45 CFR § 180 compliance
A · 100
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
3,943
Insurances with rates
6
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
96609009
$47,789
Knee Implant Zimmer Custom
Gross
$47,789
96600589
$29,679
Interstim X Neurostimulator #97800
Gross
$29,679
96609018
$26,747
Knee Implant Custom Spare
Gross
$26,747
96600619
$24,300
Axonics F15 Neurostimulator
Gross
$24,300
96609003
$18,598
Itotal Cr Ipoly Knee W/ Patella & Stem Ext Implant
Gross
$18,598
96609010
$17,800
Itotal Identity Cr Femoral Implant With Tibial
Gross
$17,800
96609007
$17,200
Itotal Cr Ipoly Xe Knee Implant W/ Patel
Gross
$17,200
96609012
$17,200
Knee Implant Conformis Custom
Gross
$17,200
96609006
$17,198
Itotal Cr Ipoly Xe Knee Implant W/o Pate
Gross
$17,198
96609005
$16,400
Itotal Ps Ipoly Knee Implant W/ Patella
Gross
$16,400
96609004
$16,400
Itotal Ps Ipoly Knee Implant W/o Patella
Gross
$16,400
96609011
$15,201
Knee Implant J & J Custom
Gross
$15,201
96609008
$14,070
Knee Implant Smith & Nephew Custom
Gross
$14,070
96600414
$11,682
Mesh Phasix St 15cm
Gross
$11,682
96600588
$10,681
Interstim X Lead Kit Is2 28cm #978b128
Gross
$10,681
96609002
$9,900
Iduo Ipoly Knee Implant W/ Patella
Gross
$9,900
96609001
$9,900
Iduo Ipoly Knee Implant W/o Patella
Gross
$9,900
96609000
$9,675
Iuni Ipoly Knee Implant
Gross
$9,675
96600620
$8,750
Axonics F15 Tined Lead Kit
Gross
$8,750
132055040
$8,039
55040 Excision Of Hydrocele; Unilateral
Gross
$8,039
13205540
$8,039
55040 Excision Of Hydrocele Unilateral
Gross
$8,039
132055041
$7,842
55041 Excision Of Hydrocele; Bilateral
Gross
$7,842
2900580
$7,681
Pet Ct Limited Area
Gross
$7,681
2900600
$6,935
Pet Ct Whole Body
Gross
$6,935
2900590
$6,131
Pet Ct Skull Base To Midthigh
Gross
$6,131
2900780
$5,754
Ct Angio Abdomen And Pelvis
Gross
$5,754
96600598
$5,631
Interstim X Handset W/ Communicator #Th90q01
Gross
$5,631
2900770
$5,627
Ct Abdomen And Pelvis W/ + W/o Contrast
Gross
$5,627
1767208760852-UCWU
$5,174
27447 Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments
Gross
$5,174
27447
$5,174
27447 Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments
Gross
$5,174
2900760
$5,068
CT scan of abdomen and pelvis with contrast
Gross
$5,068
96600590
$4,875
Interstim X Smart Programmer Kit #Th90p01
Gross
$4,875
2900610
$4,725
Pet Brain Imaging Metabolic Evaluation
Gross
$4,725
4000630
$4,547
95811 Polysomnography W/cpap Charge
Gross
$4,547
2700080
$4,465
Mri Spine Cervical W/ + W/o Contrast
Gross
$4,465
1767208760853-ITUH
$4,375
Obstetric care, planned cesarean delivery
Gross
$4,375
59510
$4,375
Obstetric care, planned cesarean delivery
Gross
$4,375
2800080
$4,353
Nm Myocardial Spect Rest And Stress
Gross
$4,353
2700150
$4,333
Mri Spine Lumbar W/ + W/o Contrast
