45 CFR § 180 compliance
C · 70
This hospital published part 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
10,209
Insurances with rates
25
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
90011428
$59,604
PLATE BAR CROSS AXLE X060-0629 55MM
Gross
$70,122
90011421
$59,604
STENT XEN GEL 45 5513-001
Gross
$70,122
90013818
$39,525
ALPHA IPG, CHRG SYS, TC SC-1285L
Gross
$46,500
90013838
$39,525
ALPHA IPG, CHRG SYS, TC SC-1285E
Gross
$46,500
90012894
$39,015
ALPHA IPG, CHRG SYS, RC SC-1280E
Gross
$45,900
90013695
$39,015
ALPHA IPG, CHRG SYS, RC SC-1280H
Gross
$45,900
90012636
$39,015
SPINAL CORD STIM SYST M365SC12320 BOSTON
Gross
$45,900
90013309
$38,165
ALPHA IPG PRIME, RC, SC-1480E COVEREDGE
Gross
$44,900
90012555
$33,915
ALPHA IPG, CHRG SYS, RC SC-1280L
Gross
$39,900
90013857
$33,065
ALPHA IPG PRIME, RC SC-1482
Gross
$38,900
6520513
$31,919
OCREVUS INTRAVENOUS SOLUTION 30MG/1ML
Gross
$37,551
90013422
$31,450
ALPHA IPG PRIME, RC SC-1442 16
Gross
$37,000
6521014
$29,991
JEMPERLI IV SOLN 50MG/1ML
Gross
$35,284
90012570
$28,900
INS 97715 INTELLIS ADAPTIVESTIM PAIN
Gross
$34,000
90012454
$27,028
ENDOGRAFT BIFURCATE AFX2 BEA25-60/I16-40
Gross
$31,798
90012521
$25,245
ALTO AORTIC TV-AB2080-N MAIN BODY 20MM
Gross
$29,700
90012268
$25,245
ALTO AORTIC TV-AB2380-N MAIN BODY 23MM
Gross
$29,700
90012949
$25,245
ALTO AORTIC TV-AB2680-N MAIN BODY 26MM
Gross
$29,700
90012291
$25,245
ALTO AORTIC TV-AB2980-N MAIN BODY 29MM
Gross
$29,700
90012503
$25,245
OVATION IX AORTIC BODY TV-AB3480-N 34MM
Gross
$29,700
95003300
$24,266
PROCEDURE CAPPED HIP BIRMINGHAM RESURFHD
Gross
$28,549
6520302
$22,038
ENTYVIO 300MG/NS 250ML
Gross
$25,927
90013693
$21,051
INTERSTIM X INS 97800 SSMRI
Gross
$24,766
90012502
$20,655
NEUROSTIMULATOR F15 4101 NON-RECHARGEABL
Gross
$24,300
90010637
$20,352
INTERSTIM II 3058 NEUROSTIMULAT BLADDER
Gross
$23,944
90010782
$20,352
MICROSTIMULATOR INS 97810 RECHARGEABLE
Gross
$23,944
95009807
$19,966
PROCEDURE CAPPED TOTAL HIP
Gross
$23,489
95009806
$19,966
PROCEDURE CAPPED TOTAL HIP
Gross
$23,489
95009809
$19,966
PROCEDURE CAPPED TOTAL HIP
Gross
$23,489
90012669
$19,463
VEIN GREAT SAPHENOUS SV106 83CM
Gross
$22,898
95009804
$19,182
PROCEDURE CAPPED TOTAL HIP
Gross
$22,568
95009822
$18,856
PROCEDURE CAPPED TOTAL HIP
Gross
$22,184
95009826
$18,856
PROCEDURE CAPPED PREM ST/OSS MH CP/E1
Gross
$22,184
95009823
$18,856
PROCEDURE CAPPED TOTAL HIP
Gross
$22,184
90013299
$18,277
NEUROSTIMULATOR R20 5101 RECHARGEABLE
Gross
$21,502
6502383
$17,993
Tenecteplase 50MG INJ (TNKASE)
Gross
$21,169
90003380
$17,798
COMPONENT FEMORAL 71421176 CONSTRAINED
