45 CFR § 180 compliance
D · 65
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
500
Insurances with rates
0
CPT / HCPCS codes
32
Source MRF
Most expensive procedures (gross)
0001A
$84,395
Imm Admn Sarscov2 30mcg/0.3ml Dil Recon 1st Dose
Gross
$210,987
01840
$27,231
Anesthesia Arterial Line Placement
Gross
$68,078
0031A
$17,094
Admin Sars Cov2 Vac Ad26 .5ml
Gross
$42,734
01961
$12,796
Anesthesia CSE Block
Gross
$31,989
SET VENTRICULAR ASSIST IMPELLA RP RIGHT HEART PU
$12,500
SET VENTRICULAR ASSIST IMPELLA RP RIGHT HEART PUMP STERILE LATEX FREE DISPOSABLE( - 004334)
Gross
$31,250
SET VENTRICULAR ASSIST 17.4X13.8IN IMPELLA CP 9.
$12,500
SET VENTRICULAR ASSIST 17.4X13.8IN IMPELLA CP 9.3IN 10-40C PUMP CONTROLLER 26.1LB( - 0048-0003)
Gross
$31,250
PUMP IAB IMPELLA 5L/MIN CATHETER MICROAXIAL( - 0
$12,500
PUMP IAB IMPELLA 5L/MIN CATHETER MICROAXIAL( - 005062)
Gross
$31,250
PUMP PERFUSION IMPELLA CARDIOPULMONARY BYPASS NO
$12,500
PUMP PERFUSION IMPELLA CARDIOPULMONARY BYPASS NONROLLER STERILE LATEX FREE DISPOSABLE( - 005082)
Gross
$31,250
CASSETTE INFUSION PUMP IMPELLA NONROLLER CONTROL
$12,000
CASSETTE INFUSION PUMP IMPELLA NONROLLER CONTROLLER NONSTERILE LATEX FREE REUSABLE CARDIOPULMONARY B
Gross
$30,000
SOURCE LGHT 300W XE PWR CORD( - 00MLX)
$3,203
SOURCE LGHT 300W XE PWR CORD( - 00MLX)
Gross
$8,007
SPACER ALLOGRAFT 20X45X13MM ORACLE 8D SPINE LUMB
$3,163
SPACER ALLOGRAFT 20X45X13MM ORACLE 8D SPINE LUMBAR FREEZE DRIED( - 014513)
Gross
$7,908
SPACER ALLOGRAFT 20X45X15MM ORACLE 8D SPINE LUMB
$3,163
SPACER ALLOGRAFT 20X45X15MM ORACLE 8D SPINE LUMBAR FREEZE DRIED( - 014515)
Gross
$7,908
SPACER ALLOGRAFT 20X50X13MM ORACLE 8D SPINE LUMB
$3,163
SPACER ALLOGRAFT 20X50X13MM ORACLE 8D SPINE LUMBAR FREEZE DRIED( - 015013)
Gross
$7,908
SPACER ALLOGRAFT 20X50X15-12.2MM ORACLE 8D SPINE
$3,163
SPACER ALLOGRAFT 20X50X15-12.2MM ORACLE 8D SPINE FREEZE DRIED( - 015015)
Gross
$7,908
SPACER ALLOGRAFT 20X50X11MM ORACLE 0D PARALLEL S
$3,163
SPACER ALLOGRAFT 20X50X11MM ORACLE 0D PARALLEL SPINE LUMBAR FREEZE DRIED( - 015041)
Gross
$7,908
SPACER ALLOGRAFT 20X45X17MM ORACLE 8D SPINE LUMB
$3,163
SPACER ALLOGRAFT 20X45X17MM ORACLE 8D SPINE LUMBAR FREEZE DRIED( - 014517)
Gross
$7,908
SPACER ALLOGRAFT 20X45X11MM ORACLE 0D SPINE LUMB
$3,163
SPACER ALLOGRAFT 20X45X11MM ORACLE 0D SPINE LUMBAR FREEZE DRIED( - 014541)
Gross
$7,908
SPACER ALLOGRAFT 20X50X17-14.2MM ORACLE 8D SPINE
$3,163
SPACER ALLOGRAFT 20X50X17-14.2MM ORACLE 8D SPINE FREEZE DRIED( - 015017)
Gross
$7,908
PERFORMANCE PLUS SDR WEEKEND EXTENDED( - 01DA6-2
$2,704
PERFORMANCE PLUS SDR WEEKEND EXTENDED( - 01DA6-23)
Gross
$6,759
SPACER ALLOGRAFT 21-26X27-32X21MM LUMINARY CC BI
$2,614
SPACER ALLOGRAFT 21-26X27-32X21MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI
Gross
$6,535
SPACER ALLOGRAFT 21-26X27-32X21MM LUMINARY CC 30
$2,614
SPACER ALLOGRAFT 21-26X27-32X21MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D
Gross
$6,535
SPACER ALLOGRAFT 21-26X27-32X15MM LUMINARY CC BI
