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
9,917
Insurances with rates
13
CPT / HCPCS codes
3,187
Source MRF
Most expensive procedures (gross)
J7330
—
Autologous cultured chondrocytes, implant
Gross
$143,879
64568
$50,974
INCISION FOR IMPLANTATION OF CRANIAL NERVE (EG VAGUS NERVE) NEUROSTIMULATOR ELECTRODE ARRAY AND PULS
Gross
$89,316
64582
$71,453
OPEN IMPLANT GYPOGIOSSAL NERVE NEUROSTIMULATOR ARRAY/PULSE GENERATOR/DISTAL SENSOR ELECTRODE
Gross
$89,316
0466T
$0.02
Inspire Breathing Sensor Lead
Gross
$82,164
IMP - ULTRA DUAL KIT - N/S
—
IMP - ULTRA DUAL KIT - N/S
Gross
$82,000
IMP - INSPIRE GENERATOR PULSE MODEL 3028 (900-00
—
IMP - INSPIRE GENERATOR PULSE MODEL 3028 (900-007-0014) (C1767)
Gross
$72,900
63685
$50,974
INCISION AND SUBCUTANEOUS PLACEMENT OF SPINAL NEUROSTINULIA STIMULATOR PULSE GENERATOR OR RECEIVER D
Gross
$68,207
IMP - MEDTRONIC INTELLIS GENERATOR (97715) - N/S
—
IMP - MEDTRONIC INTELLIS GENERATOR (97715) - N/S (C1820)
Gross
$68,000
22867
$27,915
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, inc
Gross
$65,402
69714
$20,833
Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speec
Gross
$60,483
IMP - BOSTON SCIENTIFIC IPG SPECTRA WAVEWRITER
—
IMP - BOSTON SCIENTIFIC IPG SPECTRA WAVEWRITER (SC-1160) - N/C (C1820)
Gross
$60,400
L8680
$0.02
Implantable neurostimulator electrode
Gross
$59,670
IMP - IPG KIT (NIPG1500) - N/S
—
IMP - IPG KIT (NIPG1500) - N/S
Gross
$57,852
IMP - IPG BATTERY (3788) - N/S
—
IMP - IPG BATTERY (3788) - N/S
Gross
$52,000
C1816
$0.02
ANS RENEW 16-CHANNEL TRANSMITTER WITH MULTISTIM
Gross
$48,462
22869
$20,833
Insertion of interlaminar/interspinous process stabilization/distraction device, without open decomp
Gross
$40,072
IMP - MEDTRONIC INFUSION PUMP 40 (8637-40) - N/S
—
IMP - MEDTRONIC INFUSION PUMP 40 (8637-40) - N/S (C1772)
Gross
$37,600
C1772
—
PROGRAMMABLE INFUSION PUMP SYSTEM**
Gross
$36,640
C1821
$0.02
Interspinous process distraction device (implantable)
Gross
$36,640
IMP - GLOBUS CAGE 8-11MM (594.955) - N/S
—
IMP - GLOBUS CAGE 8-11MM (594.955) - N/S
Gross
$36,400
IMP - PROMETRA II PUMP (13827) - N/S (C1772)
—
IMP - PROMETRA II PUMP (13827) - N/S (C1772)
Gross
$36,000
IMP - LIFE SPINE PROLIFT CAGE 18 X 50 X 8-13MM,
—
IMP - LIFE SPINE PROLIFT CAGE 18 X 50 X 8-13MM, 7* (58-1850-0708LP) - N/S (C1889)
Gross
$36,000
IMP - LIFE SPINE PROLIFT CAGE 18 X 50 X 10-15MM,
—
IMP - LIFE SPINE PROLIFT CAGE 18 X 50 X 10-15MM, 7* (58-1850-0710LP) - N/S (C1889)
Gross
$36,000
IMP - LIFE SPINE PROLIFT CAGE 18 X 55 X 10-15MM,
—
