45 CFR § 180 compliance
B · 85
This hospital published most 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
6,320
Insurances with rates
46
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
PX-36052332
$29,280
Insertion of stent in ureter using an endoscope|BILATERAL PROCEDURE|SEPARATE STRUCTURE
Gross
$97,599
PX-36052356
$29,280
Crushing of stone of ureter with insertion of stent using an endoscope|BILATERAL PROCEDURE
Gross
$97,599
SUP-186657
$23,898
GRAFT VASCULAR ANGIOGRAFT 2 BRANCH L1 CM AORTA ILIAC DISTAL INFRARENAL ALLOGRAFT
Gross
$79,660
SUP-115921
$23,151
JOINT TOE COCR NONPOROUS L12.5 MM METATARSOPHALANGEAL LESSER
Gross
$77,169
SUP-849708
$12,736
GRAFT PORCINE XENMATRIX AB DERMAL COLLAGEN MATRIX RECTANGLE L7.9 IN X W5.9 IN REGENERATIVE NONCROSSL
Gross
$42,455
SUP-182865
$11,239
COMPONENT FEMORAL TRIATHLON 4 KNEE LEFT HINGE
Gross
$37,465
SUP-848397
$10,114
COMPONENT FEMORAL GMK COCR 3 KNEE LEFT POSTERIOR STABILIZE CEMENT REVISION
Gross
$33,712
SUP-82468
$8,612
GRAFT SOFT TISSUE PERMACOL PORCINE DERMAL COLLAGEN D1.5 MM L20 CM X W15 CM STERILE
Gross
$28,708
SUP-303636
$7,968
SPACER SHOULDER INSPCAE MED
Gross
$26,560
SUP-176481
$7,866
STEM HUMERAL PERFORM FX 11 L130 MM
Gross
$26,220
SUP-179849
$7,866
STEM HUMERAL PERFORM FX 10 L130 MM
Gross
$26,220
SUP-100535
$7,108
COMPONENT FEMORAL TRIATHLON COCR 7 KNEE LEFT TOTAL STABILIZE STERILE
Gross
$23,692
SUP-100781
$7,108
COMPONENT FEMORAL TRIATHLON COCR 6 KNEE RIGHT TOTAL STABILIZE STERILE
Gross
$23,692
SUP-186658
$6,848
GRAFT VASCULAR ANGIOGRAFT FEMORAL ARTERY L21-30 CM OD4-10 MM CRYOPRESERVED
Gross
$22,826
SUP-179595
$6,702
COMPONENT TIBIAL TRIATHLON 3 4 KNEE HINGE BEARING STERILE LATEX FREE
Gross
$22,340
SUP-169808
$6,479
BASEPLATE GLENOID PERFORM CENTER L25 MM OD25 MM REVERSE POST
Gross
$21,597
RX-9002
$6,430
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$21,432
SUP-856000
$6,368
GRAFT PORCINE XENMATRIX AB DERMAL COLLAGEN MATRIX RECTANGLE L5.9 IN X W3.9 IN NONCROSSLINK ANTIBACTE
Gross
$21,227
SUP-105189
$6,123
BODY HUMERAL SMR TITANIUM SHORT LOCKING SCREW REVERSE REVISION ELECTIVE SURGERY
Gross
$20,410
SUP-186404
$6,101
BASEPLATE TIBIAL TRIATHLON 4 KNEE REVISION STERILE LATEX FREE
Gross
$20,337
RX-172314
$6,062
TENECTEPLASE 50 MG INTRAVENOUS SOLUTION
Gross
$20,207
SUP-99570
$6,025
PROTECTOR TENDON TENOGLIDE BOVINE TYPE I COLLAGEN GLYCOSAMINOGLYCAN L5 IN X W4 IN ABSORBABLE SHEET B
Gross
$20,083
SUP-22786
$5,910
PROXIMAL REVIVE FLEX AEQUALIS
Gross
$19,700
SUP-202384
$5,603
KIT IMTST ID IMPRT CRCTE RTN
Gross
$18,675
SUP-202385
$5,603
