45 CFR § 180 compliance
B · 85
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
29,968
Insurances with rates
10
CPT / HCPCS codes
15,691
Source MRF
Most expensive procedures (gross)
Eye Implant Retisert 0.59Mg with XZ94525 Prolene
—
Eye Implant Retisert 0.59Mg with XZ94525 Prolene Suture AB41601 Bausch & Lomb Pharmaceutical
Gross
$76,240
C1820
$0
Charging System Spine MRI IPG, Freelink RC SC-1230C Boston Scientific
Gross
$72,000
C1767
$0
Generator Pulse Implantable 3028 Inspire
Gross
$68,400
Kit Spine DC Pulse Generator & Charger SC-1010C
—
Kit Spine DC Pulse Generator & Charger SC-1010C Boston Scientific
Gross
$56,000
Graft Medial Condyle
—
Graft Medial Condyle
Gross
$45,700
Graft Femoral Hemi Condyle Rt. Medial
—
Graft Femoral Hemi Condyle Rt. Medial
Gross
$44,800
Assembly Femoral HK Sz3 Rt. 71421363 S&N
—
Assembly Femoral HK Sz3 Rt. 71421363 S&N
Gross
$38,403
C1821
$0
Implant Spine Superion IDS 14Mm 101-9814 Vertiflex
Gross
$36,800
Implant Spine Indirect Decompression Superion Ve
—
Implant Spine Indirect Decompression Superion Vertiflex 8Mm
Gross
$34,000
zzzLaser Surgery of Prostate
—
zzzLaser Surgery of Prostate
Gross
$30,024
52648
$8,672
52648 Laser vaporization of prostate, including control of postoperative bleeding, complete TechFee
Gross
$28,164
Nerve Stimulator StimRouter 882.5870 Bioness
—
Nerve Stimulator StimRouter 882.5870 Bioness
Gross
$27,980
TKA Revision Stabilizer Femoral Component Sz. 7
—
TKA Revision Stabilizer Femoral Component Sz. 7 Lt. 5512-F-701 Stryker
Gross
$24,879
Implant Lateral System Wave Form 18Mm X 10Mm X 4
—
Implant Lateral System Wave Form 18Mm X 10Mm X 45Mm 10 Degree WL1104510 Seaspine
Gross
$22,880
Prosthesis Disc Cervical Mobi-C M Std. 13 X 17 H
—
Prosthesis Disc Cervical Mobi-C M Std. 13 X 17 H5
Gross
$22,000
Prosthestis Cervical Disc Mobi-C 15 X 19 H5 Zimm
—
Prosthestis Cervical Disc Mobi-C 15 X 19 H5 Zimmer
Gross
$22,000
Prosthestis Disc Cervical Mobi-C 15 X 17 H5
—
Prosthestis Disc Cervical Mobi-C 15 X 17 H5
Gross
$22,000
Prosthestis Cervical Disc Mobi-C 15 X 19 H6 Zimm
—
Prosthestis Cervical Disc Mobi-C 15 X 19 H6 Zimmer
Gross
$22,000
Trochlea Femoral Arthrosurface
—
Trochlea Femoral Arthrosurface
Gross
$21,648
Cage XL 10 X 18 X 50Mm 10 Degree Modulus 1181050
—
Cage XL 10 X 18 X 50Mm 10 Degree Modulus 1181050P2 Nuvasive
Gross
$20,776
Cage XL 8 X 18 X 50Mm 10 Degree Modulus 1181850P
—
Cage XL 8 X 18 X 50Mm 10 Degree Modulus 1181850P2 Nuvasive
Gross
$20,776
50590
$6,030
50590 Lithotripsy, extracorporeal shock wave TechFee
Gross
$20,130
TKA Revision Baseplate Tibial Sz2 Rt. 71421902 S
—
TKA Revision Baseplate Tibial Sz2 Rt. 71421902 S&N
Gross
$19,197
Assembly Disc Cervical R Prestige 7 X 18 6972870
—
Assembly Disc Cervical R Prestige 7 X 18 6972870 Medtronic
Gross
$18,632
TAR Total Ankle Tibial Sz.1 LJU221 Integra
—
TAR Total Ankle Tibial Sz.1 LJU221 Integra
Gross
$17,960
Spacer Peek AVS TL 4837xxxx Stryker
—
Spacer Peek AVS TL 4837xxxx Stryker
Gross
$17,117