IMP - LIFE SPINE PROLIFT CAGE 18 X 55 X 10-15MM, 7* (58-1855-0710LP) - N/S (C1889)
Gross
$36,000
92948
—
TOTAL KNEE IMPLANTS
Gross
$35,130
69710
$20,833
IMPLANTATION OR REPLACEMENT OF ELECTROMAGNETIC BONE CONDUCTION HEARING DEVICE IN TEMPORAL BONE
Gross
$34,196
69717
$10,472
REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE) OSSEOINTEGRATED IMPLANT TEMPORAL BONE WITH PERCUT
Gross
$34,196
IMP - CENTINEL SPINE STALIF L FLX 50MM X 10MM X
—
IMP - CENTINEL SPINE STALIF L FLX 50MM X 10MM X 10*, 22 AP(SLF501010-22) - N/S (C1889)
Gross
$32,360
IMP - CENTINEL SPINE STALIF L FLX 50MM X 12MM X
—
IMP - CENTINEL SPINE STALIF L FLX 50MM X 12MM X 12*, 22 AP(SLF551212-22) - N/S (C1889)
Gross
$32,360
IMP - CENTINEL SPINE STALIF L FLX 55MM X 12MM X
—
IMP - CENTINEL SPINE STALIF L FLX 55MM X 12MM X 12*, 22 AP(SLF551212-22) - N/S
Gross
$32,360
IMP - CENTINEL SPINE STALIF L FLX 55MM X 14MM X
—
IMP - CENTINEL SPINE STALIF L FLX 55MM X 14MM X 12*, 22 AP(SLF551412-22) - N/S (C1889)
Gross
$32,360
22868
$0.02
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion,
Gross
$32,060
27279
$27,915
Arthrodesis, sacroiliac joint, percutaneous or minimally invasive
Gross
$32,060
IMP - SPINAL SIMPLICITY MINUTEMAN G5 10MM (10-01
—
IMP - SPINAL SIMPLICITY MINUTEMAN G5 10MM (10-0101-000) - N/S (C1713)
Gross
$32,000
IMP - ZIMMER BIOMET - PERSONA REVISION FEMUR LEF
—
IMP - ZIMMER BIOMET - PERSONA REVISION FEMUR LEFT SZ: 5 (42-5046-058-01) - N/S (C1776)
Gross
$31,350
IMP - ZIMMER BIOMET - PERSONA REVISION FEMUR RIG
—
IMP - ZIMMER BIOMET - PERSONA REVISION FEMUR RIGHT SZ: 9 (42-5046-066-02) - N/S (C1776)
Gross
$31,350
22551
$20,833
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and d
Gross
$31,263
IMP - CENTINEL SPINE CAGE M FLX 33MM X 13MM X 8
—
IMP - CENTINEL SPINE CAGE M FLX 33MM X 13MM X 8* (SMF331308) - N/S (C1889)
Gross
$31,200
IMP - CENTINEL SPINE CAGE M FLX 33MM X 15MM X 8
—
IMP - CENTINEL SPINE CAGE M FLX 33MM X 15MM X 8* (SMF331508) - N/S (C1889)
Gross
$31,200
IMP - CENTINEL SPINE CAGE M FLX 36MM X 15MM X 1
—
IMP - CENTINEL SPINE CAGE M FLX 36MM X 15MM X 12* (SMF361512) - N/S (C1889)
Gross
$31,200
IMP - CENTINEL SPINE CAGE M FLX 36MM X 17MM X 1
—
IMP - CENTINEL SPINE CAGE M FLX 36MM X 17MM X 16* (SMF361716) - N/S (C1889)
Gross
$31,200
IMP - STRYKER ORTHO FEMUR #5 LT (5512-F-501) - N
—
IMP - STRYKER ORTHO FEMUR #5 LT (5512-F-501) - N/S
Gross
$31,132
Q4100
—
Skin substitute, not otherwise specified^
Gross
$30,980
50544
$14,728
LAPAROSCOPIC PYELOPLASTY
Gross
$30,692
50545
$14,728
LAPAROSCOPIC RADICAL NEPHRECTOMY
