45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
5,816
Insurances with rates
6
CPT / HCPCS codes
5,212
Most expensive procedures (gross)
63685
$30,266
63685 Insert/replace spinal neurostimulator pulse generator/receiver, direct/inductive coupling
Gross
$79,231
C1721
$28,013
CRTD COBALT HF QUAD MRI IS4 DF4
Gross
$73,332
64580
$21,298
64580 - Open implantation of neurostimulator electrode array; neuromuscular
Gross
$55,755
62362
$17,554
62362 Implantation or replacement of device for intrathecal or epidural drug infusion
Gross
$45,953
64628
$12,779
64628TRML DSTRJ IOS BVN 1ST 2 L/S
Gross
$33,454
64553
$12,386
64553 - Percutaneous implantation of neurostimulator electrode array; cranial nerve
Gross
$32,423
64575
$12,386
64575 Incision for implantation of neurostimulator electrode array; peripheral nerve
Gross
$32,423
92822
$10,054
CRTP W1TR01 PERCEPTA CRTP MRRI US
Gross
$26,320
63650
$9,525
63650 Implant neuroelectrodes
Gross
$24,934
22223
$8,139
AZURE XT SR MRI SYSTEM-MEEM
Gross
$21,305
275T
$7,095
0275T MINIMALLY INVASIVE LUMBAR DECOMPRESSION CHARGE
Gross
$18,574
22513
$7,095
22513 Percutaneous Vertebral Augmentation Thoracic
Gross
$18,574
22514
$7,095
22514 Percutaneous Vertebral Augmentation Lumbar
Gross
$18,574
C1785
$6,876
ACCOLADE MRI DR IS-1
Gross
$18,000
63663
$6,518
63663 Revision including replacement of spinal neurostimulator, electronic percutaneous arrays, incl
Gross
$17,064
64555
$6,518
64555 Percutaneous implantation of neurostimulator electrode array; peripheral nerve
Gross
$17,064
64561
$6,518
64561 Percutaneous implantation of neurostimulator electrode array; sacral nerve including image gui
Gross
$17,064
C1786
$6,494
ACCOLADE MRI SR IS-1
Gross
$17,000
64629
$6,390
64629 TRML DSTRJ IOS BVN EA ADDL
Gross
$16,727
62350
$6,361
62350 IMPLANT SPINAL CANAL CATH W/PUMP
Gross
$16,651
62365
$6,361
62365 Removal Of Intrathecal Infusion Pump
Gross
$16,651
32550
$5,053
32550-Insertion Tunneled Pleural Cath
Gross
$13,229
415812
$4,827
DYNANITE PIP - BENT 12MM - W/INSTR
Gross
$12,636
27301
$4,349
27301 Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region
Gross
$11,384
57282
$4,349
57282 COLPOPEXY EXTRAPERITONEAL.
Gross
$11,384
C5273
$3,712
C5273 APP SKIN SUB LEGS =/> 100 SQ CM; 1st 100 CHARGE
Gross
$9,718
22515
$3,548
22515 Percutaneous Vertebral Augmentation Each Addl
Gross
$9,287
63688
$3,415
63688 Revision or removal of implanted spinal neurostimulator pulse generator or receiver
Gross
$8,941
28192
$2,868
28192 REM FB DEEP FOOT CHARGE
Gross
$7,509
54700
$2,848
54700-I&D Epididymis/Testis/Scrotal Space
Gross
$7,455
10140
$2,504
10140 I & D OF HEMATOMA SEROMA/FLUID
Gross
$6,555
29877
$2,469
29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)
Gross
$6,464
C5274
$2,346
C5274 APP SKIN SUB LEG =/> 100 SQ CM; ADDL 100 CHARGE
Gross
$6,141
45398
$2,292
45398 Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids).
