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
5,641
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,
—
$253,106.00
Gross
$253,106
MS-DRG 216-221, 228, 229, 231-236, 266-274, 319, 320
—
$30,401.00
Gross
$174,446
CPT/HCPC 33206-33208, 33210-33218, 33220-33231, 33233-33241, 33243, 33244, 33249, 33262-33264, 33270-33273
—
$3,850.00
Gross
$137,458
MS-DRG 215, 222-227, 242-251, 258-262, 265, 280-293, 313
—
$8,414.00
Gross
$126,322
0C1767
$100,000
IMPLANT PULSE GNTR PRGM
Gross
$100,000
MS-DRG 020-033, 037-042, 453-460, 471-473, 518-520
—
$14,437.50
Gross
$99,130
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
—
$6,260.00
Gross
$77,074
CPT/HCPC 77372, 77373, G0339, G0340
—
$4,500.00
Gross
$63,646
CPT/HCPC 61796-61800, 63620, 63621, 77371, 77372
—
$18,000.00
Gross
$63,018
$37,756.50
—
$37,756.50
Gross
$51,651
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, `
—
$7,404.00
Gross
$45,255
CPT/HCPC 69930
—
$8,651.50
Gross
$43,890
0L0486
$42,481
TLSO RIGID LINED CUSTOM
Gross
$42,481
MESH HRN COLLAG 10INX8IN
$39,152
MESH HRN COLLAG 10INX8IN
Gross
$39,152
CPT/HCPC 19325, 19340, 19342, 19357, 19361
—
$11,359.00
Gross
$38,745
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
—
$7,603.00
Gross
$37,775
CPT/HCPC 93451-934551
—
$3,800.00
Gross
$37,757
0L0464
$35,344
SUPPORT ORTH TLS RGD SHL
Gross
$35,344
0C1786
$35,073
PACEMAKER THERA SR 8960B
Gross
$35,073
0C1785
$35,073
PACEMAKER DUAL CHAMBER
Gross
$35,073
0L2126
$34,229
SUPRT ORTH KN ANK FT OTH
Gross
$34,229
CPT/HCPC 36260, 61215, 62360-62362
—
$20,986.00
Gross
$33,911
SET ANKLE EXFIX STAB
$33,742
SET ANKLE EXFIX STAB
Gross
$33,742
0C1778
$33,379
LEAD NRSTM INSPIRE RESP
Gross
$33,379
PERC MCH THRM PER W STNT
$32,505
PERC MCH THRM PER W STNT
Gross
$32,505
FILLER BN PLXUR M XL MLD
$32,176
FILLER BN PLXUR M XL MLD
Gross
$32,176
CPT/HCPC 36555-36861, 36904-36906, 37211-37214, 37241-37244, 61650, 61651
—
$6,621.50
Gross
$31,479
0J2997
$30,013
ALTEPLASE RECOMB 100 MG
Gross
$30,013
$10,493.00
—
$10,493.00
Gross
$29,857
CPT/HCPC 58353, 58356
—
$3,935.00
Gross
$28,784
CPT/HCPC 54400, 54401, 54405, 54410, 54411, 54416, 54417, 55873
—
$7,344.50
Gross
$28,784
MS-DRG 034-036, 252-254, 263
—
$13,589.50
Gross
$26,212
0C9399
$26,060
PRAXBIND INJ
Gross
$26,060
MS-DRG 659-661, 693, 694, 707, 708; ICD 9/10 0TF3XZZ, 0TF4XZZ, 0TF6XZZ, 0TF7XZZ, 0TFBXZZ, 0TFCXZZ, 0WFRXZZ
—
$5,095.50
Gross
$25,905
CEMENT BN 10ML
$25,703
CEMENT BN 10ML
Gross
$25,703
0A9600
$25,403
STRONTIUM SR89 CL TX MCI
Gross
$25,403
MS-DRG 739-743, 748
—
$6,958.00
Gross
$25,186
0L0637
$25,091
SUPPORT ORTH LS OTHS SGT
Gross
$25,091
SLING IMMOB. LG.