Stimulator Bone Growth Physio
—
Stimulator Bone Growth Physio
Gross
$17,000
THA Restoration Modular Hip System V40 21mm 6276
—
THA Restoration Modular Hip System V40 21mm 6276-1-021 Stryker
Gross
$16,956
TKA Revision Cone Femoral Augment Lt. Sz.D 5549-
—
TKA Revision Cone Femoral Augment Lt. Sz.D 5549-A-140 Stryker
Gross
$16,702
TSA Stem Humeral Reverse Shoulder Distal Stem Lo
—
TSA Stem Humeral Reverse Shoulder Distal Stem Long Flex Revive 9 X 90mm ARS980901 Tornier / Stryker
Gross
$16,240
Implant Star Talar
—
Implant Star Talar
Gross
$16,000
Implant Star Tibia
—
Implant Star Tibia
Gross
$16,000
Spine IFuse Implant 7.0 X 55mm 7055M-90 SI-Bone
—
Spine IFuse Implant 7.0 X 55mm 7055M-90 SI-Bone
Gross
$15,900
ENT Kit Processor Sound OSIA P1233400 Cochlear
—
ENT Kit Processor Sound OSIA P1233400 Cochlear
Gross
$15,871
Radial Head Lt. 22.0Mm TR-H220L-S Acumed
—
Radial Head Lt. 22.0Mm TR-H220L-S Acumed
Gross
$15,304
C4173
—
Graft Allograft Membrane Paligen 4 X 8 XM-020408
Gross
$15,180
TKA Legion Femur Tib Cone 22mm Short 71935388 S&
—
TKA Legion Femur Tib Cone 22mm Short 71935388 S&N
Gross
$14,945
TKA Legion Femur Tib Cone 20mm Long 71935394 S&N
—
TKA Legion Femur Tib Cone 20mm Long 71935394 S&N
Gross
$14,941
TSA Glenoid Cortiloc Augment Rt. Sz. Med. DWK404
—
TSA Glenoid Cortiloc Augment Rt. Sz. Med. DWK404RA35S Tornier
Gross
$14,188
TAR Total Ankle Dome Inbone Talar Sz.1 20220901
—
TAR Total Ankle Dome Inbone Talar Sz.1 20220901 Wright
Gross
$14,052
Implant Graft Cartiform Disk 10Mm ABS-1101-10 Ar
—
Implant Graft Cartiform Disk 10Mm ABS-1101-10 Arthrex
Gross
$14,000
Insert Trident Acetabular
—
Insert Trident Acetabular
Gross
$13,924
Implant Pro-Stim Injectable 10Ml 86SR-0410 Wrigh
—
Implant Pro-Stim Injectable 10Ml 86SR-0410 Wright
Gross
$13,680
Component Ankle Talar
—
Component Ankle Talar
Gross
$13,600
TPS Slotted Carp Trunion Eclipse 41mm AR-9301-41
—
TPS Slotted Carp Trunion Eclipse 41mm AR-9301-41CPC Arthrex
Gross
$13,600
TPS Slotted Carp Trunion Eclipse 53mm AR-9301-53
—
TPS Slotted Carp Trunion Eclipse 53mm AR-9301-53CPC Arthrex
Gross
$13,600
92977
$627
92977 Disolve Blood Clot In The Heart By IV Infusion ER Charge
Gross
$13,482
Screw L Cage Eclipse 30mm AR-9301-01 Arthrex
—
Screw L Cage Eclipse 30mm AR-9301-01 Arthrex
Gross
$13,460
Stem Fracture Biomet
—
Stem Fracture Biomet
Gross
$13,364
L8690
$0
ENT Implant Cochlear Fast System Abutment 4Mm 8Mm
Gross
$13,360
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Eye Implant Retisert 0.59Mg with XZ94525 Prolene | Eye Implant Retisert 0.59Mg with XZ94525 Prolene Suture AB41601 Bausch & Lomb Pharmaceutical | $76,240 | — | $0 | $71,284 | 11 |
| C1820 | Charging System Spine MRI IPG, Freelink RC SC-1230C Boston Scientific | $72,000 | $0 | $0 | $67,320 | 11 |
| C1767 | Generator Pulse Implantable 3028 Inspire | $68,400 | $0 | $0 | $63,954 | 11 |
| Kit Spine DC Pulse Generator & Charger SC-1010C | Kit Spine DC Pulse Generator & Charger SC-1010C Boston Scientific | $56,000 | — | $0 | $52,360 | 11 |
