45 CFR § 180 compliance
D · 65
This hospital published part 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
5,903
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
MS-DRG 001, 002; ICD 9/10 02HA0QZ, 02HA0RZ, 02HA3QZ, 02HA4QZ, 02PA0RZ, 02PA3RZ, 02PA4RZ, 02RK0JZ, 02RL0JZ, 02WA0QZ, 02WA0RZ, 02WA3QZ, 02WA3RZ, 02WA4QZ, 02WA4RZ,
—
$276,335.50
Gross
$276,336
MS-DRG 216-221, 228, 229, 231-236, 266-274, 319, 320
—
$32,943.50
Gross
$184,799
MS-DRG 215, 222-227, 242-251, 258-262, 265, 280-293, 313
—
$9,184.50
Gross
$137,917
CPT/HCPC 33206-33208, 33210-33218, 33220-33231, 33233-33241, 33243, 33244, 33249, 33262-33264, 33270-33273
—
$3,850.00
Gross
$137,594
MS-DRG 020-033, 037-042, 453-460, 471-473, 518-520
—
$15,761.00
Gross
$108,231
HIP HYBRID STRYKER CAP
$99,999
HIP HYBRID STRYKER CAP
Gross
$99,999
0C1778
$99,999
LEAD NRSTM 3MM PERENNIAF
Gross
$99,999
GRAFT BN OSTCHND ALGRF
$99,999
GRAFT BN OSTCHND ALGRF
Gross
$99,999
ALLOGRAFT CHONDROFIX 11M
$99,999
ALLOGRAFT CHONDROFIX 11M
Gross
$99,999
0C1721
$99,999
ICD EVERA XT DR DDBB1D1
Gross
$99,999
0C1722
$99,999
ICD EVERA XT DF4 DVBB1D1
Gross
$99,999
0C1882
$99,999
ICD 2CH FRTFY CD3365-40Q
Gross
$99,999
0C1820
$99,999
KIT GENERATOR NRSTM IPG
Gross
$99,999
0C2624
$99,999
SENSOR ARTERY IMPL SYSTM
Gross
$99,999
ALLOGRAFT CHNDRFX OST9MM
$99,999
ALLOGRAFT CHNDRFX OST9MM
Gross
$99,999
0C1767
$99,999
NEUROSTM VNS DEMIPUL 106
Gross
$99,999
MESH VIAABLE CRTLG 20MM
$99,999
MESH VIAABLE CRTLG 20MM
Gross
$99,999
AWL SURG 15MM WGNR SL RV
$99,999
AWL SURG 15MM WGNR SL RV
Gross
$99,999
SYS CABLE 5HL EXT 23X261
$99,637
SYS CABLE 5HL EXT 23X261
Gross
$99,637
SYSTEM GS IMPL ANRFLX
$89,540
SYSTEM GS IMPL ANRFLX
Gross
$89,540
SYS REFLUX MGMT BEAD 14
$89,540
SYS REFLUX MGMT BEAD 14
Gross
$89,540
SYS REFLUX MGMT BEAD 15
$89,540
SYS REFLUX MGMT BEAD 15
Gross
$89,540
SYS REFLUX MGMT BEAD 16
$89,540
SYS REFLUX MGMT BEAD 16
Gross
$89,540
SYS REFLUX MGMT BEAD 17
$89,540
SYS REFLUX MGMT BEAD 17
Gross
$89,540
MS-DRG 461-470, 480-482, 485-489, 492-497, 503-505, 507, 508, 510-512, 515-517, 521, 522; CPT/HCPC 22510, 22511, 22513-22515, 22548, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22612, 22630, 22633, 22830, 22841-22849, 22857, 23470, 23472, 23473, 27125, 27130, 27132, 27134, 27137, 27138, 27437, 27438, 27440, 27445-27447, 27486, 27487