$25,087
SLING IMMOB. LG.
Gross
$25,087
MS-DRG 470; CPT/HCPC 23470, 23472-23474, 24360-24363, 24370, 24371, 27130, 27132, 27134, 27137, 27138, 27325, 27445-27447, 27486, 27487, 27702, 27703
—
$14,000.00
Gross
$24,836
0L0456
$24,460
SUPPORT ORTH TLS BACK
Gross
$24,460
$15,740.00
—
$15,740.00
Gross
$23,882
PENILE IMPLANT AMS
$23,101
PENILE IMPLANT AMS
Gross
$23,101
FILLER BN PLXUR LG 10ML
$22,800
FILLER BN PLXUR LG 10ML
Gross
$22,800
CEMENT BN HDRSET CA PHOS
$21,905
CEMENT BN HDRSET CA PHOS
Gross
$21,905
0J3101
$21,577
TENECTEPLASE 50 MG INJ
Gross
$21,577
FIXATOR EBI
$21,552
FIXATOR EBI
Gross
$21,552
ANGIO AV SHNT EVL W STNT
$21,446
ANGIO AV SHNT EVL W STNT
Gross
$21,446
PERC MCH THRM ANG PERIPH
$21,446
PERC MCH THRM ANG PERIPH
Gross
$21,446
IMPLANT NASAL 24MM
$19,108
IMPLANT NASAL 24MM
Gross
$19,108
| 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, | $253,106.00 | $253,106 | — | — | — | 0 |
| MS-DRG 216-221, 228, 229, 231-236, 266-274, 319, 320 | $30,401.00 | $174,446 | — | — | — | 0 |
| CPT/HCPC 33206-33208, 33210-33218, 33220-33231, 33233-33241, 33243, 33244, 33249, 33262-33264, 33270-33273 | $3,850.00 | $137,458 | — | — | — | 0 |
| MS-DRG 215, 222-227, 242-251, 258-262, 265, 280-293, 313 | $8,414.00 | $126,322 | — | — | — | 0 |
| 0C1767 | IMPLANT PULSE GNTR PRGM | $100,000 | $100,000 | — | — | 0 |
| MS-DRG 020-033, 037-042, 453-460, 471-473, 518-520 | $14,437.50 | $99,130 | — | — | — | 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 | $6,260.00 | $77,074 | — | — | — | 0 |
| CPT/HCPC 77372, 77373, G0339, G0340 | $4,500.00 | $63,646 | — | — | — | 0 |
| CPT/HCPC 61796-61800, 63620, 63621, 77371, 77372 | $18,000.00 | $63,018 | — | — | — | 0 |
| $37,756.50 | $37,756.50 | $51,651 | — | — | — | 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, ` | $7,404.00 | $45,255 | — | — | — | 0 |
| CPT/HCPC 69930 | $8,651.50 | $43,890 | — | — | — | 0 |
| 0L0486 | TLSO RIGID LINED CUSTOM | $42,481 | $42,481 | — | — | 0 |
| MESH HRN COLLAG 10INX8IN | MESH HRN COLLAG 10INX8IN | $39,152 | $39,152 | — | — | 0 |
| CPT/HCPC 19325, 19340, 19342, 19357, 19361 | $11,359.00 | $38,745 | — | — | — | 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 | $7,603.00 | $37,775 | — | — | — | 0 |
| CPT/HCPC 93451-934551 | $3,800.00 | $37,757 | — | — | — | 0 |
| 0L0464 | SUPPORT ORTH TLS RGD SHL | $35,344 | $35,344 | — | — | 0 |
| 0C1786 | PACEMAKER THERA SR 8960B | $35,073 | $35,073 | — | — | 0 |
| 0C1785 | PACEMAKER DUAL CHAMBER | $35,073 | $35,073 | — | — | 0 |
