45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●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
34,862
Insurances with rates
6
CPT / HCPCS codes
10,881
Most expensive procedures (gross)
31-520000
$40,087
INSERT REMOVAL CUPINNOMED
Gross
$148,470
423935
$26,673
ULTRA- DRIVE III CONSOLE
Gross
$98,790
816T
$21,667
OPEN INSERTION/REPLACEMENT NEUROSTIMULATION BLADDER; POSTERIOR TIBIAL NERVE; SUBCUTANEOUS 0816T
Gross
$80,249
31-301901
$18,957
ARM TARGET LFT HOOK ARCOS
Gross
$70,212
31-301902
$18,957
ARM TARGET RIGHT HOOK ARCOS
Gross
$70,212
C1826
$18,225
LEADS SYSTEM G4 CLOSED LOOP STIM SYS W/2 90CM PERMSYS-90-2-G4
Gross
$67,500
32-472692
$18,063
KIT INSTR REMOVAL OSS
Gross
$66,900
430000
$17,593
INSTR SET BMP CEMENT REVISION
Gross
$65,160
456200
$17,034
BULLET-TIP REAMER SET
Gross
$63,090
C1816
$15,188
FREEDOM 8A NEUROSTIMULATOR
Gross
$56,250
817T
$14,982
OPEN INSERTION/REPLACEMENT NEUROSTIMULATION BLADDER; POSTERIOR TIBIAL NERVE; SUBFASCIAL 0817T
Gross
$55,489
27702
$14,040
ARTHROPLASTY ANKLE TOTAL REPLACEMENT 27702
Gross
$52,000
C1767
$12,555
ELECTRODES STIMQ-4A PNS SYSTEM 4 Q4SP-1-US
Gross
$46,500
25449
$12,334
ARTHROPLASTY WRIST REVISION 25449
Gross
$45,680
25446
$12,334
ARTHROPLASTY WRIST TOTAL REPLACEMENT 25446
Gross
$45,680
63685
$12,328
INSERTION OF SPINAL NEUROSTIMULATOR 63685
Gross
$45,658
3661CONTROLSYSTEM
$12,150
CAP PRICED 3661CONTROLSYSTEM
Gross
$45,000
C1778
$12,150
CAP PRICING FOR MEDTRONIC STIMULATOR
Gross
$45,000
J7355
$11,864
TRAVOPROST 75 MCG INTRACAMERAL IMPLANT
Gross
$43,943
32-468540
$11,321
TENSOR VANG
Gross
$41,928
423936
$10,673
ULTRA- DRIVE III HANDPIECE
Gross
$39,528
43644
$10,048
BYPASS GASTRIC LAPAROSCOPIC ROUX-EN-Y 43644
Gross
$37,214
27438
$9,596
ARTHROPLASTY PATELLA W/PROSTHESIS 27438
Gross
$35,542
23474
$9,596
REVISION TOTAL SHOULDER ARTHROPLASTY INC. ALLOGRAFT HUMERAL AND GLENOID COMPONENT 23474
Gross
$35,542
27441
$9,519
ARTHROPLASTY; KNEE/TIBIAL PLATEAU WITH DEBRIDEMENT AND PARTIAL SYNOVECTOMY 27441
Gross
$35,255
25444
$9,476
ARTHROPLASTY W/PROSTHETIC REPLACEMENT OF LUNATE BONE 25444
Gross
$35,097
C9781
$9,184
ARTHROPLASTY SHOULDER W/IMPLANT SUB. SPACER INC. DEBRIDE SAD BICEPS TENDO. C9781
Gross
$34,014
C1772
$9,072
IMPLANT PUMP SYNCHROMED III 8667-20
Gross
$33,600
27278
$8,640
ARTHRODESIS SACROILIAC JT. PERCUT. OR MIN. INV. W/IMAGE W/INTRA-ARTICULAR IMPLANT 27278
Gross
$32,000
27132
$8,640
CONVERSION OF PREVIOUS HIP SURGERY TO TOTAL HIP ARTHROPLASTY W/ OR W/O GRAFT 27132
Gross
$32,000
CP160400
$8,258
IMPLANT BONE 10.0MM X 400.0MM LFT META 400
Gross
$30,585
CP160401
$8,258
IMPLANT BONE 10.0MM X 400.0MM RIGHT META 400
Gross
$30,585
CP102861
$8,105
SEGMENT FEMORAL 30. CM POROUS TOTAL FEMORAL SEGMENT OSS
Gross
$30,018
31-555595
$8,100
FRAME RETRACTOR SLF RETAINING KOROS
Gross
$30,000
21-124310
$7,947
SYSTEM HIP 10MM X 155MM LATERALIZED POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-104110
$7,947
SYSTEM HIP 10MM X 155MM POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-124311
$7,947
SYSTEM HIP 11MM X 160MM LATERALIZED POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-104111
