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
12,212
Insurances with rates
25
CPT / HCPCS codes
35
Source MRF
Most expensive procedures (gross)
69162088
$38,250
PACEMAKER BATTERY CRT D314TRG
Gross
$51,000
6100136
$37,500
NEUROSURGERY TIER 6 OR TIME
Gross
$50,000
7796599
$32,250
KIT GENERATOR PROCLAIM / 3664
Gross
$43,000
69161295
$30,420
ICD GENERATOR D274DRG
Gross
$40,560
69162205
$28,810
ICD-DR GENERATOR EVERA XT DDBB1D4
Gross
$38,413
71100226
$27,167
KIT IPG DUAL 8 NALU BUNDLE / 71004
Gross
$36,222
71100236
$27,167
KIT IPG DUAL 8 W/ LEADS / 71019
Gross
$36,222
6100185
$26,250
PAIN MANAGEMENT TIER 5 OR TIME
Gross
$35,000
71100336
$25,950
GENERATOR 16 ALPHA WAVE / SC-1216
Gross
$34,600
71100219
$25,950
GENERATOR 16 WAVEWRITER / SC-1416
Gross
$34,600
71000611
$25,950
GENERATOR WAVEWRITER 16 / SC-1240A
Gross
$34,600
69161167
$25,055
VENTRALIGHT ST MESH 6X10IN / 5954610
Gross
$33,406
69161067
$25,055
VENTRALIGHT ST MESH 6X8IN / 5954680
Gross
$33,406
70000141
$24,900
KIT PULSE GENERATOR SPECTRA / SC-1132
Gross
$33,200
69161443
$24,750
ICD BATTERY D224VRC
Gross
$33,000
70000122
$24,750
NERVE STIMULATOR PROCLAIM ELITE 7 / 3662
Gross
$33,000
69162221
$24,750
SPINE STIM IPG(Internal Pulse Gen) 97714
Gross
$33,000
2105887
$24,281
SPACER 20X50MM ELSA / 1122.0150
Gross
$32,375
69162818
$23,700
SPINE STIM GENERATOR/ 97715
Gross
$31,600
71001059
$23,250
KIT 1C PNS PERM FREEDOM / STQ4-RCV-A0
Gross
$31,000
71001167
$23,250
KIT 2C PNS PERM FREEDOM / STQ4-RCV-B0
Gross
$31,000
7236651
$23,107
KIT REPAIR FIBULINK SYND / FGS-1000
Gross
$30,809
6100135
$22,500
NEUROSURGERY TIER 5 OR TIME
Gross
$30,000
69161293
$21,750
GENERATOR FORTIFY VR CD1231-40
Gross
$29,000
1438622
$20,593
PROSTHESIS 22CM SCROTAL / ES2922
Gross
$27,458
69162407
$19,500
SPINE STIM IPG INTERNAL PULSE GEN 97712
Gross
$26,000
6100165
$18,750
GENERAL SURGERY TIER 5 OR TIME
Gross
$25,000
6100145
$18,750
GYNECOLOGY TIER 5 OR TIME
Gross
$25,000
6100105
$18,750
ORTHO TIER 5 OR TIME
Gross
$25,000
6100125
$18,750
UROLOGY TIER 5 OR TIME
Gross
$25,000
7264857
$17,063
SPACER 10X22 10-16MM / 1172.2024S
Gross
$22,750
7264851
$17,063
SPACER 10X26MM SABLE / 1172.2113S
Gross
$22,750
69169874
$16,932
AMNIOGRAFT 1.5X1.0CM OCULAR / AG-1510F
Gross
$22,576
69169718
$16,815
NEUORSTIMULATOR / 1101
Gross
$22,420
69161057
$15,768
INTERSTIM II NEUROSTIMULATOR / 97800
Gross
$21,024
6100134
$15,000
NEUROSURGERY TIER 4 OR TIME
Gross
$20,000
6100184
$15,000