| 0L2126 | SUPRT ORTH KN ANK FT OTH | $34,229 | $34,229 | — | — | 0 |
| CPT/HCPC 36260, 61215, 62360-62362 | $20,986.00 | $33,911 | — | — | — | 0 |
| SET ANKLE EXFIX STAB | SET ANKLE EXFIX STAB | $33,742 | $33,742 | — | — | 0 |
| 0C1778 | LEAD NRSTM INSPIRE RESP | $33,379 | $33,379 | — | — | 0 |
| PERC MCH THRM PER W STNT | PERC MCH THRM PER W STNT | $32,505 | $32,505 | — | — | 0 |
| FILLER BN PLXUR M XL MLD | FILLER BN PLXUR M XL MLD | $32,176 | $32,176 | — | — | 0 |
| CPT/HCPC 36555-36861, 36904-36906, 37211-37214, 37241-37244, 61650, 61651 | $6,621.50 | $31,479 | — | — | — | 0 |
| 0J2997 | ALTEPLASE RECOMB 100 MG | $30,013 | $30,013 | — | — | 0 |
| $10,493.00 | $10,493.00 | $29,857 | — | — | — | 0 |
| CPT/HCPC 58353, 58356 | $3,935.00 | $28,784 | — | — | — | 0 |
| CPT/HCPC 54400, 54401, 54405, 54410, 54411, 54416, 54417, 55873 | $7,344.50 | $28,784 | — | — | — | 0 |
| MS-DRG 034-036, 252-254, 263 | $13,589.50 | $26,212 | — | — | — | 0 |
| 0C9399 | PRAXBIND INJ | $26,060 | $26,060 | — | — | 0 |
| MS-DRG 659-661, 693, 694, 707, 708; ICD 9/10 0TF3XZZ, 0TF4XZZ, 0TF6XZZ, 0TF7XZZ, 0TFBXZZ, 0TFCXZZ, 0WFRXZZ | $5,095.50 | $25,905 | — | — | — | 0 |
| CEMENT BN 10ML | CEMENT BN 10ML | $25,703 | $25,703 | — | — | 0 |
| 0A9600 | STRONTIUM SR89 CL TX MCI | $25,403 | $25,403 | — | — | 0 |
| MS-DRG 739-743, 748 | $6,958.00 | $25,186 | — | — | — | 0 |
| 0L0637 | SUPPORT ORTH LS OTHS SGT | $25,091 | $25,091 | — | — | 0 |
| SLING IMMOB. LG. | SLING IMMOB. LG. | $25,087 | $25,087 | — | — | 0 |
| MS-DRG 470; CPT/HCPC 23470, 23472-23474, 24360-24363, 24370, 24371, 27130, 27132, 27134, 27137, 27138, 27325, 27445-27447, 27486, 27487, 27702, 27703 | $14,000.00 | $24,836 | — | — | — | 0 |
| 0L0456 | SUPPORT ORTH TLS BACK | $24,460 | $24,460 | — | — | 0 |
| $15,740.00 | $15,740.00 | $23,882 | — | — | — | 0 |
| PENILE IMPLANT AMS | PENILE IMPLANT AMS | $23,101 | $23,101 | — | — | 0 |
| FILLER BN PLXUR LG 10ML | FILLER BN PLXUR LG 10ML | $22,800 | $22,800 | — | — | 0 |
| CEMENT BN HDRSET CA PHOS | CEMENT BN HDRSET CA PHOS | $21,905 | $21,905 | — | — | 0 |
| 0J3101 | TENECTEPLASE 50 MG INJ | $21,577 | $21,577 | — | — | 0 |
| FIXATOR EBI | FIXATOR EBI | $21,552 | $21,552 | — | — | 0 |
| ANGIO AV SHNT EVL W STNT | ANGIO AV SHNT EVL W STNT | $21,446 | $21,446 | — | — | 0 |
| PERC MCH THRM ANG PERIPH | PERC MCH THRM ANG PERIPH | $21,446 | $21,446 | — | — | 0 |
| IMPLANT NASAL 24MM | IMPLANT NASAL 24MM | $19,108 | $19,108 | — | — | 0 |
Showing top 50 of 5,641 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.