Gross
$30,692
50548
$14,728
Laparoscopy, surgical; nephrectomy with total ureterectomy
Gross
$30,692
IMP - STRYKER ORTHO FEMUR #4 LT. (5512-F-401) -
—
IMP - STRYKER ORTHO FEMUR #4 LT. (5512-F-401) - N/S
Gross
$30,614
64590
$30,127
INSERTION OR REPLACEMENT OF PERIPHERAL OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER DIRECT
Gross
$30,127
IMP - SYNTHES SPINE SYNFIX EVOLUTION SPACER SM 1
—
IMP - SYNTHES SPINE SYNFIX EVOLUTION SPACER SM 13.5MM (08.815.103S) - N/S
Gross
$28,000
IMP - INNOVASIS AX HA 12 X 30 X 08 (AX123008) N/
—
IMP - INNOVASIS AX HA 12 X 30 X 08 (AX123008) N/S (C1889)
Gross
$28,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| J7330 | Autologous cultured chondrocytes, implant | $143,879 | — | $45,815 | $136,685 | 1 |
| 64568 | INCISION FOR IMPLANTATION OF CRANIAL NERVE (EG VAGUS NERVE) NEUROSTIMULATOR ELECTRODE ARRAY AND PULS | $89,316 | $50,974 | $206 | $84,850 | 14 |
| 64582 | OPEN IMPLANT GYPOGIOSSAL NERVE NEUROSTIMULATOR ARRAY/PULSE GENERATOR/DISTAL SENSOR ELECTRODE | $89,316 | $71,453 | $550 | $84,850 | 13 |
| 0466T | Inspire Breathing Sensor Lead | $82,164 | $0.02 | $0.01 | $78,056 | 0 |
| IMP - ULTRA DUAL KIT - N/S | IMP - ULTRA DUAL KIT - N/S | $82,000 | — | $24,600 | $77,900 | 1 |
| IMP - INSPIRE GENERATOR PULSE MODEL 3028 (900-00 | IMP - INSPIRE GENERATOR PULSE MODEL 3028 (900-007-0014) (C1767) | $72,900 | — | $21,870 | $69,255 | 1 |
| 63685 | INCISION AND SUBCUTANEOUS PLACEMENT OF SPINAL NEUROSTINULIA STIMULATOR PULSE GENERATOR OR RECEIVER D | $68,207 | $50,974 | $181 | $64,797 | 14 |
| IMP - MEDTRONIC INTELLIS GENERATOR (97715) - N/S | IMP - MEDTRONIC INTELLIS GENERATOR (97715) - N/S (C1820) | $68,000 | — | $20,400 | $64,600 | 1 |
| 22867 | Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, inc | $65,402 | $27,915 | $481 | $62,132 | 13 |
| 69714 | Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speec | $60,483 | $20,833 | $542 | $57,459 | 14 |
| IMP - BOSTON SCIENTIFIC IPG SPECTRA WAVEWRITER | IMP - BOSTON SCIENTIFIC IPG SPECTRA WAVEWRITER (SC-1160) - N/C (C1820) | $60,400 | — | $18,120 | $57,380 | 1 |
| L8680 | Implantable neurostimulator electrode | $59,670 | $0.02 | $0.01 | $56,687 | 1 |
| IMP - IPG KIT (NIPG1500) - N/S | IMP - IPG KIT (NIPG1500) - N/S | $57,852 | — | $17,356 | $54,959 | 1 |
| IMP - IPG BATTERY (3788) - N/S | IMP - IPG BATTERY (3788) - N/S | $52,000 | — | $15,600 | $49,400 | 1 |
| C1816 | ANS RENEW 16-CHANNEL TRANSMITTER WITH MULTISTIM | $48,462 | $0.02 | $0.01 | $46,039 | 2 |
