45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●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
1,865
Insurances with rates
12
CPT / HCPCS codes
0
Most expensive procedures (gross)
SUP-2149059
$112,242
DEFIBRILLATOR CRD COGNIS RF HE
Gross
$187,070
SUP-2860068
$111,252
PLATE CRAN PT SPEC IMPL TI NS SD420.551
Gross
$185,419
SUP-2106284
$107,925
SET PMP IMPELLA 2.5
Gross
$179,875
SUP-2860014
$104,709
PLATE CRAN PT SPEC IMPL TI NS SD420.450
Gross
$174,515
SUP-2858186
$104,029
NUCLEUS PROFILE PLUS W/ SLIM 20 ELECTRODE (CI624)
Gross
$173,382
SUP-2570701
$103,608
BLOOD PUMP KIT CANN 31 FRX28 CM 18 FRX51 CM OXGNTR LIFESPARC
Gross
$172,680
SUP-2356510
$96,053
DEFIBRILLATOR CRD SINGLE CHMBR 13 MM 33 CC 71 GM EPIC II VR V158ROPT] ST JUDE MED CARDIAC RHYM MGMT]
Gross
$160,089
SUP-2570700
$92,816
BLOOD PUMP KIT CANN 31 FRX28 CM 18 FRX51 CM VENOUS LIFESPARC
Gross
$154,693
356
$92,687
Other Digestive System O.R. Procedures With McC
Gross
$154,479
SUP-2148620
$86,318
DEFIBRILLATOR SGL CHMBR 31 J BPLR VVEV REMOT PRIZM II VR
Gross
$143,864
SUP-2740771
$84,869
ALLOGRAFT BNE REFRIGERATED RT WHL DSTL CONDYLE
Gross
$141,449
SUP-2858400
$81,591
STIMULATOR NERVE IMPL PULSE GENRTR 16 CHANNEL OCTRODE ETERNA
Gross
$135,986
SUP-2355965
$78,034
STIMULATOR NERVE 7.5 AMP IMPL PULSE GENRTR DL QUAT PROCLAIM
Gross
$130,057
SUP-2177077
$77,444
SET ORTH EXT FIX FOR SELF DRL SCHNZ SCR
Gross
$129,073
SUP-2860216
$72,733
PLATE CRAN PT SPEC IMPL PEEK SD800.535
Gross
$121,221
SUP-2165046
$66,914
IMPLANT COCHLEAR CNTOUR ADV ELECTRD NUCLS
Gross
$111,523
SUP-2113037
$66,827
GRAFT BIO TISS W20XL25CM PORCINE REGEN TISS MTRX PLIABLE
Gross
$111,379
SUP-2423996
$66,315
GRAFT STENT 36X180 MM 6 FR DISECT ENDOVASC ZENITH
Gross
$110,525
SUP-2860031
$65,627
PLATE CRAN PT SPEC IMPL TI NS SD420.514
Gross
$109,378
SUP-2389072
$63,870
IMPLANT STBL SYS AXIALIF 2L +
Gross
$106,450
SUP-2860027
$63,606
PLATE CRAN PT SPEC IMPL TI NS SD420.510
Gross
$106,010
SUP-2365149
$60,096
IMPLANT CRAN M PEEK PRIORITY CUSTOMIZED
Gross
$100,160
SUP-2265160
$58,931
GENERATOR NEUROSTIMULATOR 25GM 14ML NONRECHARGEABLE PRGMR
Gross
$98,219
SUP-2883693
$57,636
PLATE BNE TI MIDFACE RECON 6 PLATE CUSTOMIZED FACE ID
Gross
$96,060
SUP-2430132
$54,222
GRAFT DERMAL PLIABLE PRE THN MED 22X19 CMX0.7-1.4 MM FLEXHD
Gross
$90,369
SUP-2149183
$54,152
DEFIBRILLATOR CRD 5.23X7.04X0.99 CM 2 IS1 DF1 PERCIVA DR
Gross
$90,254
SUP-2893543
$53,963
