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
7,711
Insurances with rates
8
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
110371-480
$94,500
DEVICE VENTRICULAR ASSIST IMPELLA 5.5 S2 (1EA)
Gross
$135,000
110374-12167
$77,262
PIN DISTRACTION MAXCESS 16MM (1TX3=3)
Gross
$110,374
110372-689
$71,400
KIT SAPIEN 3 20MM ULTRA RESILIA VALVE WITH EDWARDS COMMANDER DEL
Gross
$102,000
110372-690
$71,400
KIT SAPIEN 3 23MM ULTRA RESILIA VALVE WITH EDWARDS COMMANDER DEL
Gross
$102,000
110372-691
$71,400
KIT SAPIEN 3 26MM ULTRA RESILIA VALVE WITH EDWARDS COMMANDER DEL
Gross
$102,000
110372-688
$71,380
KIT SAPIEN 3 29MM ULTRA RESILIA VALVE WITH EDWARDS COMMANDER DEL
Gross
$101,972
110372-684
$68,250
KIT 20 MM EDWARDS SAPIEN 3 ULTRA TRANSCATHETER HEART VALVE WITH
Gross
$97,500
110372-685
$68,250
KIT 23 MM EDWARDS SAPIEN 3 ULTRA TRANSCATHETER HEART VALVE WITH
Gross
$97,500
110372-686
$68,250
KIT 26 MM EDWARDS SAPIEN 3 ULTRA TRANSCATHETER HEART VALVE (THV)
Gross
$97,500
110372-687
$68,250
KIT TRANSCATHETER HEART VALVE SAPIEN-3 29MM
Gross
$97,500
110374-12166
$44,835
GRAFT BONE DISTAL FEMUR OSTEOCHONDRAL WHOLE RIGHT ALLOGRAFT (1/E
Gross
$64,050
110371-479
$40,394
GRAFT STENT VALIANT CAPTIVIA PROXIMAL MAIN 30MM X 30MM X 150MM (
Gross
$57,705
110371-478
$37,645
OXYGENATOR PERFUSION HLS SET ADVANCED 7.0 ADULT (1EA)
Gross
$53,779
110371-477
$32,550
DEVICE EMBOLIZATION WITH SHIELD TECHNOLOGY PIPELINE FLEX 2.5MM X
Gross
$46,500
110374-12165
$26,250
NAIL 12MM X 260MM ANKLE DYNANAIL INTRAMEDULLARY NITINOL TITANIUM
Gross
$37,500
110374-12164
$25,830
GRAFT FEMORAL CONDYLE MEDIAL RIGHT *MUST ATTACH QUOTE* (1EA)
Gross
$36,900
110374-12163
$25,725
GRAFT BONE PATELLA RIGHT ATTACHMENT ASEPTIC FRESH (1/EA)
Gross
$36,750
110374-12162
$25,200
GRAFT FEMORAL CONDYLE LATERAL LEFT *MUST ATTACH QUOTE* (1EA)
Gross
$36,000
110374-12161
$23,090
HEMI CONDYLE FEMORAL MEDIAL RIGHT FRESH STORED (1EA)
Gross
$32,985
110374-12159
$22,743
PLATE CRANIAL PEEK LARGE CUSTOM (1/EA)
Gross
$32,490
110374-12160
$22,743
PLATE CRANIAL PEEK XL CUSTOMIZE (1/EA)
Gross
$32,490
110374-12158
$22,491
PLATE HEMISPHERE MANDIBLE RIGHT CUSDTOM 28H RECONSTRUCTION 2.8MM
Gross
$32,130
110374-12156
$21,491
CAGE MONTEREY 14MM X 28MM X 36MM 20 DEG (1EA)
Gross
$30,701
110374-12157
$21,491
CAGE MONTEREY 12MM X 28MM X 36MM 15 DEG (1EA)
Gross
$30,701
110374-12154
$19,950
IMPLANT BODY 18MM X 30-46MM TALL (1EA)
Gross
$28,500
110374-12155
