45 CFR § 180 compliance
A · 100
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
7,582
Insurances with rates
6
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
12300582
$341,575
Kit Implant Scs Alpha Prime Non Recharge
Gross
$341,575
12300581
$324,225
Kit Implant Scs Alpha Prime Rechargeable
Gross
$324,225
12300633
$169,710
Generator Implant Wavewriter Alpha
Gross
$169,710
12300736
$169,710
Generator Implant Pulse Wavewriter Alpha
Gross
$169,710
12300751
$169,710
Generator Scs Pulse Wavewriter Alpha
Gross
$169,710
CP17619291004910595
$166,580
Major joint replacement or reattachment of lower extremity without MCC
Gross
$166,580
CP17619291004917213
$142,912
Cervical spinal fusion without CC or MCC
Gross
$142,912
CP17619291004907066
$126,312
Spinal fusion except cervical without MCC
Gross
$126,312
12300639
$122,500
Kit Pns Perm Stimulator
Gross
$122,500
12300664
$122,500
Kit Pns Perm Stimulator
Gross
$122,500
12300197
$120,085
Generator Nerve Stimulator
Gross
$120,085
12300055
$110,000
Implant Stimulator Spinal Cord Ipg Nevro
Gross
$110,000
12300650
$110,000
Device Fusion 8 Minuteman G5
Gross
$110,000
12300674
$110,000
Cage 13mm X 36 X 8 Degree Whitney
Gross
$110,000
12300754
$110,000
Device Fusion 12 Minuteman G5
Gross
$110,000
12300102
$109,500
Bundle Scs Intellissensor Mri
Gross
$109,500
1900136
$101,545
Modular Knee Joint
Gross
$101,545
12300683
$101,000
Implant Bundle Ion Facet Screw 1 Level
Gross
$101,000
12300696
$101,000
Implant Bundle Ion Facet Screw 2 Level
Gross
$101,000
12300667
$100,000
Cage 10mm X 6 Degree Sema Four
Gross
$100,000
12300668
$100,000
Cage 10mm X 12 Degree Sema Four
Gross
$100,000
90103644
$95,000
Montage Ipg, Charger & Rc Bundle
Gross
$95,000
12300200
$92,500
Kit Spinal Cord
Gross
$92,500
90102976
$85,000
Neurostimulator Receiver Kit
Gross
$85,000
12300675
$84,975
Plate 30mm Z-span Lumbar
Gross
$84,975
12300441
$81,850
Cage 8 X 14.8 X 12.5 Tesera-ksc
Gross
$81,850
12300442
$81,850
Cage 8 X 16 X 13.5 Tesera-ksc
Gross
$81,850
12300537
$81,850
Cage 10 X 16 X 13.5 Tesera-ksc
Gross
$81,850
12300538
$81,850
Cage 9 X 16 X 13.5 Tesera-ksc
Gross
$81,850
90000544
$77,025
Graft Prcn 13.8x7.5in Xenmatri
Gross
$77,025
12300262
$75,000
Implant 9.5x45 Siros Implant
Gross
$75,000
12300263
$75,000
Implant 9.5x35 Siros Implant
Gross
$75,000
12300311
$75,000
Implant 9.5x40 Siros Implant
Gross
$75,000
12300341
$75,000
Implant 9.5x55 Si Implant
Gross
$75,000
12300468
$75,000
Implant 9.5x40 Siros Implant
Gross
$75,000
12300553
$75,000
Screw Spinal 9.5 X 50mm Dual Thread
Gross
$75,000
12300554
$75,000
Screw Spinal 9.5 X 60mm Dual Thread
Gross
$75,000
CP17619291004904460
$74,707
Removal of gallbladder using an endoscope