—
$6,834.00
Gross
$84,149
0C1763
$76,256
GRAFT COLLAMEND DERMAL M
Gross
$76,256
0C1777
$67,363
LEAD ICD DF4 8.6FR 55CM
Gross
$67,363
0C1895
$67,363
LEAD DC SPNT 6947M62
Gross
$67,363
CPT/HCPC 77372, 77373, G0339, G0340
—
$4,500.00
Gross
$65,650
CPT/HCPC 61796-61800, 63620, 63621, 77371, 77372
—
$18,000.00
Gross
$65,457
KIT INST HOOKS STRL
$65,039
KIT INST HOOKS STRL
Gross
$65,039
CEMENT BN 15ML
$56,616
CEMENT BN 15ML
Gross
$56,616
GRAFT BN MATRX BIO 5CC
$54,694
GRAFT BN MATRX BIO 5CC
Gross
$54,694
GFT BN VTS FM BA2X 10ML
$53,637
GFT BN VTS FM BA2X 10ML
Gross
$53,637
$39,215.50
—
$39,215.50
Gross
$51,701
0J9228
$50,145
IPILIMUMAB 200 MG INJ
Gross
$50,145
MS-DRG 264, 619-621; ICD 9/10 0D16079, 0D1607A, 0D1607B, 0D1607L, 0D160J9, 0D160JA, 0D160JB, 0D160JL, 0D160K9, 0D160KA, 0D160KB, 0D160KL, 0D160Z9, 0D160ZA, 0D160ZB, 0D160ZL, 0D16479, 0D1647A, 0D1647B, 0D1647L, 0D164J9, 0D164JA, 0D164JB, 0D164JL, 0D164K9, 0D164KA, 0D164KB, 0D164KL, 0D164Z9, 0D164ZA, 0D164ZB, 0D164ZL, 0D16879, 0D1687A, 0D1687B, 0D1687L, 0D168J9, 0D168JA, 0D168JB, 0D168JL, 0D168K9, 0D168KA, 0D168KB, 0D168KL, 0D168Z9, 0D168ZA, 0D168ZB, 0D168ZL, 0D760DZ, 0D760ZZ, 0D763DZ, 0D763ZZ, 0D764DZ, 0D764ZZ, 0D767DZ, 0D767ZZ, 0D768DZ, 0D768ZZ, 0DB60Z3, 0DB60ZZ, 0DB63Z3, 0DB63ZZ, 0DB64Z3, 0DB67Z3, 0DB67ZZ, 0DB68Z3, 0DH60DZ, 0DH63DZ, 0DH64DZ, 0DH67DZ, 0DH68DZ, 0DL60CZ, 0DL60DZ, 0DL60ZZ, 0DL63CZ, 0DL63DZ, 0DL63ZZ, 0DL64CZ, 0DL64DZ, 0DL64ZZ, 0DL67DZ, 0DL67ZZ, 0DL68DZ, 0DL68ZZ, 0DL70CZ, 0DL70DZ, 0DL70ZZ, 0DL73CZ, 0DL73DZ, 0DL73ZZ, 0DL74CZ, 0DL74DZ, 0DL74ZZ, 0DL77DZ, 0DL77ZZ, 0DL78DZ, 0DL78ZZ, 0DP643Z, 0DP64CZ, 0DQ60ZZ, 0DQ63ZZ, 0DQ64ZZ, 0DQ67ZZ, 0DQ68ZZ, 0DV60CZ, 0DV60DZ, 0DV60ZZ, 0DV63CZ, 0DV63DZ, 0DV63ZZ, 0DV64CZ, 0DV64DZ, 0DV64ZZ, 0DV67ZZ, 0DV68ZZ, 0DW643Z, 0DW64CZ, 3E0G3GC, `
—
$8,085.50
Gross
$49,409
0C1786
$47,319
PACEMKR ST JUDE PM1210
Gross
$47,319
MOLD SPCR KN FEM 75MM
$46,073
MOLD SPCR KN FEM 75MM
Gross
$46,073
CPT/HCPC 69930
—
$8,987.50
Gross
$43,933
077372
$43,338
SRS DL ONE SESS LINR ACC
Gross
$43,338
0J9043
$41,261
CABAZITAXEL 60 MG INJ
Gross
$41,261
CPT/HCPC 19325, 19340, 19342, 19357, 19361