| 22869 | Insertion of interlaminar/interspinous process stabilization/distraction device, without open decomp | $40,072 | $20,833 | $481 | $38,068 | 13 |
| IMP - MEDTRONIC INFUSION PUMP 40 (8637-40) - N/S | IMP - MEDTRONIC INFUSION PUMP 40 (8637-40) - N/S (C1772) | $37,600 | — | $11,280 | $35,720 | 1 |
| C1772 | PROGRAMMABLE INFUSION PUMP SYSTEM** | $36,640 | — | $510 | $34,808 | 2 |
| C1821 | Interspinous process distraction device (implantable) | $36,640 | $0.02 | $0.01 | $34,808 | 2 |
| IMP - GLOBUS CAGE 8-11MM (594.955) - N/S | IMP - GLOBUS CAGE 8-11MM (594.955) - N/S | $36,400 | — | $10,920 | $34,580 | 1 |
| IMP - PROMETRA II PUMP (13827) - N/S (C1772) | IMP - PROMETRA II PUMP (13827) - N/S (C1772) | $36,000 | — | $10,800 | $34,200 | 1 |
| IMP - LIFE SPINE PROLIFT CAGE 18 X 50 X 8-13MM, | IMP - LIFE SPINE PROLIFT CAGE 18 X 50 X 8-13MM, 7* (58-1850-0708LP) - N/S (C1889) | $36,000 | — | $10,800 | $34,200 | 1 |
| IMP - LIFE SPINE PROLIFT CAGE 18 X 50 X 10-15MM, | IMP - LIFE SPINE PROLIFT CAGE 18 X 50 X 10-15MM, 7* (58-1850-0710LP) - N/S (C1889) | $36,000 | — | $10,800 | $34,200 | 1 |
| IMP - LIFE SPINE PROLIFT CAGE 18 X 55 X 10-15MM, | IMP - LIFE SPINE PROLIFT CAGE 18 X 55 X 10-15MM, 7* (58-1855-0710LP) - N/S (C1889) | $36,000 | — | $10,800 | $34,200 | 1 |
| 92948 | TOTAL KNEE IMPLANTS | $35,130 | — | $26,348 | $33,374 | 0 |
| 69710 | IMPLANTATION OR REPLACEMENT OF ELECTROMAGNETIC BONE CONDUCTION HEARING DEVICE IN TEMPORAL BONE | $34,196 | $20,833 | $518 | $32,486 | 3 |
| 69717 | REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE) OSSEOINTEGRATED IMPLANT TEMPORAL BONE WITH PERCUT | $34,196 | $10,472 | $542 | $32,486 | 14 |
| IMP - CENTINEL SPINE STALIF L FLX 50MM X 10MM X | IMP - CENTINEL SPINE STALIF L FLX 50MM X 10MM X 10*, 22 AP(SLF501010-22) - N/S (C1889) | $32,360 | — | $9,708 | $30,742 | 1 |
| IMP - CENTINEL SPINE STALIF L FLX 50MM X 12MM X | IMP - CENTINEL SPINE STALIF L FLX 50MM X 12MM X 12*, 22 AP(SLF551212-22) - N/S (C1889) | $32,360 | — | $9,708 | $30,742 | 1 |
| IMP - CENTINEL SPINE STALIF L FLX 55MM X 12MM X | IMP - CENTINEL SPINE STALIF L FLX 55MM X 12MM X 12*, 22 AP(SLF551212-22) - N/S | $32,360 | — | $9,708 | $30,742 | 1 |
| IMP - CENTINEL SPINE STALIF L FLX 55MM X 14MM X | IMP - CENTINEL SPINE STALIF L FLX 55MM X 14MM X 12*, 22 AP(SLF551412-22) - N/S (C1889) | $32,360 | — | $9,708 | $30,742 | 1 |
| 22868 | Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, | $32,060 | $0.02 | $0.01 | $30,457 | 4 |
| 27279 | Arthrodesis, sacroiliac joint, percutaneous or minimally invasive | $32,060 | $27,915 | $542 | $32,060 | 14 |
