45 CFR § 180 compliance
F · 50
This hospital published little 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
750
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
278
—
Proclaim Drg, ST JUDE MEDICAL INC, 3664
Gross
$80,143
360
—
64568 INC FOR VAGUS N ELECT IMPL
Gross
$77,874
Graft Alloderm 12x16, Lifecell Corporation, 1520
—
Graft Alloderm 12x16, Lifecell Corporation, 15201216
Gross
$26,388
272
—
Total Kneee Kit, DJO, 13003729
Gross
$19,125
450
—
Other Minor Surgery - Musculoskeletal Charges -> Application of a uniplane (pins or wires in 1 plan
Gross
$15,046
Standard Stem, Depuy Orthopedics, 113714000
—
Standard Stem, Depuy Orthopedics, 113714000
Gross
$14,605
Standard Stem, Depuy Orthopedics, 113712000
—
Standard Stem, Depuy Orthopedics, 113712000
Gross
$12,922
Standard Stem, Depuy Orthopedics, 113710000
—
Standard Stem, Depuy Orthopedics, 113710000
Gross
$12,922
Femoral Component #2, LIMA USA, 651109520
—
Femoral Component #2, LIMA USA, 651109520
Gross
$12,750
Femoral Component Left # 6 Cemented, LIMA USA, 6
—
Femoral Component Left # 6 Cemented, LIMA USA, 651109560
Gross
$12,750
Scp Foot & Ankle Kit, ZIMMER BIOMET, 514303
—
Scp Foot & Ankle Kit, ZIMMER BIOMET, 514303
Gross
$12,666
Dr Leemaster 1/8/18, sightpath, 256333
—
Dr Leemaster 1/8/18, sightpath, 256333
Gross
$11,998
Kit, Fixation, Surgical, Foot & Ankle, Zimmer, 5
—
Kit, Fixation, Surgical, Foot & Ankle, Zimmer, 514303
Gross
$11,688
Global Unite Porocoat Standard Stem Size 10 X 11
—
Global Unite Porocoat Standard Stem Size 10 X 113mm, DEPUY SYNTHES, 110010100
Gross
$11,323
Graft, Tissue, FlexiGraft, GraftLink XL, Joint R
—
Graft, Tissue, FlexiGraft, GraftLink XL, Joint Restoration Foundation, GRX001
Gross
$10,625
Anterior Tibialis Tendon 9.5x280mm, FIJI MEDICA
—
Anterior Tibialis Tendon 9.5x280mm, FIJI MEDICAL, ATBT11
Gross
$9,754
Graft, Bone, Vivigen, Formable, 5cc, LifeNet Hea
—
Graft, Bone, Vivigen, Formable, 5cc, LifeNet Health, BL1600002
Gross
$9,690
Component, Femoral, Genflex 2, Posterior Stabili
—
Component, Femoral, Genflex 2, Posterior Stabilized, Right, Stelkast, SC375035
Gross
$8,925
Matrix, Regenerative Tissue, Graftjacket, Length
—
Matrix, Regenerative Tissue, Graftjacket, Length 5cm X Width 10cm X Thickness 1mm, Wright Medical, 8
Gross
$8,887
320
—
XR Discography Cerv/Thor
Gross
$8,300
Implant Peg Glenoid 52mm, DEPUY ORTHOPEDICS, 113
—
Implant Peg Glenoid 52mm, DEPUY ORTHOPEDICS, 113643026
Gross
$8,163
Graft, Tendon, Tibialis, Posterior, DCI Donor Se
—
Graft, Tendon, Tibialis, Posterior, DCI Donor Services Inc, 07804303
Gross
$8,054
Posterior Tibialis, MG MEDICAL, 07804303
—
Posterior Tibialis, MG MEDICAL, 07804303
Gross
$8,054
3.5mm Lcp Periarticular Proximal Humerus Plate 3
—
3.5mm Lcp Periarticular Proximal Humerus Plate 3 Hole Right, DEPUY SYNTHES, 02123040
Gross
$7,722
Femoral Component Cemented 3+Left Sphere, MEDACT
—
Femoral Component Cemented 3+Left Sphere, MEDACTA USA INC, 02120023L
Gross
$7,650
270
—