DEVICE ANEUR NK RECON 4MM 10MM Y SHP ARCH PULSERIDER
Gross
$89,938
SUP-2866237
$53,963
DEVICE COAG GUID 3 CM W/O CANN EPI-SENSE ST
Gross
$89,938
SUP-2171022
$52,210
GRAFT ENDOVASC L162MM DIA42MM VES DIA37-38MM SHTH OD8.5MM
Gross
$87,016
SUP-2424447
$49,646
DEVICE COAG 3 CM GUID 6130 EPISENSE
Gross
$82,743
SUP-2396363
$49,646
ENDOPROSTHESIS THOR 31MMX10CM GORE TAG
Gross
$82,743
SUP-2420902
$47,530
MESH WND DERM REP FET BOV DERM IONIC SIL PRIMATRIX AG FEN
Gross
$79,217
SUP-2883365
$47,156
PLATE BNE TI MIDFACE RECON 2 PLATE CUSTOMIZED FACE ID
Gross
$78,594
RX-92855
$46,260
COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR|DISCARDED DRUG NOT ADMINISTE
Gross
$77,100
CASE-19303
$44,792
Mastectomy Simple Complete|BILATERAL PROCEDURE
Gross
$74,654
SUP-2860115
$44,553
PLATE CRAN 80X20X40 MM PT SPEC IMPL PEEK
Gross
$74,255
SUP-2848898
$44,353
GRAFT ALLODERM DERMAL MATRIX 16CM X 20CM EXTRA THICK
Gross
$73,921
SUP-2423987
$43,964
COMPONENT TALAR FLAT CUT 0 RT ANK DOMED SALTO TALARIS
Gross
$73,274
SUP-2244274
$43,691
DRESSING BIO W4XL10IN BOV TEND CLLGN MESHED GLYCOSAMINOGLYCAN
Gross
$72,818
SUP-2225540
$43,602
PUMP PAIN PROGRAMMABLE FOR PRE MRI PROC FLOWONIX PROMETRA II
Gross
$72,670
SUP-2395633
$43,148
GRAFT VASC 13 CM EXCLUDER AAA
Gross
$71,914
SUP-2244182
$42,682
IMPLANT ANK JT TALAR COMP R FLAT CUT CO CHROM SALTO TALARIS
Gross
$71,137
SUP-2199878
$42,259
COMPONENT FEM LIP 59X60 MM LT MEDL LAT CNDYL CONSTRN COCR
Gross
$70,432
SUP-2875589
$41,610
RING EXT FIX LNG 200 MM SET RX STRUT STRL TRUELOK EVO LTX
Gross
$69,350
SUP-2860110
$41,305
PLATE BNE ANGLED 2.8 MM LT 7X23 HOLE RECON TI PT SPEC
Gross
$68,841
SUP-2791170
$39,285
SPINAL PROCEDURE KIT PT SPEC PLN 1-3 LEVEL 4 ROD BNDL UNID
Gross
$65,475
SUP-2418486
$39,112
GRAFT NRV L70MM DIA4 5MM PERIPH NAT CONN CBL PROC FOR RECON
Gross
$65,187
SUP-2845262
$38,421
BRAIN STIMULATOR KIT IMPL PULSE GENRTR P8 VERCISE GENUS
Gross
$64,036
CASE-37236
$38,415
HC Stent Place Initial Artery Ang
Gross
$64,025
SUP-2365404
$36,695
COMPONENT TOT HIP CAPPED H6 RESURF CORMET
Gross
$61,158
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| SUP-2149059 | DEFIBRILLATOR CRD COGNIS RF HE | $187,070 | $112,242 | — | — | 0 |
| SUP-2860068 | PLATE CRAN PT SPEC IMPL TI NS SD420.551 | $185,419 | $111,252 | — | — | 0 |
| SUP-2106284 | SET PMP IMPELLA 2.5 | $179,875 | $107,925 | — | — | 0 |
| SUP-2860014 | PLATE CRAN PT SPEC IMPL TI NS SD420.450 | $174,515 | $104,709 | — | — | 0 |