KNEE KIT IDENTITY IMPRINT PS
Gross
$18,675
SUP-849560
$5,603
KIT TKR ITOTAL IPOLY XE CRUCIATE RETAIN PATIENT SPECIFIC STERILE LATEX FREE
Gross
$18,675
SUP-878981
$5,600
INSERT KNEE KIT ITOTAL IPOLY 2
Gross
$18,667
SUP-883747
$5,392
PLATE BONE TIGHTROPE XP BUTTRESS STERILE LATEX FREE
Gross
$17,972
SUP-177318
$5,376
GRAFT BONE VERTIGRAFT MEDIAL RIGHT MENISCUS
Gross
$17,922
SUP-184082
$5,376
GRAFT BONE VERTIGRAFT LEFT LATERAL MENISCUS FROZEN
Gross
$17,922
SUP-848609
$5,350
CEMENT BONE HYDROSET XT HA 15 CC INJECTABLE STERILE LATEX FREE DISPOSABLE
Gross
$17,833
SUP-164529
$5,319
STEM HUMERAL AEQUALIS FLEX REVIVE L90 MM OD13 MM SHOULDER DISTAL
Gross
$17,729
SUP-55567
$5,167
KIT TKR ITOTAL IPOLY XE CRUCIATE RETAIN PATIENT SPECIFIC STERILE LATEX FREE
Gross
$17,223
SUP-878983
$5,167
INSERT KNEE KIT ITOTAL IPOLY 2
Gross
$17,223
SUP-878762
$5,167
INSERT KNEE KIT ITOTAL IPOLY 1
Gross
$17,223
SUP-837730
$4,982
TRAY TIBIAL GMK COCR 3 KNEE LEFT CEMENT FIX REVISION NONSTERILE
Gross
$16,606
SUP-857417
$4,982
TRAY TIBIAL GMK COCR 5 KNEE RIGHT CEMENT FIX REVISION NONSTERILE
Gross
$16,606
SUP-169157
$4,868
CUP HUMERAL 2X32MM
Gross
$16,227
SUP-105279
$4,670
BODY CONE RESTORATION TITANIUM +10 MM OD25 MM HIP MODULAR STERILE REVISION SYSTEM
Gross
$15,567
PX-72200014
$4,653
HC Delivery Level 3
Gross
$15,510
SUP-49219
$4,358
GRAFT SOFT TISSUE STERIGRAFT PATELLAR TENDON L23+ MM X W10+ MM OD10-10.5 MM ALLOGRAFT PRESHAPE STERI
Gross
$14,525
SUP-857402
$4,358
TENDON PATELLA PRE SHAPED 10MM
Gross
$14,525
SUP-884585
$4,319
GRAFT BONE GLENOID SYSTEM FULL WEDGE 24 MM BASEPLATE 20 DEGREE FULL AUGMENT +2 LATERALIZED OBLIQUE
Gross
$14,396
PX-72200013
$4,265
HC Delivery Level 2
Gross
$14,215
SUP-168335
$4,233
STEM HUMERAL PERFORM 3+ SHORT LENGTH L71 MM OD38 MM ODSEC10 MM SHOULDER
Gross
$14,110
SUP-156739
$4,233
STEM HUMERAL PERFORM 2+ SHORT LENGTH L65 MM OD34 MM ODSEC8 MM SHOULDER
Gross
$14,110
SUP-169657
$4,172
SPACER 13MM DIA 20MM LENGTH
Gross
$13,906
SUP-168866
$4,143
GLENOSPHERE ECCENTRICAL 40MM
Gross
$13,811
SUP-841167
$4,109
IMPLANT PROXIMAL PIP SZ 5
Gross
$13,695
SUP-176101
$4,096
SPHERE GLENOID SMR ECCENTRIC OD40 MM SHOULDER
Gross
$13,654
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| PX-36052332 | Insertion of stent in ureter using an endoscope|BILATERAL PROCEDURE|SEPARATE STRUCTURE | $97,599 | $29,280 | — | — | 13 |
| PX-36052356 | Crushing of stone of ureter with insertion of stent using an endoscope|BILATERAL PROCEDURE | $97,599 | $29,280 | — | — | 13 |
