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
25,824
Insurances with rates
6
CPT / HCPCS codes
627
Most expensive procedures (gross)
3211011943
$41.9
PACEMAKER GEN/DEFIB D284TRK
Gross
$42,728
3211011943
$41.9
PACEMAKER GEN/DEFIB D284TRK
Gross
$42,728
3211012346
$41.9
PACEMAKER GEN/DEFIB D224TRK
Gross
$41,424
3211012346
$41.9
PACEMAKER GEN/DEFIB D224TRK
Gross
$41,424
3211011006
$9.92
MESH XENMATRIX DERMAL 19X35
Gross
$40,104
3211011006
$9.92
MESH XENMATRIX DERMAL 19X35
Gross
$40,104
3211011666
$573
PACEMAKER GEN/DEFIB D284DRG
Gross
$38,735
3211011666
$573
PACEMAKER GEN/DEFIB D284DRG
Gross
$38,735
3211013332
$2,100
PACEMAKER GEN/DEFIB D314DRG
Gross
$37,073
3211013332
$2,100
PACEMAKER GEN/DEFIB D314DRG
Gross
$37,073
3211011004
$7.72
MESH XENMATRIX DERMAL 19X28
Gross
$30,554
3211011004
$7.72
MESH XENMATRIX DERMAL 19X28
Gross
$30,554
3211018006
$67.25
MESH PHASIX ST 15X30 1221530
Gross
$23,851
3211018006
$67.25
MESH PHASIX ST 15X30 1221530
Gross
$23,851
3211019139
$34.73
CYLINDER SET WITH PUMP ES2914
Gross
$22,779
3211019215
$34.73
CYLINDER SET WITH PUMP ES2918
Gross
$22,779
3211019337
$36.38
SCROTAL 0DEG CYLINDER SET/PUMP
Gross
$22,779
3211019139
$34.73
CYLINDER SET WITH PUMP ES2914
Gross
$22,779
3211019215
$34.73
CYLINDER SET WITH PUMP ES2918
Gross
$22,779
3211019337
$36.38
SCROTAL 0DEG CYLINDER SET/PUMP
Gross
$22,779
3211011979
$612
NEUROSTIMULATOR 3058
Gross
$22,081
3211011979
$612
NEUROSTIMULATOR 3058
Gross
$22,081
3211015977
$97.43
TKA OSS SEG FEM LT 7CM 150355
Gross
$20,755
3211015977
$97.43
TKA OSS SEG FEM LT 7CM 150355
Gross
$20,755
3211011005
$25.36
MESH XENMATRIX DERMAL 15X20
Gross
$20,421
3211011005
$25.36
MESH XENMATRIX DERMAL 15X20
Gross
$20,421
3211011637
$1,103
THA REV STEM 15X200 12-162115
Gross
$19,910
3211011637
$1,103
THA REV STEM 15X200 12-162115
Gross
$19,910
3211012640
$612
ACTIVA SC BATTERY 37602
Gross
$19,367
3211012640
$612
ACTIVA SC BATTERY 37602
Gross
$19,367
3211010758
$612
GASTRIC PACEMAKER GENERATOR
Gross
$17,974
3211010758
$612
GASTRIC PACEMAKER GENERATOR
Gross
$17,974
3211011008
$2,495
THA STEM REACH 11X200MM
Gross
$17,698
3211011008
$2,495
THA STEM REACH 11X200MM
Gross
$17,698
4050000055
$17.37
SAMARIUM - 153 UPTO 150MCI
Gross
$17,550
4050000055
$17.37
SAMARIUM - 153 UPTO 150MCI
Gross
$17,550
3211017078
$2,789
TKA OSS FEM RT RESURF 150350
Gross
$17,364
3211017523
$550
TKA OSS FEM RESURF 150351
Gross
$17,364
3211017078
$2,789
TKA OSS FEM RT RESURF 150350
Gross
$17,364
3211017523
$550
TKA OSS FEM RESURF 150351
Gross
$17,364
3211010075
$18.38
THA REV FEMORAL +6X13
Gross
$17,017
3211010075
$18.38
THA REV FEMORAL +6X13
Gross
$17,017
3211014103
$2,020
TKA VNGD FEM RT 67.5 185265
Gross
$16,745
3211014728
$579
TKA VNGD FEM L 67.5 185285
Gross
$16,745
3211014753
$948
TKA VNGD FEM RT 65 185264
Gross
$16,745
3211015490
$5,303
TKA VNGD FEM L 65.0 185284
Gross
$16,745
3211016005
$2,263
TKA VNGD FEM L 60 185282
Gross
$16,745
3211018276
$359
TKA VNGD FEM LT 72.5 185287
Gross
$16,745
3211014103
$2,020
TKA VNGD FEM RT 67.5 185265
Gross
$16,745
3211014728
$579
TKA VNGD FEM L 67.5 185285
Gross
$16,745
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 3211011943 | PACEMAKER GEN/DEFIB D284TRK | $42,728 | $41.9 | — | — | 0 |
| 3211011943 | PACEMAKER GEN/DEFIB D284TRK | $42,728 | $41.9 | — | — | 0 |
| 3211012346 | PACEMAKER GEN/DEFIB D224TRK | $41,424 | $41.9 | — | — | 0 |
| 3211012346 | PACEMAKER GEN/DEFIB D224TRK | $41,424 | $41.9 | — | — | 0 |
| 3211011006 | MESH XENMATRIX DERMAL 19X35 | $40,104 | $9.92 | — | — | 0 |