| SUP-2858186 | NUCLEUS PROFILE PLUS W/ SLIM 20 ELECTRODE (CI624) | $173,382 | $104,029 | — | — | 0 |
| SUP-2570701 | BLOOD PUMP KIT CANN 31 FRX28 CM 18 FRX51 CM OXGNTR LIFESPARC | $172,680 | $103,608 | — | — | 0 |
| SUP-2356510 | DEFIBRILLATOR CRD SINGLE CHMBR 13 MM 33 CC 71 GM EPIC II VR V158ROPT] ST JUDE MED CARDIAC RHYM MGMT] | $160,089 | $96,053 | — | — | 0 |
| SUP-2570700 | BLOOD PUMP KIT CANN 31 FRX28 CM 18 FRX51 CM VENOUS LIFESPARC | $154,693 | $92,816 | — | — | 0 |
| 356 | Other Digestive System O.R. Procedures With McC | $154,479 | $92,687 | — | — | 4 |
| SUP-2148620 | DEFIBRILLATOR SGL CHMBR 31 J BPLR VVEV REMOT PRIZM II VR | $143,864 | $86,318 | — | — | 0 |
| SUP-2740771 | ALLOGRAFT BNE REFRIGERATED RT WHL DSTL CONDYLE | $141,449 | $84,869 | — | — | 0 |
| SUP-2858400 | STIMULATOR NERVE IMPL PULSE GENRTR 16 CHANNEL OCTRODE ETERNA | $135,986 | $81,591 | — | — | 0 |
| SUP-2355965 | STIMULATOR NERVE 7.5 AMP IMPL PULSE GENRTR DL QUAT PROCLAIM | $130,057 | $78,034 | — | — | 0 |
| SUP-2177077 | SET ORTH EXT FIX FOR SELF DRL SCHNZ SCR | $129,073 | $77,444 | — | — | 0 |
| SUP-2860216 | PLATE CRAN PT SPEC IMPL PEEK SD800.535 | $121,221 | $72,733 | — | — | 0 |
| SUP-2165046 | IMPLANT COCHLEAR CNTOUR ADV ELECTRD NUCLS | $111,523 | $66,914 | — | — | 0 |
| SUP-2113037 | GRAFT BIO TISS W20XL25CM PORCINE REGEN TISS MTRX PLIABLE | $111,379 | $66,827 | — | — | 0 |
| SUP-2423996 | GRAFT STENT 36X180 MM 6 FR DISECT ENDOVASC ZENITH | $110,525 | $66,315 | — | — | 0 |
| SUP-2860031 | PLATE CRAN PT SPEC IMPL TI NS SD420.514 | $109,378 | $65,627 | — | — | 0 |
| SUP-2389072 | IMPLANT STBL SYS AXIALIF 2L + | $106,450 | $63,870 | — | — | 0 |
| SUP-2860027 | PLATE CRAN PT SPEC IMPL TI NS SD420.510 | $106,010 | $63,606 | — | — | 0 |
| SUP-2365149 | IMPLANT CRAN M PEEK PRIORITY CUSTOMIZED | $100,160 | $60,096 | — | — | 0 |
| SUP-2265160 | GENERATOR NEUROSTIMULATOR 25GM 14ML NONRECHARGEABLE PRGMR | $98,219 | $58,931 | — | — | 0 |
| SUP-2883693 | PLATE BNE TI MIDFACE RECON 6 PLATE CUSTOMIZED FACE ID | $96,060 | $57,636 | — | — | 0 |
| SUP-2430132 | GRAFT DERMAL PLIABLE PRE THN MED 22X19 CMX0.7-1.4 MM FLEXHD | $90,369 | $54,222 | — | — | 1 |
| SUP-2149183 | DEFIBRILLATOR CRD 5.23X7.04X0.99 CM 2 IS1 DF1 PERCIVA DR | $90,254 | $54,152 | — | — | 0 |
| SUP-2893543 | DEVICE ANEUR NK RECON 4MM 10MM Y SHP ARCH PULSERIDER | $89,938 | $53,963 | — | — | 0 |