Gross
$20,939
95009901
$17,562
PROCEDURE CAPPED ASCEND FLEX REVERSE
Gross
$20,661
95009841
$17,340
PROCEDURE CAPPED TOTAL HIP LEFT
Gross
$20,400
95009805
$17,340
PROCEDURE CAPPED TOTAL HIP RIGHT
Gross
$20,400
95009828
$17,340
PROCEDURE CAPPED HIP POROUS UNIPOLAR
Gross
$20,400
90013629
$17,000
ASTURA SIJ FUSION SI COMPRESSION A-2
Gross
$20,000
90013283
$17,000
SYSTEM SIMMETRY ZYG-2000 SIJ FUSION
Gross
$20,000
95004210
$16,523
PROCEDURE CAPPED KNEE LEGION PRIMARY
Gross
$19,439
95009702
$16,432
PROCEDURE CAPPED REVERSE TOTAL SHOULDER
Gross
$19,331
90013293
$15,961
PSN REV FEM CMT 42-5046-070-11 CCR SX11L
Gross
$18,778
95009824
$15,713
PROCEDURE CAPPED REVERSE SHOULDER
Gross
$18,486
90003685
$15,708
STEM HUMERAL 00-4349-012-13 130MM
Gross
$18,480
95003313
$15,482
PROCEDURE CAPPED HIP POROUS STEM COCR
Gross
$18,214
95009829
$15,256
PROCEDURE CAPPED TOTAL SHOULDER
Gross
$17,948
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 90011428 | PLATE BAR CROSS AXLE X060-0629 55MM | $70,122 | $59,604 | — | — | 12 |
| 90011421 | STENT XEN GEL 45 5513-001 | $70,122 | $59,604 | — | — | 12 |
| 90013818 | ALPHA IPG, CHRG SYS, TC SC-1285L | $46,500 | $39,525 | — | — | 13 |
| 90013838 | ALPHA IPG, CHRG SYS, TC SC-1285E | $46,500 | $39,525 | — | — | 13 |
| 90012894 | ALPHA IPG, CHRG SYS, RC SC-1280E | $45,900 | $39,015 | — | — | 13 |
| 90013695 | ALPHA IPG, CHRG SYS, RC SC-1280H | $45,900 | $39,015 | — | — | 13 |
| 90012636 | SPINAL CORD STIM SYST M365SC12320 BOSTON | $45,900 | $39,015 | — | — | 13 |
| 90013309 | ALPHA IPG PRIME, RC, SC-1480E COVEREDGE | $44,900 | $38,165 | — | — | 13 |
| 90012555 | ALPHA IPG, CHRG SYS, RC SC-1280L | $39,900 | $33,915 | — | — | 13 |
| 90013857 | ALPHA IPG PRIME, RC SC-1482 | $38,900 | $33,065 | — | — | 12 |
| 6520513 | OCREVUS INTRAVENOUS SOLUTION 30MG/1ML | $37,551 | $31,919 | — | — | 26 |
| 90013422 | ALPHA IPG PRIME, RC SC-1442 16 | $37,000 | $31,450 | — | — | 13 |
| 6521014 | JEMPERLI IV SOLN 50MG/1ML | $35,284 | $29,991 | — | — | 26 |
| 90012570 | INS 97715 INTELLIS ADAPTIVESTIM PAIN | $34,000 | $28,900 | — | — | 13 |
| 90012454 | ENDOGRAFT BIFURCATE AFX2 BEA25-60/I16-40 | $31,798 | $27,028 | — | — | 12 |
| 90012521 | ALTO AORTIC TV-AB2080-N MAIN BODY 20MM | $29,700 | $25,245 | — | — | 12 |
| 90012268 | ALTO AORTIC TV-AB2380-N MAIN BODY 23MM | $29,700 | $25,245 | — | — | 12 |
| 90012949 | ALTO AORTIC TV-AB2680-N MAIN BODY 26MM | $29,700 | $25,245 | — | — | 12 |
| 90012291 | ALTO AORTIC TV-AB2980-N MAIN BODY 29MM | $29,700 | $25,245 | — | — | 12 |
| 90012503 | OVATION IX AORTIC BODY TV-AB3480-N 34MM | $29,700 | $25,245 | — | — | 12 |
