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
3,407
Insurances with rates
15
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
8786250
$50,048
UPGRADE THE PHILIPS CARD
Gross
$66,731
8786813
$21,912
PRIME ZOOM ELECTRIC STRE
Gross
$29,216
9587142
$18,905
INTEGRA MESHED BILAYER WOUND MATRIX SIZE 4X5
Gross
$25,207
8784136
$17,813
VERSA,DR,IS-1,263 STD (V
Gross
$23,750
8783725
$15,257
SKIN GRAFT 4 X5
Gross
$20,343
8783226
$14,340
TRAPHON EPR SYTEM (ULTRA
Gross
$19,120
8782079
$13,779
PROFICIENCY TESTING 2017
Gross
$18,372
8783722
$11,852
DE-MAYO KNEE POSITIONER(
Gross
$15,803
8783726
$11,293
INTEGRA MESHED BILAYER WOUNDMATRIX SIZE 2 X 2
Gross
$15,058
13032052
$10,650
TORNIER W91, PMI CENTERED 25MM 25MM POST
Gross
$14,200
11834243
$9,952
BC ACHILLES SPDBRG W/KL DX CC,3.9MM
Gross
$13,269
11502606
$9,797
ARTHREX, ANKLE FUSION PLATE, ANT TT, LT, 4H
Gross
$13,063
9337016
$9,747
WOUND DRESSING, 2 X 2 INTEGRA BILAYER MATRIX
Gross
$12,997
10045530
$8,663
MEDACTA SPHERE FEMUR CEMENTED LEFT S4
Gross
$11,550
10058769
$8,663
MEDACTA, SPHERE FEMUR CEMENTED RIGHT S4
Gross
$11,550
10135105
$8,663
MEDACTA, SPHERE FEMUR CEMENTED LEFT S3+
Gross
$11,550
8783902
$8,381
FILMARRAY BCID IDENTIFICATION PANEL
Gross
$11,175
11288604
$8,353
MICROPORT ORTHO PROFEMUR TL2 STEM SZ 6 STANDARD OFFSET, SZ NECK 6 MEDIAL LENGTH 122MM
Gross
$11,138
11343467
$8,353
MICROPORT ORTHO PROFEMUR TL2 STEM SZ 8 STANDARD OFFSET, SZ NECK 8 MEDIAL LENGTH 126MM
Gross
$11,138
11437174
$8,353
MICROPORT ORTHO PROFEMUR TL2 STEM SZ 4 HIGH OFFSET, SZ NECK 4 MEDIAL LENGTH 117MM
Gross
$11,138
12230672
$8,353
MICROPORT ORTHO, PROFENUR GLADIATOR PLASMA CLASSIC STEM, SIZE: 3 STRAIGHT MEDIAL LENTH: 122MM
Gross
$11,138
12108842
$8,353
MICROPORT, PROFEMUR TL2 STEM SZ 8 HIGH OFFSET
Gross
$11,138
8787049
$7,642
PSN FEM PS CMT CCR NRW SZ9 R (
Gross
$10,189
8787041
$7,642
PSN FEM PS (OR)
Gross
$10,189
8787027
$7,339
KNEE PSN FEM PS CMT CCR STD SZ5 R
Gross
$9,785
8787033
$7,339
KNEE PSN FEM PS CMT CCR STD SZ 7 L
Gross
$9,785
11463104
$7,219
ALLOGRAFT ARTHROCELL PLUS, 2.5CC
Gross
$9,625
12391273
$7,219
MICROPORT, EVOLUTION NITRX MP KNEE FEMORAL COMPONENT, SZ/TYPE 4 LEFT PRIMARY NONPOROUS
Gross
$9,625
12801554
$6,806
OSTEOMED/ACUMED ACU-LOC 2 VDR PROX PLATE STD L
Gross
$9,075
13107456
$6,806
OSTEOMED/ACUMED ACU-LOC 2 VDR PROX PLATE NARROW LARGE
Gross
$9,075
13032050
$6,806
TORNIER W91 PERFORM HUMERAL STEM SZ 3 PLUS
Gross
$9,075
13241090
$6,806
TORNIER W91, PERFORM HUMERAL STEM SIZE 1 PLUS LONG (DWX1PL)
Gross
$9,075
9739976
$6,789
11404 Excision, benign lesion, trunk, arms, legs, 3.1 to 4 cm
Gross
$9,052
12124827
$6,703
MICROPORT, PROFEMUEGLADIATOR CLASSIC STANDARD STEM SIZE: 6 MEDIAL LENGTH : 122MM FIT: CEMENTED
Gross
$8,938
8896533
$6,638
11426 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; > 4.0 cm
Gross
$8,850
8786494
$6,600
ACHILLES GRAFT (ORTHRO PRO)
Gross
$8,800
11845743
$6,188
MICROPORT, EVOLUTION NITRX MP KNEE TIBIAL BASE SZ/TYPE: 5 RIGHT PRIMARY CEMEMTED
Gross
$8,250
12391440
$6,188
MICROPORT. EVOLUTION NITRX MP KMEE TIBIAL BASE SZ/TYPE 5 LEFT PRIMARY CEMENTED