—
$11,369.50
Gross
$40,244
GRAFT ST TIS 230+ MM 4+
$39,460
GRAFT ST TIS 230+ MM 4+
Gross
$39,460
CPT/HCPC 93451-934551
—
$3,800.00
Gross
$39,216
CPT/HCPC 36860, 36861, 36902-36908, 37215-37218, 37220-37235, 37237, 37239, 37241-37244, 37246-37249, 92920, 92921, 92924, 92925, 92928, 92929, 92933, 92934, 92937, 92938, 92941, 92943, 92944, 92950, 92953, 92960, 92961, 92970, 92971, 92973-92975, 92977-92979, 92986-952992, C9600-C9608
—
$7,739.50
Gross
$37,812
CADAVER GRAFT 10.5MM X 7
$37,444
CADAVER GRAFT 10.5MM X 7
Gross
$37,444
IMPLANT BIO WTH DELI SYS
$35,349
IMPLANT BIO WTH DELI SYS
Gross
$35,349
CPT/HCPC 36260, 61215, 62360-62362
—
$21,006.50
Gross
$35,224
0J2997
$34,213
ALTEPLASE RECOMB 100 MG
Gross
$34,213
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| MS-DRG 001, 002; ICD 9/10 02HA0QZ, 02HA0RZ, 02HA3QZ, 02HA4QZ, 02PA0RZ, 02PA3RZ, 02PA4RZ, 02RK0JZ, 02RL0JZ, 02WA0QZ, 02WA0RZ, 02WA3QZ, 02WA3RZ, 02WA4QZ, 02WA4RZ, | $276,335.50 | $276,336 | — | — | — | 0 |
| MS-DRG 216-221, 228, 229, 231-236, 266-274, 319, 320 | $32,943.50 | $184,799 | — | — | — | 0 |
| MS-DRG 215, 222-227, 242-251, 258-262, 265, 280-293, 313 | $9,184.50 | $137,917 | — | — | — | 0 |
| CPT/HCPC 33206-33208, 33210-33218, 33220-33231, 33233-33241, 33243, 33244, 33249, 33262-33264, 33270-33273 | $3,850.00 | $137,594 | — | — | — | 0 |
| MS-DRG 020-033, 037-042, 453-460, 471-473, 518-520 | $15,761.00 | $108,231 | — | — | — | 0 |
| HIP HYBRID STRYKER CAP | HIP HYBRID STRYKER CAP | $99,999 | $99,999 | — | — | 0 |
| 0C1778 | LEAD NRSTM 3MM PERENNIAF | $99,999 | $99,999 | — | — | 0 |
| GRAFT BN OSTCHND ALGRF | GRAFT BN OSTCHND ALGRF | $99,999 | $99,999 | — | — | 0 |
| ALLOGRAFT CHONDROFIX 11M | ALLOGRAFT CHONDROFIX 11M | $99,999 | $99,999 | — | — | 0 |
| 0C1721 | ICD EVERA XT DR DDBB1D1 | $99,999 | $99,999 | — | — | 0 |
| 0C1722 | ICD EVERA XT DF4 DVBB1D1 | $99,999 | $99,999 | — | — | 0 |
| 0C1882 | ICD 2CH FRTFY CD3365-40Q | $99,999 | $99,999 | — | — | 0 |
| 0C1820 | KIT GENERATOR NRSTM IPG | $99,999 | $99,999 | — | — | 0 |
| 0C2624 | SENSOR ARTERY IMPL SYSTM | $99,999 | $99,999 | — | — | 0 |
| ALLOGRAFT CHNDRFX OST9MM | ALLOGRAFT CHNDRFX OST9MM | $99,999 | $99,999 | — | — | 0 |
