45 CFR § 180 compliance
A · 100
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
7,297
Insurances with rates
18
CPT / HCPCS codes
678
Source MRF
Most expensive procedures (gross)
4114117
$0
KNEE REV PRESS-FIT (4114117)
Gross
$97,742
4112248
$0
MACI GRAFT IMPLANT (4112248)
Gross
$90,430
4114831
$0
FEM WHL CON FS/A RT (4114831)
Gross
$89,320
4111728
$0
KIT MONTAGE IPG (4111728)
Gross
$83,600
4114373
$0
NIPG STIMULATOR KIT (4114373)
Gross
$82,967
4114811
$0
KIT WAVEWRITER ALPHA (4114811)
Gross
$81,400
4114137
$0
KIT NOVI BOSTON SCIE (4114137)
Gross
$79,200
4099446
$0
KIT ULTRASURG MEDTR (4099446)
Gross
$79,200
4111727
$0
KIT MONTAGE IPG BOST (4111727)
Gross
$76,120
4114158
$0
PSN KNEE REV CAP (4114158)
Gross
$73,500
4114634
$0
REVISION TOTAL KNEE (4114634)
Gross
$73,500
4114115
$0
HINGED KNEE REVISION (4114115)
Gross
$70,400
4113368
$0
TOT KNEE REV W CONES (4113368)
Gross
$70,000
4110483
$0
IPG KIT (4110483)
Gross
$69,489
4114290
$0
IPG KIT (4114290)
Gross
$69,489
4110455
$0
BATTERY PROCLAIM 5 E (4110455)
Gross
$65,340
4110456
$0
BATTERY PROCLAIM 7 E (4110456)
Gross
$65,340
4111137
$0
STIMULATOR 2X12 PULS (4111137)
Gross
$62,480
4111881
$0
IPG BATTERY STIMULAT (4111881)
Gross
$59,224
4112883
$0
BATTERY INTELLISLT (4112883)
Gross
$57,200
4097668
$0
TOK KNEE REV EXACTEC (4097668)
Gross
$56,000
4113531
$0
MACI 2 MEMBRANE #1 (4113531)
Gross
$54,160
4112910
$0
MACI GRAFT IMPLANT 2 (4112910)
Gross
$54,160
4111934
$0
PLATE 4H LAPIDUS LT (4111934)
Gross
$53,900
4099555
$0
MEDTRONIC BATTERY (4099555)
Gross
$52,800
4092527
$0
CONDYLE FEM HEMI MED (4092527)
Gross
$51,348
4113364
$0
LT MEDIAL CONDYLE FR (4113364)
Gross
$51,348
4114832
$0
FEM WHL CON FS/A LT (4114832)
Gross
$51,278
4114793
$0
PATELLA BN FS/A LT (4114793)
Gross
$51,278
4093607
$0
PATELLA W ATTACH RT (4093607)
Gross
$51,278
4113650
$0
CONDYLE HEMI FEM LAT (4113650)
Gross
$51,089
4098376
$0
REVERSE SHOULDER (4098376)
Gross
$50,400
4092045
$0
CONDYLE FEMORAL HEMI (4092045)
Gross
$50,270
4111862
$0
LIMA REVERSE TSA (4111862)
Gross
$49,700
4100954
$0
REVERSE TSA ARTHREX (4100954)
Gross
$49,000
4110446
$0
TOTAL HIP REV EXAC (4110446)
Gross
$45,500
4114189
$0
PCF DECOMPRESSION (4114189)
Gross
$44,800
4090481
$0
SYNCHROMED 8637-40 (4090481)
Gross
$44,000
4092094
$0
SYNCHROMED MEDTRONIC (4092094)
Gross
$44,000
4114761
$0
TOTAL HIP DUAL MOBIL (4114761)
Gross
$44,000
4112212
$0
BROACH BODY S/O ARCO (4112212)
Gross
$43,187
4110192
$0
PUMP PROMETRA II (4110192)
Gross
$41,360
4114712
$0
PUMP PROMETRA II 20M (4114712)
Gross
$41,360
4114495
$0
SCREW 4.5X50 CORTEX (4114495)
Gross
$41,145
4112916
$0
SCREW LOCKING 4.0X38 (4112916)
Gross
$41,129
4112755
$0
HUMERAL HEAD 52MM (4112755)
Gross
$41,128
4112536
$0
ADAPTER 55MM FEMORAL (4112536)
Gross
$40,037
4113457
$0
BROACH BODY 16X210 (4113457)
Gross
$39,564
4112001
$0
FEM 75MM SSK R (4112001)
Gross
$39,543
4111552
$0
FEMUR 57.5 SSK 360 (4111552)
Gross
$39,543
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4114117 | KNEE REV PRESS-FIT (4114117) | $97,742 | $0 | $1,120 | $87,967 | 12 |
| 4112248 | MACI GRAFT IMPLANT (4112248) | $90,430 | $0 | $1,120 | $81,387 | 12 |
| 4114831 | FEM WHL CON FS/A RT (4114831) | $89,320 | $0 | $1,120 | $80,388 | 12 |
| 4111728 | KIT MONTAGE IPG (4111728) | $83,600 | $0 | $1,120 | $75,240 | 12 |
| 4114373 | NIPG STIMULATOR KIT (4114373) | $82,967 | $0 | $1,120 | $74,670 | 12 |
| 4114811 | KIT WAVEWRITER ALPHA (4114811) | $81,400 | $0 | $1,120 | $73,260 | 12 |
| 4114137 | KIT NOVI BOSTON SCIE (4114137) | $79,200 | $0 | $1,120 | $71,280 | 12 |
| 4099446 | KIT ULTRASURG MEDTR (4099446) | $79,200 | $0 | $1,120 | $71,280 | 12 |
