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
30,019
Insurances with rates
7
CPT / HCPCS codes
11,319
Most expensive procedures (gross)
C1820
$31,074
BATTERY STIMULATOR NEURO GENERATOR PROTEGE IPG 16 CHANNEL RECHARGEABLE
Gross
$51,790
C9064
$26,934
MITOMYCIN URETERAL 40 MG POWDER-RECON KIT
Gross
$44,890
C1767
$25,920
GENERATOR IMPLANTABLE PULSE MODEL 3150 INSPIRE 5 3150
Gross
$43,200
27447
$25,018
ARTHROPLASTY KNEE CONDYLE & PLATEAU MEDIAL AND LATERAL 27447
Gross
$41,696
ZB-KT020
$23,703
KIT SURG PLANNING MIDFACE RECON W/TI GUIDES ZB-KT020
Gross
$39,504
3.809.900
$21,764
RETRACTOR HANDLE 03.809.900
Gross
$36,273
L8679
$19,344
PULSE GENERATOR IMPLANTABLE INSPIRE SLP APNEA
Gross
$32,240
Q4128
$18,480
GRAFT FLEXHD PLIABLE PRE MED-19CM X 22CM THIN 0.7-1.4 PP1500
Gross
$30,800
3.809.921
$17,010
INSERT ORACLE LATERAL QUICK INSERTER/DISTRACTOR 03.809.921
Gross
$28,350
58570
$16,916
LAPAROSCOPIC TOTAL HYSTERECTOMY 250 G OR LESS 58570
Gross
$28,193
22867
$16,343
INSERT INTERLAMINAR DISTRACTION DEV. W/O FUSION SINGLE LEVEL 22867
Gross
$27,238
55880
$15,929
ABLATION OF MALIGNANT PROSTATE TRANSRECTAL W/HIFU INC. ULTRASOUND 55880
Gross
$26,549
40411
$15,875
SET LENS BIOM SUPER VIEW DISP
Gross
$26,459
27278
$15,663
ARTHRODESIS SACROILIAC JT. PERCUT. OR MIN. INV. W/IMAGE W/INTRA-ARTICULAR IMPLANT 27278
Gross
$26,105
64583
$14,833
REVISION OR REPLACEMENT HYPOGLOSSAL NERVE NEUROSTIM 64583
Gross
$24,722
50561
$14,588
RENAL ENDO NEPHROSTOMY OR PYELOSTOMY W/ OR W/O IRRIGATION INSTALL 50561
Gross
$24,314
3.808.121
$14,437
INSERT ALIF QUICK INSERTER/DISTRACTOR SQUID 03.808.121
Gross
$24,062
64913
$13,825
NERVE REPAIR WITH NERVE ALLOGRAFT; EACH ADDITIONAL STRAND 64913
Gross
$23,041
22860
$13,825
TOTAL DISC ARTHROPLASTY ANT. SECOND INTERSPACE LUMBAR 22860
Gross
$23,041
C1772
$13,440
IMPLANT PUMP SYNCHROMED III 8667-20
Gross
$22,400
27698
$12,682
COLLATERAL LIGAMENT SECONDARY REPAIR ANKLE BOTH LIGAMENTS 27698
Gross
$21,137
3.802.121
$12,500
INSERT SYNFIXTM-LR QUICK INSERTER/DISTRACTOR SQUID 03.802.121
Gross
$20,833
27380
$12,313
SUTURE OF INFRAPATELLAR TENDON-PRIMARY 27380
Gross
$20,521
58571
$12,036
LAP.TOTAL HYST.250 G OR LESS W/REMOVALTUBES/OVARY 58571
Gross
$20,060
58573
$12,036
LAP.TOTAL HYST.GREATER THAN 250 G W/REM.OF TUBES/OVARY 58573
Gross
$20,060
58572
$12,036
LAPAROSCOPY SURGICAL WITH TOTAL HYSTERECTOMY FOR UTERUS GREATER THAN 250G 58572
Gross
$20,060
64628
$11,529
THERMAL DEST. INTRAOSSEOUS NERVE INC. IMAGE 1ST 2 LUMBAR/SACRAL 64628
Gross
$19,215
64629
$11,529
THERMAL DEST. INTRAOSSEOUS NERVE INC. IMAGE EA. ADD. LUMBAR/SACRAL 64629
