45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
38,373
Insurances with rates
12
CPT / HCPCS codes
15,323
Most expensive procedures (gross)
00006302602
—
pegloticase 8 mg/mL Inj
Gross
$91,201
2255517
—
Inspire Implantable Pulse Generator V
Gross
$34,560
1877687
—
Inspire Implantable Pulse Generator
Gross
$29,160
1722922
—
Xenmatrix AB 19 x 35cm
Gross
$26,944
00024582411
—
cabazitaxel 60 mg/1.5 mL Sol 1.5ml
Gross
$26,915
1940576
—
Mesh Phasix ST 25x30cm (10x12in)
Gross
$26,528
1646871
—
NEUROMODULATION BATTERY 97714
Gross
$25,120
00409672723
—
luspatercept 75 mg Inj
Gross
$22,670
1412659
—
InterStim X Neurostimulator
Gross
$20,557
1876654
—
InterStim Micro SureScan MRI Neurostimulator
Gross
$18,688
1412186
—
DIST FEM COMP X-SMALL RIGHT
Gross
$16,606
00003232711
—
ipilimumab 5 mg/mL Sol 10ml
Gross
$16,554
2277578
—
Open trtmnt talotarsal jt disloc
Gross
$15,975
00078081181
—
obinutuzumab 25 mg/mL Sol
Gross
$15,332
00338011220
—
nivolumab-relatlimab rmbw 240 mg-80 mg/20 mL Sol
Gross
$15,259
1409835
—
14MM STEM REVERSE SHOULDER
Gross
$14,767
00003712511
—
nivolumab 10 mg/mL 24 mL Soln
Gross
$14,521
00065040872
—
octreotide 30 mg IM Inj
Gross
$13,411
1940575
—
Mesh Phasix ST 20x25cm (8x10in)
Gross
$13,243
1410668
—
CR-FLEX GSF FEM COMP SZ F LEFT ZIMMER 00-5750-016-01
Gross
$11,815
1413793
—
CR-FLEX FEMORAL COMP SZ F RIGH 00-5750-016-02
Gross
$11,815
1412066
—
FEM STEM LG STAT LT19.5MM 45MM
Gross
$11,680
00310173030
—
benralizumab 30 mg/mL Sol
Gross
$11,237
1409727
—
FEMORAL COMPONENT SZ G RT
Gross
$11,087
1409925
—
FEMORAL HEAD ARTICULEZE
Gross
$10,329
1410014
—
CORAIL FEMORAL OFFSET STEM DEPUY L20311
Gross
$10,329
2206117
—
Esophagogastroduodenoscopy with dilation multiple intervention a
Gross
$9,317
2146267
—
ATUNE REV RP TIB BASE SZ 5 CEM
Gross
$9,300
1409481
—
CORAIL FEMORAL STEM 3L92502
Gross
$9,221
1409493
—
Corail Cementless Femoral Stem KA Size 16 Standard collar Ref 3L
Gross
$9,221
1409513
—
Corail Hip System Cementless Femoral Stem KLA 11 High offset Col
Gross
$9,221
1409529
—
CORAIL 3L93712 KLA12
Gross
$9,221
1409570
—
CORAIL FEMORAL STEM KA10 DEPUY 3L92500
Gross
$9,221
1410519
—
CORAIL HIGH OFFSET FEMORAL STE L20314
Gross
$9,221
1412049
—
CORAIL FEMORAL STEM W/COLLAR
Gross
$9,221
1409509
—
CORAIL FEMORAL STEM KA15 DEPUY 3L92505
Gross
$9,040
1409526
—
CORAIL FEMORAL STEM KA13 DEPUY 3L92503
Gross
$9,040
1410286
—
CORAIL FEMORAL STEM HIGH OFFSE DEPUY L20315
Gross
$9,040
2239560
—
Vivigen Frozen Formable Cellular Bone Matrix XL 16cc
Gross
$8,986
1410265
—
FEMORAL COMPONENT SZ 4 NON POR DEPUY 96-0089
Gross
$8,980
1410504
—
FEMORAL TC3 CEMENTED SZ 4 LEFT DEPUY 96-0083
Gross
$8,980
1411991
—
FEMORA TC3 CEMENTED SZ 5 LEFT
Gross
$8,980
1411999
—
FEMORAL TC3 CEMENTED SZ3 RIGHT
Gross
$8,980
1412023
—
FEMORAL TC3 CEMENT SZ 2.5 LEFT
Gross
$8,980
1412161
—
FEM TC3 CEMENTED SZ 2.5 RIGHT 96-0092
Gross
$8,980
2207977
—
Esophagogastroduodenoscopy with dilation single intervention and
Gross
$8,924
1410631
—
SIGMA FEMORAL SZ 5 RIGHT DEPUY 96-0090
Gross
$8,804
2158483
—
LINX 14 Bead Device
Gross
$8,800
2158484
—
LINX 16 Bead Device
Gross
$8,800
2158487
—
LINX 13 Bead Device
Gross
$8,800
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 00006302602 | pegloticase 8 mg/mL Inj | $91,201 | — | — | — | 18 |
| 2255517 | Inspire Implantable Pulse Generator V | $34,560 | — | — | — | 19 |
| 1877687 | Inspire Implantable Pulse Generator | $29,160 | — | — | — | 19 |
| 1722922 | Xenmatrix AB 19 x 35cm | $26,944 | — | — | — | 21 |
| 00024582411 | cabazitaxel 60 mg/1.5 mL Sol 1.5ml | $26,915 | — | — | — | 18 |