| Graft Medial Condyle | Graft Medial Condyle | $45,700 | — | $0 | $42,730 | 11 |
| Graft Femoral Hemi Condyle Rt. Medial | Graft Femoral Hemi Condyle Rt. Medial | $44,800 | — | $0 | $41,888 | 11 |
| Assembly Femoral HK Sz3 Rt. 71421363 S&N | Assembly Femoral HK Sz3 Rt. 71421363 S&N | $38,403 | — | $0 | $35,907 | 11 |
| C1821 | Implant Spine Superion IDS 14Mm 101-9814 Vertiflex | $36,800 | $0 | $0 | $34,408 | 11 |
| Implant Spine Indirect Decompression Superion Ve | Implant Spine Indirect Decompression Superion Vertiflex 8Mm | $34,000 | — | $0 | $31,790 | 11 |
| zzzLaser Surgery of Prostate | zzzLaser Surgery of Prostate | $30,024 | — | $0 | $28,072 | 11 |
| 52648 | 52648 Laser vaporization of prostate, including control of postoperative bleeding, complete TechFee | $28,164 | $8,672 | $0 | $26,333 | 15 |
| Nerve Stimulator StimRouter 882.5870 Bioness | Nerve Stimulator StimRouter 882.5870 Bioness | $27,980 | — | $0 | $26,161 | 11 |
| TKA Revision Stabilizer Femoral Component Sz. 7 | TKA Revision Stabilizer Femoral Component Sz. 7 Lt. 5512-F-701 Stryker | $24,879 | — | $0 | $23,262 | 11 |
| Implant Lateral System Wave Form 18Mm X 10Mm X 4 | Implant Lateral System Wave Form 18Mm X 10Mm X 45Mm 10 Degree WL1104510 Seaspine | $22,880 | — | $0 | $21,393 | 11 |
| Prosthesis Disc Cervical Mobi-C M Std. 13 X 17 H | Prosthesis Disc Cervical Mobi-C M Std. 13 X 17 H5 | $22,000 | — | $0 | $20,570 | 11 |
| Prosthestis Cervical Disc Mobi-C 15 X 19 H5 Zimm | Prosthestis Cervical Disc Mobi-C 15 X 19 H5 Zimmer | $22,000 | — | $0 | $20,570 | 11 |
| Prosthestis Disc Cervical Mobi-C 15 X 17 H5 | Prosthestis Disc Cervical Mobi-C 15 X 17 H5 | $22,000 | — | $0 | $20,570 | 11 |
| Prosthestis Cervical Disc Mobi-C 15 X 19 H6 Zimm | Prosthestis Cervical Disc Mobi-C 15 X 19 H6 Zimmer | $22,000 | — | $0 | $20,570 | 11 |
| Trochlea Femoral Arthrosurface | Trochlea Femoral Arthrosurface | $21,648 | — | $0 | $20,241 | 11 |
| Cage XL 10 X 18 X 50Mm 10 Degree Modulus 1181050 | Cage XL 10 X 18 X 50Mm 10 Degree Modulus 1181050P2 Nuvasive | $20,776 | — | $0 | $19,426 | 11 |
| Cage XL 8 X 18 X 50Mm 10 Degree Modulus 1181850P | Cage XL 8 X 18 X 50Mm 10 Degree Modulus 1181850P2 Nuvasive | $20,776 | — | $0 | $19,426 | 11 |
| 50590 | 50590 Lithotripsy, extracorporeal shock wave TechFee | $20,130 | $6,030 | $0 | $18,822 | 15 |
| TKA Revision Baseplate Tibial Sz2 Rt. 71421902 S | TKA Revision Baseplate Tibial Sz2 Rt. 71421902 S&N | $19,197 | — | $0 | $17,949 | 11 |
| Assembly Disc Cervical R Prestige 7 X 18 6972870 | Assembly Disc Cervical R Prestige 7 X 18 6972870 Medtronic | $18,632 | — | $0 | $17,421 | 11 |
| TAR Total Ankle Tibial Sz.1 LJU221 Integra | TAR Total Ankle Tibial Sz.1 LJU221 Integra | $17,960 | — | $0 | $16,793 | 11 |
| Spacer Peek AVS TL 4837xxxx Stryker | Spacer Peek AVS TL 4837xxxx Stryker | $17,117 | — | $0 | $16,004 | 11 |
| Stimulator Bone Growth Physio | Stimulator Bone Growth Physio | $17,000 | — | $0 | $15,895 | 11 |