| 0C1767 | NEUROSTM VNS DEMIPUL 106 | $99,999 | $99,999 | — | — | 0 |
| MESH VIAABLE CRTLG 20MM | MESH VIAABLE CRTLG 20MM | $99,999 | $99,999 | — | — | 0 |
| AWL SURG 15MM WGNR SL RV | AWL SURG 15MM WGNR SL RV | $99,999 | $99,999 | — | — | 0 |
| SYS CABLE 5HL EXT 23X261 | SYS CABLE 5HL EXT 23X261 | $99,637 | $99,637 | — | — | 0 |
| SYSTEM GS IMPL ANRFLX | SYSTEM GS IMPL ANRFLX | $89,540 | $89,540 | — | — | 0 |
| SYS REFLUX MGMT BEAD 14 | SYS REFLUX MGMT BEAD 14 | $89,540 | $89,540 | — | — | 0 |
| SYS REFLUX MGMT BEAD 15 | SYS REFLUX MGMT BEAD 15 | $89,540 | $89,540 | — | — | 0 |
| SYS REFLUX MGMT BEAD 16 | SYS REFLUX MGMT BEAD 16 | $89,540 | $89,540 | — | — | 0 |
| SYS REFLUX MGMT BEAD 17 | SYS REFLUX MGMT BEAD 17 | $89,540 | $89,540 | — | — | 0 |
| MS-DRG 461-470, 480-482, 485-489, 492-497, 503-505, 507, 508, 510-512, 515-517, 521, 522; CPT/HCPC 22510, 22511, 22513-22515, 22548, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22612, 22630, 22633, 22830, 22841-22849, 22857, 23470, 23472, 23473, 27125, 27130, 27132, 27134, 27137, 27138, 27437, 27438, 27440, 27445-27447, 27486, 27487 | $6,834.00 | $84,149 | — | — | — | 0 |
| 0C1763 | GRAFT COLLAMEND DERMAL M | $76,256 | $76,256 | — | — | 0 |
| 0C1777 | LEAD ICD DF4 8.6FR 55CM | $67,363 | $67,363 | — | — | 0 |
| 0C1895 | LEAD DC SPNT 6947M62 | $67,363 | $67,363 | — | — | 0 |
| CPT/HCPC 77372, 77373, G0339, G0340 | $4,500.00 | $65,650 | — | — | — | 0 |
| CPT/HCPC 61796-61800, 63620, 63621, 77371, 77372 | $18,000.00 | $65,457 | — | — | — | 0 |
| KIT INST HOOKS STRL | KIT INST HOOKS STRL | $65,039 | $65,039 | — | — | 0 |
| CEMENT BN 15ML | CEMENT BN 15ML | $56,616 | $56,616 | — | — | 0 |
| GRAFT BN MATRX BIO 5CC | GRAFT BN MATRX BIO 5CC | $54,694 | $54,694 | — | — | 0 |
| GFT BN VTS FM BA2X 10ML | GFT BN VTS FM BA2X 10ML | $53,637 | $53,637 | — | — | 0 |
| $39,215.50 | $39,215.50 | $51,701 | — | — | — | 0 |
| 0J9228 | IPILIMUMAB 200 MG INJ | $50,145 | $50,145 | — | — | 0 |