PAIN MANAGEMENT TIER 4 OR TIME
Gross
$20,000
3302053
$14,892
TENECTEPLASE (TNKASE) INJ : 1MG
Gross
$19,856
69162816
$14,567
SPACER SMALL 15 DEG 11MM / 3108.0211
Gross
$19,422
6100164
$13,500
GENERAL SURGERY TIER 4 OR TIME
Gross
$18,000
6100144
$13,500
GYNECOLOGY TIER 4 OR TIME
Gross
$18,000
6100104
$13,500
ORTHO TIER 4 OR TIME
Gross
$18,000
6100174
$13,500
PODIATRY TIER 4 OR TIME
Gross
$18,000
6100124
$13,500
UROLOGY TIER 4 OR TIME
Gross
$18,000
69161745
$13,493
TAS LORDOTIC 12DEG X 13MM / 2312-1113
Gross
$17,990
69169592
$13,200
CORE 14MM/25-30MM / 337.001
Gross
$17,600
7173690
$12,863
ORTHOFIX 6MM MED / CDM-625
Gross
$17,150
69160872
$12,783
RENAL CRYOTHERAPY PROCEDURE
Gross
$17,043
69169443
$12,750
SPACER MIS 24x30MM 11MM / 3135.0211
Gross
$17,000
69169508
$12,750
SPACER MIS 26x34MM / 3135.0613
Gross
$17,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 69162088 | PACEMAKER BATTERY CRT D314TRG | $51,000 | $38,250 | — | — | 13 |
| 6100136 | NEUROSURGERY TIER 6 OR TIME | $50,000 | $37,500 | — | — | 12 |
| 7796599 | KIT GENERATOR PROCLAIM / 3664 | $43,000 | $32,250 | — | — | 12 |
| 69161295 | ICD GENERATOR D274DRG | $40,560 | $30,420 | — | — | 12 |
| 69162205 | ICD-DR GENERATOR EVERA XT DDBB1D4 | $38,413 | $28,810 | — | — | 12 |
| 71100226 | KIT IPG DUAL 8 NALU BUNDLE / 71004 | $36,222 | $27,167 | — | — | 12 |
| 71100236 | KIT IPG DUAL 8 W/ LEADS / 71019 | $36,222 | $27,167 | — | — | 12 |
| 6100185 | PAIN MANAGEMENT TIER 5 OR TIME | $35,000 | $26,250 | — | — | 12 |
| 71100336 | GENERATOR 16 ALPHA WAVE / SC-1216 | $34,600 | $25,950 | — | — | 11 |
| 71100219 | GENERATOR 16 WAVEWRITER / SC-1416 | $34,600 | $25,950 | — | — | 12 |
| 71000611 | GENERATOR WAVEWRITER 16 / SC-1240A | $34,600 | $25,950 | — | — | 11 |
| 69161167 | VENTRALIGHT ST MESH 6X10IN / 5954610 | $33,406 | $25,055 | — | — | 13 |
| 69161067 | VENTRALIGHT ST MESH 6X8IN / 5954680 | $33,406 | $25,055 | — | — | 13 |
| 70000141 | KIT PULSE GENERATOR SPECTRA / SC-1132 | $33,200 | $24,900 | — | — | 12 |
| 69161443 | ICD BATTERY D224VRC | $33,000 | $24,750 | — | — | 12 |
| 70000122 | NERVE STIMULATOR PROCLAIM ELITE 7 / 3662 | $33,000 | $24,750 | — | — | 12 |
| 69162221 | SPINE STIM IPG(Internal Pulse Gen) 97714 | $33,000 | $24,750 | — | — | 12 |
| 2105887 | SPACER 20X50MM ELSA / 1122.0150 | $32,375 | $24,281 | — | — | 12 |
| 69162818 | SPINE STIM GENERATOR/ 97715 | $31,600 | $23,700 | — | — | 12 |
| 71001059 | KIT 1C PNS PERM FREEDOM / STQ4-RCV-A0 | $31,000 | $23,250 | — | — | 12 |
