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
5,614
Insurances with rates
46
CPT / HCPCS codes
0
Most expensive procedures (gross)
25241199
$34,876
Mesh Strattice Firm 30X30cm
Gross
$46,502
25241667
$33,188
HFXiQ IPG Kit/NIPG3000
Gross
$44,250
25182612
$28,704
Mesh Surg Strattice 20X25 Firm
Gross
$38,272
25301618
$19,577
Mesh Phasix 12x10"" Rectngl
Gross
$26,103
3420063685
$19,120
SCS Generator Place OR
Gross
$25,493
25301619
$19,005
Mesh Phasix St Open Sytm 8x10
Gross
$25,340
3420006040
$16,720
Total Knee Minutes Bundled Pkg
Gross
$22,293
3420006032
$14,161
Lap Chole w/Cholangiogram OR
Gross
$18,881
3420006034
$13,058
Lap Cholecystectomy OR
Gross
$17,411
3400500275
$13,048
Perq Lamot/Lam Lumbar OPM TC
Gross
$17,397
25189834
$12,419
Comp Knee Fem Nexgen Sz E R
Gross
$16,559
4340027134
$11,705
Revise Hip Jt Replace ORTHO
Gross
$15,606
4340327134
$11,705
Revise Hip Jt Replace APP AS
Gross
$15,606
3420022513
$11,171
Perq Vertebral Augmentatn ORTC
Gross
$14,895
25202863
$11,088
Hd Fem Ceramic Articuleze 36+5
Gross
$14,784
3420063650
$10,756
PRQ Lead Place Single OR TC
Gross
$14,341
3400563650
$10,756
PRQ Lead Place Single OPM
Gross
$14,341
4340027447
$10,739
Total Knee Replace Uni ORTHO
Gross
$14,319
4340327447
$10,739
Total Knee Replace Uni APP AS
Gross
$14,319
3870005972
$10,567
Tenecteplase 50 mg Vial Kit
Gross
$14,089
3400522514
$10,443
Perq Vertebral Agmnt OPM TC
Gross
$13,924
25241351
$10,294
Psn Rev Fem Cmt Sz7 Rght
Gross
$13,725
25241652
$10,294
Psn Rev Fem Cmt Ccr Pls Sz9 L
Gross
$13,725
25242006
$10,294
Psn Rev Fem Cmt Ccr Pls Sz 11R
Gross
$13,725
25242146
$10,294
Psn Rev Fem Cmt Ccr Pls Sz9 R
Gross
$13,725
4340027130
$10,007
Total Hip Replacement ORTHO
Gross
$13,343
4340327130
$10,007
Total Hip Replacement APP AS
Gross
$13,343
3870004029
$9,762
ENTYVIO 300 MG/5ML VIAL
Gross
$13,016
25242095
$9,619
Psn Rev Fem Cmt Ccr Std Sz7 Lt
Gross
$12,825
25241573
$9,619
Psn Rev Fem Cmt Ccr Std Sz9 R
Gross
$12,825
25241604
$9,619
Psn Rev Fem Cmt Ccr Std Sz7 R
Gross
$12,825
25241753
$9,619
Psn Rev Fem Cmt Cocr Std Sz5 R
Gross
$12,825
25241272
$9,618
Femur Cemented Standard Sz9 L
Gross
$12,824
25176431
$9,160
Comp Fem Knee Nexgen F Lft
Gross
$12,213
25182966
$9,160
Comp Knee Fem Nexgen Sz F R
Gross
$12,213
3870005951
$9,012
VYVGART 400 MG/20 ML VIAL
Gross
$12,017
25241543
$8,888
Cone Arcos Sz E Hi Offset 60mm
Gross
$11,850
25242141
$8,888
Hip Mod Arcos Sz A Hi 80mm
Gross
$11,850
25241093
$8,887
Implant Arco Con Sz A Hip 50mm
Gross
$11,850
25241163
$8,887
Implant Std Cone Prox 60mm
Gross
$11,850
25241197
$8,887
Cone High Offset Prox Sz D HI
Gross
$11,850
25241250
$8,887
Cone Standard Prox Body
Gross
$11,850
25241278
$8,887
Cone Arcos Sz D HI 70mm
Gross
$11,850
25242046
$8,887
Hp Systm Con Sz D Std 60mm
Gross
$11,850
3420063688
$8,625
Rem/Rev Neurstim Gen/Rec OR TC
Gross
$11,500
4490043282
$8,124