Gross
$8,250
8037416
$6,000
Replantation, digit, excluding thumb, complete amputation
Gross
$8,000
8784228
$5,969
EKG MACHINE,E L I 280 EL
Gross
$7,958
8022555
$5,907
11043 DEBRIDE TISSUE/MUSCLE TechFee
Gross
$7,876
8782096
$5,878
IMPLANT SYS, BIOC ACHILLES IMPL
Gross
$7,838
11432486
$5,775
MICROPORT, EVOLUTION MPCS/CR FEMORAL COMPONENT, SZ/TYPE-6 RIGHT PRIMARY, POROUS
Gross
$7,700
9803760
$5,672
MICROPORT ORTHO, EVOLUTION BIOFOAM TIBIAL BASE SCREWLESS SZ 5 RIGHT
Gross
$7,563
11432483
$5,672
MICROPORT, EVOLUTION BIOFOAM TIBIAL BASE SCREWLESS, SZ- 6 RIGHT
Gross
$7,563
11699597
$5,625
MICRO ORTHO, EVOLUTION MP TIBIAL BASE, SZ- 8 RIGHT PRIMARY CEMENTED
Gross
$7,500
11845749
$5,625
MICROPORT EVOLUTION MP TIBIAL BASE SZ/TYPE 6 LEFT PRIMARY CEMENTED
Gross
$7,500
9566940
$5,625
MICROPORT ORTHO, EVOLUTION MP KEELED TIBIAL BASE, SZ 5 RIGHT, PRIMARY CEMENTED
Gross
$7,500
10400702
$5,625
MICROPORT ORTHO, EVOLUTION MP KEELED TIBIAL BASE 7 FEET
Gross
$7,500
12507200
$5,625
MICROPORT ORTHO, EVOLUTION MP TIBIAL BASE, SZ/TYPE SZ 5 LEFT, PRIMARY CEMENTED
Gross
$7,500
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 8786250 | UPGRADE THE PHILIPS CARD | $66,731 | $50,048 | — | — | 18 |
| 8786813 | PRIME ZOOM ELECTRIC STRE | $29,216 | $21,912 | — | — | 18 |
| 9587142 | INTEGRA MESHED BILAYER WOUND MATRIX SIZE 4X5 | $25,207 | $18,905 | — | — | 18 |
| 8784136 | VERSA,DR,IS-1,263 STD (V | $23,750 | $17,813 | — | — | 18 |
| 8783725 | SKIN GRAFT 4 X5 | $20,343 | $15,257 | — | — | 18 |
| 8783226 | TRAPHON EPR SYTEM (ULTRA | $19,120 | $14,340 | — | — | 18 |
| 8782079 | PROFICIENCY TESTING 2017 | $18,372 | $13,779 | — | — | 18 |
| 8783722 | DE-MAYO KNEE POSITIONER( | $15,803 | $11,852 | — | — | 18 |
| 8783726 | INTEGRA MESHED BILAYER WOUNDMATRIX SIZE 2 X 2 | $15,058 | $11,293 | — | — | 18 |
| 13032052 | TORNIER W91, PMI CENTERED 25MM 25MM POST | $14,200 | $10,650 | — | — | 18 |
| 11834243 | BC ACHILLES SPDBRG W/KL DX CC,3.9MM | $13,269 | $9,952 | — | — | 18 |
| 11502606 | ARTHREX, ANKLE FUSION PLATE, ANT TT, LT, 4H | $13,063 | $9,797 | — | — | 18 |
| 9337016 | WOUND DRESSING, 2 X 2 INTEGRA BILAYER MATRIX | $12,997 | $9,747 | — | — | 18 |
| 10045530 | MEDACTA SPHERE FEMUR CEMENTED LEFT S4 | $11,550 | $8,663 | — | — | 18 |
| 10058769 | MEDACTA, SPHERE FEMUR CEMENTED RIGHT S4 | $11,550 | $8,663 | — | — | 18 |
| 10135105 | MEDACTA, SPHERE FEMUR CEMENTED LEFT S3+ | $11,550 | $8,663 | — | — | 18 |
| 8783902 | FILMARRAY BCID IDENTIFICATION PANEL | $11,175 | $8,381 | — | — | 18 |
| 11288604 | MICROPORT ORTHO PROFEMUR TL2 STEM SZ 6 STANDARD OFFSET, SZ NECK 6 MEDIAL LENGTH 122MM | $11,138 | $8,353 | — | — | 18 |
| 11343467 | MICROPORT ORTHO PROFEMUR TL2 STEM SZ 8 STANDARD OFFSET, SZ NECK 8 MEDIAL LENGTH 126MM | $11,138 | $8,353 | — | — | 18 |
| 11437174 | MICROPORT ORTHO PROFEMUR TL2 STEM SZ 4 HIGH OFFSET, SZ NECK 4 MEDIAL LENGTH 117MM | $11,138 | $8,353 | — | — | 18 |
| 12230672 | MICROPORT ORTHO, PROFENUR GLADIATOR PLASMA CLASSIC STEM, SIZE: 3 STRAIGHT MEDIAL LENTH: 122MM | $11,138 | $8,353 | — | — | 18 |
