45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
○Discounted cash price: below assessment threshold
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
28,389
Insurances with rates
15
CPT / HCPCS codes
102
Most expensive procedures (gross)
142823
—
XENMATRIX SURGICAL GRAFT 30 X 45CM
Gross
$109,500
10092564
—
SHORT INCREMENT SENSITIVITY INDEX
Gross
$92,564
148392
—
ATS SPHERE 40MM NO FLAT
Gross
$70,500
146595
—
SPINAL STIMULATOR
Gross
$61,662
147327
—
DEFIBRILATOR EPIC DR (V-235)
Gross
$58,500
143773
—
WAVE WRITER IPG AND CHARGER
Gross
$57,300
143554
—
PULSE GENERATOR KIT
Gross
$57,300
144176
—
PULSE GENERATOR KIT
Gross
$57,300
146129
—
PULSE GENERATOR KIT
Gross
$57,300
140646
—
PULSE GENERATOR KIT
Gross
$54,000
143079
—
PULSE GENERATOR KIT SPECTRA
Gross
$54,000
144473
—
MONTAGE MRI IPG
Gross
$53,400
146384
—
SPINAL STIMULATOR
Gross
$50,960
141572
—
PULSE GENERATOR KIT
Gross
$49,500
144355
—
PULSE GENERATOR KIT
Gross
$49,500
147499
—
PULSE GENERATOR KIT
Gross
$48,900
148272
—
TALAR DOME FLAT CUT SZ 2
Gross
$45,640
141868
—
AQUELIS REVERSE SHOULDER KIT
Gross
$44,550
146591
—
ASCEND FLEX REVERSE SHOULDER
Gross
$44,550
147430
—
SURGICAL IMPLANT 20X30CMX1.5MM
Gross
$44,112
140991
—
SYNCHROMED PUMP
Gross
$43,137
140844
—
XENMATRIX SURGICAL GRAFT 19CM X 28CM
Gross
$43,100
148273
—
MTIBIAL TRAY STEMMED SZ 2 STD
Gross
$43,015
269326
—
CROFAB ___GRAMS/NS 250 ML IVPB
Gross
$42,332
141625
—
XENMATRIX SURGICAL GRAFT 20CMX25CM
Gross
$41,337
143314
—
INTERSTIM X SSMRI AMER
Gross
$40,721
143315
—
INTERSTIM ISTM SMRI
Gross
$40,471
145845
—
INTERSTIM ISTM SMRI
Gross
$40,471
146652
—
ASCEND FLEX REVERSE SHOULDER
Gross
$40,350
146648
—
ASCEND FLEX REVERSE SHOULDER
Gross
$40,125
147316
—
PHASIX MESH W ECHO 20 X 25 CM
Gross
$39,800
146907
—
INFINITY ADAPTIS FLAT CUT TALAR DOME
Gross
$39,125
141644
—
XENMATRIX SURGICAL GRAFT 7.5 X 11
Gross
$37,663
146906
—
INFINITY ADAPTIS TIB SZ 3
Gross
$36,855
140891
—
XENMATRIX SURGICAL GRAFT 20CM X 20CM
Gross
$35,880
146685
—
PSN REV FEM CMT CCT PLS SZ 5 L
Gross
$33,200
1343685
—
INC/REPL SPINE NSTIM PG/RCVR
Gross
$32,888
269430
—
POLIVY 140 MG VIAL *CHEMO*
Gross
$32,550
145907
—
PURAPLY AM XT 6X9
Gross
$32,400
146160
—
NEUROSTIMULATOR
Gross
$32,255
143058
—
INTERSTIM II NEUROSTIMULATOR
Gross
$29,940
142813
—
XENMATRIX SURGICAL GRAFT 15CM X 20CM
Gross
$28,440
146128
—
LINK CEMENTED R 3 M
Gross
$28,250
149040
—
PHASIX MESH 8 X 10
Gross
$27,450
90000254
—
26740 CL TX IPJ DISLOC WO ENES WO/MN
Gross
$26,740
142635
—
FEMORAL STEM 17X154MM
Gross
$26,250
147467
—
MEGASYSTEM FEMORAL COMP
Gross
$25,735
147252
—
PRODENSE BONE GRAFT CDK
Gross
$25,525
270154
—
VYXEOS 44 MG/100 MG VIAL
Gross
$24,751
270155
—
VYXEOS __ MG/___ MG/NS 500 ML IVPB *CHEM
Gross
$24,751
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 142823 | XENMATRIX SURGICAL GRAFT 30 X 45CM | $109,500 | — | — | — | 0 |
| 10092564 | SHORT INCREMENT SENSITIVITY INDEX | $92,564 | — | — | — | 0 |
| 148392 | ATS SPHERE 40MM NO FLAT | $70,500 | — | — | — | 0 |
| 146595 | SPINAL STIMULATOR | $61,662 | — | — | — | 0 |
