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
4,573
Insurances with rates
17
CPT / HCPCS codes
20
Source MRF
Most expensive procedures (gross)
691158
$41,301
SN Cruciate Retaining Legion Nonporous Femoral Component Size 6, Left
Gross
$63,540
690248
$39,780
MINISTIM PNS pIPG KIT
Gross
$61,200
690225
$39,775
LEGION OXINIUM CONSTRAINED FEMORAL COMPONENT
Gross
$61,193
691340
$39,775
Legion Oxinium Constrained Nonporous Femoral Component Size 6, Left
Gross
$61,193
690904
$31,824
LEGION OXINIUM CONSTRAINED FEMORAL COMPONENT, SIZE 5, LEFT
Gross
$48,960
691058
$29,159
SN Cruciate Retaining Legion Nonporous Femoral Component Size 7, Left
Gross
$44,860
691264
$24,806
Phasix ST Mesh with Open Positioning 20cm x 25cm ( 8 X 10)
Gross
$38,164
690800
$24,102
LEGION TIBIAL CONE 22 I.D.
Gross
$37,080
691280
$23,623
WM INBONE EVERLAST Cross-linked Poly Insert Size 2+
Gross
$36,343
691211
$23,559
WM INBONE EVERLAST Cross-linked Poly Insert Size 4+
Gross
$36,244
663981
$23,556
AVANCE NERVE GRAFT 4-5 X 70
Gross
$36,240
664194
$22,792
WM INBONE Talar Dome size 4
Gross
$35,064
664132
$22,633
Bard Phasix ST Mesh 15cm x 30cm
Gross
$34,820
664022
$22,551
MESH PHASIX ST 20 X 25CM
Gross
$34,694
691413
$22,172
Arthrodesis Nail System Nail, ø12mm X 210mm
Gross
$34,110
690691
$22,100
Ion Bundle
Gross
$34,000
690357
$21,499
INFINITY ADAPTIS TALAR DOME FLAT CUT SIZE 4
Gross
$33,076
690674
$20,262
INFINITY ADAPTIS TIBIAL TRAY 3 LONG
Gross
$31,172
690254
$20,262
INFINITY TRAY TIBIAL BIOFOAM SIZE 3
Gross
$31,172
690355
$20,262
INFINITY TRAY TIBIAL BIOFOAM SIZE 4
Gross
$31,172
691433
$19,962
WM INBONE EVERLAST Cross-linked Poly Insert size: 2+
Gross
$30,711
691239
$19,500
Arthrex ECLIPSE Trunnion, 45mm, Shoulder Implant/ Slotted, TPS and CaP Coated
Gross
$30,000
691418
$19,500
Arthrex ECLIPSE Trunnion, Slotted, TPS and CaP Coated, 55 mm
Gross
$30,000
690827
$19,336
CERAMENT® G with Gentamicin 10ml
Gross
$29,748
691157
$19,336
SN Cerament G 10ml
Gross
$29,748
691240
$19,175
Arthrex 40mm ECLIPSE Cage Screw Large
Gross
$29,500
690830
$19,175
Arthrex ECLIPSE Cage Screw x-Large, shoulder implant
Gross
$29,500
690441
$19,175
ARTHREX ECLIPSE CAGE SCREW, MEDIUM, SHOULDER IMPLANT
Gross
$29,500
691337
$19,097
Legion Revision Tibial Baseplate, Size 6 Left
Gross
$29,380
663958
$18,356
MESH PHASIX ST 5 X 10
Gross
$28,240
691383
$17,810
Distal Tibia, Right Allograft
Gross
$27,400
690513
$17,669
SN PANTA NAIL. 11MM DIA. X 180MM
Gross
$27,183
691338
$17,641
Legion Straight Cemented Stem 12mm x 120mm
Gross
$27,140
690797
$17,355
LEGION REVISION TIBIAL BASEPLATE size 4, Right
Gross
$26,700
690901
$17,313
Arthrex Syndesmosis TightRope XP Buttress Plate Implant System, Syndesmosis 2 Hole Buttress Plate, 1
Gross
$26,636
664004
$16,939
MESH PHASIX ST 6 X 8