Balloon Kyphplasty Essentials Kit, MEDTRONIC SOFAMOR DA, NH102PB
Gross
$7,438
52x18hmeral Head, Depuy Orthopedics, 112848010
—
52x18hmeral Head, Depuy Orthopedics, 112848010
Gross
$7,428
InfinitX PolX Sz 1 /1+6mm, WRIGHT MEDICAL, 33651
—
InfinitX PolX Sz 1 /1+6mm, WRIGHT MEDICAL, 33651106
Gross
$7,293
Plate, Bone, Lapidus, Integra Life Science, 2801
—
Plate, Bone, Lapidus, Integra Life Science, 2801100
Gross
$6,381
Tray, Tibial, Genflex 2, 73mm x 47mm, Stelkast,
—
Tray, Tibial, Genflex 2, 73mm x 47mm, Stelkast, SC15843T3F
Gross
$6,375
Attune Tibial Base Size 8, DEPUY SYNTHES, 150610
—
Attune Tibial Base Size 8, DEPUY SYNTHES, 150610008
Gross
$5,831
Attune Tibial Base Rotating Platform Size 6, DEP
—
Attune Tibial Base Rotating Platform Size 6, DEPUY ORTHO, 150610004
Gross
$5,831
Base, Tibial, Cemented, Attune, RP, Size 4, Depu
—
Base, Tibial, Cemented, Attune, RP, Size 4, Depuy Orthopedics, 150610004
Gross
$5,831
Biolox Delta Ceramic Head 36mm, DJO SURGICAL, 40
—
Biolox Delta Ceramic Head 36mm, DJO SURGICAL, 40003363
Gross
$5,313
Head, Femoral, Implant, Delta Hip, DJ Orthopedic
—
Head, Femoral, Implant, Delta Hip, DJ Orthopedics, 40003361
Gross
$5,313
391
—
86891 AUTOLOGOUS BLOOD COLLECTION, INTRA OP
Gross
$5,280
Plate, Bone, Distal Radius, Standard, Right, New
—
Plate, Bone, Distal Radius, Standard, Right, Newclip Technics, LTDVPS2
Gross
$4,855
740
—
Sleep w/ Airway Pres
Gross
$4,500
Anterior Tib Tendon, ADVANCED NUMED, 07804203
—
Anterior Tib Tendon, ADVANCED NUMED, 07804203
Gross
$4,314
Semi T Graft, ADVANCED NUMED, 04700003
—
Semi T Graft, ADVANCED NUMED, 04700003
Gross
$4,314
Tendon, Semitendinosus, Allowash, Frozen, Asepti
—
Tendon, Semitendinosus, Allowash, Frozen, Aseptic, >200mm, DCI Donor Services Inc, 04700003
Gross
$4,314
Distractor, Hip, Arthroscopic, Smith & Nephew En
—
Distractor, Hip, Arthroscopic, Smith & Nephew Endoscopy, 72202207
Gross
$4,250
Insert, Tibial, Genflex 2, Exp, Posterior Stabil
—
Insert, Tibial, Genflex 2, Exp, Posterior Stabilized, Stelkast, SC38023520
Gross
$4,250
Noavasure Endometrial Device, NOVASURE, NS2007US
—
Noavasure Endometrial Device, NOVASURE, NS2007US
Gross
$4,250
Novasure, HOLOGIC, NS2007
—
Novasure, HOLOGIC, NS2007
Gross
$4,250
Novasure, HOLOGIC, NS2007US
—
Novasure, HOLOGIC, NS2007US
Gross
$4,250
Allograft, ZIMMER, 0701268010
—
Allograft, ZIMMER, 0701268010
Gross
$4,038
Puraplyam 2 X 4, ORGANOGENSIS, PPAMCOM
—
Puraplyam 2 X 4, ORGANOGENSIS, PPAMCOM
Gross
$4,038
Semi T Tendon, PINNACLE TRANSPLANT, ST11
—
Semi T Tendon, PINNACLE TRANSPLANT, ST11
Gross
$4,016
110
—
ROOM/BED: Inpatient Surgery
Gross
$3,500
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 278 | Proclaim Drg, ST JUDE MEDICAL INC, 3664 | $80,143 | — | — | — | 0 |
| 360 | 64568 INC FOR VAGUS N ELECT IMPL | $77,874 | — | — | — | 0 |
| Graft Alloderm 12x16, Lifecell Corporation, 1520 | Graft Alloderm 12x16, Lifecell Corporation, 15201216 | $26,388 | — | — | — | 0 |
| 272 | Total Kneee Kit, DJO, 13003729 | $19,125 | — | — | — | 0 |
