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
20,991
Insurances with rates
0
CPT / HCPCS codes
40
Source MRF
Most expensive procedures (gross)
27006134
$40,559
LIMA CUSTOM KIT
Gross
$62,398
27000429
$40,281
CMD 22-1095 GLENOID IMPLANT SET
Gross
$61,970
27004743
$39,169
LIMA CUSTOM IMPLANT GLENOID
Gross
$60,260
27000611
$34,807
TANDEM BIPOLAR SHELL 28X55
Gross
$53,549
27000730
$29,336
CUSTOM IMPLANT FOR WHITAKER 2459140
Gross
$45,132
27008724
$27,300
FLAT CUT TALAR DOME SZ2 LT
Gross
$42,000
27000479
$24,165
FLAT CUT TALAR DOME SZ 1 RT
Gross
$37,177
27004610
$20,899
GENERATOR, NEUROSTIMULATOR (IMPLANT)
Gross
$32,152
27002093
$17,687
LEGION TIBIAL CONE
Gross
$27,210
27004827
$17,377
INTERSTIM II NEUOSTIMULTOR
Gross
$26,734
27008902
$16,224
TOTAL SHOULDER CUSTOM MADE IMPLANTS
Gross
$24,960
50242-0150-01
$15,750
OCREVUS (OCRELIZUMAB) 300MG/10ML VIAL
Gross
$24,231
27001810
$14,987
LGN HK FEM ASSEMBLY SZ 5 RT
Gross
$23,057
27007340
$14,916
DERMACELL MICROPEF 16X20
Gross
$22,948
27000477
$14,630
CADENCE TIBIAL TRAY SZ 2X RT
Gross
$22,507
27001832
$13,354
AMS MS PUMP 25CMX912CMM
Gross
$20,544
33377301
$13,184
IMRT RADIOTHERAPY PLAN
Gross
$20,283
27001258
$13,114
AMS PENILE PUMP
Gross
$20,175
27000557
$12,958
AMS MS 1.5
Gross
$19,935
27009672
$12,958
AMS MS 1.0
Gross
$19,935
27000385
$12,872
WRISTMOTION 15MM
Gross
$19,803
27000881
$12,872
WRISTMOTION 12MM COMP
Gross
$19,803
27008297
$12,872
WRISTMOTION 15MM COMP
Gross
$19,803
27000110
$12,718
AMS MS PUMP
Gross
$19,566
27006270
$12,718
AMS 700 LGX MS PUMP
Gross
$19,566
27002641
$12,377
PANTA NAIL 11MM X 150MM
Gross
$19,041
27006466
$12,377
WRISTMOTION 12MM CAP COMP
Gross
$19,041
27004668
$12,111
AMS AMS PENILE PUMP
Gross
$18,632
4009740
$11,571
CYSTOURETHROSCOPY W/INSERTION 4> IMPLANT
Gross
$17,801
27003018
$11,487
TITAN OTR SCROTAL BIOFLEX CYLINDER SET
Gross
$17,672
27004817
$11,487
TITAN OTR SCROTAL BIOFLEX CYLINDER SET
Gross
$17,672
27007245
$11,458
INTERSTEM RECHARGE-FREE NEUROSTIMULATOR
Gross
$17,628
27002320
$11,017
FEMORAL COMP SZ 6R OXINIUM
Gross
$16,949
27003170
$10,762
REPLY SR PACEMAKER
Gross
$16,557
27000941
$10,707
FEMORAL COMP SZ 5L OXINIUM
Gross
$16,472
27002686
$10,707
LGN OX CONSTRAINED FEM 4RT
Gross
$16,472
27007850
$10,707
LGN OX CONSTRAINED FEM 4RT
Gross
$16,472
27000062
$10,694
FLEX HD 16X20
Gross
$16,453
27000214
$10,634
PACEMAKER ASSURITY U PR
Gross
$16,360
27003211
$10,631
ALLODERM 1.2-2.0 LG-MED
Gross
$16,355
27002118
$10,522
PACEMAKER ASSURITY MRI PR
Gross
$16,188
27004113
$10,472
PENILE PROSTHESIS
Gross
$16,110
27001548
$10,412
FEMORAL COMP SZ 16
Gross
$16,019
27003064
$10,412
FEMORAL COMP SZ 15
Gross
$16,019
27003948
$10,412
FEMORAL COMP SZ 17
Gross
$16,019
27004662
$10,334
EQUINOXE HUMERAL LONG STEM 8MMX175MM
Gross
$15,898
27009912
$10,055
PACEMAKER ENRHYTHM DR
Gross
$15,469
27002484
$9,831
PACEMAKER REPLY DR
Gross
$15,124
27003249
$9,738
ACETABULAR CUP 54MM
Gross
$14,981
27002340
$9,629
SCROTAL PUMP 18SC
Gross
$14,814
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 27006134 | LIMA CUSTOM KIT | $62,398 | $40,559 | — | — | 0 |
| 27000429 | CMD 22-1095 GLENOID IMPLANT SET | $61,970 | $40,281 | — | — | 0 |
| 27004743 | LIMA CUSTOM IMPLANT GLENOID | $60,260 | $39,169 | — | — | 0 |
| 27000611 | TANDEM BIPOLAR SHELL 28X55 | $53,549 | $34,807 | — | — | 0 |
| 27000730 | CUSTOM IMPLANT FOR WHITAKER 2459140 | $45,132 | $29,336 | — | — | 0 |
