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
8,010
Insurances with rates
11
CPT / HCPCS codes
2
Source MRF
Most expensive procedures (gross)
70404056
$49,777
XA-REVAS TIB/PER RT INT VESS ANGIO
Gross
$49,777
70404054
$49,777
XA-REVAS TIB/PER LT INT VESS ANGIO
Gross
$49,777
70404050
$49,777
XA-STENT ATHERECT AGNIO SAME VESS INIT
Gross
$49,777
70404048
$49,777
XA-W TRANS STENT ATHERE ANGIO SAME VESS
Gross
$49,777
62518241
$46,695
SCS PROCLAIM ELITEE SYSTEM
Gross
$46,695
62517462
$40,000
DEFIBILIATOR/PACEMAKER ICD DUAL SORIN
Gross
$40,000
62517417
$37,807
PENILE IMPLANT AMS 700 INFLATABLE
Gross
$37,807
62511589
$34,168
URINARY CONTROL SYSTEM AMS 800
Gross
$34,168
62519162
$33,750
IMPLANT TALAR REPLACEMENT 4WEB
Gross
$33,750
62514450
$28,753
GRAFT LEG IPSILATERAL GORE
Gross
$28,753
70404062
$28,743
XA-REVAS ATHERECT ANGIO SAME VESS
Gross
$28,743
70404060
$28,743
XA-W TRANS STENT ANGIO SAME VESS
Gross
$28,743
70404063
$28,743
XA-W ATHERECTOMY ANGIO SAME VESS
Gross
$28,743
70404059
$28,743
XA-W TRANS STENT W ANGIO SAME VESS
Gross
$28,743
70404049
$28,743
XA-W ATHERECTOMY W ANGIO SAME VESS
Gross
$28,743
62510371
$28,587
ALLOGRAFT - OSTEOARTICULAR - CRYOLIFE
Gross
$28,587
62510260
$27,143
AXONICS NEUROSTIM NON RECHARGE
Gross
$27,143
62510255
$26,835
AXONICS NEUROSTIMULATOR
Gross
$26,835
62514910
$26,830
INTERSTIM NEUROSTIMULATOR MEDTRONICS
Gross
$26,830
62511562
$26,700
CONDYLE FEMORAL FRESH
Gross
$26,700
62518861
$26,675
STENT AAA PROXIMAL CUSTOM COOK
Gross
$26,675
62510122
$26,000
Acetabular component Triflanged Biomet
Gross
$26,000
62518024
$25,935
STENT GRAFT AORTO LILIAC MEDTRONIC
Gross
$25,935
70404064
$25,545
XA-REVAS ILIAC W STENT W SAME VESS BILAT
Gross
$25,545
62514143
$25,375
GRAFT STENT TRUNK AAA G3-GORE
Gross
$25,375
62514280
$25,125
GRAFT ILIAC BRANCH GORE
Gross
$25,125
62514661
$24,570
HEMI CONDYLE DONOR
Gross
$24,570
62518928
$24,375
SHOULDER TOTAL POLY E ZIMMER
Gross
$24,375
62519247
$23,930
PENILE IMPLANT TOUCH COLOPLAST
Gross
$23,930
62523542
$22,551
FIXATOR HYBRID - EBI
Gross
$22,551
62514172
$21,550
GRAFT STENT (AAA)
Gross
$21,550
62518837
$21,000
SHOULDER TOTOAL REV CAPPED ZIMMER
Gross
$21,000
62511067
$20,430
BODY MODULAR - BIOMET
Gross
$20,430
62100125
$19,850
OR Level 5
Gross
$19,850
62523589
$19,828
FIXATOR, VISION EBI
Gross
$19,828
62513632
$18,990
FEMORAL COMPONENT HINGE KNEE-Z
Gross
$18,990
62518454
$18,875
GRAFT SAPHENOUS 60-100CM RESTORE
Gross
$18,875
62514233
$18,300
GRAFT FEMORAL ARTERY LEMAITRE
Gross
$18,300
62519063
$17,750
TIBIAL COMPONENT HINGE KNEE SIZE 2-Z
Gross
$17,750
62514152
$17,125
GRAFT SAPHENOUS VEIN 40-59CM
Gross
$17,125
62518898
$17,100
STENT AAA MAIN ZENITH COOK
Gross
$17,100
62518728
$17,100
SURGISIS PATCH 20X20
Gross
$17,100
62513669
$16,977
FEMORAL COMPONENET DISTAL STRYKER
Gross
$16,977
62518481
$16,463
STEM HIP BOWED REV-STRYKER
Gross
$16,463
62517419
$16,418
PENILE IMPLANT SPECTRA AMS
Gross
$16,418
62518879
$16,285
STENT AAA ANCILLARY CONVERT-COOK
Gross
$16,285
62514688
$16,073
HUMERAL STEM REVERSE SHLDR-Z
Gross
$16,073
62512691
$15,976
DELTA HUMERAL STEM LG DEPUY
Gross
$15,976
62513537
$15,780
FEMORAL STEM VERSYS CALCAR ZIMMER
Gross
$15,780
62518856
$15,677
SLING ADVANCE XP MALE BOSTON
Gross
$15,677
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 70404056 | XA-REVAS TIB/PER RT INT VESS ANGIO | $49,777 | $49,777 | — | — | 11 |
| 70404054 | XA-REVAS TIB/PER LT INT VESS ANGIO | $49,777 | $49,777 | — | — | 11 |
| 70404050 | XA-STENT ATHERECT AGNIO SAME VESS INIT | $49,777 | $49,777 | — | — | 24 |
| 70404048 | XA-W TRANS STENT ATHERE ANGIO SAME VESS | $49,777 | $49,777 | — | — | 24 |