Gross
$74,707
12300631
$70,550
Cap Knee Hemi
Gross
$70,550
12300586
$62,500
Screw 50mm Transloc
Gross
$62,500
12300587
$62,500
Screw 8.5x45mm Transloc
Gross
$62,500
12300732
$62,500
Screw 8.5x40mm Transloc
Gross
$62,500
12300399
$60,000
Cage 9 X 16.5 X 14 F3d
Gross
$60,000
12300401
$60,000
Cage 8 X 16.5 X 14 F3d
Gross
$60,000
12300444
$60,000
Cage 8 X 14.5 X 12 F3d
Gross
$60,000
12300445
$60,000
Cage 9 X 14.5 X 12 F3d
Gross
$60,000
12300446
$60,000
Cage 10 X 16.5 X 14 F3d Cervical
Gross
$60,000
12300447
$60,000
Cage 9 X 16.5 X 14 F3d
Gross
$60,000
12300527
$60,000
Cage 8 X 16.5 X 14 F3d
Gross
$60,000
12300671
$60,000
Plate 10mm Intradiscal Level 1
Gross
$60,000
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 12300582 | Kit Implant Scs Alpha Prime Non Recharge | $341,575 | $341,575 | $34,158 | $290,339 | 8 |
| 12300581 | Kit Implant Scs Alpha Prime Rechargeable | $324,225 | $324,225 | $32,423 | $275,591 | 8 |
| 12300633 | Generator Implant Wavewriter Alpha | $169,710 | $169,710 | $16,971 | $144,254 | 8 |
| 12300736 | Generator Implant Pulse Wavewriter Alpha | $169,710 | $169,710 | $16,971 | $144,254 | 8 |
| 12300751 | Generator Scs Pulse Wavewriter Alpha | $169,710 | $169,710 | $16,971 | $144,254 | 8 |
| CP17619291004910595 | Major joint replacement or reattachment of lower extremity without MCC | $166,580 | $166,580 | $1,200 | $141,593 | 8 |
| CP17619291004917213 | Cervical spinal fusion without CC or MCC | $142,912 | $142,912 | $1,200 | $121,475 | 8 |
| CP17619291004907066 | Spinal fusion except cervical without MCC | $126,312 | $126,312 | $1,200 | $107,365 | 8 |
| 12300639 | Kit Pns Perm Stimulator | $122,500 | $122,500 | $12,250 | $104,125 | 8 |
| 12300664 | Kit Pns Perm Stimulator | $122,500 | $122,500 | $12,250 | $104,125 | 8 |
| 12300197 | Generator Nerve Stimulator | $120,085 | $120,085 | $12,009 | $102,072 | 8 |
| 12300055 | Implant Stimulator Spinal Cord Ipg Nevro | $110,000 | $110,000 | $11,000 | $93,500 | 8 |
| 12300650 | Device Fusion 8 Minuteman G5 | $110,000 | $110,000 | $11,000 | $93,500 | 8 |
| 12300674 | Cage 13mm X 36 X 8 Degree Whitney | $110,000 | $110,000 | $11,000 | $93,500 | 8 |
| 12300754 | Device Fusion 12 Minuteman G5 | $110,000 | $110,000 | $11,000 | $93,500 | 8 |
| 12300102 | Bundle Scs Intellissensor Mri | $109,500 | $109,500 | $10,950 | $93,075 | 8 |
| 1900136 | Modular Knee Joint | $101,545 | $101,545 | $10,155 | $86,313 | 8 |
| 12300683 | Implant Bundle Ion Facet Screw 1 Level | $101,000 | $101,000 | $10,100 | $85,850 | 8 |
| 12300696 | Implant Bundle Ion Facet Screw 2 Level | $101,000 | $101,000 | $10,100 | $85,850 | 8 |
| 12300667 | Cage 10mm X 6 Degree Sema Four | $100,000 | $100,000 | $10,000 | $85,000 | 8 |