| 27008724 | FLAT CUT TALAR DOME SZ2 LT | $42,000 | $27,300 | — | — | 0 |
| 27000479 | FLAT CUT TALAR DOME SZ 1 RT | $37,177 | $24,165 | — | — | 0 |
| 27004610 | GENERATOR, NEUROSTIMULATOR (IMPLANT) | $32,152 | $20,899 | — | — | 0 |
| 27002093 | LEGION TIBIAL CONE | $27,210 | $17,687 | — | — | 0 |
| 27004827 | INTERSTIM II NEUOSTIMULTOR | $26,734 | $17,377 | — | — | 0 |
| 27008902 | TOTAL SHOULDER CUSTOM MADE IMPLANTS | $24,960 | $16,224 | — | — | 0 |
| 50242-0150-01 | OCREVUS (OCRELIZUMAB) 300MG/10ML VIAL | $24,231 | $15,750 | — | — | 0 |
| 27001810 | LGN HK FEM ASSEMBLY SZ 5 RT | $23,057 | $14,987 | — | — | 0 |
| 27007340 | DERMACELL MICROPEF 16X20 | $22,948 | $14,916 | — | — | 0 |
| 27000477 | CADENCE TIBIAL TRAY SZ 2X RT | $22,507 | $14,630 | — | — | 0 |
| 27001832 | AMS MS PUMP 25CMX912CMM | $20,544 | $13,354 | — | — | 0 |
| 33377301 | IMRT RADIOTHERAPY PLAN | $20,283 | $13,184 | — | — | 0 |
| 27001258 | AMS PENILE PUMP | $20,175 | $13,114 | — | — | 0 |
| 27000557 | AMS MS 1.5 | $19,935 | $12,958 | — | — | 0 |
| 27009672 | AMS MS 1.0 | $19,935 | $12,958 | — | — | 0 |
| 27000385 | WRISTMOTION 15MM | $19,803 | $12,872 | — | — | 0 |
| 27000881 | WRISTMOTION 12MM COMP | $19,803 | $12,872 | — | — | 0 |
| 27008297 | WRISTMOTION 15MM COMP | $19,803 | $12,872 | — | — | 0 |
| 27000110 | AMS MS PUMP | $19,566 | $12,718 | — | — | 0 |
| 27006270 | AMS 700 LGX MS PUMP | $19,566 | $12,718 | — | — | 0 |
| 27002641 | PANTA NAIL 11MM X 150MM | $19,041 | $12,377 | — | — | 0 |
| 27006466 | WRISTMOTION 12MM CAP COMP | $19,041 | $12,377 | — | — | 0 |
| 27004668 | AMS AMS PENILE PUMP | $18,632 | $12,111 | — | — | 0 |
| 4009740 | CYSTOURETHROSCOPY W/INSERTION 4> IMPLANT | $17,801 | $11,571 | — | — | 0 |
| 27003018 | TITAN OTR SCROTAL BIOFLEX CYLINDER SET | $17,672 | $11,487 | — | — | 0 |
| 27004817 | TITAN OTR SCROTAL BIOFLEX CYLINDER SET | $17,672 | $11,487 | — | — | 0 |
| 27007245 | INTERSTEM RECHARGE-FREE NEUROSTIMULATOR | $17,628 | $11,458 | — | — | 0 |
| 27002320 | FEMORAL COMP SZ 6R OXINIUM | $16,949 | $11,017 | — | — | 0 |
| 27003170 | REPLY SR PACEMAKER | $16,557 | $10,762 | — | — | 0 |
| 27000941 | FEMORAL COMP SZ 5L OXINIUM | $16,472 | $10,707 | — | — | 0 |
| 27002686 | LGN OX CONSTRAINED FEM 4RT | $16,472 | $10,707 | — | — | 0 |
| 27007850 | LGN OX CONSTRAINED FEM 4RT | $16,472 | $10,707 | — | — | 0 |
| 27000062 | FLEX HD 16X20 | $16,453 | $10,694 | — | — | 0 |
| 27000214 | PACEMAKER ASSURITY U PR | $16,360 | $10,634 | — | — | 0 |
| 27003211 | ALLODERM 1.2-2.0 LG-MED | $16,355 | $10,631 | — | — | 0 |
| 27002118 | PACEMAKER ASSURITY MRI PR | $16,188 | $10,522 | — | — | 0 |
| 27004113 | PENILE PROSTHESIS | $16,110 | $10,472 | — | — | 0 |
| 27001548 | FEMORAL COMP SZ 16 | $16,019 | $10,412 | — | — | 0 |
| 27003064 | FEMORAL COMP SZ 15 | $16,019 | $10,412 | — | — | 0 |
| 27003948 | FEMORAL COMP SZ 17 | $16,019 | $10,412 | — | — | 0 |
| 27004662 | EQUINOXE HUMERAL LONG STEM 8MMX175MM | $15,898 | $10,334 | — | — | 0 |
| 27009912 | PACEMAKER ENRHYTHM DR | $15,469 | $10,055 | — | — | 0 |
| 27002484 | PACEMAKER REPLY DR | $15,124 | $9,831 | — | — | 0 |
| 27003249 | ACETABULAR CUP 54MM | $14,981 | $9,738 | — | — | 0 |
| 27002340 | SCROTAL PUMP 18SC | $14,814 | $9,629 | — | — | 0 |
Showing top 50 of 20,991 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.