| 95003300 | PROCEDURE CAPPED HIP BIRMINGHAM RESURFHD | $28,549 | $24,266 | — | — | 12 |
| 6520302 | ENTYVIO 300MG/NS 250ML | $25,927 | $22,038 | — | — | 26 |
| 90013693 | INTERSTIM X INS 97800 SSMRI | $24,766 | $21,051 | — | — | 12 |
| 90012502 | NEUROSTIMULATOR F15 4101 NON-RECHARGEABL | $24,300 | $20,655 | — | — | 12 |
| 90010637 | INTERSTIM II 3058 NEUROSTIMULAT BLADDER | $23,944 | $20,352 | — | — | 12 |
| 90010782 | MICROSTIMULATOR INS 97810 RECHARGEABLE | $23,944 | $20,352 | — | — | 13 |
| 95009807 | PROCEDURE CAPPED TOTAL HIP | $23,489 | $19,966 | — | — | 12 |
| 95009806 | PROCEDURE CAPPED TOTAL HIP | $23,489 | $19,966 | — | — | 12 |
| 95009809 | PROCEDURE CAPPED TOTAL HIP | $23,489 | $19,966 | — | — | 12 |
| 90012669 | VEIN GREAT SAPHENOUS SV106 83CM | $22,898 | $19,463 | — | — | 12 |
| 95009804 | PROCEDURE CAPPED TOTAL HIP | $22,568 | $19,182 | — | — | 12 |
| 95009822 | PROCEDURE CAPPED TOTAL HIP | $22,184 | $18,856 | — | — | 12 |
| 95009826 | PROCEDURE CAPPED PREM ST/OSS MH CP/E1 | $22,184 | $18,856 | — | — | 12 |
| 95009823 | PROCEDURE CAPPED TOTAL HIP | $22,184 | $18,856 | — | — | 12 |
| 90013299 | NEUROSTIMULATOR R20 5101 RECHARGEABLE | $21,502 | $18,277 | — | — | 13 |
| 6502383 | Tenecteplase 50MG INJ (TNKASE) | $21,169 | $17,993 | — | — | 26 |
| 90003380 | COMPONENT FEMORAL 71421176 CONSTRAINED | $20,939 | $17,798 | — | — | 12 |
| 95009901 | PROCEDURE CAPPED ASCEND FLEX REVERSE | $20,661 | $17,562 | — | — | 12 |
| 95009841 | PROCEDURE CAPPED TOTAL HIP LEFT | $20,400 | $17,340 | — | — | 12 |
| 95009805 | PROCEDURE CAPPED TOTAL HIP RIGHT | $20,400 | $17,340 | — | — | 12 |
| 95009828 | PROCEDURE CAPPED HIP POROUS UNIPOLAR | $20,400 | $17,340 | — | — | 12 |
| 90013629 | ASTURA SIJ FUSION SI COMPRESSION A-2 | $20,000 | $17,000 | — | — | 12 |
| 90013283 | SYSTEM SIMMETRY ZYG-2000 SIJ FUSION | $20,000 | $17,000 | — | — | 12 |
| 95004210 | PROCEDURE CAPPED KNEE LEGION PRIMARY | $19,439 | $16,523 | — | — | 12 |
| 95009702 | PROCEDURE CAPPED REVERSE TOTAL SHOULDER | $19,331 | $16,432 | — | — | 12 |
| 90013293 | PSN REV FEM CMT 42-5046-070-11 CCR SX11L | $18,778 | $15,961 | — | — | 12 |
| 95009824 | PROCEDURE CAPPED REVERSE SHOULDER | $18,486 | $15,713 | — | — | 12 |
| 90003685 | STEM HUMERAL 00-4349-012-13 130MM | $18,480 | $15,708 | — | — | 12 |
| 95003313 | PROCEDURE CAPPED HIP POROUS STEM COCR | $18,214 | $15,482 | — | — | 12 |
| 95009829 | PROCEDURE CAPPED TOTAL SHOULDER | $17,948 | $15,256 | — | — | 12 |
Showing top 50 of 10,209 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.