| THA Restoration Modular Hip System V40 21mm 6276 | THA Restoration Modular Hip System V40 21mm 6276-1-021 Stryker | $16,956 | — | $0 | $15,854 | 11 |
| TKA Revision Cone Femoral Augment Lt. Sz.D 5549- | TKA Revision Cone Femoral Augment Lt. Sz.D 5549-A-140 Stryker | $16,702 | — | $0 | $15,616 | 11 |
| TSA Stem Humeral Reverse Shoulder Distal Stem Lo | TSA Stem Humeral Reverse Shoulder Distal Stem Long Flex Revive 9 X 90mm ARS980901 Tornier / Stryker | $16,240 | — | $0 | $15,184 | 11 |
| Implant Star Talar | Implant Star Talar | $16,000 | — | $0 | $14,960 | 11 |
| Implant Star Tibia | Implant Star Tibia | $16,000 | — | $0 | $14,960 | 11 |
| Spine IFuse Implant 7.0 X 55mm 7055M-90 SI-Bone | Spine IFuse Implant 7.0 X 55mm 7055M-90 SI-Bone | $15,900 | — | $0 | $14,867 | 11 |
| ENT Kit Processor Sound OSIA P1233400 Cochlear | ENT Kit Processor Sound OSIA P1233400 Cochlear | $15,871 | — | $0 | $14,839 | 11 |
| Radial Head Lt. 22.0Mm TR-H220L-S Acumed | Radial Head Lt. 22.0Mm TR-H220L-S Acumed | $15,304 | — | $0 | $14,309 | 11 |
| C4173 | Graft Allograft Membrane Paligen 4 X 8 XM-020408 | $15,180 | — | $0 | $14,193 | 11 |
| TKA Legion Femur Tib Cone 22mm Short 71935388 S& | TKA Legion Femur Tib Cone 22mm Short 71935388 S&N | $14,945 | — | $0 | $13,974 | 11 |
| TKA Legion Femur Tib Cone 20mm Long 71935394 S&N | TKA Legion Femur Tib Cone 20mm Long 71935394 S&N | $14,941 | — | $0 | $13,970 | 11 |
| TSA Glenoid Cortiloc Augment Rt. Sz. Med. DWK404 | TSA Glenoid Cortiloc Augment Rt. Sz. Med. DWK404RA35S Tornier | $14,188 | — | $0 | $13,266 | 11 |
| TAR Total Ankle Dome Inbone Talar Sz.1 20220901 | TAR Total Ankle Dome Inbone Talar Sz.1 20220901 Wright | $14,052 | — | $0 | $13,139 | 11 |
| Implant Graft Cartiform Disk 10Mm ABS-1101-10 Ar | Implant Graft Cartiform Disk 10Mm ABS-1101-10 Arthrex | $14,000 | — | $0 | $13,090 | 11 |
| Insert Trident Acetabular | Insert Trident Acetabular | $13,924 | — | $0 | $13,019 | 11 |
| Implant Pro-Stim Injectable 10Ml 86SR-0410 Wrigh | Implant Pro-Stim Injectable 10Ml 86SR-0410 Wright | $13,680 | — | $0 | $12,791 | 11 |
| Component Ankle Talar | Component Ankle Talar | $13,600 | — | $0 | $12,716 | 11 |
| TPS Slotted Carp Trunion Eclipse 41mm AR-9301-41 | TPS Slotted Carp Trunion Eclipse 41mm AR-9301-41CPC Arthrex | $13,600 | — | $0 | $12,716 | 11 |
| TPS Slotted Carp Trunion Eclipse 53mm AR-9301-53 | TPS Slotted Carp Trunion Eclipse 53mm AR-9301-53CPC Arthrex | $13,600 | — | $0 | $12,716 | 11 |
| 92977 | 92977 Disolve Blood Clot In The Heart By IV Infusion ER Charge | $13,482 | $627 | $0 | $12,606 | 15 |
| Screw L Cage Eclipse 30mm AR-9301-01 Arthrex | Screw L Cage Eclipse 30mm AR-9301-01 Arthrex | $13,460 | — | $0 | $12,585 | 11 |
| Stem Fracture Biomet | Stem Fracture Biomet | $13,364 | — | $0 | $12,495 | 11 |
| L8690 | ENT Implant Cochlear Fast System Abutment 4Mm 8Mm | $13,360 | $0 | $0 | $12,492 | 11 |
Showing top 50 of 29,968 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.