DONOR KIDNEY | $123,509 | $74,105 | — | — | 3 |
| 63600048 | sodium benzoate 10 %-sodium phenylacetate 10 % intravenous solution | $109,512 | $65,707 | — | — | 4 |
| 27500002 | HC CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER | $106,790 | $64,074 | — | — | 8 |
| 27500038 | HC GUIDANT DEFIB DUAL CHAMBER | $106,790 | $64,074 | — | — | 8 |
| 81200002 | HC STD ACQ CHG CADAVER PANCREAS | $102,432 | $61,459 | — | — | 3 |
| 27802052-1242630 | Shell, No Hcpcs, for Lvad Implants Only | $100,860 | $60,516 | — | — | 6 |
| 48000150 | HC INS/REP SUBQ DEFIBRILLLATOR | $99,435 | $59,661 | — | — | 4 |
| 27500009 | HC CARDIOVERTER-DEFIBRILLATOR | $91,273 | $54,764 | — | — | 8 |
| 27500092 | HC BI VENTRICULAR ICD GENERATOR | $91,272 | $54,763 | — | — | 8 |
| 27801276-1440093 | HC Shell C1767, Generator, Neurostimulator (Implt), Nonrechargeable | $91,129 | $54,677 | — | — | 6 |
| 27801347-1218340 | HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs) | $91,020 | $54,612 | — | — | 6 |
| 48000108 | HC REMOVE&REPLACE CVD GEN D (EP LAB) | $89,187 | $53,512 | — | — | 4 |
| 48100005 | HC REMOVE&REPLACE CVD GEN D | $89,187 | $53,512 | — | — | 4 |
| 27801347-1926393 | HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs) | $88,560 | $53,136 | — | — | 6 |
| 27800973 | HC COREVALUE AORTIC | $88,500 | $53,100 | — | — | 8 |
| 36100614 | HC INSJ/RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE | $86,664 | $51,998 | — | — | 3 |
| 36100735 | HC INSERTION PHRENIC NERVE STIMULATOR SYSTEM | $86,664 | $51,998 | — | — | 4 |
| 27500037 | HC MEDTRONIC ICD DUAL CHAMBER | $86,225 | $51,735 | — | — | 8 |
| 27801848 | HC IMPELLA 5.5 | $86,100 | $51,660 | — | — | 8 |
| 27801347-1355910 | HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs) | $86,100 | $51,660 | — | — | 6 |
| 27801276-391601 | HC Shell C1767, Generator, Neurostimulator (Implt), Nonrechargeable | $85,898 | $51,539 | — | — | 6 |
| 27203217 | HC HEART VALVE SAPIEN EDWARDS | $84,975 | $50,985 | — | — | 8 |
| 27500105 | HC STJ UNIFY BI-V-ICD | $84,975 | $50,985 | — | — | 8 |
| 27500106 | HC ST JUDE UNIFY QUADRA CS3249-Q | $84,975 | $50,985 | — | — | 8 |
| 27500180 | HC ICD GENERATOR SJM 3257/3265/3357/3365 | $84,975 | $50,985 | — | — | 8 |
| 27800190 | HC IMPELLA 5.0 | $84,975 | $50,985 | — | — | 8 |
| 27800957 | HC CATHETER SET PUMP VENTRICULAR ASSIST IMPELLA | $84,975 | $50,985 | — | — | 8 |
| 27801815 | HC MITRACLIP DELIVERY SYSTEM KIT (W/GUIDING CATH) | $84,975 | $50,985 | — | — | 8 |
| 27802126-1835360 | Shell C1604, Pass-Through Device, Graft, Transmural Transvenous Arterial Bypass (Implantable), With | $84,975 | $50,985 | — | — | 6 |
| 27801276-1330067 | HC Shell C1767, Generator, Neurostimulator (Implt), Nonrechargeable | $84,975 | $50,985 | — | — | 6 |
| 27801277-1535058 | HC Shell C1768, Graft, Vascular | $84,975 | $50,985 | — | — | 6 |
| 27801283-1920827 | HC Shell C1776, Joint Device (Implantable) | $84,975 | $50,985 | — | — | 6 |
| 27801287-1187506 | HC Shell C1781, Mesh (Implantable) | $84,975 | $50,985 | — | — | 6 |
Showing top 50 of 36,595 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.