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
13,088
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
4360680
$66,349
Insert Icd
Gross
$110,582
4390004
$66,349
Rml And Replm Dfb Gen Mult Ld
Gross
$110,582
4900003
$65,816
Arthrectomy Illiac Arter
Gross
$109,694
3060839
$49,500
Impl Neurostim Gen, Rechrg
Gross
$82,500
4360591
$47,494
Cardiomems Insertion
Gross
$79,156
4390002
$47,381
Rem And Replc Pulse Gen 1 Lead
Gross
$78,969
4390003
$47,381
Rmv And Replac Dfb Gen 2 Lead
Gross
$78,969
3722239
$45,150
Cardiomems Pa Sensor&Del Systm
Gross
$75,250
3718444
$40,192
Strattice 20X30
Gross
$66,987
3720089
$38,603
Phasix St 30X35 1203035
Gross
$64,339
4216980
$37,394
Tib/Per Revaswstent&Arth 37231
Gross
$62,324
3716157
$34,189
Xenmatric 1161935
Gross
$56,982
3722295
$33,999
Implnt Pkg Nonrechge Full 4B01
Gross
$56,665
3719933
$33,388
Afx Main Body Bea25-100/116-40
Gross
$55,647
3720282
$33,388
Afx2 Main Body Bea28-80/I16-40
Gross
$55,647
3723239
$33,388
Mainbody Afx Bea25-110/I16-30
Gross
$55,647
3723337
$33,388
Afx2 Main Body Bea25-90/I20-30
Gross
$55,647
4380007
$32,707
Av Fistula/Graft Dec Angioplas
Gross
$54,511
3720221
$31,498
Main Body Bea28-902I20-40 0259
Gross
$52,497
3720261
$31,498
Afx2Main Bod 025995
Gross
$52,497
3721737
$31,498
Main Body Bea28-90/I16-30
Gross
$52,497
3719585
$30,448
Main Body
Gross
$50,747
3719762
$30,448
Main Body Bea25-70/120-30
Gross
$50,747
3719959
$30,448
Main Body Bea 28-90/120-30
Gross
$50,747
3719962
$30,448
Main Body Bea28-90/120-30
Gross
$50,747
3719986
$30,448
Main Body Bea22-70/I16-30
Gross
$50,747
3719513
$30,345
Defib Single Implant 404633
Gross
$50,575
3719141
$29,398
Main Body Bea25-100
Gross
$48,997
3719536
$29,398
Afx Main Body Bea22-60/113-40
Gross
$48,997
3719549
$29,398
Afx Main Body Bea22-4013340
Gross
$48,997
233
$29,296
Upson County Subsidy
Gross
$48,827
4360637
$29,106
Fem/Popl Revasc Stnt & Ather
Gross
$48,510
4360639
$29,106
Tib/Per Revasc W/Tla
Gross
$48,510
4360641
$29,106
Tib/Per Revasc W/Stent
Gross
$48,510
4360643
$29,106
Tib/Per Revasc Add-On
Gross
$48,510
4360644
$29,106
Tib/Per Revasc Add-On
Gross
$48,510
4360645
$29,106
Revsc Opn/Prq Tib/Pero Stent
Gross
$48,510
4360646
$29,106
Tib/Per Revasc Stnt & Ather
Gross
$48,510
4360647
$29,106
Tib/Per Revasc W/Stent
Gross
$48,510
438000117
$27,568
Ivl Lt Le To Tib Stent&Atherec
Gross
$45,946
438000118
$27,568
Ivl Rt Le To Tib Stent&Atherec
Gross
$45,946
438000119
$27,568
Ivl Lt Le To Tib Atherectomy
Gross
$45,946
438000121
$27,568
Ivl Rt Le To Tib Atherectomy
Gross
$45,946
438000122
$27,568
Ivl Left Le To Tib W/Stent
Gross
$45,946
438000123
$27,568
Ivl Right Le To Tib W/Stent
Gross
$45,946
438000127
$27,568
Ivl Bil Le To Tib W/Stent
Gross
$45,946
438000128
$27,568
Ivl Bil Le To Tib Atherectomy
Gross
$45,946
438000129
$27,568
Ivl Bil Le To Tib Stent&Athere
Gross
$45,946
3717072
$27,353
Xenmatrix 7.5X11 1161928
Gross
$45,588
3714841
$27,343
Permacol P152030
Gross
$45,572
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 4360680 | Insert Icd | $110,582 | $66,349 | — | — | 0 |
| 4390004 | Rml And Replm Dfb Gen Mult Ld | $110,582 | $66,349 | — | — | 0 |
| 4900003 | Arthrectomy Illiac Arter | $109,694 | $65,816 | — | — | 0 |
| 3060839 | Impl Neurostim Gen, Rechrg | $82,500 | $49,500 | — | — | 0 |
| 4360591 | Cardiomems Insertion | $79,156 | $47,494 | — | — | 0 |