| 12108842 | MICROPORT, PROFEMUR TL2 STEM SZ 8 HIGH OFFSET | $11,138 | $8,353 | — | — | 18 |
| 8787049 | PSN FEM PS CMT CCR NRW SZ9 R ( | $10,189 | $7,642 | — | — | 18 |
| 8787041 | PSN FEM PS (OR) | $10,189 | $7,642 | — | — | 18 |
| 8787027 | KNEE PSN FEM PS CMT CCR STD SZ5 R | $9,785 | $7,339 | — | — | 18 |
| 8787033 | KNEE PSN FEM PS CMT CCR STD SZ 7 L | $9,785 | $7,339 | — | — | 18 |
| 11463104 | ALLOGRAFT ARTHROCELL PLUS, 2.5CC | $9,625 | $7,219 | — | — | 18 |
| 12391273 | MICROPORT, EVOLUTION NITRX MP KNEE FEMORAL COMPONENT, SZ/TYPE 4 LEFT PRIMARY NONPOROUS | $9,625 | $7,219 | — | — | 18 |
| 12801554 | OSTEOMED/ACUMED ACU-LOC 2 VDR PROX PLATE STD L | $9,075 | $6,806 | — | — | 18 |
| 13107456 | OSTEOMED/ACUMED ACU-LOC 2 VDR PROX PLATE NARROW LARGE | $9,075 | $6,806 | — | — | 18 |
| 13032050 | TORNIER W91 PERFORM HUMERAL STEM SZ 3 PLUS | $9,075 | $6,806 | — | — | 18 |
| 13241090 | TORNIER W91, PERFORM HUMERAL STEM SIZE 1 PLUS LONG (DWX1PL) | $9,075 | $6,806 | — | — | 18 |
| 9739976 | 11404 Excision, benign lesion, trunk, arms, legs, 3.1 to 4 cm | $9,052 | $6,789 | — | — | 18 |
| 12124827 | MICROPORT, PROFEMUEGLADIATOR CLASSIC STANDARD STEM SIZE: 6 MEDIAL LENGTH : 122MM FIT: CEMENTED | $8,938 | $6,703 | — | — | 18 |
| 8896533 | 11426 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; > 4.0 cm | $8,850 | $6,638 | — | — | 18 |
| 8786494 | ACHILLES GRAFT (ORTHRO PRO) | $8,800 | $6,600 | — | — | 18 |
| 11845743 | MICROPORT, EVOLUTION NITRX MP KNEE TIBIAL BASE SZ/TYPE: 5 RIGHT PRIMARY CEMEMTED | $8,250 | $6,188 | — | — | 18 |
| 12391440 | MICROPORT. EVOLUTION NITRX MP KMEE TIBIAL BASE SZ/TYPE 5 LEFT PRIMARY CEMENTED | $8,250 | $6,188 | — | — | 18 |
| 8037416 | Replantation, digit, excluding thumb, complete amputation | $8,000 | $6,000 | — | — | 18 |
| 8784228 | EKG MACHINE,E L I 280 EL | $7,958 | $5,969 | — | — | 18 |
| 8022555 | 11043 DEBRIDE TISSUE/MUSCLE TechFee | $7,876 | $5,907 | — | — | 18 |
| 8782096 | IMPLANT SYS, BIOC ACHILLES IMPL | $7,838 | $5,878 | — | — | 18 |
| 11432486 | MICROPORT, EVOLUTION MPCS/CR FEMORAL COMPONENT, SZ/TYPE-6 RIGHT PRIMARY, POROUS | $7,700 | $5,775 | — | — | 18 |
| 9803760 | MICROPORT ORTHO, EVOLUTION BIOFOAM TIBIAL BASE SCREWLESS SZ 5 RIGHT | $7,563 | $5,672 | — | — | 18 |
| 11432483 | MICROPORT, EVOLUTION BIOFOAM TIBIAL BASE SCREWLESS, SZ- 6 RIGHT | $7,563 | $5,672 | — | — | 18 |
| 11699597 | MICRO ORTHO, EVOLUTION MP TIBIAL BASE, SZ- 8 RIGHT PRIMARY CEMENTED | $7,500 | $5,625 | — | — | 18 |
| 11845749 | MICROPORT EVOLUTION MP TIBIAL BASE SZ/TYPE 6 LEFT PRIMARY CEMENTED | $7,500 | $5,625 | — | — | 18 |
| 9566940 | MICROPORT ORTHO, EVOLUTION MP KEELED TIBIAL BASE, SZ 5 RIGHT, PRIMARY CEMENTED | $7,500 | $5,625 | — | — | 18 |
| 10400702 | MICROPORT ORTHO, EVOLUTION MP KEELED TIBIAL BASE 7 FEET | $7,500 | $5,625 | — | — | 18 |
| 12507200 | MICROPORT ORTHO, EVOLUTION MP TIBIAL BASE, SZ/TYPE SZ 5 LEFT, PRIMARY CEMENTED | $7,500 | $5,625 | — | — | 18 |
Showing top 50 of 3,407 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.