| SUP-186657 | GRAFT VASCULAR ANGIOGRAFT 2 BRANCH L1 CM AORTA ILIAC DISTAL INFRARENAL ALLOGRAFT | $79,660 | $23,898 | — | — | 64 |
| SUP-115921 | JOINT TOE COCR NONPOROUS L12.5 MM METATARSOPHALANGEAL LESSER | $77,169 | $23,151 | — | — | 25 |
| SUP-849708 | GRAFT PORCINE XENMATRIX AB DERMAL COLLAGEN MATRIX RECTANGLE L7.9 IN X W5.9 IN REGENERATIVE NONCROSSL | $42,455 | $12,736 | — | — | 61 |
| SUP-182865 | COMPONENT FEMORAL TRIATHLON 4 KNEE LEFT HINGE | $37,465 | $11,239 | — | — | 29 |
| SUP-848397 | COMPONENT FEMORAL GMK COCR 3 KNEE LEFT POSTERIOR STABILIZE CEMENT REVISION | $33,712 | $10,114 | — | — | 34 |
| SUP-82468 | GRAFT SOFT TISSUE PERMACOL PORCINE DERMAL COLLAGEN D1.5 MM L20 CM X W15 CM STERILE | $28,708 | $8,612 | — | — | 10 |
| SUP-303636 | SPACER SHOULDER INSPCAE MED | $26,560 | $7,968 | — | — | 35 |
| SUP-176481 | STEM HUMERAL PERFORM FX 11 L130 MM | $26,220 | $7,866 | — | — | 35 |
| SUP-179849 | STEM HUMERAL PERFORM FX 10 L130 MM | $26,220 | $7,866 | — | — | 33 |
| SUP-100535 | COMPONENT FEMORAL TRIATHLON COCR 7 KNEE LEFT TOTAL STABILIZE STERILE | $23,692 | $7,108 | — | — | 38 |
| SUP-100781 | COMPONENT FEMORAL TRIATHLON COCR 6 KNEE RIGHT TOTAL STABILIZE STERILE | $23,692 | $7,108 | — | — | 31 |
| SUP-186658 | GRAFT VASCULAR ANGIOGRAFT FEMORAL ARTERY L21-30 CM OD4-10 MM CRYOPRESERVED | $22,826 | $6,848 | — | — | 64 |
| SUP-179595 | COMPONENT TIBIAL TRIATHLON 3 4 KNEE HINGE BEARING STERILE LATEX FREE | $22,340 | $6,702 | — | — | 30 |
| SUP-169808 | BASEPLATE GLENOID PERFORM CENTER L25 MM OD25 MM REVERSE POST | $21,597 | $6,479 | — | — | 38 |
| RX-9002 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $21,432 | $6,430 | — | — | 63 |
| SUP-856000 | GRAFT PORCINE XENMATRIX AB DERMAL COLLAGEN MATRIX RECTANGLE L5.9 IN X W3.9 IN NONCROSSLINK ANTIBACTE | $21,227 | $6,368 | — | — | 64 |
| SUP-105189 | BODY HUMERAL SMR TITANIUM SHORT LOCKING SCREW REVERSE REVISION ELECTIVE SURGERY | $20,410 | $6,123 | — | — | 34 |
| SUP-186404 | BASEPLATE TIBIAL TRIATHLON 4 KNEE REVISION STERILE LATEX FREE | $20,337 | $6,101 | — | — | 33 |
| RX-172314 | TENECTEPLASE 50 MG INTRAVENOUS SOLUTION | $20,207 | $6,062 | — | — | 15 |
| SUP-99570 | PROTECTOR TENDON TENOGLIDE BOVINE TYPE I COLLAGEN GLYCOSAMINOGLYCAN L5 IN X W4 IN ABSORBABLE SHEET B | $20,083 | $6,025 | — | — | 64 |
| SUP-22786 | PROXIMAL REVIVE FLEX AEQUALIS | $19,700 | $5,910 | — | — | 26 |
| SUP-202384 | KIT IMTST ID IMPRT CRCTE RTN | $18,675 | $5,603 | — | — | 34 |
| SUP-202385 | KNEE KIT IDENTITY IMPRINT PS | $18,675 | $5,603 | — | — | 33 |
| SUP-849560 | KIT TKR ITOTAL IPOLY XE CRUCIATE RETAIN PATIENT SPECIFIC STERILE LATEX FREE | $18,675 | $5,603 | — | — | 34 |
