45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
9,350
Insurances with rates
5
CPT / HCPCS codes
5,173
Most expensive procedures (gross)
515573
$28,125
HF10 CHARGER,IPG,PATIENT REMOTE KITS
Gross
$56,250
515801
$27,300
PROCLAIM DRG
Gross
$54,600
515300
$24,450
PROCLAIM 5 ELITE SCS IMPLANT
Gross
$48,900
515958
$23,925
CUSTOM IMPLANT 15950
Gross
$47,850
730004
$22,350
TIBIAL PLATE (EXACTECH)
Gross
$44,700
731000
$21,000
ANKLE CAGE LATERALITY
Gross
$42,000
732000
$21,000
TOTAL TALUS (OXFORD)
Gross
$42,000
515814
$19,375
SPECTRA WAVE WRITER
Gross
$38,750
675913
$18,056
FEMORAL STEM CEMENTLESS
Gross
$36,113
675916
$18,056
FEMORAL STEM CEMENTLESS
Gross
$36,113
511161
$17,520
NEUROSTIMULATOR INTERSTIM 3058
Gross
$35,040
515881
$14,775
AMINIOTIC GRAFT,SINGLE LAYER 4X8CM
Gross
$29,550
514715
$14,223
TALAR DOME SZ 1
Gross
$28,446
514858
$13,493
NAIL ,TRIWAY ARTHRODESIS 12MM LG 200 LT
Gross
$26,985
515681
$13,493
NAIL ,TRIWAY ARTHRODESIS 10MM LG 160 RT
Gross
$26,985
515834
$13,493
NAIL ,TRIWAY ARTHRODESIS 10MM LG 160 LT
Gross
$26,985
700319
$13,493
STANDARD DUO NAIL
Gross
$26,985
515522
$12,971
STEM HIGH OFFSET
Gross
$25,942
515963
$12,000
STEMMED TIBIAL TRAY
Gross
$24,000
511890
$12,000
SHOULDER TOTAL DEPUY
Gross
$24,000
514772
$11,940
TALAR IMPLANT FLAT CUT RIGHT SIZE 3
Gross
$23,880
514881
$11,940
TALAR IMPLANT FLAT CUT RIGHT SIZE6
Gross
$23,880
514753
$11,940
TALAR IMPLANT FLAT CUT RIGHT SIZE 2
Gross
$23,880
514805
$11,940
TALAR IMPLANT STANDARD LEFT SIZE4
Gross
$23,880
514835
$11,940
TALAR IMPLANT FLAT CUT RIGHT SIZE 3
Gross
$23,880
514631
$11,693
LAPIPLASTY SYSTEM 3
Gross
$23,385
515791
$11,564
REVERSE TOTAL SHOULDER DJO
Gross
$23,127
515056
$11,559
TALAR DOME SZ 2
Gross
$23,118
514771
$11,165
TIBIAL IMPLANT LONG LEFT SIZE3
Gross
$22,329
514806
$11,165
TIBIAL IMPLANT LONG RIGHT SIZE 2
Gross
$22,329
514868
$11,165
TIBIAL IMPLANT STANDARD RIGHT SIZE 3
Gross
$22,329
514924
$11,165
TIBIAL IMPLANT LONG LEFT SIZE6
Gross
$22,329
620182
$11,142
FEMORAL STABILIZER COMPONENT
Gross
$22,284
734002
$11,093
INDUCEXT 10.0 (7395)
Gross
$22,185
730005
$10,823
TALAR IMPLANT (EXACTECH)
Gross
$21,645
514871
$10,746
TALAR IMPLANT STANDARD LEFT SIZE2
Gross
$21,492
514929
$10,746
TALAR IMPLANT FLAT CUT LEFT SIZE2
Gross
$21,492
514225
$10,711
HUMERAL STEM LONG
Gross
$21,423
511662
$10,368
SHOULDER TOTAL REVERSE (DEPUY DELTA
Gross
$20,736
514763
$10,047
TIBIAL IMPLANT LONG LEFT SIZE2
Gross
$20,094
650110
$9,939
HUMERAL COMPONENT
Gross
$19,878
650111
$9,939
HUMERAL COMPONENT 56x52
Gross
$19,878
650113
$9,939
HUMERAL COMPONENT 54X50
Gross
$19,878
650114
$9,939
RESURFACING SYSTEM 52X48
Gross
$19,878
650115
$9,939
HUMERAL COMPONENT HEAD
Gross
$19,878
514434
$9,938
TIBIAL TRAY SZ 2
Gross
$19,875
620758
$9,750
FRACTURE STEM
Gross
$19,500
650002
$9,750
DELTA OPTION HEAD 28MM
Gross
$19,500
514735
$9,518
LAPIPLASTY MINI-INCISION SYSTEM
Gross
$19,035
514744
$9,304
TIBIAL IMPLANT STANDARD RIGHT SIZE1
Gross
$18,608
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 515573 | HF10 CHARGER,IPG,PATIENT REMOTE KITS | $56,250 | $28,125 | — | — | 6 |
| 515801 | PROCLAIM DRG | $54,600 | $27,300 | — | — | 6 |
| 515300 | PROCLAIM 5 ELITE SCS IMPLANT | $48,900 | $24,450 | — | — | 6 |
| 515958 | CUSTOM IMPLANT 15950 | $47,850 | $23,925 | — | — | 6 |
| 730004 | TIBIAL PLATE (EXACTECH) | $44,700 | $22,350 | — | — | 6 |
