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
7,981
Insurances with rates
14
CPT / HCPCS codes
0
Most expensive procedures (gross)
11501572-48186
$87,455
ICD PACEMAKER, UNIFY QUADRA
Gross
$124,935
12754382-47589
$87,455
ICD PACEMAKER, BI-V QUADRA ASSURA (DDQP+) CD3265-40Q
Gross
$124,935
13496116-47383
$87,455
ICD PACEMAKER, UNIFY QUADRA CD3249-40
Gross
$124,935
13524062-47377
$80,455
ICD PACEMAKER, UNIFY ASSURA ICD_U_US CD3257-40
Gross
$114,935
2598068-40970
$74,558
ICD PACEMAKER, SECURA DR
Gross
$106,512
25899260-44224
$74,337
ICD PACEMAKER, QUADRA ASSURA CD3365-40Q
Gross
$106,195
15830041-47075
$70,000
DEVICE, IMPELLA 2.5 AIC PUMP SET
Gross
$100,000
13496114-47384
$63,683
ICD PACEMAKER, ELLIPSE DR CD2311-36Q
Gross
$90,975
13524059-47379
$63,683
ICD PACEMAKER, FORTIFY ASSURA DR ICD_IDE_US CD2257-40Q
Gross
$90,975
2598069-40969
$63,181
ICD PACEMAKER, SECURA VR
Gross
$90,258
13524064-47376
$60,778
ICD PACEMAKER, FORTIFY ASSURA DR ICD_IDE_US CD2257-40
Gross
$86,825
13524061-47378
$59,815
ICD PACEMAKER, ELLIPSE VR CD1311-36Q
Gross
$85,450
2598070-40968
$59,682
ICD PACEMAKER, MAXIMO II DR
Gross
$85,260
2598071-40967
$59,682
ICD PACEMAKER, MAXIMO II VR
Gross
$85,260
25899261-44223
$54,131
ICD PACEMAKER, ELLIPSE DR CD2411-36Q
Gross
$77,330
11501697-48122
$52,500
ICD PACEMAKER, ENERGEN DR IS-1/DF-1
Gross
$75,000
10510948-48644
$51,742
REMOVAL REPLACE ICD GEN; MULTI LD SYS
Gross
$73,917
10510950-48642
$51,742
REMOVAL REPLACE ICD GEN; DUAL LD SYS
Gross
$73,917
10510949-48643
$51,230
REMOVAL REPLACE ICD GEN; SINGLE LD SYS
Gross
$73,185
25899262-44222
$50,845
ICD PACEMAKER, ELLIPSE VR CD1411-36Q
Gross
$72,635
2596032-42072
$46,200
GRAFT, PERMACOL 20X30CM X1.5MM
Gross
$66,000
2594962-42972
$40,992
KIT, PENILE PROSTHESIS (LOAN)
Gross
$58,560
2596584-41622
$40,880
NEUROSTIMULATOR, INTERSTIM II
Gross
$58,400
1399676-47329
$40,016
IMH Samarium up to 150mCi
Gross
$57,166
10510951-48641
$33,424
INSERT/REPLACE ICD FULL SYSTEM SINGLE
Gross
$47,748
1935532-46611
$33,424
Insert/Replace ICD Full System Dual
Gross
$47,748
2595286-42705
$32,008
MATRIX, TISSUE STRATTICE 16X20
Gross
$45,725
2597952-40989
$30,800
PACEMAKER, INSYNC III BI-VENT
Gross
$44,000
2595702-42363
$30,188
CENTER PIECE, OBELISK 20/53-87
Gross
$43,125
2596364-41799
$30,153
SET, TITAN CYLINDER/PUMP 16CM
Gross
$43,075
2595079-42877
$29,190
SET, TITAN CYLINDER PUMP 18CM
Gross
$41,700
10510946-48646
$27,510
REMOVAL REPLACE PPM GEN; DUAL LD SYS
Gross
$39,300
19578940-44837
$27,225
STEM, FEMORAL 12/14 TP STR L 8'' 15.0MM / 45MM
Gross
$38,893
2596258-41897
$26,509
IMPLANT, 8 STRAIGHT 8/15 SM
Gross
$37,870
1950366-45965
$25,586
ENDPLATE, SM 5DEGREE HT 28V40M
Gross
$36,552
2594467-43459
$25,493
TM REVERSE STEM
Gross
$36,419