| 12300668 | Cage 10mm X 12 Degree Sema Four | $100,000 | $100,000 | $10,000 | $85,000 | 8 |
| 90103644 | Montage Ipg, Charger & Rc Bundle | $95,000 | $95,000 | $9,500 | $80,750 | 8 |
| 12300200 | Kit Spinal Cord | $92,500 | $92,500 | $9,250 | $78,625 | 8 |
| 90102976 | Neurostimulator Receiver Kit | $85,000 | $85,000 | $8,500 | $72,250 | 8 |
| 12300675 | Plate 30mm Z-span Lumbar | $84,975 | $84,975 | $8,498 | $72,229 | 8 |
| 12300441 | Cage 8 X 14.8 X 12.5 Tesera-ksc | $81,850 | $81,850 | $8,185 | $69,573 | 8 |
| 12300442 | Cage 8 X 16 X 13.5 Tesera-ksc | $81,850 | $81,850 | $8,185 | $69,573 | 8 |
| 12300537 | Cage 10 X 16 X 13.5 Tesera-ksc | $81,850 | $81,850 | $8,185 | $69,573 | 8 |
| 12300538 | Cage 9 X 16 X 13.5 Tesera-ksc | $81,850 | $81,850 | $8,185 | $69,573 | 8 |
| 90000544 | Graft Prcn 13.8x7.5in Xenmatri | $77,025 | $77,025 | $7,703 | $65,471 | 8 |
| 12300262 | Implant 9.5x45 Siros Implant | $75,000 | $75,000 | $7,500 | $63,750 | 8 |
| 12300263 | Implant 9.5x35 Siros Implant | $75,000 | $75,000 | $7,500 | $63,750 | 8 |
| 12300311 | Implant 9.5x40 Siros Implant | $75,000 | $75,000 | $7,500 | $63,750 | 8 |
| 12300341 | Implant 9.5x55 Si Implant | $75,000 | $75,000 | $7,500 | $63,750 | 8 |
| 12300468 | Implant 9.5x40 Siros Implant | $75,000 | $75,000 | $7,500 | $63,750 | 8 |
| 12300553 | Screw Spinal 9.5 X 50mm Dual Thread | $75,000 | $75,000 | $7,500 | $63,750 | 8 |
| 12300554 | Screw Spinal 9.5 X 60mm Dual Thread | $75,000 | $75,000 | $7,500 | $63,750 | 8 |
| CP17619291004904460 | Removal of gallbladder using an endoscope | $74,707 | $74,707 | $7,471 | $63,501 | 8 |
| 12300631 | Cap Knee Hemi | $70,550 | $70,550 | $7,055 | $59,968 | 8 |
| 12300586 | Screw 50mm Transloc | $62,500 | $62,500 | $6,250 | $53,125 | 8 |
| 12300587 | Screw 8.5x45mm Transloc | $62,500 | $62,500 | $6,250 | $53,125 | 8 |
| 12300732 | Screw 8.5x40mm Transloc | $62,500 | $62,500 | $6,250 | $53,125 | 8 |
| 12300399 | Cage 9 X 16.5 X 14 F3d | $60,000 | $60,000 | $6,000 | $51,000 | 8 |
| 12300401 | Cage 8 X 16.5 X 14 F3d | $60,000 | $60,000 | $6,000 | $51,000 | 8 |
| 12300444 | Cage 8 X 14.5 X 12 F3d | $60,000 | $60,000 | $6,000 | $51,000 | 8 |
| 12300445 | Cage 9 X 14.5 X 12 F3d | $60,000 | $60,000 | $6,000 | $51,000 | 8 |
| 12300446 | Cage 10 X 16.5 X 14 F3d Cervical | $60,000 | $60,000 | $6,000 | $51,000 | 8 |
| 12300447 | Cage 9 X 16.5 X 14 F3d | $60,000 | $60,000 | $6,000 | $51,000 | 8 |
| 12300527 | Cage 8 X 16.5 X 14 F3d | $60,000 | $60,000 | $6,000 | $51,000 | 8 |
| 12300671 | Plate 10mm Intradiscal Level 1 | $60,000 | $60,000 | $6,000 | $51,000 | 8 |
Showing top 50 of 7,582 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.