| 731000 | ANKLE CAGE LATERALITY | $42,000 | $21,000 | — | — | 6 |
| 732000 | TOTAL TALUS (OXFORD) | $42,000 | $21,000 | — | — | 6 |
| 515814 | SPECTRA WAVE WRITER | $38,750 | $19,375 | — | — | 6 |
| 675913 | FEMORAL STEM CEMENTLESS | $36,113 | $18,056 | — | — | 6 |
| 675916 | FEMORAL STEM CEMENTLESS | $36,113 | $18,056 | — | — | 6 |
| 511161 | NEUROSTIMULATOR INTERSTIM 3058 | $35,040 | $17,520 | — | — | 6 |
| 515881 | AMINIOTIC GRAFT,SINGLE LAYER 4X8CM | $29,550 | $14,775 | — | — | 6 |
| 514715 | TALAR DOME SZ 1 | $28,446 | $14,223 | — | — | 6 |
| 514858 | NAIL ,TRIWAY ARTHRODESIS 12MM LG 200 LT | $26,985 | $13,493 | — | — | 6 |
| 515681 | NAIL ,TRIWAY ARTHRODESIS 10MM LG 160 RT | $26,985 | $13,493 | — | — | 6 |
| 515834 | NAIL ,TRIWAY ARTHRODESIS 10MM LG 160 LT | $26,985 | $13,493 | — | — | 6 |
| 700319 | STANDARD DUO NAIL | $26,985 | $13,493 | — | — | 6 |
| 515522 | STEM HIGH OFFSET | $25,942 | $12,971 | — | — | 6 |
| 515963 | STEMMED TIBIAL TRAY | $24,000 | $12,000 | — | — | 6 |
| 511890 | SHOULDER TOTAL DEPUY | $24,000 | $12,000 | — | — | 6 |
| 514772 | TALAR IMPLANT FLAT CUT RIGHT SIZE 3 | $23,880 | $11,940 | — | — | 6 |
| 514881 | TALAR IMPLANT FLAT CUT RIGHT SIZE6 | $23,880 | $11,940 | — | — | 6 |
| 514753 | TALAR IMPLANT FLAT CUT RIGHT SIZE 2 | $23,880 | $11,940 | — | — | 6 |
| 514805 | TALAR IMPLANT STANDARD LEFT SIZE4 | $23,880 | $11,940 | — | — | 6 |
| 514835 | TALAR IMPLANT FLAT CUT RIGHT SIZE 3 | $23,880 | $11,940 | — | — | 6 |
| 514631 | LAPIPLASTY SYSTEM 3 | $23,385 | $11,693 | — | — | 6 |
| 515791 | REVERSE TOTAL SHOULDER DJO | $23,127 | $11,564 | — | — | 6 |
| 515056 | TALAR DOME SZ 2 | $23,118 | $11,559 | — | — | 6 |
| 514771 | TIBIAL IMPLANT LONG LEFT SIZE3 | $22,329 | $11,165 | — | — | 6 |
| 514806 | TIBIAL IMPLANT LONG RIGHT SIZE 2 | $22,329 | $11,165 | — | — | 6 |
| 514868 | TIBIAL IMPLANT STANDARD RIGHT SIZE 3 | $22,329 | $11,165 | — | — | 6 |
| 514924 | TIBIAL IMPLANT LONG LEFT SIZE6 | $22,329 | $11,165 | — | — | 6 |
| 620182 | FEMORAL STABILIZER COMPONENT | $22,284 | $11,142 | — | — | 6 |
| 734002 | INDUCEXT 10.0 (7395) | $22,185 | $11,093 | — | — | 6 |
| 730005 | TALAR IMPLANT (EXACTECH) | $21,645 | $10,823 | — | — | 6 |
| 514871 | TALAR IMPLANT STANDARD LEFT SIZE2 | $21,492 | $10,746 | — | — | 6 |
| 514929 | TALAR IMPLANT FLAT CUT LEFT SIZE2 | $21,492 | $10,746 | — | — | 6 |
| 514225 | HUMERAL STEM LONG | $21,423 | $10,711 | — | — | 6 |
| 511662 | SHOULDER TOTAL REVERSE (DEPUY DELTA | $20,736 | $10,368 | — | — | 6 |
| 514763 | TIBIAL IMPLANT LONG LEFT SIZE2 | $20,094 | $10,047 | — | — | 6 |
| 650110 | HUMERAL COMPONENT | $19,878 | $9,939 | — | — | 6 |
| 650111 | HUMERAL COMPONENT 56x52 | $19,878 | $9,939 | — | — | 6 |
| 650113 | HUMERAL COMPONENT 54X50 | $19,878 | $9,939 | — | — | 6 |
| 650114 | RESURFACING SYSTEM 52X48 | $19,878 | $9,939 | — | — | 6 |
| 650115 | HUMERAL COMPONENT HEAD | $19,878 | $9,939 | — | — | 6 |
| 514434 | TIBIAL TRAY SZ 2 | $19,875 | $9,938 | — | — | 6 |
| 620758 | FRACTURE STEM | $19,500 | $9,750 | — | — | 6 |
| 650002 | DELTA OPTION HEAD 28MM | $19,500 | $9,750 | — | — | 6 |
| 514735 | LAPIPLASTY MINI-INCISION SYSTEM | $19,035 | $9,518 | — | — | 6 |
| 514744 | TIBIAL IMPLANT STANDARD RIGHT SIZE1 | $18,608 | $9,304 | — | — | 6 |
Showing top 50 of 9,350 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.