| 450 | Other Minor Surgery - Musculoskeletal Charges -> Application of a uniplane (pins or wires in 1 plan | $15,046 | — | — | — | 0 |
| Standard Stem, Depuy Orthopedics, 113714000 | Standard Stem, Depuy Orthopedics, 113714000 | $14,605 | — | — | — | 0 |
| Standard Stem, Depuy Orthopedics, 113712000 | Standard Stem, Depuy Orthopedics, 113712000 | $12,922 | — | — | — | 0 |
| Standard Stem, Depuy Orthopedics, 113710000 | Standard Stem, Depuy Orthopedics, 113710000 | $12,922 | — | — | — | 0 |
| Femoral Component #2, LIMA USA, 651109520 | Femoral Component #2, LIMA USA, 651109520 | $12,750 | — | — | — | 0 |
| Femoral Component Left # 6 Cemented, LIMA USA, 6 | Femoral Component Left # 6 Cemented, LIMA USA, 651109560 | $12,750 | — | — | — | 0 |
| Scp Foot & Ankle Kit, ZIMMER BIOMET, 514303 | Scp Foot & Ankle Kit, ZIMMER BIOMET, 514303 | $12,666 | — | — | — | 0 |
| Dr Leemaster 1/8/18, sightpath, 256333 | Dr Leemaster 1/8/18, sightpath, 256333 | $11,998 | — | — | — | 0 |
| Kit, Fixation, Surgical, Foot & Ankle, Zimmer, 5 | Kit, Fixation, Surgical, Foot & Ankle, Zimmer, 514303 | $11,688 | — | — | — | 0 |
| Global Unite Porocoat Standard Stem Size 10 X 11 | Global Unite Porocoat Standard Stem Size 10 X 113mm, DEPUY SYNTHES, 110010100 | $11,323 | — | — | — | 0 |
| Graft, Tissue, FlexiGraft, GraftLink XL, Joint R | Graft, Tissue, FlexiGraft, GraftLink XL, Joint Restoration Foundation, GRX001 | $10,625 | — | — | — | 0 |
| Anterior Tibialis Tendon 9.5x280mm, FIJI MEDICA | Anterior Tibialis Tendon 9.5x280mm, FIJI MEDICAL, ATBT11 | $9,754 | — | — | — | 0 |
| Graft, Bone, Vivigen, Formable, 5cc, LifeNet Hea | Graft, Bone, Vivigen, Formable, 5cc, LifeNet Health, BL1600002 | $9,690 | — | — | — | 0 |
| Component, Femoral, Genflex 2, Posterior Stabili | Component, Femoral, Genflex 2, Posterior Stabilized, Right, Stelkast, SC375035 | $8,925 | — | — | — | 0 |
| Matrix, Regenerative Tissue, Graftjacket, Length | Matrix, Regenerative Tissue, Graftjacket, Length 5cm X Width 10cm X Thickness 1mm, Wright Medical, 8 | $8,887 | — | — | — | 0 |
| 320 | XR Discography Cerv/Thor | $8,300 | — | — | — | 0 |
| Implant Peg Glenoid 52mm, DEPUY ORTHOPEDICS, 113 | Implant Peg Glenoid 52mm, DEPUY ORTHOPEDICS, 113643026 | $8,163 | — | — | — | 0 |
| Graft, Tendon, Tibialis, Posterior, DCI Donor Se | Graft, Tendon, Tibialis, Posterior, DCI Donor Services Inc, 07804303 | $8,054 | — | — | — | 0 |
| Posterior Tibialis, MG MEDICAL, 07804303 | Posterior Tibialis, MG MEDICAL, 07804303 | $8,054 | — | — | — | 0 |
| 3.5mm Lcp Periarticular Proximal Humerus Plate 3 | 3.5mm Lcp Periarticular Proximal Humerus Plate 3 Hole Right, DEPUY SYNTHES, 02123040 | $7,722 | — | — | — | 0 |
| Femoral Component Cemented 3+Left Sphere, MEDACT | Femoral Component Cemented 3+Left Sphere, MEDACTA USA INC, 02120023L | $7,650 | — | — | — | 0 |
| 270 | Balloon Kyphplasty Essentials Kit, MEDTRONIC SOFAMOR DA, NH102PB | $7,438 | — | — | — | 0 |