$2,490
SPACER ALLOGRAFT 21-26X27-32X15MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI
Gross
$6,226
SPACER ALLOGRAFT 21-26X27-32X17MM LUMINARY CC BI
$2,490
SPACER ALLOGRAFT 21-26X27-32X17MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI
Gross
$6,226
SPACER ALLOGRAFT 22-24X27-32X9MM LUMINARY CC BIC
$2,490
SPACER ALLOGRAFT 22-24X27-32X9MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALIZ
Gross
$6,226
SPACER ALLOGRAFT 21-26X27-32X19MM LUMINARY CC BI
$2,490
SPACER ALLOGRAFT 21-26X27-32X19MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI
Gross
$6,226
SPACER ALLOGRAFT 22-24X27-32X9MM LUMINARY CC 30D
$2,490
SPACER ALLOGRAFT 22-24X27-32X9MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL DE
Gross
$6,226
SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC 30
$2,490
SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D
Gross
$6,226
SPACER ALLOGRAFT 21-26X27-32X17MM LUMINARY CC 30
$2,490
SPACER ALLOGRAFT 21-26X27-32X17MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D
Gross
$6,226
SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC BI
$2,490
SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI
Gross
$6,226
SPACER ALLOGRAFT 21-26X27-32X13MM LUMINARY CC BI
$2,490
SPACER ALLOGRAFT 21-26X27-32X13MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI
Gross
$6,226
SPACER ALLOGRAFT 21-26X27-32X13MM LUMINARY CC 30
$2,490
SPACER ALLOGRAFT 21-26X27-32X13MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D
Gross
$6,226
SPACER ALLOGRAFT 21-26X27-32X15MM LUMINARY CC 30
$2,490
SPACER ALLOGRAFT 21-26X27-32X15MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D
Gross
$6,226
SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC SP
$2,490
SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC SPINE LUMBAR ANTERIOR CORTICAL CANCELLOUS DEMINERALIZE
Gross
$6,226
SPACER ALLOGRAFT 21-26X27-32X19MM LUMINARY CC 30
$2,490
SPACER ALLOGRAFT 21-26X27-32X19MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D
Gross
$6,226
SPACER ALLOGRAFT 21-26X27-32X21MM 8D LORDOTIC RI
$2,457
SPACER ALLOGRAFT 21-26X27-32X21MM 8D LORDOTIC RING WEDGE SPINE ANTERIOR FEMORAL FROZEN SLOT SAW TEET
Gross
$6,143
SPACER ALLOGRAFT 21-26X27-32X21MM 8D CONVEX LORD
$2,457
SPACER ALLOGRAFT 21-26X27-32X21MM 8D CONVEX LORDOTIC WEDGE SPINE ANTERIOR FEMORAL FREEZE DRIED SLOT
Gross
$6,143
SPACER ALLOGRAFT 30X8MM LUMINARY 10/11MM SPINE D
$2,400
SPACER ALLOGRAFT 30X8MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN
Gross
$6,000
SPACER ALLOGRAFT 30X10MM LUMINARY 10/11MM SPINE
$2,400
SPACER ALLOGRAFT 30X10MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN
Gross
$6,000
SPACER ALLOGRAFT 30X13MM LUMINARY 10/11MM SPINE
$2,400
SPACER ALLOGRAFT 30X13MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN
Gross
$6,000
SPACER ALLOGRAFT 30X17MM LUMINARY 10/11MM SPINE
$2,400
SPACER ALLOGRAFT 30X17MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN
Gross
$6,000