| IMP - SPINAL SIMPLICITY MINUTEMAN G5 10MM (10-01 | IMP - SPINAL SIMPLICITY MINUTEMAN G5 10MM (10-0101-000) - N/S (C1713) | $32,000 | — | $9,600 | $30,400 | 1 |
| IMP - ZIMMER BIOMET - PERSONA REVISION FEMUR LEF | IMP - ZIMMER BIOMET - PERSONA REVISION FEMUR LEFT SZ: 5 (42-5046-058-01) - N/S (C1776) | $31,350 | — | $9,405 | $29,783 | 1 |
| IMP - ZIMMER BIOMET - PERSONA REVISION FEMUR RIG | IMP - ZIMMER BIOMET - PERSONA REVISION FEMUR RIGHT SZ: 9 (42-5046-066-02) - N/S (C1776) | $31,350 | — | $9,405 | $29,783 | 1 |
| 22551 | Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and d | $31,263 | $20,833 | $1,445 | $29,700 | 13 |
| IMP - CENTINEL SPINE CAGE M FLX 33MM X 13MM X 8 | IMP - CENTINEL SPINE CAGE M FLX 33MM X 13MM X 8* (SMF331308) - N/S (C1889) | $31,200 | — | $9,360 | $29,640 | 1 |
| IMP - CENTINEL SPINE CAGE M FLX 33MM X 15MM X 8 | IMP - CENTINEL SPINE CAGE M FLX 33MM X 15MM X 8* (SMF331508) - N/S (C1889) | $31,200 | — | $9,360 | $29,640 | 1 |
| IMP - CENTINEL SPINE CAGE M FLX 36MM X 15MM X 1 | IMP - CENTINEL SPINE CAGE M FLX 36MM X 15MM X 12* (SMF361512) - N/S (C1889) | $31,200 | — | $9,360 | $29,640 | 1 |
| IMP - CENTINEL SPINE CAGE M FLX 36MM X 17MM X 1 | IMP - CENTINEL SPINE CAGE M FLX 36MM X 17MM X 16* (SMF361716) - N/S (C1889) | $31,200 | — | $9,360 | $29,640 | 1 |
| IMP - STRYKER ORTHO FEMUR #5 LT (5512-F-501) - N | IMP - STRYKER ORTHO FEMUR #5 LT (5512-F-501) - N/S | $31,132 | — | $9,340 | $29,575 | 1 |
| Q4100 | Skin substitute, not otherwise specified^ | $30,980 | — | $9.74 | $29,431 | 2 |
| 50544 | LAPAROSCOPIC PYELOPLASTY | $30,692 | $14,728 | $2,310 | $29,157 | 13 |
| 50545 | LAPAROSCOPIC RADICAL NEPHRECTOMY | $30,692 | $14,728 | $890 | $29,157 | 4 |
| 50548 | Laparoscopy, surgical; nephrectomy with total ureterectomy | $30,692 | $14,728 | $890 | $29,157 | 4 |
| IMP - STRYKER ORTHO FEMUR #4 LT. (5512-F-401) - | IMP - STRYKER ORTHO FEMUR #4 LT. (5512-F-401) - N/S | $30,614 | — | $9,184 | $29,083 | 1 |
| 64590 | INSERTION OR REPLACEMENT OF PERIPHERAL OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER DIRECT | $30,127 | $30,127 | $181 | $30,127 | 14 |
| IMP - SYNTHES SPINE SYNFIX EVOLUTION SPACER SM 1 | IMP - SYNTHES SPINE SYNFIX EVOLUTION SPACER SM 13.5MM (08.815.103S) - N/S | $28,000 | — | $8,400 | $26,600 | 1 |
| IMP - INNOVASIS AX HA 12 X 30 X 08 (AX123008) N/ | IMP - INNOVASIS AX HA 12 X 30 X 08 (AX123008) N/S (C1889) | $28,000 | — | $8,400 | $26,600 | 1 |
Showing top 50 of 9,917 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.