12754399-47582
$25,279
KNEE, NEXGEN FEMORAL SIZE E LEFT
Gross
$36,113
1949990-46303
$24,629
SYNMESH, 12MM X 150MM
Gross
$35,184
10510947-48645
$24,371
REMOVAL REPLACE PPM GEN; MULTI LD SYS
Gross
$34,815
2596003-42099
$24,276
STEM, FEMORAL 13.5 LEFT
Gross
$34,680
2595773-42304
$23,384
SLING, ADVANCE MALE
Gross
$33,405
18366261-46936
$22,940
PRQ DE COR REVASC CTO 1 VESSEL
Gross
$32,771
2598434-40756
$22,916
IMPLANT, 8 STRAIGHT 8/13.5 SM
Gross
$32,737
1950540-45808
$22,855
ROD, N HANCE 150MM
Gross
$32,650
2595784-42294
$22,816
STEM, FEMORAL REV 12/14 SZ 15
Gross
$32,595
1949991-46302
$22,517
SYNMESH, 15MM X 88MM
Gross
$32,167
18366247-46950
$22,490
PRQ NON-DE COR STENT(S)/ROTABLATOR/PTCA 1 MJ ART/BRCH
Gross
$32,128
18366256-46941
$22,490
PRQ DE COR STENT(S)/ROTABLATOR/PTCA 1 MJ ART/BRCH
Gross
$32,128
2595458-42566
$21,916
STEM, REV FEMORAL SZ 14
Gross
$31,309
2595776-42301
$21,916
STEM, FEMORAL REVISION SZ 14
Gross
$31,309
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 11501572-48186 | ICD PACEMAKER, UNIFY QUADRA | $124,935 | $87,455 | — | — | 14 |
| 12754382-47589 | ICD PACEMAKER, BI-V QUADRA ASSURA (DDQP+) CD3265-40Q | $124,935 | $87,455 | — | — | 14 |
| 13496116-47383 | ICD PACEMAKER, UNIFY QUADRA CD3249-40 | $124,935 | $87,455 | — | — | 14 |
| 13524062-47377 | ICD PACEMAKER, UNIFY ASSURA ICD_U_US CD3257-40 | $114,935 | $80,455 | — | — | 14 |
| 2598068-40970 | ICD PACEMAKER, SECURA DR | $106,512 | $74,558 | — | — | 14 |
| 25899260-44224 | ICD PACEMAKER, QUADRA ASSURA CD3365-40Q | $106,195 | $74,337 | — | — | 14 |
| 15830041-47075 | DEVICE, IMPELLA 2.5 AIC PUMP SET | $100,000 | $70,000 | — | — | 14 |
| 13496114-47384 | ICD PACEMAKER, ELLIPSE DR CD2311-36Q | $90,975 | $63,683 | — | — | 14 |
| 13524059-47379 | ICD PACEMAKER, FORTIFY ASSURA DR ICD_IDE_US CD2257-40Q | $90,975 | $63,683 | — | — | 14 |
| 2598069-40969 | ICD PACEMAKER, SECURA VR | $90,258 | $63,181 | — | — | 14 |
| 13524064-47376 | ICD PACEMAKER, FORTIFY ASSURA DR ICD_IDE_US CD2257-40 | $86,825 | $60,778 | — | — | 14 |
| 13524061-47378 | ICD PACEMAKER, ELLIPSE VR CD1311-36Q | $85,450 | $59,815 | — | — | 14 |
| 2598070-40968 | ICD PACEMAKER, MAXIMO II DR | $85,260 | $59,682 | — | — | 14 |
| 2598071-40967 | ICD PACEMAKER, MAXIMO II VR | $85,260 | $59,682 | — | — | 14 |
| 25899261-44223 | ICD PACEMAKER, ELLIPSE DR CD2411-36Q | $77,330 | $54,131 | — | — | 14 |
| 11501697-48122 | ICD PACEMAKER, ENERGEN DR IS-1/DF-1 | $75,000 | $52,500 | — | — | 14 |
| 10510948-48644 | REMOVAL REPLACE ICD GEN; MULTI LD SYS | $73,917 | $51,742 | — | — | 26 |
| 10510950-48642 | REMOVAL REPLACE ICD GEN; DUAL LD SYS | $73,917 | $51,742 | — | — | 26 |
| 10510949-48643 | REMOVAL REPLACE ICD GEN; SINGLE LD SYS | $73,185 | $51,230 | — | — | 26 |