Gross
$6,000
15271
$2,236
15271 APPL OF SKIN SUB GRAFT LEGS,1ST 25CM SQ CHARGE
Gross
$5,853
15275
$2,225
15275 APPL OF SKIN SUB GRAFT FEET 1ST 25 SQ CM CHARGE
Gross
$5,824
24200
$2,225
24200-Upper Arm/Elbow Subcutaneous
Gross
$5,824
55100
$2,225
55100-Drainage Scrotal Wall Abscess
Gross
$5,824
6122
$2,225
ENVELOPE
Gross
$5,824
26765
$2,154
26765-Distal Phalangeal Open
Gross
$5,640
31525
$2,145
31525-Direct Laryngoscopy Diagnostic
Gross
$5,616
24655
$2,116
24655 CLOSED FRACTURE REDU CHARGE
Gross
$5,539
4604782
$2,106
CLOSED FRACTURE REDU ED CHARGE
Gross
$5,513
28190
$2,042
28190-Foot Subcutaneous
Gross
$5,345
21320
$2,041
21320-Nasal Bone w/ Stabilization
Gross
$5,343
31603
$2,031
31603-Tracheostomy Transtracheal
Gross
$5,317
62292
$1,939
62292 INJECTION INTO DISK LESION
Gross
$5,077
62355
$1,939
62355 Removal of previously implanted intrathecal or epidural catheter
Gross
$5,077
64605
$1,939
64605 Destruction by neurolytic agent, trigeminal nerve; second and third division branches
Gross
$5,077
63661
$1,907
63661 Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when
Gross
$4,993
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 63685 | 63685 Insert/replace spinal neurostimulator pulse generator/receiver, direct/inductive coupling | $79,231 | $30,266 | — | — | 12 |
| C1721 | CRTD COBALT HF QUAD MRI IS4 DF4 | $73,332 | $28,013 | — | — | 7 |
| 64580 | 64580 - Open implantation of neurostimulator electrode array; neuromuscular | $55,755 | $21,298 | — | — | 12 |
| 62362 | 62362 Implantation or replacement of device for intrathecal or epidural drug infusion | $45,953 | $17,554 | — | — | 12 |
| 64628 | 64628TRML DSTRJ IOS BVN 1ST 2 L/S | $33,454 | $12,779 | — | — | 12 |
| 64553 | 64553 - Percutaneous implantation of neurostimulator electrode array; cranial nerve | $32,423 | $12,386 | — | — | 12 |
| 64575 | 64575 Incision for implantation of neurostimulator electrode array; peripheral nerve | $32,423 | $12,386 | — | — | 12 |
| 92822 | CRTP W1TR01 PERCEPTA CRTP MRRI US | $26,320 | $10,054 | — | — | 0 |
| 63650 | 63650 Implant neuroelectrodes | $24,934 | $9,525 | — | — | 12 |
| 22223 | AZURE XT SR MRI SYSTEM-MEEM | $21,305 | $8,139 | — | — | 0 |
| 275T | 0275T MINIMALLY INVASIVE LUMBAR DECOMPRESSION CHARGE | $18,574 | $7,095 | — | — | 8 |
| 22513 | 22513 Percutaneous Vertebral Augmentation Thoracic | $18,574 | $7,095 | — | — | 12 |
| 22514 | 22514 Percutaneous Vertebral Augmentation Lumbar | $18,574 | $7,095 | — | — | 12 |
| C1785 | ACCOLADE MRI DR IS-1 | $18,000 | $6,876 | — | — | 8 |
| 63663 | 63663 Revision including replacement of spinal neurostimulator, electronic percutaneous arrays, incl | $17,064 | $6,518 | — | — | 12 |
| 64555 | 64555 Percutaneous implantation of neurostimulator electrode array; peripheral nerve | $17,064 | $6,518 | — | — | 12 |
| 64561 | 64561 Percutaneous implantation of neurostimulator electrode array; sacral nerve including image gui | $17,064 | $6,518 | — | — | 12 |