| 147327 | DEFIBRILATOR EPIC DR (V-235) | $58,500 | — | — | — | 0 |
| 143773 | WAVE WRITER IPG AND CHARGER | $57,300 | — | — | — | 6 |
| 143554 | PULSE GENERATOR KIT | $57,300 | — | — | — | 0 |
| 144176 | PULSE GENERATOR KIT | $57,300 | — | — | — | 0 |
| 146129 | PULSE GENERATOR KIT | $57,300 | — | — | — | 0 |
| 140646 | PULSE GENERATOR KIT | $54,000 | — | — | — | 6 |
| 143079 | PULSE GENERATOR KIT SPECTRA | $54,000 | — | — | — | 6 |
| 144473 | MONTAGE MRI IPG | $53,400 | — | — | — | 0 |
| 146384 | SPINAL STIMULATOR | $50,960 | — | — | — | 0 |
| 141572 | PULSE GENERATOR KIT | $49,500 | — | — | — | 0 |
| 144355 | PULSE GENERATOR KIT | $49,500 | — | — | — | 0 |
| 147499 | PULSE GENERATOR KIT | $48,900 | — | — | — | 0 |
| 148272 | TALAR DOME FLAT CUT SZ 2 | $45,640 | — | — | — | 0 |
| 141868 | AQUELIS REVERSE SHOULDER KIT | $44,550 | — | — | — | 0 |
| 146591 | ASCEND FLEX REVERSE SHOULDER | $44,550 | — | — | — | 0 |
| 147430 | SURGICAL IMPLANT 20X30CMX1.5MM | $44,112 | — | — | — | 0 |
| 140991 | SYNCHROMED PUMP | $43,137 | — | — | — | 9 |
| 140844 | XENMATRIX SURGICAL GRAFT 19CM X 28CM | $43,100 | — | — | — | 0 |
| 148273 | MTIBIAL TRAY STEMMED SZ 2 STD | $43,015 | — | — | — | 0 |
| 269326 | CROFAB ___GRAMS/NS 250 ML IVPB | $42,332 | — | — | — | 0 |
| 141625 | XENMATRIX SURGICAL GRAFT 20CMX25CM | $41,337 | — | — | — | 0 |
| 143314 | INTERSTIM X SSMRI AMER | $40,721 | — | — | — | 6 |
| 143315 | INTERSTIM ISTM SMRI | $40,471 | — | — | — | 6 |
| 145845 | INTERSTIM ISTM SMRI | $40,471 | — | — | — | 6 |
| 146652 | ASCEND FLEX REVERSE SHOULDER | $40,350 | — | — | — | 8 |
| 146648 | ASCEND FLEX REVERSE SHOULDER | $40,125 | — | — | — | 0 |
| 147316 | PHASIX MESH W ECHO 20 X 25 CM | $39,800 | — | — | — | 0 |
| 146907 | INFINITY ADAPTIS FLAT CUT TALAR DOME | $39,125 | — | — | — | 0 |
| 141644 | XENMATRIX SURGICAL GRAFT 7.5 X 11 | $37,663 | — | — | — | 0 |
| 146906 | INFINITY ADAPTIS TIB SZ 3 | $36,855 | — | — | — | 0 |
| 140891 | XENMATRIX SURGICAL GRAFT 20CM X 20CM | $35,880 | — | — | — | 0 |
| 146685 | PSN REV FEM CMT CCT PLS SZ 5 L | $33,200 | — | — | — | 0 |
| 1343685 | INC/REPL SPINE NSTIM PG/RCVR | $32,888 | — | — | — | 7 |
| 269430 | POLIVY 140 MG VIAL *CHEMO* | $32,550 | — | — | — | 8 |
| 145907 | PURAPLY AM XT 6X9 | $32,400 | — | — | — | 6 |
| 146160 | NEUROSTIMULATOR | $32,255 | — | — | — | 6 |
| 143058 | INTERSTIM II NEUROSTIMULATOR | $29,940 | — | — | — | 6 |
| 142813 | XENMATRIX SURGICAL GRAFT 15CM X 20CM | $28,440 | — | — | — | 0 |
| 146128 | LINK CEMENTED R 3 M | $28,250 | — | — | — | 0 |
| 149040 | PHASIX MESH 8 X 10 | $27,450 | — | — | — | 0 |
| 90000254 | 26740 CL TX IPJ DISLOC WO ENES WO/MN | $26,740 | — | — | — | 0 |
| 142635 | FEMORAL STEM 17X154MM | $26,250 | — | — | — | 0 |
| 147467 | MEGASYSTEM FEMORAL COMP | $25,735 | — | — | — | 0 |
| 147252 | PRODENSE BONE GRAFT CDK | $25,525 | — | — | — | 0 |
| 270154 | VYXEOS 44 MG/100 MG VIAL | $24,751 | — | — | — | 8 |
| 270155 | VYXEOS __ MG/___ MG/NS 500 ML IVPB *CHEM | $24,751 | — | — | — | 0 |
Showing top 50 of 28,389 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.