45 CFR § 180 compliance
C · 70
This hospital published part 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: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
25,449
Insurances with rates
12
CPT / HCPCS codes
21,195
Most expensive procedures (gross)
J9028
$28,640
INJ NOGAPENDEKIN PMLN 1MCG
Gross
$71,600
330204000
$19,285
FULL IMPLANT PKG AXONICS 23935
Gross
$48,212
C1882
$18,067
CARDIAC RESYNCH DEFIBRILLATOR
Gross
$45,168
C1721
$15,432
AICD DUAL CHAMBER GALLANT DR
Gross
$38,581
C1787
$14,877
INS IMPLANT PKG AXONICS 23979
Gross
$37,193
28725
$13,836
SUBTALAR ARTHRODESIS
Gross
$34,590
J1632
$13,157
BREXANOLONE 100 MG/20 ML
Gross
$32,892
C1722
$12,045
AICD ELLIPSE VR CD1411-36C
Gross
$30,112
27814
$7,028
OPEN TX BIMALLEOLAR ANKLE FRAC
Gross
$17,571
27385
$7,028
SUTURE QUAD/HAMSTRING MSCL RUP
Gross
$17,571
27829
$7,028
TREAT LOWER LEG JOINT
Gross
$17,571
31297
$6,790
BSK/SINS NDSC SURG SPHN SINS
Gross
$16,976
C1785
$6,775
ELUNIA DR-T PROMRI SYS, 405430
Gross
$16,938
31267
$6,534
NASAL ENDO W MA; W REM TISS MS
Gross
$16,336
31288
$6,534
NASAL ENDO; W REM T SPHEN SINU
Gross
$16,336
31295
$6,534
NSL/SINS NDSC SURG MAX SINS
Gross
$16,336
31253
$6,534
NSL/SINS NDSC TOTAL
Gross
$16,336
31254
$6,534
NSL/SINS NDSC W/PRTL ETHMDCT
Gross
$16,336
31255
$6,534
NSL/SINS NDSC W/TOT ETHMDCT
Gross
$16,336
C1764
$6,399
CARDIAC MONITOR INSERTABLE 3+
Gross
$15,997
42440
$5,707
EXCISION OF SUBMANDIBULARGLAND
Gross
$14,268
69643
$5,707
TYMPANOPL W MASTOID; W INT WAL
Gross
$14,268
69631
$5,707
TYMPANOPL WO MASTOID INIT/REV;
Gross
$14,268
60220
$5,678
TOTAL THYROID LOBECTOMY UNILAT
Gross
$14,195
C1766
$5,262
COMP ART TROCHLEAR 10.0X5MM OF
Gross
$13,156
C1734
$5,201
BONE GRAFT SUB AUGMENT INJ 3.0
Gross
$13,003
330204008
$5,034
ADVANCED TRIAL PKG AXONICS
Gross
$12,586
Q4125
$4,734
GRAFT ST 70X40MM DECELLULARIZE
Gross
$11,834
15273
$4,682
SKIN SUB GRFT T/A/L CHILD WCC
Gross
$11,705
J1745
$4,374
INFLIXIMAB 100 MG/VIAL
Gross
$10,934
C1778
$4,205
KIT TINED LEAD AXONICS SNM
Gross
$10,512
50590
$4,015
LITHOTRIPTOR-BILATERAL
Gross
$10,038
330202246
$3,878
INSTR VESSEL SEAL ELE 5MMX37CM
Gross
$9,694
C1783
$3,827
CYPASS MICRO STENT
Gross
$9,568
330207346
$3,764
SPACER ANTIBIOTIC FEM HEAD 40M
Gross
$9,410
330207350
$3,764
SPACER ANTIBIOTIC FEM STEM SM
Gross
$9,410
26990
$3,753
DRAINAGE OF PELVIS LESION
Gross
$9,382
C1815
$3,581
BALLOON PRESSURE REGULATING
Gross
$8,953
38500