Gross
$19,215
64912
$11,501
NERVE REPAIR W/NERVE ALLOGRAFT; EACH NERVE/ FIRST STRAND 64912
Gross
$19,169
C9757
$11,086
LAMINOTOMY W/DEC. INC. PART FACET/FORAMINOTOMY EXC. HERN. DISC 1 INT.SP LUMBAR C9757
Gross
$18,476
9076-10-20-5-B
$11,016
INTERFUSE S SINGLE 10MM X 20MM 5 ANGLE SPINE CODE 25
Gross
$18,360
9076-12-20-5-B
$11,016
INTERFUSE S SPINE 12MM X 20MM 5ANGL SINGLE
Gross
$18,360
49613
$10,988
REPAIR ANT. ABD. HERNIA RECURRENT INC. IMPLANT MESH LESS THAN 3 CM 49613
Gross
$18,314
49615
$10,988
REPAIR ANT. ABD. HERNIA RECURRENT INC. MESH 3 CM TO 10 CM 49615
Gross
$18,314
55869
$10,800
LAPAROSCOPY PROSTATECTOMY INCL ROBOT ASSISTANCE; BILAT PEL LYMPHADENECTOMY 55869
Gross
$18,000
30469
$10,465
REPAIR NASAL VALVE COLLAPSE SUBCUTANEOUS SUBMUCOSAL REMODELING 30469
Gross
$17,442
C1813
$10,351
AMS 700CX MS PUMP IZ 21CM X 12MM 72404233-12
Gross
$17,252
30468
$10,238
REPAIR NASAL VALVE COLLAPSE W/SUBCUTANEOUS/SUBMUCOSAL LAT. WALL IMPLANT 30468
Gross
$17,063
50436
$9,944
DILATION OF EXISTING TRACT PERC. FOR AN ENDOUROLOGICAL PROCEDURE W/IMAGE 50436
Gross
$16,573
52700
$9,943
TRANSURETHRAL DRAINAGE OF PROSTATIC ABSCESS 52700
Gross
$16,572
41120
$9,940
GLOSSECTOMY LESS THAN ONE HALF TONGUE 41120
Gross
$16,566
60500
$9,940
PARATHYROIDECTOMY 60500
Gross
$16,566
38570
$9,703
LAPAROSCOPY W/RETROPERITONEAL LYMPH NODE BIOPSY SINGLE OR MULTIPLE 38570
Gross
$16,171
60212
$9,703
PARTIAL THYROID LOBECTOMY WITH CONTRALATERAL SUBTOTAL LOBECTOMY 60212
Gross
$16,171
49614
$9,703
REPAIR ANT. ABD. HERNIA RECURRENT INC. MESH LESS THAN 3 CM INCARCERATED 49614
Gross
$16,171
44238
$9,703
UNLISTED LAPAROSCOPY PROCEDURE INTESTINE 44238
Gross
$16,171
53230
$9,016
DIVERTICULECTOMY URETHRAL-FEMALE 53230
Gross
$15,026
24874000
$8,959
LPT GREAT TOE PURCHASE INST S 24874000
Gross
$14,932
C9776
$8,948
INTRAOP FLUORO BILE DUCT IMAGING WITH ICG C9776
Gross
$14,914
42836
$8,827
ADENOIDECTOMY SECONDARY AGE 12 OR OVER 42836
Gross
$14,711
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1820 | BATTERY STIMULATOR NEURO GENERATOR PROTEGE IPG 16 CHANNEL RECHARGEABLE | $51,790 | $31,074 | — | — | 0 |
| C9064 | MITOMYCIN URETERAL 40 MG POWDER-RECON KIT | $44,890 | $26,934 | — | — | 0 |
| C1767 | GENERATOR IMPLANTABLE PULSE MODEL 3150 INSPIRE 5 3150 | $43,200 | $25,920 | — | — | 0 |
| 27447 | ARTHROPLASTY KNEE CONDYLE & PLATEAU MEDIAL AND LATERAL 27447 | $41,696 | $25,018 | $3,986 | $22,933 | 18 |
| ZB-KT020 | KIT SURG PLANNING MIDFACE RECON W/TI GUIDES ZB-KT020 | $39,504 | $23,703 | — | — | 0 |
