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
9,163
Insurances with rates
7
CPT / HCPCS codes
7
Source MRF
Most expensive procedures (gross)
12318036
$98,568
WAVEWRITER ALPHA PRIME 32 IPG KIT (SC-1432)
Gross
$102,675
12318275
$98,568
WAVEWRITER ALPHA 32 IPG KIT (SC-1232)
Gross
$102,675
8343480
$55,080
ADAPTIVESTIM PAIN (97715)
Gross
$57,375
8343479
$52,680
RESTORE SENSOR #97714
Gross
$54,875
12596876
$43,496
INBONE TALAR DOME SZ 2 SULCUS (220220902)
Gross
$45,309
12884115
$33,189
INFINITY ADAPTIS TALDOME SZ2 (33680022)
Gross
$34,572
13020326
$32,904
ATTUNE CRS FEMORAL RT SZ 3 (150440203)
Gross
$34,275
11545743
$31,282
INFINITY ADAPTIS TALDOME SZ1 (33680021)
Gross
$32,585
11545744
$31,281
INFINITY ADAPTIS TIB SZ 2 (33680002)
Gross
$32,584
12090596
$30,780
PURAPLY 6 X 9 (515-018 IMPLANT SURGERY)
Gross
$32,063
11584219
$29,484
INFINITY ADAPTIS TIB SZ 1 INFINITY ADAPTIS (33680001)
Gross
$30,713
10869747
$29,434
INTERSTIM X NEUROTRANSMITTER (97800)
Gross
$30,660
9663869
$28,498
INBONE TALAR DOME SZ 3 SULCUS (220220903)
Gross
$29,685
10038634
$28,351
FLATCUT TALAR DOME SZ 4 (33680034)
Gross
$29,533
8342801
$28,032
INTERSTIM II NEUROSTIMULATOR 3058
Gross
$29,200
00074210001
$27,324
risankizumab 150 mg/mL Sol [LRHC]
Gross
$28,463
50242015001
$27,316
ocrelizumab 300 mg/10 mL Sol (Ocrevus)
Gross
$28,454
8342802
$26,940
LAG SCREW 10.5X85MM
Gross
$28,063
10038633
$26,722
INFINITY ADAPTIS TIB SZ 5 (33680005)
Gross
$27,835
57894006103
$26,343
ustekinumab 90 mg/mL PFS [LRHC]
Gross
$27,441
11912426
$26,231
ATTUNE CRS FEMORAL RT SZ 7 CEM (150440207)
Gross
$27,324
10232520
$24,795
PSN REV FEM CEMT CCR STD SZ 7-L ( 42-5046-062-01 REVISION)
Gross
$25,828
11758927
$23,568
CYGNUS DUAL 4X4CM (585-002)
Gross
$24,550
9386144
$22,982
INFINITY TALAR DOME SZ 2 (33630022)
Gross
$23,940
12705276
$22,522
AXOLOTL DUAL GRAFTA 4CM X 6CM (HADG46)
Gross
$23,460
8342398
$22,272
TIBIAL PLATFORM SZ 2 25MM(1294-35-225)
Gross
$23,200
8342399
$22,272
UNI FEMORAL SLEEVE 40MM(1294-53-236)
Gross
$23,200
73475310203
$21,848
efgartigimod alfa-hyaluronidase qvfc 1008-11200 units/ 5.6 mL Sol (Hytrulo) [LRHC]
Gross
$22,758
9203347
$21,662
INFINTIY TIBIAL TRAY SZ 4 LONG (33650014)
Gross
$22,565
9386158
$21,662
INFINITY TIBIAL TRAY SIZE 2 (33650002)
Gross
$22,565
9394284
$21,662
INFINITY TIBIAL TRAY SIZE 3 ( 33650003)
Gross
$22,565
12304854
$21,648
ARTISAN LEAD 70 CM ( SC-8216-70)
Gross
$22,550
11527378
$21,360
MOBI-C IMPLANT 17 X 17 CERVICAL DISC PROSTHESIS (MB3776)
Gross
$22,250
12445698
$21,360
MOBIC- C IMPLANT 17X19 HS US (MB3795)
Gross
$22,250
12665441
$21,360
MOBIC-C IMPLANT 15X19 H4.5 (MB3594)
Gross
$22,250
8343636
$21,360
CERVICAL DISC PROSTHESIS 17X17 MB3775
Gross
$22,250
12596877
$21,060
