45 CFR § 180 compliance
B · 85
This hospital published most 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: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
7,323
Insurances with rates
16
CPT / HCPCS codes
0
Most expensive procedures (gross)
21755218
$33,593
DIR RPR RUPTD ANEURYSM SPLENIC ARTERY
Gross
$104,979
21719940
$17,335
ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM
Gross
$54,173
21723569
$17,335
REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT
Gross
$54,173
21718687
$17,335
ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS
Gross
$54,172
21663965
$15,021
NERVO IPG KIT NIPG15 4404550
Gross
$46,940
10367899
$14,094
Arthroplasty glenohumeral joint hemiarthroplasty
Gross
$44,045
11305766
$13,585
SURGIMEND 20CMX25CM 0020863
Gross
$42,453
21694660
$13,532
Insrt/redo spine n generator
Gross
$42,288
21694675
$13,532
LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL
Gross
$42,288
21694690
$13,532
REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR
Gross
$42,288
21709204
$13,331
BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL
Gross
$41,658
13183892
$12,879
ARTHROPLASTY PATELLA W/PROSTHESIS
Gross
$40,248
21753399
$12,879
RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF
Gross
$40,248
21759217
$12,814
OPTX PRIARTICULAR FX&/DISLC ELBW W/IMPLT ARTHR
Gross
$40,045
21761929
$12,814
AMPUTATION FOREARM THROUGH RADIUS & ULNA
Gross
$40,045
21762392
$12,814
OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT
Gross
$40,045
21808030
$12,428
INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL
Gross
$38,837
16439708
$12,322
OSTEOCHONDRAL ALLOGRAFT KNEE OPEN
Gross
$38,507
21724338
$12,059
OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN
Gross
$37,683
21725111
$12,059
REPAIR NONUNION/MALUNION TARSAL BONES
Gross
$37,683
21663467
$11,849
REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT
Gross
$37,029
21703659
$11,809
ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR
Gross
$36,904
10003284
$11,393
Open treatment of humeral condylar fx medial or lateral
Gross
$35,604
21715730
$11,393
OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC
Gross
$35,604
21718229
$11,393
ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT
Gross
$35,604
2154400
$10,736
Electro Shock Wave Lithotripsy
Gross
$33,549
2154409
$9,751
Interstim Full Implant
Gross
$30,471
2154408
$9,523
Interstim Stage II
Gross
$29,760
21664745
$9,105
LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH
Gross
$28,453
21754036
$9,061
EXC LOCAL MALIGNANT TUMOR STOMACH
Gross
$28,317
16855103
$8,755
ENTERORRHAPHY MULTIPLE PERFORATIONS
Gross
$27,359
11305767
$8,695
SURGIMEND 16CMX20CM 0020864
Gross
$27,173
21807813
$8,655
RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC
Gross
$27,048
21703444
$8,618
MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT
Gross
$26,931
21865199
$8,480
Opn exc/dstr ntra-abd greater than 30 greater/<
Gross
$26,500
21868486
$8,480
ARTHRODESIS SI JOINT PERCUTANEOUS/MIN INVASIVE
Gross
$26,500
21808184
$8,420
SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY
Gross
$26,312
21808048
$8,388
CERVICAL LYMPHADENECTOMY
Gross
$26,211
21835478
$7,693
INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX
Gross
$24,041
21682905
$7,519
OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT
Gross
$23,496
21839415
$7,476
INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG
Gross
$23,362
21658955
$7,363
REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT
Gross
$23,010
21694655
$7,257
Implant neuroelectrodes
Gross
$22,678
21683365
$7,210
OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN
Gross
$22,530
21867045
$6,954
VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG
Gross
$21,730
21867053
$6,954
VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG
Gross
$21,730
21865198
$6,784
Opn exc/dstr ntra-abd 20.1-30 cm
Gross
$21,200
10115511
$6,563
Arthrodesis, wrist, complete with autograft
Gross
$20,508
21656876
$6,563
OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD
Gross
$20,508
21715515
$6,563
ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT
Gross
$20,508
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 21755218 | DIR RPR RUPTD ANEURYSM SPLENIC ARTERY | $104,979 | $33,593 | — | — | 21 |
| 21719940 | ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM | $54,173 | $17,335 | — | — | 32 |
| 21723569 | REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT | $54,173 | $17,335 | — | — | 32 |