$19,950
IMPLANT BODY 18MM X 24-34MM TALL (1EA)
Gross
$28,500
110372-682
$19,101
VALVE INSPIRIS AORTIC 21MM
Gross
$27,288
110372-683
$19,101
VALVE INSPIRIS AORTIC 29MM
Gross
$27,288
110374-12153
$18,998
SPACER SPINAL 55MM X 22MM CALIBRATE (1EA)
Gross
$27,141
110372-681
$18,760
VALVE INSPIRIS AORTIC 23MM
Gross
$26,800
110372-680
$18,760
VALVE INSPIRIS AORTIC 27MM
Gross
$26,800
110372-679
$18,604
VALVE INSPIRIS AORTIC 25MM
Gross
$26,578
110372-678
$18,378
VALVE INSPIRIS AORTIC 19MM
Gross
$26,254
110374-12152
$17,640
CAGE EXPANDABLE 10MM X 28MM X 8MM-13MM 15 DEG (1EA)
Gross
$25,200
110374-12149
$15,750
CAGE SPINAL 13MM B CENTERPIECE (1EA)
Gross
$22,500
110374-12150
$15,750
CAGE SPINAL 13MM C CENTERPIECE (1EA)
Gross
$22,500
110374-12151
$15,750
CAGE SPINAL 13MM D CENTERPIECE (1EA)
Gross
$22,500
110374-12148
$15,618
FILLER VOID CARRIER MATRIX 10ML CERAMENT G BONE SYNTHETIC ANTIMI
Gross
$22,311
110374-12147
$14,757
ALLOGRAFT CELLULAR TRINITY ELITE EXTRA LARGE 16.0CC
Gross
$21,081
110374-12143
$14,385
ALLOGRAFT DISTAL TIBIA LEFT FS/A MUST ATTACHED QUOTE (1EA)
Gross
$20,550
110374-12144
$14,385
ALLOGRAFT TALUS RIGHT (1EA)
Gross
$20,550
110374-12145
$14,385
GRAFT BONE RIGHT DISTAL TIBIAL (1EA)
Gross
$20,550
110374-12146
$14,385
GRAFT BONE LEFT ALLOGRAFT FRESH (1/EA)
Gross
$20,550
110374-12135
$14,297
CAGE SPINAL TITAN ENDOSKELETON 7DEG 12MM X 36MM X 24MM LORDOTIC
Gross
$20,424
110374-12136
$14,297
CAGE SPINAL TITAN ENDOSKELETON 12DEG 12MM X 36MM X 24MM LORDOTIC
Gross
$20,424
110374-12137
$14,297
INTERBODY FUSION DEVICE NANOLOCK SURFACE TECHNOLOGY 20 DEGREE (1
Gross
$20,424
110374-12138
$14,297
CAGE SPINAL TITAN ENDOSKELETON 12DEG 14MM X 36MM X 24MM LORDOTIC
Gross
$20,424
110374-12139
$14,297
CAGE SPINAL TITAN ENDOSKELETON 12DEG 11MM X 36MM X 24MM LORDOTIC
Gross
$20,424
110374-12140
$14,297
CAGE SPINAL TITAN ENDOSKELETON 7DEG 14MM X 36MM X 24MM LORDOTIC
Gross
$20,424
110374-12141
$14,297
CAGE SPINAL TITAN ENDOSKELETON 12DEG 10MM X 32MM X 21MM LORDOTIC
Gross
$20,424
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 110371-480 | DEVICE VENTRICULAR ASSIST IMPELLA 5.5 S2 (1EA) | $135,000 | $94,500 | — | — | 16 |
| 110374-12167 | PIN DISTRACTION MAXCESS 16MM (1TX3=3) | $110,374 | $77,262 | — | — | 18 |
| 110372-689 | KIT SAPIEN 3 20MM ULTRA RESILIA VALVE WITH EDWARDS COMMANDER DEL | $102,000 | $71,400 | — | — | 18 |
| 110372-690 | KIT SAPIEN 3 23MM ULTRA RESILIA VALVE WITH EDWARDS COMMANDER DEL | $102,000 | $71,400 | — | — | 18 |