| 25899262-44222 | ICD PACEMAKER, ELLIPSE VR CD1411-36Q | $72,635 | $50,845 | — | — | 14 |
| 2596032-42072 | GRAFT, PERMACOL 20X30CM X1.5MM | $66,000 | $46,200 | — | — | 14 |
| 2594962-42972 | KIT, PENILE PROSTHESIS (LOAN) | $58,560 | $40,992 | — | — | 14 |
| 2596584-41622 | NEUROSTIMULATOR, INTERSTIM II | $58,400 | $40,880 | — | — | 14 |
| 1399676-47329 | IMH Samarium up to 150mCi | $57,166 | $40,016 | — | — | 26 |
| 10510951-48641 | INSERT/REPLACE ICD FULL SYSTEM SINGLE | $47,748 | $33,424 | — | — | 26 |
| 1935532-46611 | Insert/Replace ICD Full System Dual | $47,748 | $33,424 | — | — | 26 |
| 2595286-42705 | MATRIX, TISSUE STRATTICE 16X20 | $45,725 | $32,008 | — | — | 14 |
| 2597952-40989 | PACEMAKER, INSYNC III BI-VENT | $44,000 | $30,800 | — | — | 14 |
| 2595702-42363 | CENTER PIECE, OBELISK 20/53-87 | $43,125 | $30,188 | — | — | 14 |
| 2596364-41799 | SET, TITAN CYLINDER/PUMP 16CM | $43,075 | $30,153 | — | — | 14 |
| 2595079-42877 | SET, TITAN CYLINDER PUMP 18CM | $41,700 | $29,190 | — | — | 14 |
| 10510946-48646 | REMOVAL REPLACE PPM GEN; DUAL LD SYS | $39,300 | $27,510 | — | — | 26 |
| 19578940-44837 | STEM, FEMORAL 12/14 TP STR L 8'' 15.0MM / 45MM | $38,893 | $27,225 | — | — | 14 |
| 2596258-41897 | IMPLANT, 8 STRAIGHT 8/15 SM | $37,870 | $26,509 | — | — | 14 |
| 1950366-45965 | ENDPLATE, SM 5DEGREE HT 28V40M | $36,552 | $25,586 | — | — | 14 |
| 2594467-43459 | TM REVERSE STEM | $36,419 | $25,493 | — | — | 14 |
| 12754399-47582 | KNEE, NEXGEN FEMORAL SIZE E LEFT | $36,113 | $25,279 | — | — | 14 |
| 1949990-46303 | SYNMESH, 12MM X 150MM | $35,184 | $24,629 | — | — | 14 |
| 10510947-48645 | REMOVAL REPLACE PPM GEN; MULTI LD SYS | $34,815 | $24,371 | — | — | 26 |
| 2596003-42099 | STEM, FEMORAL 13.5 LEFT | $34,680 | $24,276 | — | — | 14 |
| 2595773-42304 | SLING, ADVANCE MALE | $33,405 | $23,384 | — | — | 14 |
| 18366261-46936 | PRQ DE COR REVASC CTO 1 VESSEL | $32,771 | $22,940 | — | — | 26 |
| 2598434-40756 | IMPLANT, 8 STRAIGHT 8/13.5 SM | $32,737 | $22,916 | — | — | 14 |
| 1950540-45808 | ROD, N HANCE 150MM | $32,650 | $22,855 | — | — | 14 |
| 2595784-42294 | STEM, FEMORAL REV 12/14 SZ 15 | $32,595 | $22,816 | — | — | 14 |
| 1949991-46302 | SYNMESH, 15MM X 88MM | $32,167 | $22,517 | — | — | 14 |
| 18366247-46950 | PRQ NON-DE COR STENT(S)/ROTABLATOR/PTCA 1 MJ ART/BRCH | $32,128 | $22,490 | — | — | 26 |
| 18366256-46941 | PRQ DE COR STENT(S)/ROTABLATOR/PTCA 1 MJ ART/BRCH | $32,128 | $22,490 | — | — | 26 |
| 2595458-42566 | STEM, REV FEMORAL SZ 14 | $31,309 | $21,916 | — | — | 14 |
| 2595776-42301 | STEM, FEMORAL REVISION SZ 14 | $31,309 | $21,916 | — | — | 14 |
Showing top 50 of 7,981 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.