| 3.809.900 | RETRACTOR HANDLE 03.809.900 | $36,273 | $21,764 | — | — | 0 |
| L8679 | PULSE GENERATOR IMPLANTABLE INSPIRE SLP APNEA | $32,240 | $19,344 | — | — | 0 |
| Q4128 | GRAFT FLEXHD PLIABLE PRE MED-19CM X 22CM THIN 0.7-1.4 PP1500 | $30,800 | $18,480 | — | — | 0 |
| 3.809.921 | INSERT ORACLE LATERAL QUICK INSERTER/DISTRACTOR 03.809.921 | $28,350 | $17,010 | — | — | 0 |
| 58570 | LAPAROSCOPIC TOTAL HYSTERECTOMY 250 G OR LESS 58570 | $28,193 | $16,916 | $3,986 | $15,506 | 18 |
| 22867 | INSERT INTERLAMINAR DISTRACTION DEV. W/O FUSION SINGLE LEVEL 22867 | $27,238 | $16,343 | $3,986 | $18,989 | 17 |
| 55880 | ABLATION OF MALIGNANT PROSTATE TRANSRECTAL W/HIFU INC. ULTRASOUND 55880 | $26,549 | $15,929 | $3,866 | $14,602 | 17 |
| 40411 | SET LENS BIOM SUPER VIEW DISP | $26,459 | $15,875 | — | — | 0 |
| 27278 | ARTHRODESIS SACROILIAC JT. PERCUT. OR MIN. INV. W/IMAGE W/INTRA-ARTICULAR IMPLANT 27278 | $26,105 | $15,663 | $3,986 | $16,185 | 9 |
| 64583 | REVISION OR REPLACEMENT HYPOGLOSSAL NERVE NEUROSTIM 64583 | $24,722 | $14,833 | $3,986 | $16,185 | 17 |
| 50561 | RENAL ENDO NEPHROSTOMY OR PYELOSTOMY W/ OR W/O IRRIGATION INSTALL 50561 | $24,314 | $14,588 | $1,887 | $13,373 | 18 |
| 3.808.121 | INSERT ALIF QUICK INSERTER/DISTRACTOR SQUID 03.808.121 | $24,062 | $14,437 | — | — | 0 |
| 64913 | NERVE REPAIR WITH NERVE ALLOGRAFT; EACH ADDITIONAL STRAND 64913 | $23,041 | $13,825 | $1,720 | $12,673 | 10 |
| 22860 | TOTAL DISC ARTHROPLASTY ANT. SECOND INTERSPACE LUMBAR 22860 | $23,041 | $13,825 | $2,309 | $12,673 | 12 |
| C1772 | IMPLANT PUMP SYNCHROMED III 8667-20 | $22,400 | $13,440 | — | — | 0 |
| 27698 | COLLATERAL LIGAMENT SECONDARY REPAIR ANKLE BOTH LIGAMENTS 27698 | $21,137 | $12,682 | $1,987 | $11,625 | 18 |
| 3.802.121 | INSERT SYNFIXTM-LR QUICK INSERTER/DISTRACTOR SQUID 03.802.121 | $20,833 | $12,500 | — | — | 0 |
| 27380 | SUTURE OF INFRAPATELLAR TENDON-PRIMARY 27380 | $20,521 | $12,313 | $3,004 | $11,287 | 18 |
| 58571 | LAP.TOTAL HYST.250 G OR LESS W/REMOVALTUBES/OVARY 58571 | $20,060 | $12,036 | $3,986 | $14,275 | 18 |
| 58573 | LAP.TOTAL HYST.GREATER THAN 250 G W/REM.OF TUBES/OVARY 58573 | $20,060 | $12,036 | $3,986 | $14,275 | 18 |
| 58572 | LAPAROSCOPY SURGICAL WITH TOTAL HYSTERECTOMY FOR UTERUS GREATER THAN 250G 58572 | $20,060 | $12,036 | $3,986 | $14,275 | 18 |
| 64628 | THERMAL DEST. INTRAOSSEOUS NERVE INC. IMAGE 1ST 2 LUMBAR/SACRAL 64628 | $19,215 | $11,529 | $3,986 | $10,568 | 12 |
| 64629 | THERMAL DEST. INTRAOSSEOUS NERVE INC. IMAGE EA. ADD. LUMBAR/SACRAL 64629 | $19,215 | $11,529 | $1,720 | $10,568 | 10 |
