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
6,667
Insurances with rates
12
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
11501572-23849
$33,732
ICD PACEMAKER, UNIFY QUADRA
Gross
$124,935
12754382-23252
$33,732
ICD PACEMAKER, BI-V QUADRA ASSURA (DDQP+) CD3265-40Q
Gross
$124,935
13496116-23046
$33,732
ICD PACEMAKER, UNIFY QUADRA CD3249-40
Gross
$124,935
13524062-23040
$31,032
ICD PACEMAKER, UNIFY ASSURA ICD_U_US CD3257-40
Gross
$114,935
25899260-19887
$28,673
ICD PACEMAKER, QUADRA ASSURA CD3365-40Q
Gross
$106,195
15830041-22738
$27,000
DEVICE, IMPELLA 2.5 AIC PUMP SET
Gross
$100,000
13496114-23047
$24,563
ICD PACEMAKER, ELLIPSE DR CD2311-36Q
Gross
$90,975
13524059-23042
$24,563
ICD PACEMAKER, FORTIFY ASSURA DR ICD_IDE_US CD2257-40Q
Gross
$90,975
13524064-23039
$23,443
ICD PACEMAKER, FORTIFY ASSURA DR ICD_IDE_US CD2257-40
Gross
$86,825
13524061-23041
$23,072
ICD PACEMAKER, ELLIPSE VR CD1311-36Q
Gross
$85,450
25899261-19886
$20,879
ICD PACEMAKER, ELLIPSE DR CD2411-36Q
Gross
$77,330
11501697-23785
$20,250
ICD PACEMAKER, ENERGEN DR IS-1/DF-1
Gross
$75,000
10510948-24307
$19,958
REMOVAL REPLACE ICD GEN; MULTI LD SYS
Gross
$73,917
10510950-24305
$19,958
REMOVAL REPLACE ICD GEN; DUAL LD SYS
Gross
$73,917
10510949-24306
$19,760
REMOVAL REPLACE ICD GEN; SINGLE LD SYS
Gross
$73,185
25899262-19885
$19,611
ICD PACEMAKER, ELLIPSE VR CD1411-36Q
Gross
$72,635
2596032-17735
$17,820
GRAFT, PERMACOL 20X30CM X1.5MM
Gross
$66,000
2594962-18635
$15,811
KIT, PENILE PROSTHESIS (LOAN)
Gross
$58,560
1399676-22992
$15,435
IMH Samarium up to 150mCi
Gross
$57,166
10510951-24304
$12,892
INSERT/REPLACE ICD FULL SYSTEM SINGLE
Gross
$47,748
1935532-22274
$12,892
Insert/Replace ICD Full System Dual
Gross
$47,748
2595286-18368
$12,346
MATRIX, TISSUE STRATTICE 16X20
Gross
$45,725
2595702-18026
$11,644
CENTER PIECE, OBELISK 20/53-87
Gross
$43,125
2595079-18540
$11,259
SET, TITAN CYLINDER PUMP 18CM
Gross
$41,700
10510946-24309
$10,611
REMOVAL REPLACE PPM GEN; DUAL LD SYS
Gross
$39,300
19578940-20500
$10,501
STEM, FEMORAL 12/14 TP STR L 8'' 15.0MM / 45MM
Gross
$38,893
1950366-21628
$9,869
ENDPLATE, SM 5DEGREE HT 28V40M
Gross
$36,552
2594467-19122
$9,833
TM REVERSE STEM
Gross
$36,419
12754399-23245
$9,750
KNEE, NEXGEN FEMORAL SIZE E LEFT
Gross
$36,113
1949990-21966
$9,500
SYNMESH, 12MM X 150MM
Gross
$35,184
10510947-24308
$9,400
REMOVAL REPLACE PPM GEN; MULTI LD SYS
Gross
$34,815
2596003-17762
$9,364
STEM, FEMORAL 13.5 LEFT
Gross
$34,680
2595773-17967
$9,019
SLING, ADVANCE MALE
Gross
$33,405
18366261-22599
$8,848
PRQ DE COR REVASC CTO 1 VESSEL
Gross
$32,771
1950540-21471
$8,816
ROD, N HANCE 150MM
Gross
$32,650
2595784-17957
$8,801
STEM, FEMORAL REV 12/14 SZ 15
Gross