SPACER ALLOGRAFT 30X7MM LUMINARY 10/11MM SPINE D
$2,400
SPACER ALLOGRAFT 30X7MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN
Gross
$6,000
SPACER ALLOGRAFT 30X11MM LUMINARY 10/11MM SPINE
$2,400
SPACER ALLOGRAFT 30X11MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN
Gross
$6,000
SPACER ALLOGRAFT 30X12MM LUMINARY 10/11MM SPINE
$2,400
SPACER ALLOGRAFT 30X12MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN
Gross
$6,000
SPACER ALLOGRAFT 30X15MM LUMINARY 10/11MM SPINE
$2,400
SPACER ALLOGRAFT 30X15MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN
Gross
$6,000
SPACER ALLOGRAFT 30X9MM LUMINARY 10/11MM SPINE D
$2,400
SPACER ALLOGRAFT 30X9MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN
Gross
$6,000
SPACER ALLOGRAFT 30X8MM LUMINARY 10-11MM SPINE D
$2,400
SPACER ALLOGRAFT 30X8MM LUMINARY 10-11MM SPINE DEMINERALIZED SURFACE FREEZE DRIED LARGE CENTRAL LUME
Gross
$6,000
SPACER ALLOGRAFT 30X10MM LUMINARY 10-11MM SPINE
$2,400
SPACER ALLOGRAFT 30X10MM LUMINARY 10-11MM SPINE DEMINERALIZED SURFACE FREEZE DRIED LARGE CENTRAL LUM
Gross
$6,000
SPACER ALLOGRAFT 10-11X30X11MM LUMINARY SPINE LU
$2,400
SPACER ALLOGRAFT 10-11X30X11MM LUMINARY SPINE LUMBAR FREEZE DRIED LARGE CENTRAL LUMEN DISTAL END PYR
Gross
$6,000
SPACER ALLOGRAFT 30X7MM LUMINARY 10-11MM SPINE D
$2,400
SPACER ALLOGRAFT 30X7MM LUMINARY 10-11MM SPINE DEMINERALIZED SURFACE FREEZE DRIED PYRAMIDAL TEETH LA
Gross
$6,000
SPACER ALLOGRAFT 30X12MM LUMINARY 10-11MM SPINE
$2,400
SPACER ALLOGRAFT 30X12MM LUMINARY 10-11MM SPINE DEMINERALIZED SURFACE FREEZE DRIED LARGE CENTRAL LUM
Gross
$6,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0001A | Imm Admn Sarscov2 30mcg/0.3ml Dil Recon 1st Dose | $210,987 | $84,395 | $13,995 | $102,915 | 0 |
| 01840 | Anesthesia Arterial Line Placement | $68,078 | $27,231 | $12,266 | $104,104 | 0 |
| 0031A | Admin Sars Cov2 Vac Ad26 .5ml | $42,734 | $17,094 | — | — | 0 |
| 01961 | Anesthesia CSE Block | $31,989 | $12,796 | $6,622 | $27,712 | 0 |
| SET VENTRICULAR ASSIST IMPELLA RP RIGHT HEART PU | SET VENTRICULAR ASSIST IMPELLA RP RIGHT HEART PUMP STERILE LATEX FREE DISPOSABLE( - 004334) | $31,250 | $12,500 | — | — | 0 |
| SET VENTRICULAR ASSIST 17.4X13.8IN IMPELLA CP 9. | SET VENTRICULAR ASSIST 17.4X13.8IN IMPELLA CP 9.3IN 10-40C PUMP CONTROLLER 26.1LB( - 0048-0003) | $31,250 | $12,500 | — | — | 0 |
| PUMP IAB IMPELLA 5L/MIN CATHETER MICROAXIAL( - 0 | PUMP IAB IMPELLA 5L/MIN CATHETER MICROAXIAL( - 005062) | $31,250 | $12,500 | — | — | 0 |
| PUMP PERFUSION IMPELLA CARDIOPULMONARY BYPASS NO | PUMP PERFUSION IMPELLA CARDIOPULMONARY BYPASS NONROLLER STERILE LATEX FREE DISPOSABLE( - 005082) | $31,250 | $12,500 | — | — | 0 |
| CASSETTE INFUSION PUMP IMPELLA NONROLLER CONTROL | CASSETTE INFUSION PUMP IMPELLA NONROLLER CONTROLLER NONSTERILE LATEX FREE REUSABLE CARDIOPULMONARY B | $30,000 | $12,000 | — | — | 0 |
| SOURCE LGHT 300W XE PWR CORD( - 00MLX) | SOURCE LGHT 300W XE PWR CORD( - 00MLX) | $8,007 | $3,203 | — | — | 0 |
