45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
62,049
Insurances with rates
28
CPT / HCPCS codes
0
Most expensive procedures (gross)
SUP-2713805
$323,341
LASER SURG W/ SCANNER ULTRAPULSE DUO
Gross
$538,902
SUP-2713804
$303,037
LASER SURG ULTRAPULSE DUO
Gross
$505,062
SUP-2356026
$219,119
KIT VENT ASST FOR HEARTMATE III IMPL
Gross
$365,198
SUP-2927338
$194,918
IMPLANT HUM TISS L 11 X W 10 CM PLCNTA MEMBRN MULTILAYERED
Gross
$324,864
SUP-2713770
$192,888
LASER SURG SELECTA TRIO
Gross
$321,480
CASE-22859
$185,873
Insj Biomchn Dev Ntrvrt Disc Space W/O Arthrd
Gross
$309,788
SUP-2356020
$177,660
DEVICE VENTRICULAR ASST KT
Gross
$296,100
RX-1150551
$176,954
RAVULIZUMAB-CWVZ 100 MG/ML IV SOLN (MIXTURES ONLY)
Gross
$294,924
SUP-2356046
$161,417
KIT PMP LT VENT ASST DEV W/ PKT CTRL HEARTMATE II
Gross
$269,028
SUP-2721188
$151,850
AMSCO 7052HP 460 480V 3 PH 60 HZ STEAM HEATED
Gross
$253,083
SUP-2282536
$151,569
PUMP VENT ASST BLD L PERICARD MINIATURIZED FULL OUTPT LESS
Gross
$252,616
CASE-27687
$147,502
Gastrocnemius Recession|RIGHT SIDE|M/CAID CARE LEV 11 STATE DEF
Gross
$245,836
CASE-28725
$147,502
HC Arthodesis of Subtalar|RIGHT SIDE|M/CAID CARE LEV 11 STATE DEF
Gross
$245,836
CASE-22853
$145,455
Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd|M/CAID CARE LEV 11 STATE DEF
Gross
$242,425
SUP-2713806
$142,128
LASER SURG W/ 3 YR WARR SELECTA DUET
Gross
$236,880
CASE-28730
$134,398
Arthrd Midtarsl/Tarsometatarsal Mult/Transvrs|RIGHT SIDE
Gross
$223,997
CASE-22634
$134,272
Arthrodesis Cmbn Tq 1ntrspc Each Additional
Gross
$223,787
CASE-63052
$134,272
Lam Facetec/Foramot Drg Arthrd Lumbar 1 Vrt Sgm
Gross
$223,787
CASE-28740
$131,945
Arthrodesis Midtarsometatarsal Single Joint|LEFT SIDE
Gross
$219,908
CASE-28202
$131,945
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon|LEFT SIDE
Gross
$219,908
SUP-2705836
$125,933
INSTRUMENT SET HOFFMANN3 MILITARY EXTERNAL FIXATOR
Gross
$209,888
CASE-22842
$125,583
Posterior Segmental Instrumentation 3-6 Vrt Seg
Gross
$209,304
CASE-63053
$123,918
Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm
Gross
$206,530
SUP-2177062
$122,977
SET TRAUMA FIXATION 3.5MM DISTAL HUMERAL F/LCP PLATE
Gross
$204,962
CASE-20937
$122,929
Autograft Spine Surgery Morselized Sep Incision
Gross
$204,882
CASE-22633
$121,877
Arthrodesis Combined Tq 1ntrspc Lumbar
Gross
$203,128
CASE-64568
$121,737
Open Implantation Cranial Nerve Nea & Pulse Gen|UNUSUAL NON-OVERLAPPING SERVICE
Gross
$202,895
RX-106655
$118,975
PEGLOTICASE 8 MG/ML IV SOLN|DISCARDED DRUG NOT ADMINISTE
Gross
$198,292
SUP-2183094
$113,346
SET IMPL PELV INT FIX W/ ST SCR
Gross
$188,910
CASE-63685
$111,458
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj
Gross
$185,764
CASE-63655
$111,458
Surg Implnt Neuroelect,Epidural
Gross
$185,764
CASE-19328
$109,838
Removal Intact Breast Implant|UNUSUAL NON-OVERLAPPING SERVICE|BILATERAL PROCEDURE
Gross
$183,064
CASE-50548
$109,824
Laparoscopy Nephrectomy W/Total Ureterectomy|LEFT SIDE
Gross
$183,040
CASE-20936
$109,757
Autograft Spine Surgery Local From Same Incision
Gross
$182,928
CASE-00537
$108,483
Anesth,Card Electrophys Proc
Gross
$180,806
CASE-19357
$107,127