| SUP-2866237 | DEVICE COAG GUID 3 CM W/O CANN EPI-SENSE ST | $89,938 | $53,963 | — | — | 0 |
| SUP-2171022 | GRAFT ENDOVASC L162MM DIA42MM VES DIA37-38MM SHTH OD8.5MM | $87,016 | $52,210 | — | — | 0 |
| SUP-2424447 | DEVICE COAG 3 CM GUID 6130 EPISENSE | $82,743 | $49,646 | — | — | 0 |
| SUP-2396363 | ENDOPROSTHESIS THOR 31MMX10CM GORE TAG | $82,743 | $49,646 | — | — | 0 |
| SUP-2420902 | MESH WND DERM REP FET BOV DERM IONIC SIL PRIMATRIX AG FEN | $79,217 | $47,530 | — | — | 0 |
| SUP-2883365 | PLATE BNE TI MIDFACE RECON 2 PLATE CUSTOMIZED FACE ID | $78,594 | $47,156 | — | — | 0 |
| RX-92855 | COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR|DISCARDED DRUG NOT ADMINISTE | $77,100 | $46,260 | — | — | 1 |
| CASE-19303 | Mastectomy Simple Complete|BILATERAL PROCEDURE | $74,654 | $44,792 | — | — | 3 |
| SUP-2860115 | PLATE CRAN 80X20X40 MM PT SPEC IMPL PEEK | $74,255 | $44,553 | — | — | 0 |
| SUP-2848898 | GRAFT ALLODERM DERMAL MATRIX 16CM X 20CM EXTRA THICK | $73,921 | $44,353 | — | — | 0 |
| SUP-2423987 | COMPONENT TALAR FLAT CUT 0 RT ANK DOMED SALTO TALARIS | $73,274 | $43,964 | — | — | 0 |
| SUP-2244274 | DRESSING BIO W4XL10IN BOV TEND CLLGN MESHED GLYCOSAMINOGLYCAN | $72,818 | $43,691 | — | — | 0 |
| SUP-2225540 | PUMP PAIN PROGRAMMABLE FOR PRE MRI PROC FLOWONIX PROMETRA II | $72,670 | $43,602 | — | — | 0 |
| SUP-2395633 | GRAFT VASC 13 CM EXCLUDER AAA | $71,914 | $43,148 | — | — | 0 |
| SUP-2244182 | IMPLANT ANK JT TALAR COMP R FLAT CUT CO CHROM SALTO TALARIS | $71,137 | $42,682 | — | — | 0 |
| SUP-2199878 | COMPONENT FEM LIP 59X60 MM LT MEDL LAT CNDYL CONSTRN COCR | $70,432 | $42,259 | — | — | 0 |
| SUP-2875589 | RING EXT FIX LNG 200 MM SET RX STRUT STRL TRUELOK EVO LTX | $69,350 | $41,610 | — | — | 0 |
| SUP-2860110 | PLATE BNE ANGLED 2.8 MM LT 7X23 HOLE RECON TI PT SPEC | $68,841 | $41,305 | — | — | 0 |
| SUP-2791170 | SPINAL PROCEDURE KIT PT SPEC PLN 1-3 LEVEL 4 ROD BNDL UNID | $65,475 | $39,285 | — | — | 0 |
| SUP-2418486 | GRAFT NRV L70MM DIA4 5MM PERIPH NAT CONN CBL PROC FOR RECON | $65,187 | $39,112 | — | — | 0 |
| SUP-2845262 | BRAIN STIMULATOR KIT IMPL PULSE GENRTR P8 VERCISE GENUS | $64,036 | $38,421 | — | — | 0 |
| CASE-37236 | HC Stent Place Initial Artery Ang | $64,025 | $38,415 | — | — | 3 |
| SUP-2365404 | COMPONENT TOT HIP CAPPED H6 RESURF CORMET | $61,158 | $36,695 | — | — | 0 |
Showing top 50 of 1,865 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.