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
39,140
Insurances with rates
28
CPT / HCPCS codes
4,664
Most expensive procedures (gross)
8214835
$491,100
NEUROSTIMULATOR PRIME ADVANCED
Gross
$491,100
25682-0025-01
$192,000
Ultomiris
Gross
$192,000
A9513
$164,400
LUTETIUM LU 177; DOTATATE; THERAPEUTIC; 1 MCI
Gross
$164,400
9970039
$157,344
Wavewriter Alpha 32 Contacts IPG Kit SC-1232
Gross
$157,344
C1820
$157,344
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING
Gross
$157,344
L8687
$157,344
IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR; DUAL ARRAY; RECHARGEABLE; INCLUDES EXTENSION
Gross
$157,344
11410783
$156,580
SENTIVA DUO VNS GENERATOR: 1000D
Gross
$156,580
11231461
$148,312
SENTIVA VNS GENERATOR: 1000
Gross
$148,312
11385626
$140,000
BAROSTIM MODEL 2104 GENERATOR NEO2: 100065-202
Gross
$140,000
11306803
$140,000
BAROSTIM NEO2 SYSTEM GENERATOR and CLS LEAD(S): 100069-202
Gross
$140,000
11306737
$140,000
BAROSTIM NEO SYSTEM GENERATOR and CLS LEAD(S): 100062-202
Gross
$140,000
11414285
$139,172
ASPIRESR GENERATOR: MODEL 106
Gross
$139,172
10184825
$138,500
MDT CRTD DTPB2QQ Cobalt CRTD XXX
Gross
$138,500
8213308
$134,000
COCHLEAR IMPLANT BUNDLE ADVANCED BIONICS
Gross
$134,000
11306776
$126,000
REPLACEMENT MODEL 2102 BAROSTIM GENERATOR NEO: 100054-202
Gross
$126,000
11306789
$126,000
REPLACEMENT MODEL 2104 BAROSTIM GENERATOR NEO2: 100065-202
Gross
$126,000
11385624
$126,000
BAROSTIM MODEL 2102 GENERATOR NEO: 100054-202
Gross
$126,000
11306751
$124,456
WAVE WRITER ALPHA PRIME 16 MODEL SC-1416: M365SC14160
Gross
$124,456
11667369
$124,116
NUCLEUS NEXA IMPLANT W/SLIM MODIOLAR ELECTRODE (CI1032): P1434929
Gross
$124,116
8213892
$117,140
IPG KIT SPECTRA SC-1160
Gross
$117,140
11394535
$116,800
COCHLEAR NUCLEUS (IMPLANT W/SLIM 20 ELECTRODE) MODEL CI624: P1431676
Gross
$116,800
9968455
$114,240
MACI FINAL PRODUCT ASSEMBLED, 1 MEMBRANE 59866-1030-05
Gross
$114,240
8214786
$114,000
COCHLEAR MED-EL CONCERT BUNDLE FLEX28
Gross
$114,000
11651697
$114,000
FIXATION DEVICE, SI JOINT IMPLANT, 10X30MM: 40295-03
Gross
$114,000
11651707
$114,000
FIXATION DEVICE, SE SI JOINT IMPLANT, 7.5X30MM: 40295-01
Gross
$114,000
11651709
$114,000
FIXATION DEVICE, SE SI JOINT IMPLANT, 7.5X40MM: 40295-02
Gross
$114,000
11651708
$114,000
FIXATION DEVICE, SI JOINT IMPLANT, 10X40MM: 40295-04
Gross
$114,000
9699694
$113,400
Cochlear Implant Nucleus CI632 P783831
Gross
$113,400
L8614
$113,400
COCHLEAR DEVICE; INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS
Gross
$113,400
11116767
$111,875
FUSION NAIL 7MMX80MM 2600-00-7080
Gross
$111,875
72694-0515-01
$109,080
Asparlas
Gross
$109,080
8213953
$105,225
COCHLEAR AMERICA IMPLANT BUNDLE Z209051
Gross
$105,225
50242-0554-01
$103,280
Ocrevus Zunovo
Gross
$103,280
68727-0900-03
$102,726
Rylaze
Gross
$102,726
11235522
$102,500
Cobalt XT DR MRI SureScan DDPA2D4
Gross
$102,500
8214684
$101,156
GENERATOR MODEL DUO 104
Gross
$101,156
11472894
$100,000
EVOKE CLOSED-LOOP SCS SYSTEM (W/60 CM LEADS): PERMSYS-60-2-EVK-G4