| 110372-691 | KIT SAPIEN 3 26MM ULTRA RESILIA VALVE WITH EDWARDS COMMANDER DEL | $102,000 | $71,400 | — | — | 18 |
| 110372-688 | KIT SAPIEN 3 29MM ULTRA RESILIA VALVE WITH EDWARDS COMMANDER DEL | $101,972 | $71,380 | — | — | 18 |
| 110372-684 | KIT 20 MM EDWARDS SAPIEN 3 ULTRA TRANSCATHETER HEART VALVE WITH | $97,500 | $68,250 | — | — | 18 |
| 110372-685 | KIT 23 MM EDWARDS SAPIEN 3 ULTRA TRANSCATHETER HEART VALVE WITH | $97,500 | $68,250 | — | — | 18 |
| 110372-686 | KIT 26 MM EDWARDS SAPIEN 3 ULTRA TRANSCATHETER HEART VALVE (THV) | $97,500 | $68,250 | — | — | 18 |
| 110372-687 | KIT TRANSCATHETER HEART VALVE SAPIEN-3 29MM | $97,500 | $68,250 | — | — | 18 |
| 110374-12166 | GRAFT BONE DISTAL FEMUR OSTEOCHONDRAL WHOLE RIGHT ALLOGRAFT (1/E | $64,050 | $44,835 | — | — | 18 |
| 110371-479 | GRAFT STENT VALIANT CAPTIVIA PROXIMAL MAIN 30MM X 30MM X 150MM ( | $57,705 | $40,394 | — | — | 16 |
| 110371-478 | OXYGENATOR PERFUSION HLS SET ADVANCED 7.0 ADULT (1EA) | $53,779 | $37,645 | — | — | 16 |
| 110371-477 | DEVICE EMBOLIZATION WITH SHIELD TECHNOLOGY PIPELINE FLEX 2.5MM X | $46,500 | $32,550 | — | — | 16 |
| 110374-12165 | NAIL 12MM X 260MM ANKLE DYNANAIL INTRAMEDULLARY NITINOL TITANIUM | $37,500 | $26,250 | — | — | 18 |
| 110374-12164 | GRAFT FEMORAL CONDYLE MEDIAL RIGHT *MUST ATTACH QUOTE* (1EA) | $36,900 | $25,830 | — | — | 18 |
| 110374-12163 | GRAFT BONE PATELLA RIGHT ATTACHMENT ASEPTIC FRESH (1/EA) | $36,750 | $25,725 | — | — | 18 |
| 110374-12162 | GRAFT FEMORAL CONDYLE LATERAL LEFT *MUST ATTACH QUOTE* (1EA) | $36,000 | $25,200 | — | — | 18 |
| 110374-12161 | HEMI CONDYLE FEMORAL MEDIAL RIGHT FRESH STORED (1EA) | $32,985 | $23,090 | — | — | 18 |
| 110374-12159 | PLATE CRANIAL PEEK LARGE CUSTOM (1/EA) | $32,490 | $22,743 | — | — | 18 |
| 110374-12160 | PLATE CRANIAL PEEK XL CUSTOMIZE (1/EA) | $32,490 | $22,743 | — | — | 18 |
| 110374-12158 | PLATE HEMISPHERE MANDIBLE RIGHT CUSDTOM 28H RECONSTRUCTION 2.8MM | $32,130 | $22,491 | — | — | 18 |
| 110374-12156 | CAGE MONTEREY 14MM X 28MM X 36MM 20 DEG (1EA) | $30,701 | $21,491 | — | — | 18 |
| 110374-12157 | CAGE MONTEREY 12MM X 28MM X 36MM 15 DEG (1EA) | $30,701 | $21,491 | — | — | 18 |
| 110374-12154 | IMPLANT BODY 18MM X 30-46MM TALL (1EA) | $28,500 | $19,950 | — | — | 18 |
| 110374-12155 | IMPLANT BODY 18MM X 24-34MM TALL (1EA) | $28,500 | $19,950 | — | — | 18 |