Gross
$4,333
2700440
$4,304
Mra Abdomen W/ + W/o Contrast
Gross
$4,304
2700120
$4,296
Mri Spine Thoracic W/ + W/o Contrast
Gross
$4,296
4000580
$4,293
Sleep study
Gross
$4,293
2900750
$4,281
Ct Abdomen And Pelvis W/o Contrast
Gross
$4,281
96600432
$4,238
Mesh Ventralight W/echo 2 7x9
Gross
$4,238
21932
$4,201
21932 Excision, Tumor, Soft Tissue Of Back Or Flank, Subfascial (Eg, Intramuscular); Less Than 5 Cm
Gross
$4,201
2700495
$4,107
Mri Cardiac Morph Fnct W/stress W/wo Cnt
Gross
$4,107
2800460
$4,094
Nm Myocardial Spect Single Study
Gross
$4,094
96600150
$4,078
Mesh Composix Kugel 8x10
Gross
$4,078
2700520
$4,060
Mra Brain/head W/ + W/o Contrast
Gross
$4,060
2700480
$4,054
72197
Gross
$4,054
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 96609009 | Knee Implant Zimmer Custom | $47,789 | $47,789 | $29,151 | $47,789 | 9 |
| 96600589 | Interstim X Neurostimulator #97800 | $29,679 | $29,679 | $18,104 | $29,679 | 9 |
| 96609018 | Knee Implant Custom Spare | $26,747 | $26,747 | $16,316 | $26,747 | 9 |
| 96600619 | Axonics F15 Neurostimulator | $24,300 | $24,300 | $14,823 | $24,300 | 9 |
| 96609003 | Itotal Cr Ipoly Knee W/ Patella & Stem Ext Implant | $18,598 | $18,598 | $11,345 | $18,598 | 9 |
| 96609010 | Itotal Identity Cr Femoral Implant With Tibial | $17,800 | $17,800 | $10,858 | $17,800 | 9 |
| 96609007 | Itotal Cr Ipoly Xe Knee Implant W/ Patel | $17,200 | $17,200 | $10,492 | $17,200 | 9 |
| 96609012 | Knee Implant Conformis Custom | $17,200 | $17,200 | $10,492 | $17,200 | 9 |
| 96609006 | Itotal Cr Ipoly Xe Knee Implant W/o Pate | $17,198 | $17,198 | $10,491 | $17,198 | 9 |
| 96609005 | Itotal Ps Ipoly Knee Implant W/ Patella | $16,400 | $16,400 | $10,004 | $16,400 | 9 |
| 96609004 | Itotal Ps Ipoly Knee Implant W/o Patella | $16,400 | $16,400 | $10,004 | $16,400 | 9 |
| 96609011 | Knee Implant J & J Custom | $15,201 | $15,201 | $9,273 | $15,201 | 9 |
| 96609008 | Knee Implant Smith & Nephew Custom | $14,070 | $14,070 | $8,583 | $14,070 | 9 |
| 96600414 | Mesh Phasix St 15cm | $11,682 | $11,682 | $7,126 | $11,682 | 9 |
| 96600588 | Interstim X Lead Kit Is2 28cm #978b128 | $10,681 | $10,681 | $6,515 | $10,681 | 9 |
| 96609002 | Iduo Ipoly Knee Implant W/ Patella | $9,900 | $9,900 | $6,039 | $9,900 | 9 |
| 96609001 | Iduo Ipoly Knee Implant W/o Patella | $9,900 | $9,900 | $6,039 | $9,900 | 9 |
| 96609000 | Iuni Ipoly Knee Implant | $9,675 | $9,675 | $5,902 | $9,675 | 9 |
| 96600620 | Axonics F15 Tined Lead Kit | $8,750 | $8,750 | $5,338 | $8,750 | 9 |
| 132055040 | 55040 Excision Of Hydrocele; Unilateral | $8,039 | $8,039 | $4,904 | $8,039 | 9 |
| 13205540 | 55040 Excision Of Hydrocele Unilateral | $8,039 | $8,039 | $4,904 | $8,039 | 9 |