Gross
$26,060
691005
$16,929
Avance Nerve Graft D=1-2mm L=50mm
Gross
$26,044
664043
$16,455
WM INFINITY TALAR DOME
Gross
$25,316
663781
$16,346
SD BASE PLATE INTERNAL JOINT STABILIZER
Gross
$25,148
663834
$16,120
ZB CERVICAL DISC MOBI-C
Gross
$24,800
664041
$15,501
WM INFINITY TIBIAL COMPONENT
Gross
$23,848
691263
$15,297
Phasix ST Mesh with Open Positioning 15cm x 20cm (6 x 8)
Gross
$23,534
690795
$14,916
LEGION OXINIUM CONSTRAINED FEMORAL COMPONENT size 5, Right
Gross
$22,947
691116
$14,781
WM INBONE Talar Dome size 2
Gross
$22,739
663763
$14,300
XTANT AXLELOCK PLT W/ PEEK INSERT
Gross
$22,000
690417
$14,274
SN 11 HOLE TIBIA PLATE
Gross
$21,960
690559
$13,868
ARTHREX 24 mm Baseplate, 20° full augment, +2 lateralized, oblique
Gross
$21,336
690472
$13,868
ARTHREX 24MM BASEPLATE, +2 LATERALIZED STANDARD
Gross
$21,336
690675
$13,845
ARTHREX MIS BioComposite Knotless FiberTak® Achilles
Gross
$21,300
664322
$13,733
PACEMAKER ACCOLADE
Gross
$21,128
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 691158 | SN Cruciate Retaining Legion Nonporous Femoral Component Size 6, Left | $63,540 | $41,301 | — | — | 28 |
| 690248 | MINISTIM PNS pIPG KIT | $61,200 | $39,780 | — | — | 28 |
| 690225 | LEGION OXINIUM CONSTRAINED FEMORAL COMPONENT | $61,193 | $39,775 | — | — | 28 |
| 691340 | Legion Oxinium Constrained Nonporous Femoral Component Size 6, Left | $61,193 | $39,775 | — | — | 28 |
| 690904 | LEGION OXINIUM CONSTRAINED FEMORAL COMPONENT, SIZE 5, LEFT | $48,960 | $31,824 | — | — | 28 |
| 691058 | SN Cruciate Retaining Legion Nonporous Femoral Component Size 7, Left | $44,860 | $29,159 | — | — | 28 |
| 691264 | Phasix ST Mesh with Open Positioning 20cm x 25cm ( 8 X 10) | $38,164 | $24,806 | — | — | 28 |
| 690800 | LEGION TIBIAL CONE 22 I.D. | $37,080 | $24,102 | — | — | 28 |
| 691280 | WM INBONE EVERLAST Cross-linked Poly Insert Size 2+ | $36,343 | $23,623 | — | — | 28 |
| 691211 | WM INBONE EVERLAST Cross-linked Poly Insert Size 4+ | $36,244 | $23,559 | — | — | 28 |
| 663981 | AVANCE NERVE GRAFT 4-5 X 70 | $36,240 | $23,556 | — | — | 28 |
| 664194 | WM INBONE Talar Dome size 4 | $35,064 | $22,792 | — | — | 28 |
| 664132 | Bard Phasix ST Mesh 15cm x 30cm | $34,820 | $22,633 | — | — | 28 |
| 664022 | MESH PHASIX ST 20 X 25CM | $34,694 | $22,551 | — | — | 28 |
| 691413 | Arthrodesis Nail System Nail, ø12mm X 210mm | $34,110 | $22,172 | — | — | 28 |
| 690691 | Ion Bundle | $34,000 | $22,100 | — | — | 28 |
| 690357 | INFINITY ADAPTIS TALAR DOME FLAT CUT SIZE 4 | $33,076 | $21,499 | — | — | 28 |
| 690674 | INFINITY ADAPTIS TIBIAL TRAY 3 LONG | $31,172 | $20,262 | — | — | 28 |
| 690254 | INFINITY TRAY TIBIAL BIOFOAM SIZE 3 | $31,172 | $20,262 | — | — | 28 |
| 690355 | INFINITY TRAY TIBIAL BIOFOAM SIZE 4 | $31,172 | $20,262 | — | — | 28 |