| 52x18hmeral Head, Depuy Orthopedics, 112848010 | 52x18hmeral Head, Depuy Orthopedics, 112848010 | $7,428 | — | — | — | 0 |
| InfinitX PolX Sz 1 /1+6mm, WRIGHT MEDICAL, 33651 | InfinitX PolX Sz 1 /1+6mm, WRIGHT MEDICAL, 33651106 | $7,293 | — | — | — | 0 |
| Plate, Bone, Lapidus, Integra Life Science, 2801 | Plate, Bone, Lapidus, Integra Life Science, 2801100 | $6,381 | — | — | — | 0 |
| Tray, Tibial, Genflex 2, 73mm x 47mm, Stelkast, | Tray, Tibial, Genflex 2, 73mm x 47mm, Stelkast, SC15843T3F | $6,375 | — | — | — | 0 |
| Attune Tibial Base Size 8, DEPUY SYNTHES, 150610 | Attune Tibial Base Size 8, DEPUY SYNTHES, 150610008 | $5,831 | — | — | — | 0 |
| Attune Tibial Base Rotating Platform Size 6, DEP | Attune Tibial Base Rotating Platform Size 6, DEPUY ORTHO, 150610004 | $5,831 | — | — | — | 0 |
| Base, Tibial, Cemented, Attune, RP, Size 4, Depu | Base, Tibial, Cemented, Attune, RP, Size 4, Depuy Orthopedics, 150610004 | $5,831 | — | — | — | 0 |
| Biolox Delta Ceramic Head 36mm, DJO SURGICAL, 40 | Biolox Delta Ceramic Head 36mm, DJO SURGICAL, 40003363 | $5,313 | — | — | — | 0 |
| Head, Femoral, Implant, Delta Hip, DJ Orthopedic | Head, Femoral, Implant, Delta Hip, DJ Orthopedics, 40003361 | $5,313 | — | — | — | 0 |
| 391 | 86891 AUTOLOGOUS BLOOD COLLECTION, INTRA OP | $5,280 | — | — | — | 0 |
| Plate, Bone, Distal Radius, Standard, Right, New | Plate, Bone, Distal Radius, Standard, Right, Newclip Technics, LTDVPS2 | $4,855 | — | — | — | 0 |
| 740 | Sleep w/ Airway Pres | $4,500 | — | — | — | 0 |
| Anterior Tib Tendon, ADVANCED NUMED, 07804203 | Anterior Tib Tendon, ADVANCED NUMED, 07804203 | $4,314 | — | — | — | 0 |
| Semi T Graft, ADVANCED NUMED, 04700003 | Semi T Graft, ADVANCED NUMED, 04700003 | $4,314 | — | — | — | 0 |
| Tendon, Semitendinosus, Allowash, Frozen, Asepti | Tendon, Semitendinosus, Allowash, Frozen, Aseptic, >200mm, DCI Donor Services Inc, 04700003 | $4,314 | — | — | — | 0 |
| Distractor, Hip, Arthroscopic, Smith & Nephew En | Distractor, Hip, Arthroscopic, Smith & Nephew Endoscopy, 72202207 | $4,250 | — | — | — | 0 |
| Insert, Tibial, Genflex 2, Exp, Posterior Stabil | Insert, Tibial, Genflex 2, Exp, Posterior Stabilized, Stelkast, SC38023520 | $4,250 | — | — | — | 0 |
| Noavasure Endometrial Device, NOVASURE, NS2007US | Noavasure Endometrial Device, NOVASURE, NS2007US | $4,250 | — | — | — | 0 |
| Novasure, HOLOGIC, NS2007 | Novasure, HOLOGIC, NS2007 | $4,250 | — | — | — | 0 |
| Novasure, HOLOGIC, NS2007US | Novasure, HOLOGIC, NS2007US | $4,250 | — | — | — | 0 |
| Allograft, ZIMMER, 0701268010 | Allograft, ZIMMER, 0701268010 | $4,038 | — | — | — | 0 |
| Puraplyam 2 X 4, ORGANOGENSIS, PPAMCOM | Puraplyam 2 X 4, ORGANOGENSIS, PPAMCOM | $4,038 | — | — | — | 0 |
| Semi T Tendon, PINNACLE TRANSPLANT, ST11 | Semi T Tendon, PINNACLE TRANSPLANT, ST11 | $4,016 | — | — | — | 0 |
| 110 | ROOM/BED: Inpatient Surgery | $3,500 | — | — | — | 0 |
Showing top 50 of 750 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.