$3,544
DIAGNOSTIC LARYNGOSCOPY
Gross
$8,859
38510
$3,544
OPEN BX/EXC LN; DEEP CERV NODE
Gross
$8,859
31535
$3,476
LARYNGOSCOPY W/BIOPSY
Gross
$8,690
31536
$3,476
LARYNGOSCOPY W/BX & OP SCOPE
Gross
$8,690
31256
$3,476
NSL/SINS NDSC W/TOT ETHMDCT
Gross
$8,690
52001
$3,450
CYSTO W MULTI OBSTR CLOT REM
Gross
$8,625
52352
$3,450
CYSTOURETERO W/STONE REMOVE
Gross
$8,624
11426
$3,400
EXC H-F-NK-SP B9+MARG>4CM
Gross
$8,500
C1786
$3,388
PACEMAKER ASSURITY SSR PM1240
Gross
$8,469
330207502
$3,325
AKKIGRAFT TENDON ACHILLES
Gross
$8,313
20680
$3,322
Removal of Deep Implant
Gross
$8,305
330209804
$3,302
HEAD RADIAL IMPACTOR ST
Gross
$8,256
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J9028 | INJ NOGAPENDEKIN PMLN 1MCG | $71,600 | $28,640 | $92.35 | $57,280 | 31 |
| 330204000 | FULL IMPLANT PKG AXONICS 23935 | $48,212 | $19,285 | — | — | 0 |
| C1882 | CARDIAC RESYNCH DEFIBRILLATOR | $45,168 | $18,067 | $13,465 | $36,134 | 21 |
| C1721 | AICD DUAL CHAMBER GALLANT DR | $38,581 | $15,432 | $11,501 | $30,865 | 21 |
| C1787 | INS IMPLANT PKG AXONICS 23979 | $37,193 | $14,877 | $1,922 | $29,754 | 21 |
| 28725 | SUBTALAR ARTHRODESIS | $34,590 | $13,836 | $662 | $27,672 | 28 |
| J1632 | BREXANOLONE 100 MG/20 ML | $32,892 | $13,157 | $80.46 | $32,892 | 20 |
| C1722 | AICD ELLIPSE VR CD1411-36C | $30,112 | $12,045 | $8,976 | $24,090 | 21 |
| 27814 | OPEN TX BIMALLEOLAR ANKLE FRAC | $17,571 | $7,028 | $536 | $14,057 | 28 |
| 27385 | SUTURE QUAD/HAMSTRING MSCL RUP | $17,571 | $7,028 | $536 | $14,057 | 28 |
| 27829 | TREAT LOWER LEG JOINT | $17,571 | $7,028 | $468 | $14,057 | 28 |
| 31297 | BSK/SINS NDSC SURG SPHN SINS | $16,976 | $6,790 | $536 | $13,581 | 28 |
| C1785 | ELUNIA DR-T PROMRI SYS, 405430 | $16,938 | $6,775 | $5,049 | $13,550 | 21 |
| 31267 | NASAL ENDO W MA; W REM TISS MS | $16,336 | $6,534 | $536 | $13,069 | 28 |
| 31288 | NASAL ENDO; W REM T SPHEN SINU | $16,336 | $6,534 | $536 | $13,069 | 28 |
| 31295 | NSL/SINS NDSC SURG MAX SINS | $16,336 | $6,534 | $536 | $13,069 | 28 |
| 31253 | NSL/SINS NDSC TOTAL | $16,336 | $6,534 | $536 | $13,069 | 28 |
| 31254 | NSL/SINS NDSC W/PRTL ETHMDCT | $16,336 | $6,534 | $536 | $13,069 | 28 |
| 31255 | NSL/SINS NDSC W/TOT ETHMDCT | $16,336 | $6,534 | $753 | $13,069 | 28 |
| C1764 | CARDIAC MONITOR INSERTABLE 3+ | $15,997 | $6,399 | $4,769 | $12,798 | 21 |
| 42440 | EXCISION OF SUBMANDIBULARGLAND | $14,268 | $5,707 | $536 | $11,414 | 28 |