Tissue Expander Placement Breast Reconstruction|BILATERAL PROCEDURE
Gross
$178,545
CASE-64582
$106,286
Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor|RIGHT SIDE
Gross
$177,143
CASE-27700
$106,185
Arthroplasty Ankle
Gross
$176,976
SUP-2496129
$104,376
SET IMPL PELVIC PRO STRYKER
Gross
$173,960
CASE-15777
$104,162
Implnt Bio Implnt for Soft Tissue Reinforcement
Gross
$173,603
SUP-2817736
$103,550
UNIVERS II HUMERAL INSTRUMENTATION SET
Gross
$172,584
CASE-22551
$103,422
Arthrd Ant Interbody Decompress Cervical Belw C2|M/CAID CARE LEV 11 STATE DEF
Gross
$172,370
RX-9002
$102,964
ALTEPLASE 100 MG IV SOLR
Gross
$171,607
RX-4081200
$102,964
ALTEPLASE (ACTIVASE) 100 MG VIAL IV BOLUS|DISCARDED DRUG NOT ADMINISTE
Gross
$171,607
RX-4081202
$102,964
ALTEPLASE (ACTIVASE) 100 MG VIAL IV INFUSION
Gross
$171,607
CASE-57425
$102,507
Laparoscopy Colpopexy Suspension Vaginal Apex
Gross
$170,845
CASE-22614
$102,100
Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc
Gross
$170,166
SUP-2912826
$101,520
KIT CAGE SPINAL APREVO 5-LEVEL
Gross
$169,200
CASE-43775
$100,516
Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy
Gross
$167,526
CASE-00797
$100,516
Anesth,Gastric Restrict, Morbid Obesity
Gross
$167,526
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| SUP-2713805 | LASER SURG W/ SCANNER ULTRAPULSE DUO | $538,902 | $323,341 | — | — | 0 |
| SUP-2713804 | LASER SURG ULTRAPULSE DUO | $505,062 | $303,037 | — | — | 0 |
| SUP-2356026 | KIT VENT ASST FOR HEARTMATE III IMPL | $365,198 | $219,119 | — | — | 0 |
| SUP-2927338 | IMPLANT HUM TISS L 11 X W 10 CM PLCNTA MEMBRN MULTILAYERED | $324,864 | $194,918 | — | — | 0 |
| SUP-2713770 | LASER SURG SELECTA TRIO | $321,480 | $192,888 | — | — | 0 |
| CASE-22859 | Insj Biomchn Dev Ntrvrt Disc Space W/O Arthrd | $309,788 | $185,873 | — | — | 2 |
| SUP-2356020 | DEVICE VENTRICULAR ASST KT | $296,100 | $177,660 | — | — | 0 |
| RX-1150551 | RAVULIZUMAB-CWVZ 100 MG/ML IV SOLN (MIXTURES ONLY) | $294,924 | $176,954 | — | — | 0 |
| SUP-2356046 | KIT PMP LT VENT ASST DEV W/ PKT CTRL HEARTMATE II | $269,028 | $161,417 | — | — | 0 |
| SUP-2721188 | AMSCO 7052HP 460 480V 3 PH 60 HZ STEAM HEATED | $253,083 | $151,850 | — | — | 0 |
| SUP-2282536 | PUMP VENT ASST BLD L PERICARD MINIATURIZED FULL OUTPT LESS | $252,616 | $151,569 | — | — | 0 |
| CASE-27687 | Gastrocnemius Recession|RIGHT SIDE|M/CAID CARE LEV 11 STATE DEF | $245,836 | $147,502 | — | — | 6 |
| CASE-28725 | HC Arthodesis of Subtalar|RIGHT SIDE|M/CAID CARE LEV 11 STATE DEF | $245,836 | $147,502 | — | — | 8 |
| CASE-22853 | Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd|M/CAID CARE LEV 11 STATE DEF | $242,425 | $145,455 | — | — | 1 |
| SUP-2713806 | LASER SURG W/ 3 YR WARR SELECTA DUET | $236,880 | $142,128 | — | — | 0 |
| CASE-28730 | Arthrd Midtarsl/Tarsometatarsal Mult/Transvrs|RIGHT SIDE | $223,997 | $134,398 | — | — | 6 |
| CASE-22634 | Arthrodesis Cmbn Tq 1ntrspc Each Additional | $223,787 | $134,272 | — | — | 1 |
| CASE-63052 | Lam Facetec/Foramot Drg Arthrd Lumbar 1 Vrt Sgm | $223,787 | $134,272 | — | — | 1 |
| CASE-28740 | Arthrodesis Midtarsometatarsal Single Joint|LEFT SIDE | $219,908 | $131,945 | — | — | 6 |