| 4111727 | KIT MONTAGE IPG BOST (4111727) | $76,120 | $0 | $1,120 | $68,508 | 12 |
| 4114158 | PSN KNEE REV CAP (4114158) | $73,500 | $0 | $1,120 | $66,150 | 12 |
| 4114634 | REVISION TOTAL KNEE (4114634) | $73,500 | $0 | $1,120 | $66,150 | 12 |
| 4114115 | HINGED KNEE REVISION (4114115) | $70,400 | $0 | $1,120 | $63,360 | 12 |
| 4113368 | TOT KNEE REV W CONES (4113368) | $70,000 | $0 | $1,120 | $63,000 | 12 |
| 4110483 | IPG KIT (4110483) | $69,489 | $0 | $1,120 | $62,540 | 12 |
| 4114290 | IPG KIT (4114290) | $69,489 | $0 | $1,120 | $62,540 | 12 |
| 4110455 | BATTERY PROCLAIM 5 E (4110455) | $65,340 | $0 | $1,120 | $58,806 | 12 |
| 4110456 | BATTERY PROCLAIM 7 E (4110456) | $65,340 | $0 | $1,120 | $58,806 | 12 |
| 4111137 | STIMULATOR 2X12 PULS (4111137) | $62,480 | $0 | $1,120 | $56,232 | 12 |
| 4111881 | IPG BATTERY STIMULAT (4111881) | $59,224 | $0 | $1,120 | $53,302 | 12 |
| 4112883 | BATTERY INTELLISLT (4112883) | $57,200 | $0 | $1,120 | $51,480 | 12 |
| 4097668 | TOK KNEE REV EXACTEC (4097668) | $56,000 | $0 | $1,120 | $50,400 | 12 |
| 4113531 | MACI 2 MEMBRANE #1 (4113531) | $54,160 | $0 | $1,120 | $48,744 | 12 |
| 4112910 | MACI GRAFT IMPLANT 2 (4112910) | $54,160 | $0 | $1,120 | $48,744 | 12 |
| 4111934 | PLATE 4H LAPIDUS LT (4111934) | $53,900 | $0 | $1,120 | $48,510 | 12 |
| 4099555 | MEDTRONIC BATTERY (4099555) | $52,800 | $0 | $1,120 | $47,520 | 12 |
| 4092527 | CONDYLE FEM HEMI MED (4092527) | $51,348 | $0 | $1,120 | $46,213 | 12 |
| 4113364 | LT MEDIAL CONDYLE FR (4113364) | $51,348 | $0 | $1,120 | $46,213 | 12 |
| 4114832 | FEM WHL CON FS/A LT (4114832) | $51,278 | $0 | $1,120 | $46,150 | 12 |
| 4114793 | PATELLA BN FS/A LT (4114793) | $51,278 | $0 | $1,120 | $46,150 | 12 |
| 4093607 | PATELLA W ATTACH RT (4093607) | $51,278 | $0 | $1,120 | $46,150 | 12 |
| 4113650 | CONDYLE HEMI FEM LAT (4113650) | $51,089 | $0 | $1,120 | $45,980 | 12 |
| 4098376 | REVERSE SHOULDER (4098376) | $50,400 | $0 | $1,120 | $45,360 | 12 |
| 4092045 | CONDYLE FEMORAL HEMI (4092045) | $50,270 | $0 | $1,120 | $45,243 | 12 |
| 4111862 | LIMA REVERSE TSA (4111862) | $49,700 | $0 | $1,120 | $44,730 | 12 |
| 4100954 | REVERSE TSA ARTHREX (4100954) | $49,000 | $0 | $1,120 | $44,100 | 12 |
| 4110446 | TOTAL HIP REV EXAC (4110446) | $45,500 | $0 | $1,120 | $40,950 | 12 |
| 4114189 | PCF DECOMPRESSION (4114189) | $44,800 | $0 | $1,120 | $40,320 | 12 |
| 4090481 | SYNCHROMED 8637-40 (4090481) | $44,000 | $0 | $1,120 | $39,600 | 12 |
| 4092094 | SYNCHROMED MEDTRONIC (4092094) | $44,000 | $0 | $1,120 | $39,600 | 12 |
| 4114761 | TOTAL HIP DUAL MOBIL (4114761) | $44,000 | $0 | $1,120 | $39,600 | 12 |
| 4112212 | BROACH BODY S/O ARCO (4112212) | $43,187 | $0 | $1,120 | $38,868 | 12 |
| 4110192 | PUMP PROMETRA II (4110192) | $41,360 | $0 | $1,120 | $37,224 | 12 |
| 4114712 | PUMP PROMETRA II 20M (4114712) | $41,360 | $0 | $1,120 | $37,224 | 12 |
| 4114495 | SCREW 4.5X50 CORTEX (4114495) | $41,145 | $0 | $1,120 | $37,030 | 12 |
| 4112916 | SCREW LOCKING 4.0X38 (4112916) | $41,129 | $0 | $1,120 | $37,016 | 12 |
| 4112755 | HUMERAL HEAD 52MM (4112755) | $41,128 | $0 | $1,120 | $37,015 | 12 |
| 4112536 | ADAPTER 55MM FEMORAL (4112536) | $40,037 | $0 | $1,120 | $36,033 | 12 |
| 4113457 | BROACH BODY 16X210 (4113457) | $39,564 | $0 | $1,120 | $35,608 | 12 |
| 4112001 | FEM 75MM SSK R (4112001) | $39,543 | $0 | $1,120 | $35,589 | 12 |
| 4111552 | FEMUR 57.5 SSK 360 (4111552) | $39,543 | $0 | $1,120 | $35,589 | 12 |
Showing top 50 of 7,297 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.