45 CFR § 180 compliance
F · 50
This hospital published little 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
381
Insurances with rates
0
CPT / HCPCS codes
99
Source MRF
Most expensive procedures (gross)
4527802892
—
DEPUY EXPEDIUM SCREW 6X50MM
Gross
$69,135
52360C9781
—
SHOULDER ARTHROSCOPY W/ SPACER
Gross
$61,415
52360C9757
—
SPINE/LUMBAR DISK SURGERY
Gross
$56,865
4527216123
—
DUAL LAYER AMNION PATCH 4X6CM
Gross
$44,730
4527800002
—
MISC IMPLANT DEVICE
Gross
$43,171
4527813334
—
PRIMAGEN ADV ALLOGRAFT 15CC
Gross
$39,778
4527805382
—
VG2 CERVICAL T46P
Gross
$39,506
4527813158
—
LEGION TIB CONE ID 22 SHRT
Gross
$36,689
4527816806
—
MONO REV STEM STD 22X195
Gross
$33,287
2740T
—
PERCUT LAMINOTMY/LAMINECTMY
Gross
$30,910
4527216142
—
TI IMPLANT 6X38X28MM 15
Gross
$30,574
4527203790
—
DRILL BIT 5.0MM CANN LG
Gross
$27,600
4527803171
—
ZIMMER STEM EXTENSION
Gross
$25,695
4527815689
—
GII PS HI INSERT 7-8 15
Gross
$25,481
4527202592
—
ACHILLES TENDON W/ BONE BLOCK
Gross
$25,224
4527805531
—
FEMORAL COMP TC3 SZ5 RT
Gross
$24,202
5236022867
—
COFLEX DEVICE WITHOUT FUSION
Gross
$21,670
4527215727
—
4X4CM DUAL AMNION PATCH
Gross
$16,565
4527804888
—
S&N FEMORAL COMPONENT RT, SZ 6
Gross
$16,421
5236000003
—
OR INPT SPINE 1ST 60 MIN
Gross
$16,178
4527816600
—
HUMERAL STEM REVERSE SZ 12MM
Gross
$15,363
5236000001
—
OR INPT 1ST 60 MINUTES
Gross
$14,180
4527816081
—
UNIV RECER APEX STEM SZ15
Gross
$14,041
4527815451
—
ANTERIOR TIBIALLS TENDON, SPEC
Gross
$13,179
5236023334
—
Prosthesis Removal Humeral/Gle
Gross
$13,151
5236027769
—
FX &/OR DIS PROC ON THE LEG
Gross
$12,868
4527805823
—
ART SURF LCCK 7-10 EF 17MM BLU
Gross
$12,681
4527805160
—
ORTHO DEV TIBIAL TRAY NEUTRAL
Gross
$11,791
4527804122
—
STRYKER TIBIAL BASEPLATE SZ 3
Gross
$10,144
4527216591
—
EXPLANT FULLBLADE 58MM
Gross
$10,094
4527817147
—
MTF POSTERIOR TIBIALLS TENDON
Gross
$9,988
4527802964
—
DEPUY ROD 480MM
Gross
$9,876
4527804171
—
SZ 6 FEM PS-C NONPOROUS
Gross
$9,218
4527804694
—
LGN XLPE DISHED ISRT SZ 1-2 11
Gross
$9,187
4527804985
—
DEPUY FEMORAL ADAPTER 5*
Gross
$9,041
4527205106
—
BSC CHARGING SYSTEM KIT
Gross
$8,880
4527804950
—
TRIATHLON ASYMMETRIC PATELLA
Gross
$8,839
4527816083
—
GLENOSHERE
Gross
$8,835
4527804467
—
S&N PATELLAR COMPONENT 29MM
Gross
$8,732
4527803318
—
TIBIAL BEARING INSERT SZ13MM
Gross
$8,462
4527804695
—
S&N INSERT LEGION 9MM SZ1-2
Gross
$8,337
4527226942
—
STANDALONE ALIF 36X27X12MM
Gross
$8,287
4527810273
—
Zmr Strt Stem Ext 11 x
Gross
$7,751
4527807278
—
FEMORAL COMP APERFIX 10X24MM
Gross
$7,682
4527804953
—
HUMERAL SUTURE PLT
Gross
$7,655
5020000001
—
Intensive Care Room/Board
Gross
$7,613
4527205658
—
MODULE NEEDLE M5
Gross
$7,279
4527201055
—
NEEDLE PASSER FIRST ARTHROCARE
Gross
$7,254
4527802852
—
DEPUY ACETABULAR SHELL, 52MM
Gross
$7,243
4527804425
—
ORTHO DEVELOPMENT FEMORAL COMP
Gross
$7,170
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4527802892 | DEPUY EXPEDIUM SCREW 6X50MM | $69,135 | — | — | — | 0 |
| 52360C9781 | SHOULDER ARTHROSCOPY W/ SPACER | $61,415 | — | — | — | 0 |
| 52360C9757 | SPINE/LUMBAR DISK SURGERY | $56,865 | — | — | — | 0 |
| 4527216123 | DUAL LAYER AMNION PATCH 4X6CM | $44,730 | — | — | — | 0 |