$7,947
SYSTEM HIP 11MM X 160MM POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-124312
$7,947
SYSTEM HIP 12MM X 165MM LATERALIZED POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-104112
$7,947
SYSTEM HIP 12MM X 165MM POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-124313
$7,947
SYSTEM HIP 13MM X 170MM LATERALIZED POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-104113
$7,947
SYSTEM HIP 13MM X 170MM POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-124314
$7,947
SYSTEM HIP 14MM X 175MM LATERALIZED POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-104114
$7,947
SYSTEM HIP 14MM X 175MM POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-124315
$7,947
SYSTEM HIP 15MM X 180MM LATERALIZED POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-104115
$7,947
SYSTEM HIP 15MM X 180MM POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-124316
$7,947
SYSTEM HIP 16MM X 180MM LATERALIZED POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-104116
$7,947
SYSTEM HIP 16MM X 180MM POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-124317
$7,947
SYSTEM HIP 17MM X 180MM LATERALIZED POROUS FEMORAL MALLORY HEAD
Gross
$29,433
21-104117
$7,947
SYSTEM HIP 17MM X 180MM POROUS FEMORAL MALLORY HEAD
Gross
$29,433
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 31-520000 | INSERT REMOVAL CUPINNOMED | $148,470 | $40,087 | — | — | 0 |
| 423935 | ULTRA- DRIVE III CONSOLE | $98,790 | $26,673 | — | — | 0 |
| 816T | OPEN INSERTION/REPLACEMENT NEUROSTIMULATION BLADDER; POSTERIOR TIBIAL NERVE; SUBCUTANEOUS 0816T | $80,249 | $21,667 | $450 | $60,187 | 13 |
| 31-301901 | ARM TARGET LFT HOOK ARCOS | $70,212 | $18,957 | — | — | 0 |
| 31-301902 | ARM TARGET RIGHT HOOK ARCOS | $70,212 | $18,957 | — | — | 0 |
| C1826 | LEADS SYSTEM G4 CLOSED LOOP STIM SYS W/2 90CM PERMSYS-90-2-G4 | $67,500 | $18,225 | — | — | 0 |
| 32-472692 | KIT INSTR REMOVAL OSS | $66,900 | $18,063 | — | — | 0 |
| 430000 | INSTR SET BMP CEMENT REVISION | $65,160 | $17,593 | — | — | 0 |
| 456200 | BULLET-TIP REAMER SET | $63,090 | $17,034 | — | — | 0 |
| C1816 | FREEDOM 8A NEUROSTIMULATOR | $56,250 | $15,188 | — | — | 0 |
| 817T | OPEN INSERTION/REPLACEMENT NEUROSTIMULATION BLADDER; POSTERIOR TIBIAL NERVE; SUBFASCIAL 0817T | $55,489 | $14,982 | $450 | $41,617 | 13 |
| 27702 | ARTHROPLASTY ANKLE TOTAL REPLACEMENT 27702 | $52,000 | $14,040 | $0.5 | $39,000 | 16 |
| C1767 | ELECTRODES STIMQ-4A PNS SYSTEM 4 Q4SP-1-US | $46,500 | $12,555 | — | — | 0 |
| 25449 | ARTHROPLASTY WRIST REVISION 25449 | $45,680 | $12,334 | $0.5 | $34,260 | 17 |
| 25446 | ARTHROPLASTY WRIST TOTAL REPLACEMENT 25446 | $45,680 | $12,334 | $0.5 | $34,260 | 16 |
| 63685 | INSERTION OF SPINAL NEUROSTIMULATOR 63685 | $45,658 | $12,328 | $0.5 | $37,321 | 19 |
| 3661CONTROLSYSTEM | CAP PRICED 3661CONTROLSYSTEM | $45,000 | $12,150 | — | — | 0 |
| C1778 | CAP PRICING FOR MEDTRONIC STIMULATOR | $45,000 | $12,150 | — | — | 0 |
| J7355 | TRAVOPROST 75 MCG INTRACAMERAL IMPLANT | $43,943 | $11,864 | — | — | 0 |
| 32-468540 | TENSOR VANG | $41,928 | $11,321 | — | — | 0 |