| 3211011006 | MESH XENMATRIX DERMAL 19X35 | $40,104 | $9.92 | — | — | 0 |
| 3211011666 | PACEMAKER GEN/DEFIB D284DRG | $38,735 | $573 | — | — | 0 |
| 3211011666 | PACEMAKER GEN/DEFIB D284DRG | $38,735 | $573 | — | — | 0 |
| 3211013332 | PACEMAKER GEN/DEFIB D314DRG | $37,073 | $2,100 | — | — | 0 |
| 3211013332 | PACEMAKER GEN/DEFIB D314DRG | $37,073 | $2,100 | — | — | 0 |
| 3211011004 | MESH XENMATRIX DERMAL 19X28 | $30,554 | $7.72 | — | — | 0 |
| 3211011004 | MESH XENMATRIX DERMAL 19X28 | $30,554 | $7.72 | — | — | 0 |
| 3211018006 | MESH PHASIX ST 15X30 1221530 | $23,851 | $67.25 | — | — | 0 |
| 3211018006 | MESH PHASIX ST 15X30 1221530 | $23,851 | $67.25 | — | — | 0 |
| 3211019139 | CYLINDER SET WITH PUMP ES2914 | $22,779 | $34.73 | — | — | 0 |
| 3211019215 | CYLINDER SET WITH PUMP ES2918 | $22,779 | $34.73 | — | — | 0 |
| 3211019337 | SCROTAL 0DEG CYLINDER SET/PUMP | $22,779 | $36.38 | — | — | 0 |
| 3211019139 | CYLINDER SET WITH PUMP ES2914 | $22,779 | $34.73 | — | — | 0 |
| 3211019215 | CYLINDER SET WITH PUMP ES2918 | $22,779 | $34.73 | — | — | 0 |
| 3211019337 | SCROTAL 0DEG CYLINDER SET/PUMP | $22,779 | $36.38 | — | — | 0 |
| 3211011979 | NEUROSTIMULATOR 3058 | $22,081 | $612 | — | — | 0 |
| 3211011979 | NEUROSTIMULATOR 3058 | $22,081 | $612 | — | — | 0 |
| 3211015977 | TKA OSS SEG FEM LT 7CM 150355 | $20,755 | $97.43 | — | — | 0 |
| 3211015977 | TKA OSS SEG FEM LT 7CM 150355 | $20,755 | $97.43 | — | — | 0 |
| 3211011005 | MESH XENMATRIX DERMAL 15X20 | $20,421 | $25.36 | — | — | 0 |
| 3211011005 | MESH XENMATRIX DERMAL 15X20 | $20,421 | $25.36 | — | — | 0 |
| 3211011637 | THA REV STEM 15X200 12-162115 | $19,910 | $1,103 | — | — | 0 |
| 3211011637 | THA REV STEM 15X200 12-162115 | $19,910 | $1,103 | — | — | 0 |
| 3211012640 | ACTIVA SC BATTERY 37602 | $19,367 | $612 | — | — | 0 |
| 3211012640 | ACTIVA SC BATTERY 37602 | $19,367 | $612 | — | — | 0 |
| 3211010758 | GASTRIC PACEMAKER GENERATOR | $17,974 | $612 | — | — | 0 |
| 3211010758 | GASTRIC PACEMAKER GENERATOR | $17,974 | $612 | — | — | 0 |
| 3211011008 | THA STEM REACH 11X200MM | $17,698 | $2,495 | — | — | 0 |
| 3211011008 | THA STEM REACH 11X200MM | $17,698 | $2,495 | — | — | 0 |
| 4050000055 | SAMARIUM - 153 UPTO 150MCI | $17,550 | $17.37 | — | — | 0 |
| 4050000055 | SAMARIUM - 153 UPTO 150MCI | $17,550 | $17.37 | — | — | 1 |
| 3211017078 | TKA OSS FEM RT RESURF 150350 | $17,364 | $2,789 | — | — | 0 |
| 3211017523 | TKA OSS FEM RESURF 150351 | $17,364 | $550 | — | — | 0 |
| 3211017078 | TKA OSS FEM RT RESURF 150350 | $17,364 | $2,789 | — | — | 0 |
| 3211017523 | TKA OSS FEM RESURF 150351 | $17,364 | $550 | — | — | 0 |
| 3211010075 | THA REV FEMORAL +6X13 | $17,017 | $18.38 | — | — | 0 |
| 3211010075 | THA REV FEMORAL +6X13 | $17,017 | $18.38 | — | — | 0 |
| 3211014103 | TKA VNGD FEM RT 67.5 185265 | $16,745 | $2,020 | — | — | 0 |
| 3211014728 | TKA VNGD FEM L 67.5 185285 | $16,745 | $579 | — | — | 0 |
| 3211014753 | TKA VNGD FEM RT 65 185264 | $16,745 | $948 | — | — | 0 |
| 3211015490 | TKA VNGD FEM L 65.0 185284 | $16,745 | $5,303 | — | — | 0 |
| 3211016005 | TKA VNGD FEM L 60 185282 | $16,745 | $2,263 | — | — | 0 |
| 3211018276 | TKA VNGD FEM LT 72.5 185287 | $16,745 | $359 | — | — | 0 |
| 3211014103 | TKA VNGD FEM RT 67.5 185265 | $16,745 | $2,020 | — | — | 0 |
| 3211014728 | TKA VNGD FEM L 67.5 185285 | $16,745 | $579 | — | — | 0 |
Showing top 50 of 25,824 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.