| 4527800002 | MISC IMPLANT DEVICE | $43,171 | — | — | — | 0 |
| 4527813334 | PRIMAGEN ADV ALLOGRAFT 15CC | $39,778 | — | — | — | 0 |
| 4527805382 | VG2 CERVICAL T46P | $39,506 | — | — | — | 0 |
| 4527813158 | LEGION TIB CONE ID 22 SHRT | $36,689 | — | — | — | 0 |
| 4527816806 | MONO REV STEM STD 22X195 | $33,287 | — | — | — | 0 |
| 2740T | PERCUT LAMINOTMY/LAMINECTMY | $30,910 | — | — | — | 0 |
| 4527216142 | TI IMPLANT 6X38X28MM 15 | $30,574 | — | — | — | 0 |
| 4527203790 | DRILL BIT 5.0MM CANN LG | $27,600 | — | — | — | 0 |
| 4527803171 | ZIMMER STEM EXTENSION | $25,695 | — | — | — | 0 |
| 4527815689 | GII PS HI INSERT 7-8 15 | $25,481 | — | — | — | 0 |
| 4527202592 | ACHILLES TENDON W/ BONE BLOCK | $25,224 | — | — | — | 0 |
| 4527805531 | FEMORAL COMP TC3 SZ5 RT | $24,202 | — | — | — | 0 |
| 5236022867 | COFLEX DEVICE WITHOUT FUSION | $21,670 | — | — | — | 0 |
| 4527215727 | 4X4CM DUAL AMNION PATCH | $16,565 | — | — | — | 0 |
| 4527804888 | S&N FEMORAL COMPONENT RT, SZ 6 | $16,421 | — | — | — | 0 |
| 5236000003 | OR INPT SPINE 1ST 60 MIN | $16,178 | — | — | — | 0 |
| 4527816600 | HUMERAL STEM REVERSE SZ 12MM | $15,363 | — | — | — | 0 |
| 5236000001 | OR INPT 1ST 60 MINUTES | $14,180 | — | — | — | 0 |
| 4527816081 | UNIV RECER APEX STEM SZ15 | $14,041 | — | — | — | 0 |
| 4527815451 | ANTERIOR TIBIALLS TENDON, SPEC | $13,179 | — | — | — | 0 |
| 5236023334 | Prosthesis Removal Humeral/Gle | $13,151 | — | — | — | 0 |
| 5236027769 | FX &/OR DIS PROC ON THE LEG | $12,868 | — | — | — | 0 |
| 4527805823 | ART SURF LCCK 7-10 EF 17MM BLU | $12,681 | — | — | — | 0 |
| 4527805160 | ORTHO DEV TIBIAL TRAY NEUTRAL | $11,791 | — | — | — | 0 |
| 4527804122 | STRYKER TIBIAL BASEPLATE SZ 3 | $10,144 | — | — | — | 0 |
| 4527216591 | EXPLANT FULLBLADE 58MM | $10,094 | — | — | — | 0 |
| 4527817147 | MTF POSTERIOR TIBIALLS TENDON | $9,988 | — | — | — | 0 |
| 4527802964 | DEPUY ROD 480MM | $9,876 | — | — | — | 0 |
| 4527804171 | SZ 6 FEM PS-C NONPOROUS | $9,218 | — | — | — | 0 |
| 4527804694 | LGN XLPE DISHED ISRT SZ 1-2 11 | $9,187 | — | — | — | 0 |
| 4527804985 | DEPUY FEMORAL ADAPTER 5* | $9,041 | — | — | — | 0 |
| 4527205106 | BSC CHARGING SYSTEM KIT | $8,880 | — | — | — | 0 |
| 4527804950 | TRIATHLON ASYMMETRIC PATELLA | $8,839 | — | — | — | 0 |
| 4527816083 | GLENOSHERE | $8,835 | — | — | — | 0 |
| 4527804467 | S&N PATELLAR COMPONENT 29MM | $8,732 | — | — | — | 0 |
| 4527803318 | TIBIAL BEARING INSERT SZ13MM | $8,462 | — | — | — | 0 |
| 4527804695 | S&N INSERT LEGION 9MM SZ1-2 | $8,337 | — | — | — | 0 |
| 4527226942 | STANDALONE ALIF 36X27X12MM | $8,287 | — | — | — | 0 |
| 4527810273 | Zmr Strt Stem Ext 11 x | $7,751 | — | — | — | 0 |
| 4527807278 | FEMORAL COMP APERFIX 10X24MM | $7,682 | — | — | — | 0 |
| 4527804953 | HUMERAL SUTURE PLT | $7,655 | — | — | — | 0 |
| 5020000001 | Intensive Care Room/Board | $7,613 | — | — | — | 0 |
| 4527205658 | MODULE NEEDLE M5 | $7,279 | — | — | — | 0 |
| 4527201055 | NEEDLE PASSER FIRST ARTHROCARE | $7,254 | — | — | — | 0 |
| 4527802852 | DEPUY ACETABULAR SHELL, 52MM | $7,243 | — | — | — | 0 |
| 4527804425 | ORTHO DEVELOPMENT FEMORAL COMP | $7,170 | — | — | — | 0 |
Showing top 50 of 381 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.