Gross
$100,000
11472905
$100,000
EVOKE CLOSED-LOOP SCS SYSTEM (W/90 CM LEADS): PERMSYS-90-2-EVK-G4
Gross
$100,000
11625535
$98,000
COCHLEAR PROCESSOR, SYNCH 2 FLEXSOFT S-VECTOR (Mi1250): 39569
Gross
$98,000
11641734
$96,250
HFX IQ SCS DUAL PORT GENERATOR: NIPG3000
Gross
$96,250
10138745
$96,250
MDT AICD DDPB3D4 COBALT DR MRI DDPB3D4
Gross
$96,250
00003-2328-22
$90,000
Yervoy
Gross
$90,000
8212984
$89,600
PROCLAIM 7 BATTERY 3663
Gross
$89,600
11439117
$88,000
INCEPTIV SPINAL CORD STIMULATOR: 977119
Gross
$88,000
C1826
$88,000
GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); INCLUDES CLOSED FEEDBACK LOOP LEADS AND ALL IMPLANTABLE CO
Gross
$88,000
L8686
$86,983
IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR; SINGLE ARRAY; NON-RECHARGEABLE; INCLUDES EXTENSION
Gross
$86,983
11625519
$86,400
INSPIRE V, IMPLANTABLE PULSE GENERATOR: 3150
Gross
$86,400
9589648
$86,250
Defribrillator Visia AF-VR BWN203560H
Gross
$86,250
8214848
$86,000
INTELLIS KIT 9771IS
Gross
$86,000
9250256
$86,000
IPG GENERATOR/CHARGING KIT LEADSSC-1060D
Gross
$86,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 8214835 | NEUROSTIMULATOR PRIME ADVANCED | $491,100 | $491,100 | — | — | 0 |
| 25682-0025-01 | Ultomiris | $192,000 | $192,000 | — | — | 13 |
| A9513 | LUTETIUM LU 177; DOTATATE; THERAPEUTIC; 1 MCI | $164,400 | $164,400 | — | — | 11 |
| 9970039 | Wavewriter Alpha 32 Contacts IPG Kit SC-1232 | $157,344 | $157,344 | — | — | 0 |
| C1820 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); NON HIGH-FREQUENCY WITH RECHARGEABLE BATTERY AND CHARGING | $157,344 | $157,344 | — | — | 3 |
| L8687 | IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR; DUAL ARRAY; RECHARGEABLE; INCLUDES EXTENSION | $157,344 | $157,344 | — | — | 0 |
| 11410783 | SENTIVA DUO VNS GENERATOR: 1000D | $156,580 | $156,580 | — | — | 0 |
| 11231461 | SENTIVA VNS GENERATOR: 1000 | $148,312 | $148,312 | — | — | 0 |
| 11385626 | BAROSTIM MODEL 2104 GENERATOR NEO2: 100065-202 | $140,000 | $140,000 | — | — | 0 |
| 11306803 | BAROSTIM NEO2 SYSTEM GENERATOR and CLS LEAD(S): 100069-202 | $140,000 | $140,000 | — | — | 0 |
| 11306737 | BAROSTIM NEO SYSTEM GENERATOR and CLS LEAD(S): 100062-202 | $140,000 | $140,000 | — | — | 0 |
| 11414285 | ASPIRESR GENERATOR: MODEL 106 | $139,172 | $139,172 | — | — | 0 |
| 10184825 | MDT CRTD DTPB2QQ Cobalt CRTD XXX | $138,500 | $138,500 | — | — | 0 |
| 8213308 | COCHLEAR IMPLANT BUNDLE ADVANCED BIONICS | $134,000 | $134,000 | — | — | 0 |
| 11306776 | REPLACEMENT MODEL 2102 BAROSTIM GENERATOR NEO: 100054-202 | $126,000 | $126,000 | — | — | 0 |
| 11306789 | REPLACEMENT MODEL 2104 BAROSTIM GENERATOR NEO2: 100065-202 | $126,000 | $126,000 | — | — | 0 |
| 11385624 | BAROSTIM MODEL 2102 GENERATOR NEO: 100054-202 | $126,000 | $126,000 | — | — | 0 |
| 11306751 | WAVE WRITER ALPHA PRIME 16 MODEL SC-1416: M365SC14160 | $124,456 | $124,456 | — | — | 0 |
| 11667369 | NUCLEUS NEXA IMPLANT W/SLIM MODIOLAR ELECTRODE (CI1032): P1434929 | $124,116 | $124,116 | — | — | 0 |