| SUP-878981 | INSERT KNEE KIT ITOTAL IPOLY 2 | $18,667 | $5,600 | — | — | 29 |
| SUP-883747 | PLATE BONE TIGHTROPE XP BUTTRESS STERILE LATEX FREE | $17,972 | $5,392 | — | — | 43 |
| SUP-177318 | GRAFT BONE VERTIGRAFT MEDIAL RIGHT MENISCUS | $17,922 | $5,376 | — | — | 49 |
| SUP-184082 | GRAFT BONE VERTIGRAFT LEFT LATERAL MENISCUS FROZEN | $17,922 | $5,376 | — | — | 48 |
| SUP-848609 | CEMENT BONE HYDROSET XT HA 15 CC INJECTABLE STERILE LATEX FREE DISPOSABLE | $17,833 | $5,350 | — | — | 50 |
| SUP-164529 | STEM HUMERAL AEQUALIS FLEX REVIVE L90 MM OD13 MM SHOULDER DISTAL | $17,729 | $5,319 | — | — | 35 |
| SUP-55567 | KIT TKR ITOTAL IPOLY XE CRUCIATE RETAIN PATIENT SPECIFIC STERILE LATEX FREE | $17,223 | $5,167 | — | — | 34 |
| SUP-878983 | INSERT KNEE KIT ITOTAL IPOLY 2 | $17,223 | $5,167 | — | — | 29 |
| SUP-878762 | INSERT KNEE KIT ITOTAL IPOLY 1 | $17,223 | $5,167 | — | — | 33 |
| SUP-837730 | TRAY TIBIAL GMK COCR 3 KNEE LEFT CEMENT FIX REVISION NONSTERILE | $16,606 | $4,982 | — | — | 29 |
| SUP-857417 | TRAY TIBIAL GMK COCR 5 KNEE RIGHT CEMENT FIX REVISION NONSTERILE | $16,606 | $4,982 | — | — | 29 |
| SUP-169157 | CUP HUMERAL 2X32MM | $16,227 | $4,868 | — | — | 64 |
| SUP-105279 | BODY CONE RESTORATION TITANIUM +10 MM OD25 MM HIP MODULAR STERILE REVISION SYSTEM | $15,567 | $4,670 | — | — | 35 |
| PX-72200014 | HC Delivery Level 3 | $15,510 | $4,653 | — | — | 23 |
| SUP-49219 | GRAFT SOFT TISSUE STERIGRAFT PATELLAR TENDON L23+ MM X W10+ MM OD10-10.5 MM ALLOGRAFT PRESHAPE STERI | $14,525 | $4,358 | — | — | 64 |
| SUP-857402 | TENDON PATELLA PRE SHAPED 10MM | $14,525 | $4,358 | — | — | 64 |
| SUP-884585 | GRAFT BONE GLENOID SYSTEM FULL WEDGE 24 MM BASEPLATE 20 DEGREE FULL AUGMENT +2 LATERALIZED OBLIQUE | $14,396 | $4,319 | — | — | 30 |
| PX-72200013 | HC Delivery Level 2 | $14,215 | $4,265 | — | — | 23 |
| SUP-168335 | STEM HUMERAL PERFORM 3+ SHORT LENGTH L71 MM OD38 MM ODSEC10 MM SHOULDER | $14,110 | $4,233 | — | — | 34 |
| SUP-156739 | STEM HUMERAL PERFORM 2+ SHORT LENGTH L65 MM OD34 MM ODSEC8 MM SHOULDER | $14,110 | $4,233 | — | — | 27 |
| SUP-169657 | SPACER 13MM DIA 20MM LENGTH | $13,906 | $4,172 | — | — | 38 |
| SUP-168866 | GLENOSPHERE ECCENTRICAL 40MM | $13,811 | $4,143 | — | — | 35 |
| SUP-841167 | IMPLANT PROXIMAL PIP SZ 5 | $13,695 | $4,109 | — | — | 31 |
| SUP-176101 | SPHERE GLENOID SMR ECCENTRIC OD40 MM SHOULDER | $13,654 | $4,096 | — | — | 37 |
Showing top 50 of 6,320 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.