| 110372-682 | VALVE INSPIRIS AORTIC 21MM | $27,288 | $19,101 | — | — | 18 |
| 110372-683 | VALVE INSPIRIS AORTIC 29MM | $27,288 | $19,101 | — | — | 18 |
| 110374-12153 | SPACER SPINAL 55MM X 22MM CALIBRATE (1EA) | $27,141 | $18,998 | — | — | 18 |
| 110372-681 | VALVE INSPIRIS AORTIC 23MM | $26,800 | $18,760 | — | — | 18 |
| 110372-680 | VALVE INSPIRIS AORTIC 27MM | $26,800 | $18,760 | — | — | 18 |
| 110372-679 | VALVE INSPIRIS AORTIC 25MM | $26,578 | $18,604 | — | — | 18 |
| 110372-678 | VALVE INSPIRIS AORTIC 19MM | $26,254 | $18,378 | — | — | 18 |
| 110374-12152 | CAGE EXPANDABLE 10MM X 28MM X 8MM-13MM 15 DEG (1EA) | $25,200 | $17,640 | — | — | 18 |
| 110374-12149 | CAGE SPINAL 13MM B CENTERPIECE (1EA) | $22,500 | $15,750 | — | — | 18 |
| 110374-12150 | CAGE SPINAL 13MM C CENTERPIECE (1EA) | $22,500 | $15,750 | — | — | 18 |
| 110374-12151 | CAGE SPINAL 13MM D CENTERPIECE (1EA) | $22,500 | $15,750 | — | — | 18 |
| 110374-12148 | FILLER VOID CARRIER MATRIX 10ML CERAMENT G BONE SYNTHETIC ANTIMI | $22,311 | $15,618 | — | — | 18 |
| 110374-12147 | ALLOGRAFT CELLULAR TRINITY ELITE EXTRA LARGE 16.0CC | $21,081 | $14,757 | — | — | 18 |
| 110374-12143 | ALLOGRAFT DISTAL TIBIA LEFT FS/A MUST ATTACHED QUOTE (1EA) | $20,550 | $14,385 | — | — | 18 |
| 110374-12144 | ALLOGRAFT TALUS RIGHT (1EA) | $20,550 | $14,385 | — | — | 18 |
| 110374-12145 | GRAFT BONE RIGHT DISTAL TIBIAL (1EA) | $20,550 | $14,385 | — | — | 18 |
| 110374-12146 | GRAFT BONE LEFT ALLOGRAFT FRESH (1/EA) | $20,550 | $14,385 | — | — | 18 |
| 110374-12135 | CAGE SPINAL TITAN ENDOSKELETON 7DEG 12MM X 36MM X 24MM LORDOTIC | $20,424 | $14,297 | — | — | 18 |
| 110374-12136 | CAGE SPINAL TITAN ENDOSKELETON 12DEG 12MM X 36MM X 24MM LORDOTIC | $20,424 | $14,297 | — | — | 18 |
| 110374-12137 | INTERBODY FUSION DEVICE NANOLOCK SURFACE TECHNOLOGY 20 DEGREE (1 | $20,424 | $14,297 | — | — | 18 |
| 110374-12138 | CAGE SPINAL TITAN ENDOSKELETON 12DEG 14MM X 36MM X 24MM LORDOTIC | $20,424 | $14,297 | — | — | 18 |
| 110374-12139 | CAGE SPINAL TITAN ENDOSKELETON 12DEG 11MM X 36MM X 24MM LORDOTIC | $20,424 | $14,297 | — | — | 18 |
| 110374-12140 | CAGE SPINAL TITAN ENDOSKELETON 7DEG 14MM X 36MM X 24MM LORDOTIC | $20,424 | $14,297 | — | — | 18 |
| 110374-12141 | CAGE SPINAL TITAN ENDOSKELETON 12DEG 10MM X 32MM X 21MM LORDOTIC | $20,424 | $14,297 | — | — | 18 |
Showing top 50 of 7,711 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.