| CASE-28202 | Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon|LEFT SIDE | $219,908 | $131,945 | — | — | 3 |
| SUP-2705836 | INSTRUMENT SET HOFFMANN3 MILITARY EXTERNAL FIXATOR | $209,888 | $125,933 | — | — | 0 |
| CASE-22842 | Posterior Segmental Instrumentation 3-6 Vrt Seg | $209,304 | $125,583 | — | — | 1 |
| CASE-63053 | Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm | $206,530 | $123,918 | — | — | 5 |
| SUP-2177062 | SET TRAUMA FIXATION 3.5MM DISTAL HUMERAL F/LCP PLATE | $204,962 | $122,977 | — | — | 0 |
| CASE-20937 | Autograft Spine Surgery Morselized Sep Incision | $204,882 | $122,929 | — | — | 1 |
| CASE-22633 | Arthrodesis Combined Tq 1ntrspc Lumbar | $203,128 | $121,877 | — | — | 2 |
| CASE-64568 | Open Implantation Cranial Nerve Nea & Pulse Gen|UNUSUAL NON-OVERLAPPING SERVICE | $202,895 | $121,737 | — | — | 7 |
| RX-106655 | PEGLOTICASE 8 MG/ML IV SOLN|DISCARDED DRUG NOT ADMINISTE | $198,292 | $118,975 | — | — | 0 |
| SUP-2183094 | SET IMPL PELV INT FIX W/ ST SCR | $188,910 | $113,346 | — | — | 0 |
| CASE-63685 | Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj | $185,764 | $111,458 | — | — | 6 |
| CASE-63655 | Surg Implnt Neuroelect,Epidural | $185,764 | $111,458 | — | — | 6 |
| CASE-19328 | Removal Intact Breast Implant|UNUSUAL NON-OVERLAPPING SERVICE|BILATERAL PROCEDURE | $183,064 | $109,838 | — | — | 3 |
| CASE-50548 | Laparoscopy Nephrectomy W/Total Ureterectomy|LEFT SIDE | $183,040 | $109,824 | — | — | 4 |
| CASE-20936 | Autograft Spine Surgery Local From Same Incision | $182,928 | $109,757 | — | — | 0 |
| CASE-00537 | Anesth,Card Electrophys Proc | $180,806 | $108,483 | — | — | 3 |
| CASE-19357 | Tissue Expander Placement Breast Reconstruction|BILATERAL PROCEDURE | $178,545 | $107,127 | — | — | 2 |
| CASE-64582 | Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor|RIGHT SIDE | $177,143 | $106,286 | — | — | 6 |
| CASE-27700 | Arthroplasty Ankle | $176,976 | $106,185 | — | — | 3 |
| SUP-2496129 | SET IMPL PELVIC PRO STRYKER | $173,960 | $104,376 | — | — | 0 |
| CASE-15777 | Implnt Bio Implnt for Soft Tissue Reinforcement | $173,603 | $104,162 | — | — | 4 |
| SUP-2817736 | UNIVERS II HUMERAL INSTRUMENTATION SET | $172,584 | $103,550 | — | — | 0 |
| CASE-22551 | Arthrd Ant Interbody Decompress Cervical Belw C2|M/CAID CARE LEV 11 STATE DEF | $172,370 | $103,422 | — | — | 4 |
| RX-9002 | ALTEPLASE 100 MG IV SOLR | $171,607 | $102,964 | — | — | 0 |
| RX-4081200 | ALTEPLASE (ACTIVASE) 100 MG VIAL IV BOLUS|DISCARDED DRUG NOT ADMINISTE | $171,607 | $102,964 | — | — | 0 |
| RX-4081202 | ALTEPLASE (ACTIVASE) 100 MG VIAL IV INFUSION | $171,607 | $102,964 | — | — | 0 |
| CASE-57425 | Laparoscopy Colpopexy Suspension Vaginal Apex | $170,845 | $102,507 | — | — | 8 |
| CASE-22614 | Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc | $170,166 | $102,100 | — | — | 1 |
| SUP-2912826 | KIT CAGE SPINAL APREVO 5-LEVEL | $169,200 | $101,520 | — | — | 0 |
| CASE-43775 | Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy | $167,526 | $100,516 | — | — | 5 |
| CASE-00797 | Anesth,Gastric Restrict, Morbid Obesity | $167,526 | $100,516 | — | — | 3 |
Showing top 50 of 62,049 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.