| MS-DRG 264, 619-621; ICD 9/10 0D16079, 0D1607A, 0D1607B, 0D1607L, 0D160J9, 0D160JA, 0D160JB, 0D160JL, 0D160K9, 0D160KA, 0D160KB, 0D160KL, 0D160Z9, 0D160ZA, 0D160ZB, 0D160ZL, 0D16479, 0D1647A, 0D1647B, 0D1647L, 0D164J9, 0D164JA, 0D164JB, 0D164JL, 0D164K9, 0D164KA, 0D164KB, 0D164KL, 0D164Z9, 0D164ZA, 0D164ZB, 0D164ZL, 0D16879, 0D1687A, 0D1687B, 0D1687L, 0D168J9, 0D168JA, 0D168JB, 0D168JL, 0D168K9, 0D168KA, 0D168KB, 0D168KL, 0D168Z9, 0D168ZA, 0D168ZB, 0D168ZL, 0D760DZ, 0D760ZZ, 0D763DZ, 0D763ZZ, 0D764DZ, 0D764ZZ, 0D767DZ, 0D767ZZ, 0D768DZ, 0D768ZZ, 0DB60Z3, 0DB60ZZ, 0DB63Z3, 0DB63ZZ, 0DB64Z3, 0DB67Z3, 0DB67ZZ, 0DB68Z3, 0DH60DZ, 0DH63DZ, 0DH64DZ, 0DH67DZ, 0DH68DZ, 0DL60CZ, 0DL60DZ, 0DL60ZZ, 0DL63CZ, 0DL63DZ, 0DL63ZZ, 0DL64CZ, 0DL64DZ, 0DL64ZZ, 0DL67DZ, 0DL67ZZ, 0DL68DZ, 0DL68ZZ, 0DL70CZ, 0DL70DZ, 0DL70ZZ, 0DL73CZ, 0DL73DZ, 0DL73ZZ, 0DL74CZ, 0DL74DZ, 0DL74ZZ, 0DL77DZ, 0DL77ZZ, 0DL78DZ, 0DL78ZZ, 0DP643Z, 0DP64CZ, 0DQ60ZZ, 0DQ63ZZ, 0DQ64ZZ, 0DQ67ZZ, 0DQ68ZZ, 0DV60CZ, 0DV60DZ, 0DV60ZZ, 0DV63CZ, 0DV63DZ, 0DV63ZZ, 0DV64CZ, 0DV64DZ, 0DV64ZZ, 0DV67ZZ, 0DV68ZZ, 0DW643Z, 0DW64CZ, 3E0G3GC, ` | $8,085.50 | $49,409 | — | — | — | 0 |
| 0C1786 | PACEMKR ST JUDE PM1210 | $47,319 | $47,319 | — | — | 0 |
| MOLD SPCR KN FEM 75MM | MOLD SPCR KN FEM 75MM | $46,073 | $46,073 | — | — | 0 |
| CPT/HCPC 69930 | $8,987.50 | $43,933 | — | — | — | 0 |
| 077372 | SRS DL ONE SESS LINR ACC | $43,338 | $43,338 | — | — | 0 |
| 0J9043 | CABAZITAXEL 60 MG INJ | $41,261 | $41,261 | — | — | 0 |
| CPT/HCPC 19325, 19340, 19342, 19357, 19361 | $11,369.50 | $40,244 | — | — | — | 0 |
| GRAFT ST TIS 230+ MM 4+ | GRAFT ST TIS 230+ MM 4+ | $39,460 | $39,460 | — | — | 0 |
| CPT/HCPC 93451-934551 | $3,800.00 | $39,216 | — | — | — | 0 |
| CPT/HCPC 36860, 36861, 36902-36908, 37215-37218, 37220-37235, 37237, 37239, 37241-37244, 37246-37249, 92920, 92921, 92924, 92925, 92928, 92929, 92933, 92934, 92937, 92938, 92941, 92943, 92944, 92950, 92953, 92960, 92961, 92970, 92971, 92973-92975, 92977-92979, 92986-952992, C9600-C9608 | $7,739.50 | $37,812 | — | — | — | 0 |
| CADAVER GRAFT 10.5MM X 7 | CADAVER GRAFT 10.5MM X 7 | $37,444 | $37,444 | — | — | 0 |
| IMPLANT BIO WTH DELI SYS | IMPLANT BIO WTH DELI SYS | $35,349 | $35,349 | — | — | 0 |
| CPT/HCPC 36260, 61215, 62360-62362 | $21,006.50 | $35,224 | — | — | — | 0 |
| 0J2997 | ALTEPLASE RECOMB 100 MG | $34,213 | $34,213 | — | — | 0 |
Showing top 50 of 5,903 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.