| 4390002 | Rem And Replc Pulse Gen 1 Lead | $78,969 | $47,381 | — | — | 0 |
| 4390003 | Rmv And Replac Dfb Gen 2 Lead | $78,969 | $47,381 | — | — | 0 |
| 3722239 | Cardiomems Pa Sensor&Del Systm | $75,250 | $45,150 | — | — | 0 |
| 3718444 | Strattice 20X30 | $66,987 | $40,192 | — | — | 0 |
| 3720089 | Phasix St 30X35 1203035 | $64,339 | $38,603 | — | — | 0 |
| 4216980 | Tib/Per Revaswstent&Arth 37231 | $62,324 | $37,394 | — | — | 0 |
| 3716157 | Xenmatric 1161935 | $56,982 | $34,189 | — | — | 0 |
| 3722295 | Implnt Pkg Nonrechge Full 4B01 | $56,665 | $33,999 | — | — | 0 |
| 3719933 | Afx Main Body Bea25-100/116-40 | $55,647 | $33,388 | — | — | 0 |
| 3720282 | Afx2 Main Body Bea28-80/I16-40 | $55,647 | $33,388 | — | — | 0 |
| 3723239 | Mainbody Afx Bea25-110/I16-30 | $55,647 | $33,388 | — | — | 0 |
| 3723337 | Afx2 Main Body Bea25-90/I20-30 | $55,647 | $33,388 | — | — | 0 |
| 4380007 | Av Fistula/Graft Dec Angioplas | $54,511 | $32,707 | — | — | 0 |
| 3720221 | Main Body Bea28-902I20-40 0259 | $52,497 | $31,498 | — | — | 0 |
| 3720261 | Afx2Main Bod 025995 | $52,497 | $31,498 | — | — | 0 |
| 3721737 | Main Body Bea28-90/I16-30 | $52,497 | $31,498 | — | — | 0 |
| 3719585 | Main Body | $50,747 | $30,448 | — | — | 0 |
| 3719762 | Main Body Bea25-70/120-30 | $50,747 | $30,448 | — | — | 0 |
| 3719959 | Main Body Bea 28-90/120-30 | $50,747 | $30,448 | — | — | 0 |
| 3719962 | Main Body Bea28-90/120-30 | $50,747 | $30,448 | — | — | 0 |
| 3719986 | Main Body Bea22-70/I16-30 | $50,747 | $30,448 | — | — | 0 |
| 3719513 | Defib Single Implant 404633 | $50,575 | $30,345 | — | — | 0 |
| 3719141 | Main Body Bea25-100 | $48,997 | $29,398 | — | — | 0 |
| 3719536 | Afx Main Body Bea22-60/113-40 | $48,997 | $29,398 | — | — | 0 |
| 3719549 | Afx Main Body Bea22-4013340 | $48,997 | $29,398 | — | — | 0 |
| 233 | Upson County Subsidy | $48,827 | $29,296 | — | — | 0 |
| 4360637 | Fem/Popl Revasc Stnt & Ather | $48,510 | $29,106 | — | — | 0 |
| 4360639 | Tib/Per Revasc W/Tla | $48,510 | $29,106 | — | — | 0 |
| 4360641 | Tib/Per Revasc W/Stent | $48,510 | $29,106 | — | — | 0 |
| 4360643 | Tib/Per Revasc Add-On | $48,510 | $29,106 | — | — | 0 |
| 4360644 | Tib/Per Revasc Add-On | $48,510 | $29,106 | — | — | 0 |
| 4360645 | Revsc Opn/Prq Tib/Pero Stent | $48,510 | $29,106 | — | — | 0 |
| 4360646 | Tib/Per Revasc Stnt & Ather | $48,510 | $29,106 | — | — | 0 |
| 4360647 | Tib/Per Revasc W/Stent | $48,510 | $29,106 | — | — | 0 |
| 438000117 | Ivl Lt Le To Tib Stent&Atherec | $45,946 | $27,568 | — | — | 0 |
| 438000118 | Ivl Rt Le To Tib Stent&Atherec | $45,946 | $27,568 | — | — | 0 |
| 438000119 | Ivl Lt Le To Tib Atherectomy | $45,946 | $27,568 | — | — | 0 |
| 438000121 | Ivl Rt Le To Tib Atherectomy | $45,946 | $27,568 | — | — | 0 |
| 438000122 | Ivl Left Le To Tib W/Stent | $45,946 | $27,568 | — | — | 0 |
| 438000123 | Ivl Right Le To Tib W/Stent | $45,946 | $27,568 | — | — | 0 |
| 438000127 | Ivl Bil Le To Tib W/Stent | $45,946 | $27,568 | — | — | 0 |
| 438000128 | Ivl Bil Le To Tib Atherectomy | $45,946 | $27,568 | — | — | 0 |
| 438000129 | Ivl Bil Le To Tib Stent&Athere | $45,946 | $27,568 | — | — | 0 |
| 3717072 | Xenmatrix 7.5X11 1161928 | $45,588 | $27,353 | — | — | 0 |
| 3714841 | Permacol P152030 | $45,572 | $27,343 | — | — | 0 |
Showing top 50 of 13,088 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.