INBONE EVERLAST SZ 2+ 8MM TOTAL ANKLE SYSTEM (22023208)
Gross
$21,938
75987013015
$20,660
teprotumumab trbw 500 mg Pow [LRHC]
Gross
$21,521
9526259
$20,264
ATTUNE CRS FEMORAL RT SZ 5 CEM (150440205)
Gross
$21,109
8858745
$20,160
VANGUARD FEMORAL PS RIGHT 67.5MM (CP113640)
Gross
$21,000
9602250
$20,160
VANGUARD KNEE SYSTEM LEFT (CP113641)
Gross
$21,000
9203349
$20,081
INFINITY TALAR DONE SZ 3 (3360023)
Gross
$20,918
13105400
$19,865
SURGICLOSE MESHED 7X20 CM (50205N21D0D)
Gross
$20,693
8341260
$19,740
HUMERAL STEM 7MM X 130MM (DWD901)
Gross
$20,563
8341261
$19,740
FX HEMI-PROSTHESIS-ADAPTOR (DWD922)
Gross
$20,563
9026772
$19,695
RECLAIM PRX BDY CONE 24X95 (197524095)
Gross
$20,516
13021877
$19,611
ATTUNE REV RP TIB BASE SZ 4 (150660004)
Gross
$20,428
11887771
$19,440
CYGNUS DUAL AMNIOTIC ALLOGRAFT4X6CM (585-003)
Gross
$20,250
11912419
$19,040
ATTUNE REV RP TIB BASE SZ 7 CEM (150660007)
Gross
$19,833
9759867
$18,228
LAPIPLASTY MINI INCISION SYSTEM -ANATOMIC IMPLANTS (SK30)
Gross
$18,988
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 12318036 | WAVEWRITER ALPHA PRIME 32 IPG KIT (SC-1432) | $102,675 | $98,568 | — | — | 8 |
| 12318275 | WAVEWRITER ALPHA 32 IPG KIT (SC-1232) | $102,675 | $98,568 | — | — | 8 |
| 8343480 | ADAPTIVESTIM PAIN (97715) | $57,375 | $55,080 | — | — | 8 |
| 8343479 | RESTORE SENSOR #97714 | $54,875 | $52,680 | — | — | 8 |
| 12596876 | INBONE TALAR DOME SZ 2 SULCUS (220220902) | $45,309 | $43,496 | — | — | 8 |
| 12884115 | INFINITY ADAPTIS TALDOME SZ2 (33680022) | $34,572 | $33,189 | — | — | 8 |
| 13020326 | ATTUNE CRS FEMORAL RT SZ 3 (150440203) | $34,275 | $32,904 | — | — | 8 |
| 11545743 | INFINITY ADAPTIS TALDOME SZ1 (33680021) | $32,585 | $31,282 | — | — | 8 |
| 11545744 | INFINITY ADAPTIS TIB SZ 2 (33680002) | $32,584 | $31,281 | — | — | 8 |
| 12090596 | PURAPLY 6 X 9 (515-018 IMPLANT SURGERY) | $32,063 | $30,780 | — | — | 8 |
| 11584219 | INFINITY ADAPTIS TIB SZ 1 INFINITY ADAPTIS (33680001) | $30,713 | $29,484 | — | — | 8 |
| 10869747 | INTERSTIM X NEUROTRANSMITTER (97800) | $30,660 | $29,434 | — | — | 8 |
| 9663869 | INBONE TALAR DOME SZ 3 SULCUS (220220903) | $29,685 | $28,498 | — | — | 8 |
| 10038634 | FLATCUT TALAR DOME SZ 4 (33680034) | $29,533 | $28,351 | — | — | 8 |
| 8342801 | INTERSTIM II NEUROSTIMULATOR 3058 | $29,200 | $28,032 | — | — | 8 |
| 00074210001 | risankizumab 150 mg/mL Sol [LRHC] | $28,463 | $27,324 | — | — | 8 |
| 50242015001 | ocrelizumab 300 mg/10 mL Sol (Ocrevus) | $28,454 | $27,316 | — | — | 8 |
| 8342802 | LAG SCREW 10.5X85MM | $28,063 | $26,940 | — | — | 8 |
| 10038633 | INFINITY ADAPTIS TIB SZ 5 (33680005) | $27,835 | $26,722 | — | — | 8 |
| 57894006103 | ustekinumab 90 mg/mL PFS [LRHC] | $27,441 | $26,343 | — | — | 8 |