| SPACER ALLOGRAFT 20X45X13MM ORACLE 8D SPINE LUMB | SPACER ALLOGRAFT 20X45X13MM ORACLE 8D SPINE LUMBAR FREEZE DRIED( - 014513) | $7,908 | $3,163 | — | — | 0 |
| SPACER ALLOGRAFT 20X45X15MM ORACLE 8D SPINE LUMB | SPACER ALLOGRAFT 20X45X15MM ORACLE 8D SPINE LUMBAR FREEZE DRIED( - 014515) | $7,908 | $3,163 | — | — | 0 |
| SPACER ALLOGRAFT 20X50X13MM ORACLE 8D SPINE LUMB | SPACER ALLOGRAFT 20X50X13MM ORACLE 8D SPINE LUMBAR FREEZE DRIED( - 015013) | $7,908 | $3,163 | — | — | 0 |
| SPACER ALLOGRAFT 20X50X15-12.2MM ORACLE 8D SPINE | SPACER ALLOGRAFT 20X50X15-12.2MM ORACLE 8D SPINE FREEZE DRIED( - 015015) | $7,908 | $3,163 | — | — | 0 |
| SPACER ALLOGRAFT 20X50X11MM ORACLE 0D PARALLEL S | SPACER ALLOGRAFT 20X50X11MM ORACLE 0D PARALLEL SPINE LUMBAR FREEZE DRIED( - 015041) | $7,908 | $3,163 | — | — | 0 |
| SPACER ALLOGRAFT 20X45X17MM ORACLE 8D SPINE LUMB | SPACER ALLOGRAFT 20X45X17MM ORACLE 8D SPINE LUMBAR FREEZE DRIED( - 014517) | $7,908 | $3,163 | — | — | 0 |
| SPACER ALLOGRAFT 20X45X11MM ORACLE 0D SPINE LUMB | SPACER ALLOGRAFT 20X45X11MM ORACLE 0D SPINE LUMBAR FREEZE DRIED( - 014541) | $7,908 | $3,163 | — | — | 0 |
| SPACER ALLOGRAFT 20X50X17-14.2MM ORACLE 8D SPINE | SPACER ALLOGRAFT 20X50X17-14.2MM ORACLE 8D SPINE FREEZE DRIED( - 015017) | $7,908 | $3,163 | — | — | 0 |
| PERFORMANCE PLUS SDR WEEKEND EXTENDED( - 01DA6-2 | PERFORMANCE PLUS SDR WEEKEND EXTENDED( - 01DA6-23) | $6,759 | $2,704 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X21MM LUMINARY CC BI | SPACER ALLOGRAFT 21-26X27-32X21MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI | $6,535 | $2,614 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X21MM LUMINARY CC 30 | SPACER ALLOGRAFT 21-26X27-32X21MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D | $6,535 | $2,614 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X15MM LUMINARY CC BI | SPACER ALLOGRAFT 21-26X27-32X15MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X17MM LUMINARY CC BI | SPACER ALLOGRAFT 21-26X27-32X17MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 22-24X27-32X9MM LUMINARY CC BIC | SPACER ALLOGRAFT 22-24X27-32X9MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALIZ | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X19MM LUMINARY CC BI | SPACER ALLOGRAFT 21-26X27-32X19MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 22-24X27-32X9MM LUMINARY CC 30D | SPACER ALLOGRAFT 22-24X27-32X9MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL DE | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC 30 | SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X17MM LUMINARY CC 30 | SPACER ALLOGRAFT 21-26X27-32X17MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC BI | SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X13MM LUMINARY CC BI | SPACER ALLOGRAFT 21-26X27-32X13MM LUMINARY CC BICONVEX SPINE ANTERIOR CANCELLOUS CORTICAL DEMINERALI | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X13MM LUMINARY CC 30 | SPACER