$32,595
1949991-21965
$8,685
SYNMESH, 15MM X 88MM
Gross
$32,167
18366247-22613
$8,675
PRQ NON-DE COR STENT(S)/ROTABLATOR/PTCA 1 MJ ART/BRCH
Gross
$32,128
18366256-22604
$8,675
PRQ DE COR STENT(S)/ROTABLATOR/PTCA 1 MJ ART/BRCH
Gross
$32,128
2595458-18229
$8,453
STEM, REV FEMORAL SZ 14
Gross
$31,309
2595776-17964
$8,453
STEM, FEMORAL REVISION SZ 14
Gross
$31,309
2595777-17963
$8,453
STEM, FEMORAL REV 12/14 SZ 18
Gross
$31,309
23484799-20092
$8,235
CAP HIP - COC - CERAMAX, 28MM
Gross
$30,500
23484800-20091
$8,235
CAP HIP - COC - CERAMAX, 36MM
Gross
$30,500
2595903-17856
$8,232
KNEE, NEXGEN FEMORAL SZ F RT
Gross
$30,490
2595599-18111
$8,100
IMPLANT, SM VBR 14MM ANGLED
Gross
$30,000
2596031-17736
$8,100
GRAFT, PERMACOL 15X20CM X1.5MM
Gross
$30,000
2595060-18557
$7,988
IMPLANT, CALCAR 8
Gross
$29,585
2595387-18291
$7,988
IMPLANT, 8 CALCAR 15.0
Gross
$29,585
1950289-21694
$7,979
GRAFT, BONE INFUSE BMP LG 8CC
Gross
$29,550
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 11501572-23849 | ICD PACEMAKER, UNIFY QUADRA | $124,935 | $33,732 | — | — | 17 |
| 12754382-23252 | ICD PACEMAKER, BI-V QUADRA ASSURA (DDQP+) CD3265-40Q | $124,935 | $33,732 | — | — | 17 |
| 13496116-23046 | ICD PACEMAKER, UNIFY QUADRA CD3249-40 | $124,935 | $33,732 | — | — | 17 |
| 13524062-23040 | ICD PACEMAKER, UNIFY ASSURA ICD_U_US CD3257-40 | $114,935 | $31,032 | — | — | 17 |
| 25899260-19887 | ICD PACEMAKER, QUADRA ASSURA CD3365-40Q | $106,195 | $28,673 | — | — | 17 |
| 15830041-22738 | DEVICE, IMPELLA 2.5 AIC PUMP SET | $100,000 | $27,000 | — | — | 17 |
| 13496114-23047 | ICD PACEMAKER, ELLIPSE DR CD2311-36Q | $90,975 | $24,563 | — | — | 17 |
| 13524059-23042 | ICD PACEMAKER, FORTIFY ASSURA DR ICD_IDE_US CD2257-40Q | $90,975 | $24,563 | — | — | 17 |
| 13524064-23039 | ICD PACEMAKER, FORTIFY ASSURA DR ICD_IDE_US CD2257-40 | $86,825 | $23,443 | — | — | 17 |
| 13524061-23041 | ICD PACEMAKER, ELLIPSE VR CD1311-36Q | $85,450 | $23,072 | — | — | 17 |
| 25899261-19886 | ICD PACEMAKER, ELLIPSE DR CD2411-36Q | $77,330 | $20,879 | — | — | 17 |
| 11501697-23785 | ICD PACEMAKER, ENERGEN DR IS-1/DF-1 | $75,000 | $20,250 | — | — | 17 |
| 10510948-24307 | REMOVAL REPLACE ICD GEN; MULTI LD SYS | $73,917 | $19,958 | — | — | 30 |
| 10510950-24305 | REMOVAL REPLACE ICD GEN; DUAL LD SYS | $73,917 | $19,958 | — | — | 30 |
| 10510949-24306 | REMOVAL REPLACE ICD GEN; SINGLE LD SYS | $73,185 | $19,760 | — | — | 30 |
| 25899262-19885 | ICD PACEMAKER, ELLIPSE VR CD1411-36Q | $72,635 | $19,611 | — | — | 17 |
| 2596032-17735 | GRAFT, PERMACOL 20X30CM X1.5MM | $66,000 | $17,820 | — | — | 17 |
| 2594962-18635 | KIT, PENILE PROSTHESIS (LOAN) | $58,560 | $15,811 | — | — | 17 |