| 11912426 | ATTUNE CRS FEMORAL RT SZ 7 CEM (150440207) | $27,324 | $26,231 | — | — | 8 |
| 10232520 | PSN REV FEM CEMT CCR STD SZ 7-L ( 42-5046-062-01 REVISION) | $25,828 | $24,795 | — | — | 8 |
| 11758927 | CYGNUS DUAL 4X4CM (585-002) | $24,550 | $23,568 | — | — | 8 |
| 9386144 | INFINITY TALAR DOME SZ 2 (33630022) | $23,940 | $22,982 | — | — | 8 |
| 12705276 | AXOLOTL DUAL GRAFTA 4CM X 6CM (HADG46) | $23,460 | $22,522 | — | — | 8 |
| 8342398 | TIBIAL PLATFORM SZ 2 25MM(1294-35-225) | $23,200 | $22,272 | — | — | 8 |
| 8342399 | UNI FEMORAL SLEEVE 40MM(1294-53-236) | $23,200 | $22,272 | — | — | 8 |
| 73475310203 | efgartigimod alfa-hyaluronidase qvfc 1008-11200 units/ 5.6 mL Sol (Hytrulo) [LRHC] | $22,758 | $21,848 | — | — | 8 |
| 9203347 | INFINTIY TIBIAL TRAY SZ 4 LONG (33650014) | $22,565 | $21,662 | — | — | 8 |
| 9386158 | INFINITY TIBIAL TRAY SIZE 2 (33650002) | $22,565 | $21,662 | — | — | 8 |
| 9394284 | INFINITY TIBIAL TRAY SIZE 3 ( 33650003) | $22,565 | $21,662 | — | — | 8 |
| 12304854 | ARTISAN LEAD 70 CM ( SC-8216-70) | $22,550 | $21,648 | — | — | 8 |
| 11527378 | MOBI-C IMPLANT 17 X 17 CERVICAL DISC PROSTHESIS (MB3776) | $22,250 | $21,360 | — | — | 8 |
| 12445698 | MOBIC- C IMPLANT 17X19 HS US (MB3795) | $22,250 | $21,360 | — | — | 8 |
| 12665441 | MOBIC-C IMPLANT 15X19 H4.5 (MB3594) | $22,250 | $21,360 | — | — | 8 |
| 8343636 | CERVICAL DISC PROSTHESIS 17X17 MB3775 | $22,250 | $21,360 | — | — | 8 |
| 12596877 | INBONE EVERLAST SZ 2+ 8MM TOTAL ANKLE SYSTEM (22023208) | $21,938 | $21,060 | — | — | 8 |
| 75987013015 | teprotumumab trbw 500 mg Pow [LRHC] | $21,521 | $20,660 | — | — | 8 |
| 9526259 | ATTUNE CRS FEMORAL RT SZ 5 CEM (150440205) | $21,109 | $20,264 | — | — | 8 |
| 8858745 | VANGUARD FEMORAL PS RIGHT 67.5MM (CP113640) | $21,000 | $20,160 | — | — | 8 |
| 9602250 | VANGUARD KNEE SYSTEM LEFT (CP113641) | $21,000 | $20,160 | — | — | 8 |
| 9203349 | INFINITY TALAR DONE SZ 3 (3360023) | $20,918 | $20,081 | — | — | 8 |
| 13105400 | SURGICLOSE MESHED 7X20 CM (50205N21D0D) | $20,693 | $19,865 | — | — | 8 |
| 8341260 | HUMERAL STEM 7MM X 130MM (DWD901) | $20,563 | $19,740 | — | — | 8 |
| 8341261 | FX HEMI-PROSTHESIS-ADAPTOR (DWD922) | $20,563 | $19,740 | — | — | 8 |
| 9026772 | RECLAIM PRX BDY CONE 24X95 (197524095) | $20,516 | $19,695 | — | — | 8 |
| 13021877 | ATTUNE REV RP TIB BASE SZ 4 (150660004) | $20,428 | $19,611 | — | — | 8 |
| 11887771 | CYGNUS DUAL AMNIOTIC ALLOGRAFT4X6CM (585-003) | $20,250 | $19,440 | — | — | 8 |
| 11912419 | ATTUNE REV RP TIB BASE SZ 7 CEM (150660007) | $19,833 | $19,040 | — | — | 8 |
| 9759867 | LAPIPLASTY MINI INCISION SYSTEM -ANATOMIC IMPLANTS (SK30) | $18,988 | $18,228 | — | — | 8 |
Showing top 50 of 9,163 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.