ALLOGRAFT 21-26X27-32X13MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X15MM LUMINARY CC 30 | SPACER ALLOGRAFT 21-26X27-32X15MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC SP | SPACER ALLOGRAFT 21-26X27-32X11MM LUMINARY CC SPINE LUMBAR ANTERIOR CORTICAL CANCELLOUS DEMINERALIZE | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X19MM LUMINARY CC 30 | SPACER ALLOGRAFT 21-26X27-32X19MM LUMINARY CC 30D BICONVEX SPINE ANTEROLATERAL CANCELLOUS CORTICAL D | $6,226 | $2,490 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X21MM 8D LORDOTIC RI | SPACER ALLOGRAFT 21-26X27-32X21MM 8D LORDOTIC RING WEDGE SPINE ANTERIOR FEMORAL FROZEN SLOT SAW TEET | $6,143 | $2,457 | — | — | 0 |
| SPACER ALLOGRAFT 21-26X27-32X21MM 8D CONVEX LORD | SPACER ALLOGRAFT 21-26X27-32X21MM 8D CONVEX LORDOTIC WEDGE SPINE ANTERIOR FEMORAL FREEZE DRIED SLOT | $6,143 | $2,457 | — | — | 0 |
| SPACER ALLOGRAFT 30X8MM LUMINARY 10/11MM SPINE D | SPACER ALLOGRAFT 30X8MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X10MM LUMINARY 10/11MM SPINE | SPACER ALLOGRAFT 30X10MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X13MM LUMINARY 10/11MM SPINE | SPACER ALLOGRAFT 30X13MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X17MM LUMINARY 10/11MM SPINE | SPACER ALLOGRAFT 30X17MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X7MM LUMINARY 10/11MM SPINE D | SPACER ALLOGRAFT 30X7MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X11MM LUMINARY 10/11MM SPINE | SPACER ALLOGRAFT 30X11MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X12MM LUMINARY 10/11MM SPINE | SPACER ALLOGRAFT 30X12MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X15MM LUMINARY 10/11MM SPINE | SPACER ALLOGRAFT 30X15MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X9MM LUMINARY 10/11MM SPINE D | SPACER ALLOGRAFT 30X9MM LUMINARY 10/11MM SPINE DEMINERALIZED BONE MATRIX FROZEN LARGE CENTRAL LUMEN | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X8MM LUMINARY 10-11MM SPINE D | SPACER ALLOGRAFT 30X8MM LUMINARY 10-11MM SPINE DEMINERALIZED SURFACE FREEZE DRIED LARGE CENTRAL LUME | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X10MM LUMINARY 10-11MM SPINE | SPACER ALLOGRAFT 30X10MM LUMINARY 10-11MM SPINE DEMINERALIZED SURFACE FREEZE DRIED LARGE CENTRAL LUM | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 10-11X30X11MM LUMINARY SPINE LU | SPACER ALLOGRAFT 10-11X30X11MM LUMINARY SPINE LUMBAR FREEZE DRIED LARGE CENTRAL LUMEN DISTAL END PYR | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X7MM LUMINARY 10-11MM SPINE D | SPACER ALLOGRAFT 30X7MM LUMINARY 10-11MM SPINE DEMINERALIZED SURFACE FREEZE DRIED PYRAMIDAL TEETH LA | $6,000 | $2,400 | — | — | 0 |
| SPACER ALLOGRAFT 30X12MM LUMINARY 10-11MM SPINE | SPACER ALLOGRAFT 30X12MM LUMINARY 10-11MM SPINE DEMINERALIZED SURFACE FREEZE DRIED LARGE CENTRAL LUM | $6,000 | $2,400 | — | — | 0 |
Showing top 50 of 500 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.