| 8213892 | IPG KIT SPECTRA SC-1160 | $117,140 | $117,140 | — | — | 0 |
| 11394535 | COCHLEAR NUCLEUS (IMPLANT W/SLIM 20 ELECTRODE) MODEL CI624: P1431676 | $116,800 | $116,800 | — | — | 0 |
| 9968455 | MACI FINAL PRODUCT ASSEMBLED, 1 MEMBRANE 59866-1030-05 | $114,240 | $114,240 | — | — | 0 |
| 8214786 | COCHLEAR MED-EL CONCERT BUNDLE FLEX28 | $114,000 | $114,000 | — | — | 0 |
| 11651697 | FIXATION DEVICE, SI JOINT IMPLANT, 10X30MM: 40295-03 | $114,000 | $114,000 | — | — | 0 |
| 11651707 | FIXATION DEVICE, SE SI JOINT IMPLANT, 7.5X30MM: 40295-01 | $114,000 | $114,000 | — | — | 0 |
| 11651709 | FIXATION DEVICE, SE SI JOINT IMPLANT, 7.5X40MM: 40295-02 | $114,000 | $114,000 | — | — | 0 |
| 11651708 | FIXATION DEVICE, SI JOINT IMPLANT, 10X40MM: 40295-04 | $114,000 | $114,000 | — | — | 0 |
| 9699694 | Cochlear Implant Nucleus CI632 P783831 | $113,400 | $113,400 | — | — | 0 |
| L8614 | COCHLEAR DEVICE; INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS | $113,400 | $113,400 | — | — | 1 |
| 11116767 | FUSION NAIL 7MMX80MM 2600-00-7080 | $111,875 | $111,875 | — | — | 0 |
| 72694-0515-01 | Asparlas | $109,080 | $109,080 | — | — | 11 |
| 8213953 | COCHLEAR AMERICA IMPLANT BUNDLE Z209051 | $105,225 | $105,225 | — | — | 0 |
| 50242-0554-01 | Ocrevus Zunovo | $103,280 | $103,280 | — | — | 10 |
| 68727-0900-03 | Rylaze | $102,726 | $102,726 | — | — | 11 |
| 11235522 | Cobalt XT DR MRI SureScan DDPA2D4 | $102,500 | $102,500 | — | — | 0 |
| 8214684 | GENERATOR MODEL DUO 104 | $101,156 | $101,156 | — | — | 0 |
| 11472894 | EVOKE CLOSED-LOOP SCS SYSTEM (W/60 CM LEADS): PERMSYS-60-2-EVK-G4 | $100,000 | $100,000 | — | — | 0 |
| 11472905 | EVOKE CLOSED-LOOP SCS SYSTEM (W/90 CM LEADS): PERMSYS-90-2-EVK-G4 | $100,000 | $100,000 | — | — | 0 |
| 11625535 | COCHLEAR PROCESSOR, SYNCH 2 FLEXSOFT S-VECTOR (Mi1250): 39569 | $98,000 | $98,000 | — | — | 0 |
| 11641734 | HFX IQ SCS DUAL PORT GENERATOR: NIPG3000 | $96,250 | $96,250 | — | — | 0 |
| 10138745 | MDT AICD DDPB3D4 COBALT DR MRI DDPB3D4 | $96,250 | $96,250 | — | — | 0 |
| 00003-2328-22 | Yervoy | $90,000 | $90,000 | — | — | 13 |
| 8212984 | PROCLAIM 7 BATTERY 3663 | $89,600 | $89,600 | — | — | 0 |
| 11439117 | INCEPTIV SPINAL CORD STIMULATOR: 977119 | $88,000 | $88,000 | — | — | 0 |
| C1826 | GENERATOR; NEUROSTIMULATOR (IMPLANTABLE); INCLUDES CLOSED FEEDBACK LOOP LEADS AND ALL IMPLANTABLE CO | $88,000 | $88,000 | — | — | 8 |
| L8686 | IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR; SINGLE ARRAY; NON-RECHARGEABLE; INCLUDES EXTENSION | $86,983 | $86,983 | — | — | 1 |
| 11625519 | INSPIRE V, IMPLANTABLE PULSE GENERATOR: 3150 | $86,400 | $86,400 | — | — | 0 |
| 9589648 | Defribrillator Visia AF-VR BWN203560H | $86,250 | $86,250 | — | — | 0 |
| 8214848 | INTELLIS KIT 9771IS | $86,000 | $86,000 | — | — | 0 |
| 9250256 | IPG GENERATOR/CHARGING KIT LEADSSC-1060D | $86,000 | $86,000 | — | — | 0 |
Showing top 50 of 39,140 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.