| 423936 | ULTRA- DRIVE III HANDPIECE | $39,528 | $10,673 | — | — | 0 |
| 43644 | BYPASS GASTRIC LAPAROSCOPIC ROUX-EN-Y 43644 | $37,214 | $10,048 | $0.5 | $27,911 | 16 |
| 27438 | ARTHROPLASTY PATELLA W/PROSTHESIS 27438 | $35,542 | $9,596 | $0.5 | $26,657 | 17 |
| 23474 | REVISION TOTAL SHOULDER ARTHROPLASTY INC. ALLOGRAFT HUMERAL AND GLENOID COMPONENT 23474 | $35,542 | $9,596 | $0.5 | $26,657 | 16 |
| 27441 | ARTHROPLASTY; KNEE/TIBIAL PLATEAU WITH DEBRIDEMENT AND PARTIAL SYNOVECTOMY 27441 | $35,255 | $9,519 | $0.5 | $26,441 | 17 |
| 25444 | ARTHROPLASTY W/PROSTHETIC REPLACEMENT OF LUNATE BONE 25444 | $35,097 | $9,476 | $0.5 | $26,323 | 17 |
| C9781 | ARTHROPLASTY SHOULDER W/IMPLANT SUB. SPACER INC. DEBRIDE SAD BICEPS TENDO. C9781 | $34,014 | $9,184 | $450 | $25,511 | 13 |
| C1772 | IMPLANT PUMP SYNCHROMED III 8667-20 | $33,600 | $9,072 | — | — | 0 |
| 27278 | ARTHRODESIS SACROILIAC JT. PERCUT. OR MIN. INV. W/IMAGE W/INTRA-ARTICULAR IMPLANT 27278 | $32,000 | $8,640 | $0.5 | $24,000 | 15 |
| 27132 | CONVERSION OF PREVIOUS HIP SURGERY TO TOTAL HIP ARTHROPLASTY W/ OR W/O GRAFT 27132 | $32,000 | $8,640 | $0.5 | $24,000 | 16 |
| CP160400 | IMPLANT BONE 10.0MM X 400.0MM LFT META 400 | $30,585 | $8,258 | — | — | 0 |
| CP160401 | IMPLANT BONE 10.0MM X 400.0MM RIGHT META 400 | $30,585 | $8,258 | — | — | 0 |
| CP102861 | SEGMENT FEMORAL 30. CM POROUS TOTAL FEMORAL SEGMENT OSS | $30,018 | $8,105 | — | — | 0 |
| 31-555595 | FRAME RETRACTOR SLF RETAINING KOROS | $30,000 | $8,100 | — | — | 0 |
| 21-124310 | SYSTEM HIP 10MM X 155MM LATERALIZED POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-104110 | SYSTEM HIP 10MM X 155MM POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-124311 | SYSTEM HIP 11MM X 160MM LATERALIZED POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-104111 | SYSTEM HIP 11MM X 160MM POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-124312 | SYSTEM HIP 12MM X 165MM LATERALIZED POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-104112 | SYSTEM HIP 12MM X 165MM POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-124313 | SYSTEM HIP 13MM X 170MM LATERALIZED POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-104113 | SYSTEM HIP 13MM X 170MM POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-124314 | SYSTEM HIP 14MM X 175MM LATERALIZED POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-104114 | SYSTEM HIP 14MM X 175MM POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-124315 | SYSTEM HIP 15MM X 180MM LATERALIZED POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-104115 | SYSTEM HIP 15MM X 180MM POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-124316 | SYSTEM HIP 16MM X 180MM LATERALIZED POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-104116 | SYSTEM HIP 16MM X 180MM POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-124317 | SYSTEM HIP 17MM X 180MM LATERALIZED POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
| 21-104117 | SYSTEM HIP 17MM X 180MM POROUS FEMORAL MALLORY HEAD | $29,433 | $7,947 | — | — | 0 |
Showing top 50 of 34,862 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.