| 691433 | WM INBONE EVERLAST Cross-linked Poly Insert size: 2+ | $30,711 | $19,962 | — | — | 28 |
| 691239 | Arthrex ECLIPSE Trunnion, 45mm, Shoulder Implant/ Slotted, TPS and CaP Coated | $30,000 | $19,500 | — | — | 28 |
| 691418 | Arthrex ECLIPSE Trunnion, Slotted, TPS and CaP Coated, 55 mm | $30,000 | $19,500 | — | — | 28 |
| 690827 | CERAMENT® G with Gentamicin 10ml | $29,748 | $19,336 | — | — | 28 |
| 691157 | SN Cerament G 10ml | $29,748 | $19,336 | — | — | 28 |
| 691240 | Arthrex 40mm ECLIPSE Cage Screw Large | $29,500 | $19,175 | — | — | 28 |
| 690830 | Arthrex ECLIPSE Cage Screw x-Large, shoulder implant | $29,500 | $19,175 | — | — | 28 |
| 690441 | ARTHREX ECLIPSE CAGE SCREW, MEDIUM, SHOULDER IMPLANT | $29,500 | $19,175 | — | — | 28 |
| 691337 | Legion Revision Tibial Baseplate, Size 6 Left | $29,380 | $19,097 | — | — | 28 |
| 663958 | MESH PHASIX ST 5 X 10 | $28,240 | $18,356 | — | — | 28 |
| 691383 | Distal Tibia, Right Allograft | $27,400 | $17,810 | — | — | 28 |
| 690513 | SN PANTA NAIL. 11MM DIA. X 180MM | $27,183 | $17,669 | — | — | 28 |
| 691338 | Legion Straight Cemented Stem 12mm x 120mm | $27,140 | $17,641 | — | — | 28 |
| 690797 | LEGION REVISION TIBIAL BASEPLATE size 4, Right | $26,700 | $17,355 | — | — | 28 |
| 690901 | Arthrex Syndesmosis TightRope XP Buttress Plate Implant System, Syndesmosis 2 Hole Buttress Plate, 1 | $26,636 | $17,313 | — | — | 28 |
| 664004 | MESH PHASIX ST 6 X 8 | $26,060 | $16,939 | — | — | 28 |
| 691005 | Avance Nerve Graft D=1-2mm L=50mm | $26,044 | $16,929 | — | — | 28 |
| 664043 | WM INFINITY TALAR DOME | $25,316 | $16,455 | — | — | 28 |
| 663781 | SD BASE PLATE INTERNAL JOINT STABILIZER | $25,148 | $16,346 | — | — | 28 |
| 663834 | ZB CERVICAL DISC MOBI-C | $24,800 | $16,120 | — | — | 28 |
| 664041 | WM INFINITY TIBIAL COMPONENT | $23,848 | $15,501 | — | — | 28 |
| 691263 | Phasix ST Mesh with Open Positioning 15cm x 20cm (6 x 8) | $23,534 | $15,297 | — | — | 28 |
| 690795 | LEGION OXINIUM CONSTRAINED FEMORAL COMPONENT size 5, Right | $22,947 | $14,916 | — | — | 28 |
| 691116 | WM INBONE Talar Dome size 2 | $22,739 | $14,781 | — | — | 28 |
| 663763 | XTANT AXLELOCK PLT W/ PEEK INSERT | $22,000 | $14,300 | — | — | 28 |
| 690417 | SN 11 HOLE TIBIA PLATE | $21,960 | $14,274 | — | — | 28 |
| 690559 | ARTHREX 24 mm Baseplate, 20° full augment, +2 lateralized, oblique | $21,336 | $13,868 | — | — | 28 |
| 690472 | ARTHREX 24MM BASEPLATE, +2 LATERALIZED STANDARD | $21,336 | $13,868 | — | — | 28 |
| 690675 | ARTHREX MIS BioComposite Knotless FiberTak® Achilles | $21,300 | $13,845 | — | — | 28 |
| 664322 | PACEMAKER ACCOLADE | $21,128 | $13,733 | — | — | 28 |
Showing top 50 of 4,573 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.