| 1940576 | Mesh Phasix ST 25x30cm (10x12in) | $26,528 | — | — | — | 19 |
| 1646871 | NEUROMODULATION BATTERY 97714 | $25,120 | — | — | — | 19 |
| 00409672723 | luspatercept 75 mg Inj | $22,670 | — | — | — | 18 |
| 1412659 | InterStim X Neurostimulator | $20,557 | — | — | — | 19 |
| 1876654 | InterStim Micro SureScan MRI Neurostimulator | $18,688 | — | — | — | 19 |
| 1412186 | DIST FEM COMP X-SMALL RIGHT | $16,606 | — | — | — | 18 |
| 00003232711 | ipilimumab 5 mg/mL Sol 10ml | $16,554 | — | — | — | 21 |
| 2277578 | Open trtmnt talotarsal jt disloc | $15,975 | — | — | — | 21 |
| 00078081181 | obinutuzumab 25 mg/mL Sol | $15,332 | — | — | — | 21 |
| 00338011220 | nivolumab-relatlimab rmbw 240 mg-80 mg/20 mL Sol | $15,259 | — | — | — | 21 |
| 1409835 | 14MM STEM REVERSE SHOULDER | $14,767 | — | — | — | 18 |
| 00003712511 | nivolumab 10 mg/mL 24 mL Soln | $14,521 | — | — | — | 21 |
| 00065040872 | octreotide 30 mg IM Inj | $13,411 | — | — | — | 18 |
| 1940575 | Mesh Phasix ST 20x25cm (8x10in) | $13,243 | — | — | — | 19 |
| 1410668 | CR-FLEX GSF FEM COMP SZ F LEFT ZIMMER 00-5750-016-01 | $11,815 | — | — | — | 18 |
| 1413793 | CR-FLEX FEMORAL COMP SZ F RIGH 00-5750-016-02 | $11,815 | — | — | — | 18 |
| 1412066 | FEM STEM LG STAT LT19.5MM 45MM | $11,680 | — | — | — | 18 |
| 00310173030 | benralizumab 30 mg/mL Sol | $11,237 | — | — | — | 18 |
| 1409727 | FEMORAL COMPONENT SZ G RT | $11,087 | — | — | — | 18 |
| 1409925 | FEMORAL HEAD ARTICULEZE | $10,329 | — | — | — | 18 |
| 1410014 | CORAIL FEMORAL OFFSET STEM DEPUY L20311 | $10,329 | — | — | — | 18 |
| 2206117 | Esophagogastroduodenoscopy with dilation multiple intervention a | $9,317 | — | — | — | 20 |
| 2146267 | ATUNE REV RP TIB BASE SZ 5 CEM | $9,300 | — | — | — | 19 |
| 1409481 | CORAIL FEMORAL STEM 3L92502 | $9,221 | — | — | — | 18 |
| 1409493 | Corail Cementless Femoral Stem KA Size 16 Standard collar Ref 3L | $9,221 | — | — | — | 18 |
| 1409513 | Corail Hip System Cementless Femoral Stem KLA 11 High offset Col | $9,221 | — | — | — | 18 |
| 1409529 | CORAIL 3L93712 KLA12 | $9,221 | — | — | — | 18 |
| 1409570 | CORAIL FEMORAL STEM KA10 DEPUY 3L92500 | $9,221 | — | — | — | 18 |
| 1410519 | CORAIL HIGH OFFSET FEMORAL STE L20314 | $9,221 | — | — | — | 18 |
| 1412049 | CORAIL FEMORAL STEM W/COLLAR | $9,221 | — | — | — | 18 |
| 1409509 | CORAIL FEMORAL STEM KA15 DEPUY 3L92505 | $9,040 | — | — | — | 18 |
| 1409526 | CORAIL FEMORAL STEM KA13 DEPUY 3L92503 | $9,040 | — | — | — | 18 |
| 1410286 | CORAIL FEMORAL STEM HIGH OFFSE DEPUY L20315 | $9,040 | — | — | — | 18 |
| 2239560 | Vivigen Frozen Formable Cellular Bone Matrix XL 16cc | $8,986 | — | — | — | 18 |
| 1410265 | FEMORAL COMPONENT SZ 4 NON POR DEPUY 96-0089 | $8,980 | — | — | — | 19 |
| 1410504 | FEMORAL TC3 CEMENTED SZ 4 LEFT DEPUY 96-0083 | $8,980 | — | — | — | 18 |
| 1411991 | FEMORA TC3 CEMENTED SZ 5 LEFT | $8,980 | — | — | — | 18 |
| 1411999 | FEMORAL TC3 CEMENTED SZ3 RIGHT | $8,980 | — | — | — | 18 |
| 1412023 | FEMORAL TC3 CEMENT SZ 2.5 LEFT | $8,980 | — | — | — | 18 |
| 1412161 | FEM TC3 CEMENTED SZ 2.5 RIGHT 96-0092 | $8,980 | — | — | — | 18 |
| 2207977 | Esophagogastroduodenoscopy with dilation single intervention and | $8,924 | — | — | — | 20 |
| 1410631 | SIGMA FEMORAL SZ 5 RIGHT DEPUY 96-0090 | $8,804 | — | — | — | 18 |
| 2158483 | LINX 14 Bead Device | $8,800 | — | — | — | 18 |
| 2158484 | LINX 16 Bead Device | $8,800 | — | — | — | 18 |
| 2158487 | LINX 13 Bead Device | $8,800 | — | — | — | 18 |
Showing top 50 of 38,373 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.