45 CFR § 180 compliance
D · 65
This hospital published part 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
630
Insurances with rates
4
CPT / HCPCS codes
555
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1721 | EVERA XT DR SSTEM MMEM [EVERAXTDRMMEM] | $99,626 | $99,626 | — | — | 0 |
| C1820 | IMPLANT PULSE GENERATOR [SC-1132] | $92,501 | $92,501 | — | — | 0 |
| C1722 | FORTIFYASSURA VR ICD [CD1357-40Q] | $71,251 | $71,251 | — | — | 0 |
| Q4116 | ALLODERM 16X20 THICK [1519320] | $69,763 | $69,763 | — | — | 0 |
| C1882 | CRTD DTMA1QQQ CLARIA MRI [DTMA1QQ] | $67,978 | $67,978 | — | — | 0 |
| C2621 | CRT VIVA [C6TR01] | $54,158 | $54,158 | — | — | 0 |
| C1776 | TOTAL HIP HYBRID | $43,401 | $43,401 | — | — | 0 |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS W | $42,877 | $42,877 | — | — | 3 |
| C1785 | AZURE XT DR MRI MEEM [AZUREXTDRMRIMEEM] | $42,500 | $42,500 | — | — | 0 |
| C1764 | REVEAL LINQ SYSTEM [C6TR01] | $36,016 | $36,016 | — | — | 0 |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $34,824 | $34,824 | — | — | 3 |
| C2619 | GENERATOR PMKR DEFIB [POM2210] | $32,586 | $32,586 | — | — | 0 |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND | $32,029 | $32,029 | — | — | 3 |
| C1786 | ADVISA SR MRI SYSTEM [ADVISASRMRIPEEM] | $31,641 | $31,641 | — | — | 0 |
| C2620 | PACEMAKER U PR | $30,066 | $30,066 | — | — | 0 |
| 169 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWE | $29,481 | $29,481 | — | — | 3 |
| Q4126 | DERMASPAN 2MM-3.5MM [48-2000612] | $27,329 | $27,329 | — | — | 0 |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKEL | $26,594 | $26,594 | — | — | 3 |
| C1895 | LEAD QUATTRO [693565] | $25,663 | $25,663 | — | — | 0 |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMI | $22,983 | $22,983 | — | — | 3 |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND | $21,655 | $21,655 | — | — | 3 |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $21,352 | $21,352 | — | — | 3 |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WIT | $21,092 | $21,092 | — | — | 3 |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURE | $20,367 | $20,367 | — | — | 3 |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $20,071 | $20,071 | — | — | 3 |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $19,457 | $19,457 | — | — | 3 |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCE | $17,795 | $17,795 | — | — | 3 |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PR | $17,689 | $17,689 | — | — | 3 |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH | $17,626 | $17,626 | — | — | 3 |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/ | $17,624 | $17,624 | — | — | 3 |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND META | $17,422 | $17,422 | — | — | 3 |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWE | $17,006 | $17,006 | — | — | 3 |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND | $17,005 | $17,005 | — | — | 3 |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,476 | $16,476 | — | — | 3 |
| 15777 | ACELLULAR DERMIS 6CMX16CM [2304] | $16,129 | $16,129 | — | — | 0 |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,097 | $16,097 | — | — | 3 |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WIT | $16,016 | $16,016 | — | — | 3 |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURE | $15,852 | $15,852 | — | — | 3 |
| 504 | FOOT PROCEDURES WITH CC | $15,829 | $15,829 | — | — | 3 |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $15,829 | $15,829 | — | — | 3 |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKEL | $15,658 | $15,658 | — | — | 3 |
| C1762 | ACHILLES TENDON [10017000] | $15,401 | $15,401 | — | — | 0 |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MC | $15,246 | $15,246 | — | — | 3 |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,816 | $14,816 | — | — | 3 |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PR | $14,501 | $14,501 | — | — | 3 |
| Q4107 | GRAFTJACKET 5X5CM [B40784-084] | $14,176 | $14,176 | — | — | 0 |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,809 | $13,809 | — | — | 3 |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROC | $13,463 | $13,463 | — | — | 3 |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOU | $12,981 | $12,981 | — | — | 3 |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES W | $12,639 | $12,639 | — | — | 3 |
Showing top 50 of 630 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.