| 1399676-22992 | IMH Samarium up to 150mCi | $57,166 | $15,435 | — | — | 30 |
| 10510951-24304 | INSERT/REPLACE ICD FULL SYSTEM SINGLE | $47,748 | $12,892 | — | — | 30 |
| 1935532-22274 | Insert/Replace ICD Full System Dual | $47,748 | $12,892 | — | — | 30 |
| 2595286-18368 | MATRIX, TISSUE STRATTICE 16X20 | $45,725 | $12,346 | — | — | 17 |
| 2595702-18026 | CENTER PIECE, OBELISK 20/53-87 | $43,125 | $11,644 | — | — | 17 |
| 2595079-18540 | SET, TITAN CYLINDER PUMP 18CM | $41,700 | $11,259 | — | — | 17 |
| 10510946-24309 | REMOVAL REPLACE PPM GEN; DUAL LD SYS | $39,300 | $10,611 | — | — | 30 |
| 19578940-20500 | STEM, FEMORAL 12/14 TP STR L 8'' 15.0MM / 45MM | $38,893 | $10,501 | — | — | 17 |
| 1950366-21628 | ENDPLATE, SM 5DEGREE HT 28V40M | $36,552 | $9,869 | — | — | 17 |
| 2594467-19122 | TM REVERSE STEM | $36,419 | $9,833 | — | — | 17 |
| 12754399-23245 | KNEE, NEXGEN FEMORAL SIZE E LEFT | $36,113 | $9,750 | — | — | 17 |
| 1949990-21966 | SYNMESH, 12MM X 150MM | $35,184 | $9,500 | — | — | 17 |
| 10510947-24308 | REMOVAL REPLACE PPM GEN; MULTI LD SYS | $34,815 | $9,400 | — | — | 30 |
| 2596003-17762 | STEM, FEMORAL 13.5 LEFT | $34,680 | $9,364 | — | — | 17 |
| 2595773-17967 | SLING, ADVANCE MALE | $33,405 | $9,019 | — | — | 17 |
| 18366261-22599 | PRQ DE COR REVASC CTO 1 VESSEL | $32,771 | $8,848 | — | — | 30 |
| 1950540-21471 | ROD, N HANCE 150MM | $32,650 | $8,816 | — | — | 17 |
| 2595784-17957 | STEM, FEMORAL REV 12/14 SZ 15 | $32,595 | $8,801 | — | — | 17 |
| 1949991-21965 | SYNMESH, 15MM X 88MM | $32,167 | $8,685 | — | — | 17 |
| 18366247-22613 | PRQ NON-DE COR STENT(S)/ROTABLATOR/PTCA 1 MJ ART/BRCH | $32,128 | $8,675 | — | — | 30 |
| 18366256-22604 | PRQ DE COR STENT(S)/ROTABLATOR/PTCA 1 MJ ART/BRCH | $32,128 | $8,675 | — | — | 30 |
| 2595458-18229 | STEM, REV FEMORAL SZ 14 | $31,309 | $8,453 | — | — | 17 |
| 2595776-17964 | STEM, FEMORAL REVISION SZ 14 | $31,309 | $8,453 | — | — | 17 |
| 2595777-17963 | STEM, FEMORAL REV 12/14 SZ 18 | $31,309 | $8,453 | — | — | 17 |
| 23484799-20092 | CAP HIP - COC - CERAMAX, 28MM | $30,500 | $8,235 | — | — | 17 |
| 23484800-20091 | CAP HIP - COC - CERAMAX, 36MM | $30,500 | $8,235 | — | — | 17 |
| 2595903-17856 | KNEE, NEXGEN FEMORAL SZ F RT | $30,490 | $8,232 | — | — | 17 |
| 2595599-18111 | IMPLANT, SM VBR 14MM ANGLED | $30,000 | $8,100 | — | — | 17 |
| 2596031-17736 | GRAFT, PERMACOL 15X20CM X1.5MM | $30,000 | $8,100 | — | — | 17 |
| 2595060-18557 | IMPLANT, CALCAR 8 | $29,585 | $7,988 | — | — | 17 |
| 2595387-18291 | IMPLANT, 8 CALCAR 15.0 | $29,585 | $7,988 | — | — | 17 |
| 1950289-21694 | GRAFT, BONE INFUSE BMP LG 8CC | $29,550 | $7,979 | — | — | 17 |
Showing top 50 of 6,667 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.