| 69643 | TYMPANOPL W MASTOID; W INT WAL | $14,268 | $5,707 | $1,045 | $11,414 | 28 |
| 69631 | TYMPANOPL WO MASTOID INIT/REV; | $14,268 | $5,707 | $753 | $11,414 | 28 |
| 60220 | TOTAL THYROID LOBECTOMY UNILAT | $14,195 | $5,678 | $662 | $11,356 | 28 |
| C1766 | COMP ART TROCHLEAR 10.0X5MM OF | $13,156 | $5,262 | $1,033 | $10,525 | 21 |
| C1734 | BONE GRAFT SUB AUGMENT INJ 3.0 | $13,003 | $5,201 | $0.02 | $13,003 | 21 |
| 330204008 | ADVANCED TRIAL PKG AXONICS | $12,586 | $5,034 | — | — | 0 |
| Q4125 | GRAFT ST 70X40MM DECELLULARIZE | $11,834 | $4,734 | $401 | $9,467 | 20 |
| 15273 | SKIN SUB GRFT T/A/L CHILD WCC | $11,705 | $4,682 | $1,293 | $9,364 | 28 |
| J1745 | INFLIXIMAB 100 MG/VIAL | $10,934 | $4,374 | $29.72 | $8,747 | 30 |
| C1778 | KIT TINED LEAD AXONICS SNM | $10,512 | $4,205 | $3,134 | $8,410 | 21 |
| 50590 | LITHOTRIPTOR-BILATERAL | $10,038 | $4,015 | — | — | 0 |
| 330202246 | INSTR VESSEL SEAL ELE 5MMX37CM | $9,694 | $3,878 | — | — | 0 |
| C1783 | CYPASS MICRO STENT | $9,568 | $3,827 | $1,458 | $7,654 | 21 |
| 330207346 | SPACER ANTIBIOTIC FEM HEAD 40M | $9,410 | $3,764 | — | — | 0 |
| 330207350 | SPACER ANTIBIOTIC FEM STEM SM | $9,410 | $3,764 | — | — | 0 |
| 26990 | DRAINAGE OF PELVIS LESION | $9,382 | $3,753 | $350 | $7,506 | 28 |
| C1815 | BALLOON PRESSURE REGULATING | $8,953 | $3,581 | $2,669 | $9,489 | 21 |
| 38500 | DIAGNOSTIC LARYNGOSCOPY | $8,859 | $3,544 | $468 | $7,087 | 28 |
| 38510 | OPEN BX/EXC LN; DEEP CERV NODE | $8,859 | $3,544 | $468 | $7,087 | 28 |
| 31535 | LARYNGOSCOPY W/BIOPSY | $8,690 | $3,476 | $468 | $6,952 | 28 |
| 31536 | LARYNGOSCOPY W/BX & OP SCOPE | $8,690 | $3,476 | $536 | $6,952 | 28 |
| 31256 | NSL/SINS NDSC W/TOT ETHMDCT | $8,690 | $3,476 | $536 | $6,952 | 28 |
| 52001 | CYSTO W MULTI OBSTR CLOT REM | $8,625 | $3,450 | $468 | $6,900 | 28 |
| 52352 | CYSTOURETERO W/STONE REMOVE | $8,624 | $3,450 | $662 | $6,899 | 28 |
| 11426 | EXC H-F-NK-SP B9+MARG>4CM | $8,500 | $3,400 | $468 | $6,800 | 28 |
| C1786 | PACEMAKER ASSURITY SSR PM1240 | $8,469 | $3,388 | $2,525 | $8,196 | 21 |
| 330207502 | AKKIGRAFT TENDON ACHILLES | $8,313 | $3,325 | — | — | 0 |
| 20680 | Removal of Deep Implant | $8,305 | $3,322 | $536 | $6,644 | 28 |
| 330209804 | HEAD RADIAL IMPACTOR ST | $8,256 | $3,302 | — | — | 0 |
Showing top 50 of 25,449 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.