| 132055041 | 55041 Excision Of Hydrocele; Bilateral | $7,842 | $7,842 | $4,784 | $7,842 | 9 |
| 2900580 | Pet Ct Limited Area | $7,681 | $7,681 | $4,685 | $7,681 | 9 |
| 2900600 | Pet Ct Whole Body | $6,935 | $6,935 | $4,230 | $6,935 | 9 |
| 2900590 | Pet Ct Skull Base To Midthigh | $6,131 | $6,131 | $3,740 | $6,131 | 9 |
| 2900780 | Ct Angio Abdomen And Pelvis | $5,754 | $5,754 | $3,510 | $5,754 | 9 |
| 96600598 | Interstim X Handset W/ Communicator #Th90q01 | $5,631 | $5,631 | $3,435 | $5,631 | 9 |
| 2900770 | Ct Abdomen And Pelvis W/ + W/o Contrast | $5,627 | $5,627 | $3,432 | $5,627 | 9 |
| 1767208760852-UCWU | 27447 Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments | $5,174 | $5,174 | $3,156 | $5,174 | 9 |
| 27447 | 27447 Arthroplasty, Knee, Condyle And Plateau; Medial And Lateral Compartments | $5,174 | $5,174 | $3,156 | $5,174 | 9 |
| 2900760 | CT scan of abdomen and pelvis with contrast | $5,068 | $5,068 | $3,091 | $5,068 | 9 |
| 96600590 | Interstim X Smart Programmer Kit #Th90p01 | $4,875 | $4,875 | $2,974 | $4,875 | 9 |
| 2900610 | Pet Brain Imaging Metabolic Evaluation | $4,725 | $4,725 | $2,882 | $4,725 | 9 |
| 4000630 | 95811 Polysomnography W/cpap Charge | $4,547 | $4,547 | $2,774 | $4,547 | 9 |
| 2700080 | Mri Spine Cervical W/ + W/o Contrast | $4,465 | $4,465 | $2,724 | $4,465 | 9 |
| 1767208760853-ITUH | Obstetric care, planned cesarean delivery | $4,375 | $4,375 | $2,669 | $4,375 | 9 |
| 59510 | Obstetric care, planned cesarean delivery | $4,375 | $4,375 | $2,669 | $4,375 | 9 |
| 2800080 | Nm Myocardial Spect Rest And Stress | $4,353 | $4,353 | $2,655 | $4,353 | 9 |
| 2700150 | Mri Spine Lumbar W/ + W/o Contrast | $4,333 | $4,333 | $2,643 | $4,333 | 9 |
| 2700440 | Mra Abdomen W/ + W/o Contrast | $4,304 | $4,304 | $2,625 | $4,304 | 9 |
| 2700120 | Mri Spine Thoracic W/ + W/o Contrast | $4,296 | $4,296 | $2,621 | $4,296 | 9 |
| 4000580 | Sleep study | $4,293 | $4,293 | $2,619 | $4,293 | 9 |
| 2900750 | Ct Abdomen And Pelvis W/o Contrast | $4,281 | $4,281 | $2,611 | $4,281 | 9 |
| 96600432 | Mesh Ventralight W/echo 2 7x9 | $4,238 | $4,238 | $2,585 | $4,238 | 9 |
| 21932 | 21932 Excision, Tumor, Soft Tissue Of Back Or Flank, Subfascial (Eg, Intramuscular); Less Than 5 Cm | $4,201 | $4,201 | $2,563 | $4,201 | 9 |
| 2700495 | Mri Cardiac Morph Fnct W/stress W/wo Cnt | $4,107 | $4,107 | $2,505 | $4,107 | 9 |
| 2800460 | Nm Myocardial Spect Single Study | $4,094 | $4,094 | $2,497 | $4,094 | 9 |
| 96600150 | Mesh Composix Kugel 8x10 | $4,078 | $4,078 | $2,488 | $4,078 | 9 |
| 2700520 | Mra Brain/head W/ + W/o Contrast | $4,060 | $4,060 | $2,477 | $4,060 | 9 |
| 2700480 | 72197 | $4,054 | $4,054 | $2,473 | $4,054 | 9 |
Showing top 50 of 3,943 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.