| C1786 | ACCOLADE MRI SR IS-1 | $17,000 | $6,494 | — | — | 8 |
| 64629 | 64629 TRML DSTRJ IOS BVN EA ADDL | $16,727 | $6,390 | — | — | 8 |
| 62350 | 62350 IMPLANT SPINAL CANAL CATH W/PUMP | $16,651 | $6,361 | — | — | 12 |
| 62365 | 62365 Removal Of Intrathecal Infusion Pump | $16,651 | $6,361 | — | — | 12 |
| 32550 | 32550-Insertion Tunneled Pleural Cath | $13,229 | $5,053 | — | — | 8 |
| 415812 | DYNANITE PIP - BENT 12MM - W/INSTR | $12,636 | $4,827 | — | — | 0 |
| 27301 | 27301 Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region | $11,384 | $4,349 | — | — | 8 |
| 57282 | 57282 COLPOPEXY EXTRAPERITONEAL. | $11,384 | $4,349 | — | — | 8 |
| C5273 | C5273 APP SKIN SUB LEGS =/> 100 SQ CM; 1st 100 CHARGE | $9,718 | $3,712 | — | — | 6 |
| 22515 | 22515 Percutaneous Vertebral Augmentation Each Addl | $9,287 | $3,548 | — | — | 8 |
| 63688 | 63688 Revision or removal of implanted spinal neurostimulator pulse generator or receiver | $8,941 | $3,415 | — | — | 12 |
| 28192 | 28192 REM FB DEEP FOOT CHARGE | $7,509 | $2,868 | — | — | 8 |
| 54700 | 54700-I&D Epididymis/Testis/Scrotal Space | $7,455 | $2,848 | — | — | 8 |
| 10140 | 10140 I & D OF HEMATOMA SEROMA/FLUID | $6,555 | $2,504 | — | — | 8 |
| 29877 | 29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) | $6,464 | $2,469 | — | — | 8 |
| C5274 | C5274 APP SKIN SUB LEG =/> 100 SQ CM; ADDL 100 CHARGE | $6,141 | $2,346 | — | — | 6 |
| 45398 | 45398 Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids). | $6,000 | $2,292 | — | — | 8 |
| 15271 | 15271 APPL OF SKIN SUB GRAFT LEGS,1ST 25CM SQ CHARGE | $5,853 | $2,236 | — | — | 8 |
| 15275 | 15275 APPL OF SKIN SUB GRAFT FEET 1ST 25 SQ CM CHARGE | $5,824 | $2,225 | — | — | 8 |
| 24200 | 24200-Upper Arm/Elbow Subcutaneous | $5,824 | $2,225 | — | — | 8 |
| 55100 | 55100-Drainage Scrotal Wall Abscess | $5,824 | $2,225 | — | — | 8 |
| 6122 | ENVELOPE | $5,824 | $2,225 | — | — | 0 |
| 26765 | 26765-Distal Phalangeal Open | $5,640 | $2,154 | — | — | 8 |
| 31525 | 31525-Direct Laryngoscopy Diagnostic | $5,616 | $2,145 | — | — | 8 |
| 24655 | 24655 CLOSED FRACTURE REDU CHARGE | $5,539 | $2,116 | — | — | 8 |
| 4604782 | CLOSED FRACTURE REDU ED CHARGE | $5,513 | $2,106 | — | — | 0 |
| 28190 | 28190-Foot Subcutaneous | $5,345 | $2,042 | — | — | 8 |
| 21320 | 21320-Nasal Bone w/ Stabilization | $5,343 | $2,041 | — | — | 8 |
| 31603 | 31603-Tracheostomy Transtracheal | $5,317 | $2,031 | — | — | 8 |
| 62292 | 62292 INJECTION INTO DISK LESION | $5,077 | $1,939 | — | — | 12 |
| 62355 | 62355 Removal of previously implanted intrathecal or epidural catheter | $5,077 | $1,939 | — | — | 12 |
| 64605 | 64605 Destruction by neurolytic agent, trigeminal nerve; second and third division branches | $5,077 | $1,939 | — | — | 8 |
| 63661 | 63661 Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when | $4,993 | $1,907 | — | — | 12 |
Showing top 50 of 5,816 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.