| 21718687 | ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS | $54,172 | $17,335 | — | — | 32 |
| 21663965 | NERVO IPG KIT NIPG15 4404550 | $46,940 | $15,021 | — | — | 13 |
| 10367899 | Arthroplasty glenohumeral joint hemiarthroplasty | $44,045 | $14,094 | — | — | 32 |
| 11305766 | SURGIMEND 20CMX25CM 0020863 | $42,453 | $13,585 | — | — | 13 |
| 21694660 | Insrt/redo spine n generator | $42,288 | $13,532 | — | — | 32 |
| 21694675 | LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL | $42,288 | $13,532 | — | — | 32 |
| 21694690 | REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR | $42,288 | $13,532 | — | — | 32 |
| 21709204 | BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL | $41,658 | $13,331 | — | — | 21 |
| 13183892 | ARTHROPLASTY PATELLA W/PROSTHESIS | $40,248 | $12,879 | — | — | 32 |
| 21753399 | RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF | $40,248 | $12,879 | — | — | 32 |
| 21759217 | OPTX PRIARTICULAR FX&/DISLC ELBW W/IMPLT ARTHR | $40,045 | $12,814 | — | — | 32 |
| 21761929 | AMPUTATION FOREARM THROUGH RADIUS & ULNA | $40,045 | $12,814 | — | — | 21 |
| 21762392 | OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT | $40,045 | $12,814 | — | — | 32 |
| 21808030 | INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL | $38,837 | $12,428 | — | — | 32 |
| 16439708 | OSTEOCHONDRAL ALLOGRAFT KNEE OPEN | $38,507 | $12,322 | — | — | 32 |
| 21724338 | OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN | $37,683 | $12,059 | — | — | 21 |
| 21725111 | REPAIR NONUNION/MALUNION TARSAL BONES | $37,683 | $12,059 | — | — | 32 |
| 21663467 | REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT | $37,029 | $11,849 | — | — | 32 |
| 21703659 | ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR | $36,904 | $11,809 | — | — | 32 |
| 10003284 | Open treatment of humeral condylar fx medial or lateral | $35,604 | $11,393 | — | — | 32 |
| 21715730 | OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC | $35,604 | $11,393 | — | — | 32 |
| 21718229 | ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT | $35,604 | $11,393 | — | — | 32 |
| 2154400 | Electro Shock Wave Lithotripsy | $33,549 | $10,736 | — | — | 13 |
| 2154409 | Interstim Full Implant | $30,471 | $9,751 | — | — | 13 |
| 2154408 | Interstim Stage II | $29,760 | $9,523 | — | — | 13 |
| 21664745 | LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH | $28,453 | $9,105 | — | — | 32 |
| 21754036 | EXC LOCAL MALIGNANT TUMOR STOMACH | $28,317 | $9,061 | — | — | 21 |
| 16855103 | ENTERORRHAPHY MULTIPLE PERFORATIONS | $27,359 | $8,755 | — | — | 21 |
| 11305767 | SURGIMEND 16CMX20CM 0020864 | $27,173 | $8,695 | — | — | 13 |
| 21807813 | RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC | $27,048 | $8,655 | — | — | 21 |
| 21703444 | MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT | $26,931 | $8,618 | — | — | 21 |
| 21865199 | Opn exc/dstr ntra-abd greater than 30 greater/< | $26,500 | $8,480 | — | — | 18 |
| 21868486 | ARTHRODESIS SI JOINT PERCUTANEOUS/MIN INVASIVE | $26,500 | $8,480 | — | — | 32 |
| 21808184 | SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY | $26,312 | $8,420 | — | — | 21 |
| 21808048 | CERVICAL LYMPHADENECTOMY | $26,211 | $8,388 | — | — | 32 |
| 21835478 | INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX | $24,041 | $7,693 | — | — | 32 |
| 21682905 | OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT | $23,496 | $7,519 | — | — | 21 |
| 21839415 | INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG | $23,362 | $7,476 | — | — | 32 |
| 21658955 | REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT | $23,010 | $7,363 | — | — | 21 |
| 21694655 | Implant neuroelectrodes | $22,678 | $7,257 | — | — | 32 |
| 21683365 | OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN | $22,530 | $7,210 | — | — | 32 |
| 21867045 | VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG | $21,730 | $6,954 | — | — | 21 |
| 21867053 | VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG | $21,730 | $6,954 | — | — | 21 |
| 21865198 | Opn exc/dstr ntra-abd 20.1-30 cm | $21,200 | $6,784 | — | — | 18 |
| 10115511 | Arthrodesis, wrist, complete with autograft | $20,508 | $6,563 | — | — | 32 |
| 21656876 | OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD | $20,508 | $6,563 | — | — | 32 |
| 21715515 | ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT | $20,508 | $6,563 | — | — | 32 |
Showing top 50 of 7,323 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.