| 64912 | NERVE REPAIR W/NERVE ALLOGRAFT; EACH NERVE/ FIRST STRAND 64912 | $19,169 | $11,501 | $3,986 | $10,543 | 12 |
| C9757 | LAMINOTOMY W/DEC. INC. PART FACET/FORAMINOTOMY EXC. HERN. DISC 1 INT.SP LUMBAR C9757 | $18,476 | $11,086 | $3,986 | $10,329 | 12 |
| 9076-10-20-5-B | INTERFUSE S SINGLE 10MM X 20MM 5 ANGLE SPINE CODE 25 | $18,360 | $11,016 | — | — | 0 |
| 9076-12-20-5-B | INTERFUSE S SPINE 12MM X 20MM 5ANGL SINGLE | $18,360 | $11,016 | — | — | 0 |
| 49613 | REPAIR ANT. ABD. HERNIA RECURRENT INC. IMPLANT MESH LESS THAN 3 CM 49613 | $18,314 | $10,988 | $3,986 | $10,356 | 17 |
| 49615 | REPAIR ANT. ABD. HERNIA RECURRENT INC. MESH 3 CM TO 10 CM 49615 | $18,314 | $10,988 | $3,986 | $10,356 | 17 |
| 55869 | LAPAROSCOPY PROSTATECTOMY INCL ROBOT ASSISTANCE; BILAT PEL LYMPHADENECTOMY 55869 | $18,000 | $10,800 | $3,986 | $8,427 | 5 |
| 30469 | REPAIR NASAL VALVE COLLAPSE SUBCUTANEOUS SUBMUCOSAL REMODELING 30469 | $17,442 | $10,465 | $1,887 | $10,329 | 17 |
| C1813 | AMS 700CX MS PUMP IZ 21CM X 12MM 72404233-12 | $17,252 | $10,351 | — | — | 0 |
| 30468 | REPAIR NASAL VALVE COLLAPSE W/SUBCUTANEOUS/SUBMUCOSAL LAT. WALL IMPLANT 30468 | $17,063 | $10,238 | $3,986 | $10,329 | 12 |
| 50436 | DILATION OF EXISTING TRACT PERC. FOR AN ENDOUROLOGICAL PROCEDURE W/IMAGE 50436 | $16,573 | $9,944 | $3,866 | $18,989 | 17 |
| 52700 | TRANSURETHRAL DRAINAGE OF PROSTATIC ABSCESS 52700 | $16,572 | $9,943 | $1,987 | $9,115 | 18 |
| 41120 | GLOSSECTOMY LESS THAN ONE HALF TONGUE 41120 | $16,566 | $9,940 | $3,070 | $9,111 | 18 |
| 60500 | PARATHYROIDECTOMY 60500 | $16,566 | $9,940 | $3,986 | $9,519 | 18 |
| 38570 | LAPAROSCOPY W/RETROPERITONEAL LYMPH NODE BIOPSY SINGLE OR MULTIPLE 38570 | $16,171 | $9,703 | $3,986 | $14,275 | 18 |
| 60212 | PARTIAL THYROID LOBECTOMY WITH CONTRALATERAL SUBTOTAL LOBECTOMY 60212 | $16,171 | $9,703 | $3,330 | $8,945 | 18 |
| 49614 | REPAIR ANT. ABD. HERNIA RECURRENT INC. MESH LESS THAN 3 CM INCARCERATED 49614 | $16,171 | $9,703 | $3,070 | $10,329 | 17 |
| 44238 | UNLISTED LAPAROSCOPY PROCEDURE INTESTINE 44238 | $16,171 | $9,703 | $3,986 | $18,989 | 18 |
| 53230 | DIVERTICULECTOMY URETHRAL-FEMALE 53230 | $15,026 | $9,016 | $3,303 | $8,427 | 18 |
| 24874000 | LPT GREAT TOE PURCHASE INST S 24874000 | $14,932 | $8,959 | — | — | 0 |
| C9776 | INTRAOP FLUORO BILE DUCT IMAGING WITH ICG C9776 | $14,914 | $8,948 | $3,986 | $8,427 | 8 |
| 42836 | ADENOIDECTOMY SECONDARY AGE 12 OR OVER 42836 | $14,711 | $8,827 | $2,481 | $8,427 | 18 |
Showing top 50 of 30,019 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.