| 71001167 | KIT 2C PNS PERM FREEDOM / STQ4-RCV-B0 | $31,000 | $23,250 | — | — | 12 |
| 7236651 | KIT REPAIR FIBULINK SYND / FGS-1000 | $30,809 | $23,107 | — | — | 13 |
| 6100135 | NEUROSURGERY TIER 5 OR TIME | $30,000 | $22,500 | — | — | 12 |
| 69161293 | GENERATOR FORTIFY VR CD1231-40 | $29,000 | $21,750 | — | — | 12 |
| 1438622 | PROSTHESIS 22CM SCROTAL / ES2922 | $27,458 | $20,593 | — | — | 12 |
| 69162407 | SPINE STIM IPG INTERNAL PULSE GEN 97712 | $26,000 | $19,500 | — | — | 12 |
| 6100165 | GENERAL SURGERY TIER 5 OR TIME | $25,000 | $18,750 | — | — | 12 |
| 6100145 | GYNECOLOGY TIER 5 OR TIME | $25,000 | $18,750 | — | — | 12 |
| 6100105 | ORTHO TIER 5 OR TIME | $25,000 | $18,750 | — | — | 12 |
| 6100125 | UROLOGY TIER 5 OR TIME | $25,000 | $18,750 | — | — | 12 |
| 7264857 | SPACER 10X22 10-16MM / 1172.2024S | $22,750 | $17,063 | — | — | 12 |
| 7264851 | SPACER 10X26MM SABLE / 1172.2113S | $22,750 | $17,063 | — | — | 12 |
| 69169874 | AMNIOGRAFT 1.5X1.0CM OCULAR / AG-1510F | $22,576 | $16,932 | — | — | 13 |
| 69169718 | NEUORSTIMULATOR / 1101 | $22,420 | $16,815 | — | — | 12 |
| 69161057 | INTERSTIM II NEUROSTIMULATOR / 97800 | $21,024 | $15,768 | — | — | 12 |
| 6100134 | NEUROSURGERY TIER 4 OR TIME | $20,000 | $15,000 | — | — | 12 |
| 6100184 | PAIN MANAGEMENT TIER 4 OR TIME | $20,000 | $15,000 | — | — | 12 |
| 3302053 | TENECTEPLASE (TNKASE) INJ : 1MG | $19,856 | $14,892 | — | — | 26 |
| 69162816 | SPACER SMALL 15 DEG 11MM / 3108.0211 | $19,422 | $14,567 | — | — | 12 |
| 6100164 | GENERAL SURGERY TIER 4 OR TIME | $18,000 | $13,500 | — | — | 12 |
| 6100144 | GYNECOLOGY TIER 4 OR TIME | $18,000 | $13,500 | — | — | 12 |
| 6100104 | ORTHO TIER 4 OR TIME | $18,000 | $13,500 | — | — | 12 |
| 6100174 | PODIATRY TIER 4 OR TIME | $18,000 | $13,500 | — | — | 12 |
| 6100124 | UROLOGY TIER 4 OR TIME | $18,000 | $13,500 | — | — | 12 |
| 69161745 | TAS LORDOTIC 12DEG X 13MM / 2312-1113 | $17,990 | $13,493 | — | — | 13 |
| 69169592 | CORE 14MM/25-30MM / 337.001 | $17,600 | $13,200 | — | — | 12 |
| 7173690 | ORTHOFIX 6MM MED / CDM-625 | $17,150 | $12,863 | — | — | 12 |
| 69160872 | RENAL CRYOTHERAPY PROCEDURE | $17,043 | $12,783 | — | — | 12 |
| 69169443 | SPACER MIS 24x30MM 11MM / 3135.0211 | $17,000 | $12,750 | — | — | 12 |
| 69169508 | SPACER MIS 26x34MM / 3135.0613 | $17,000 | $12,750 | — | — | 12 |
Showing top 50 of 12,212 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.