| 62518241 | SCS PROCLAIM ELITEE SYSTEM | $46,695 | $46,695 | — | — | 8 |
| 62517462 | DEFIBILIATOR/PACEMAKER ICD DUAL SORIN | $40,000 | $40,000 | — | — | 8 |
| 62517417 | PENILE IMPLANT AMS 700 INFLATABLE | $37,807 | $37,807 | — | — | 8 |
| 62511589 | URINARY CONTROL SYSTEM AMS 800 | $34,168 | $34,168 | — | — | 8 |
| 62519162 | IMPLANT TALAR REPLACEMENT 4WEB | $33,750 | $33,750 | — | — | 8 |
| 62514450 | GRAFT LEG IPSILATERAL GORE | $28,753 | $28,753 | — | — | 8 |
| 70404062 | XA-REVAS ATHERECT ANGIO SAME VESS | $28,743 | $28,743 | — | — | 8 |
| 70404060 | XA-W TRANS STENT ANGIO SAME VESS | $28,743 | $28,743 | — | — | 24 |
| 70404063 | XA-W ATHERECTOMY ANGIO SAME VESS | $28,743 | $28,743 | — | — | 24 |
| 70404059 | XA-W TRANS STENT W ANGIO SAME VESS | $28,743 | $28,743 | — | — | 24 |
| 70404049 | XA-W ATHERECTOMY W ANGIO SAME VESS | $28,743 | $28,743 | — | — | 24 |
| 62510371 | ALLOGRAFT - OSTEOARTICULAR - CRYOLIFE | $28,587 | $28,587 | — | — | 8 |
| 62510260 | AXONICS NEUROSTIM NON RECHARGE | $27,143 | $27,143 | — | — | 8 |
| 62510255 | AXONICS NEUROSTIMULATOR | $26,835 | $26,835 | — | — | 8 |
| 62514910 | INTERSTIM NEUROSTIMULATOR MEDTRONICS | $26,830 | $26,830 | — | — | 8 |
| 62511562 | CONDYLE FEMORAL FRESH | $26,700 | $26,700 | — | — | 8 |
| 62518861 | STENT AAA PROXIMAL CUSTOM COOK | $26,675 | $26,675 | — | — | 8 |
| 62510122 | Acetabular component Triflanged Biomet | $26,000 | $26,000 | — | — | 8 |
| 62518024 | STENT GRAFT AORTO LILIAC MEDTRONIC | $25,935 | $25,935 | — | — | 8 |
| 70404064 | XA-REVAS ILIAC W STENT W SAME VESS BILAT | $25,545 | $25,545 | — | — | 7 |
| 62514143 | GRAFT STENT TRUNK AAA G3-GORE | $25,375 | $25,375 | — | — | 8 |
| 62514280 | GRAFT ILIAC BRANCH GORE | $25,125 | $25,125 | — | — | 8 |
| 62514661 | HEMI CONDYLE DONOR | $24,570 | $24,570 | — | — | 8 |
| 62518928 | SHOULDER TOTAL POLY E ZIMMER | $24,375 | $24,375 | — | — | 8 |
| 62519247 | PENILE IMPLANT TOUCH COLOPLAST | $23,930 | $23,930 | — | — | 8 |
| 62523542 | FIXATOR HYBRID - EBI | $22,551 | $22,551 | — | — | 7 |
| 62514172 | GRAFT STENT (AAA) | $21,550 | $21,550 | — | — | 8 |
| 62518837 | SHOULDER TOTOAL REV CAPPED ZIMMER | $21,000 | $21,000 | — | — | 8 |
| 62511067 | BODY MODULAR - BIOMET | $20,430 | $20,430 | — | — | 8 |
| 62100125 | OR Level 5 | $19,850 | $19,850 | — | — | 7 |
| 62523589 | FIXATOR, VISION EBI | $19,828 | $19,828 | — | — | 7 |
| 62513632 | FEMORAL COMPONENT HINGE KNEE-Z | $18,990 | $18,990 | — | — | 8 |
| 62518454 | GRAFT SAPHENOUS 60-100CM RESTORE | $18,875 | $18,875 | — | — | 8 |
| 62514233 | GRAFT FEMORAL ARTERY LEMAITRE | $18,300 | $18,300 | — | — | 8 |
| 62519063 | TIBIAL COMPONENT HINGE KNEE SIZE 2-Z | $17,750 | $17,750 | — | — | 8 |
| 62514152 | GRAFT SAPHENOUS VEIN 40-59CM | $17,125 | $17,125 | — | — | 8 |
| 62518898 | STENT AAA MAIN ZENITH COOK | $17,100 | $17,100 | — | — | 8 |
| 62518728 | SURGISIS PATCH 20X20 | $17,100 | $17,100 | — | — | 8 |
| 62513669 | FEMORAL COMPONENET DISTAL STRYKER | $16,977 | $16,977 | — | — | 8 |
| 62518481 | STEM HIP BOWED REV-STRYKER | $16,463 | $16,463 | — | — | 8 |
| 62517419 | PENILE IMPLANT SPECTRA AMS | $16,418 | $16,418 | — | — | 8 |
| 62518879 | STENT AAA ANCILLARY CONVERT-COOK | $16,285 | $16,285 | — | — | 8 |
| 62514688 | HUMERAL STEM REVERSE SHLDR-Z | $16,073 | $16,073 | — | — | 8 |
| 62512691 | DELTA HUMERAL STEM LG DEPUY | $15,976 | $15,976 | — | — | 8 |
| 62513537 | FEMORAL STEM VERSYS CALCAR ZIMMER | $15,780 | $15,780 | — | — | 8 |
| 62518856 | SLING ADVANCE XP MALE BOSTON | $15,677 | $15,677 | — | — | 8 |
Showing top 50 of 8,010 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.