Lap Paraesoph Her w/Mesh GS
Gross
$10,832
4490843282
$8,124
Lap Paraesoph Her w/Mesh MD AS
Gross
$10,832
4490943282
$8,124
Lap Paraesoph Her w/Mesh APPAS
Gross
$10,832
3870005517
$7,876
FASENRA 30 MG/ML SYRINGE
Gross
$10,502
3870005619
$7,822
Rituxan 500 mg/50 ml Vial
Gross
$10,429
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 25241199 | Mesh Strattice Firm 30X30cm | $46,502 | $34,876 | — | — | 18 |
| 25241667 | HFXiQ IPG Kit/NIPG3000 | $44,250 | $33,188 | — | — | 4 |
| 25182612 | Mesh Surg Strattice 20X25 Firm | $38,272 | $28,704 | — | — | 18 |
| 25301618 | Mesh Phasix 12x10"" Rectngl | $26,103 | $19,577 | — | — | 18 |
| 3420063685 | SCS Generator Place OR | $25,493 | $19,120 | — | — | 3 |
| 25301619 | Mesh Phasix St Open Sytm 8x10 | $25,340 | $19,005 | — | — | 18 |
| 3420006040 | Total Knee Minutes Bundled Pkg | $22,293 | $16,720 | — | — | 45 |
| 3420006032 | Lap Chole w/Cholangiogram OR | $18,881 | $14,161 | — | — | 39 |
| 3420006034 | Lap Cholecystectomy OR | $17,411 | $13,058 | — | — | 9 |
| 3400500275 | Perq Lamot/Lam Lumbar OPM TC | $17,397 | $13,048 | — | — | 5 |
| 25189834 | Comp Knee Fem Nexgen Sz E R | $16,559 | $12,419 | — | — | 17 |
| 4340027134 | Revise Hip Jt Replace ORTHO | $15,606 | $11,705 | — | — | 1 |
| 4340327134 | Revise Hip Jt Replace APP AS | $15,606 | $11,705 | — | — | 1 |
| 3420022513 | Perq Vertebral Augmentatn ORTC | $14,895 | $11,171 | — | — | 1 |
| 25202863 | Hd Fem Ceramic Articuleze 36+5 | $14,784 | $11,088 | — | — | 17 |
| 3420063650 | PRQ Lead Place Single OR TC | $14,341 | $10,756 | — | — | 4 |
| 3400563650 | PRQ Lead Place Single OPM | $14,341 | $10,756 | — | — | 2 |
| 4340027447 | Total Knee Replace Uni ORTHO | $14,319 | $10,739 | — | — | 7 |
| 4340327447 | Total Knee Replace Uni APP AS | $14,319 | $10,739 | — | — | 7 |
| 3870005972 | Tenecteplase 50 mg Vial Kit | $14,089 | $10,567 | — | — | 1 |
| 3400522514 | Perq Vertebral Agmnt OPM TC | $13,924 | $10,443 | — | — | 1 |
| 25241351 | Psn Rev Fem Cmt Sz7 Rght | $13,725 | $10,294 | — | — | 17 |
| 25241652 | Psn Rev Fem Cmt Ccr Pls Sz9 L | $13,725 | $10,294 | — | — | 17 |
| 25242006 | Psn Rev Fem Cmt Ccr Pls Sz 11R | $13,725 | $10,294 | — | — | 17 |
| 25242146 | Psn Rev Fem Cmt Ccr Pls Sz9 R | $13,725 | $10,294 | — | — | 17 |
| 4340027130 | Total Hip Replacement ORTHO | $13,343 | $10,007 | — | — | 3 |
| 4340327130 | Total Hip Replacement APP AS | $13,343 | $10,007 | — | — | 3 |
| 3870004029 | ENTYVIO 300 MG/5ML VIAL | $13,016 | $9,762 | — | — | 6 |
| 25242095 | Psn Rev Fem Cmt Ccr Std Sz7 Lt | $12,825 | $9,619 | — | — | 20 |
| 25241573 | Psn Rev Fem Cmt Ccr Std Sz9 R | $12,825 | $9,619 | — | — | 17 |
| 25241604 | Psn Rev Fem Cmt Ccr Std Sz7 R | $12,825 | $9,619 | — | — | 17 |
| 25241753 | Psn Rev Fem Cmt Cocr Std Sz5 R | $12,825 | $9,619 | — | — | 17 |
| 25241272 | Femur Cemented Standard Sz9 L | $12,824 | $9,618 | — | — | 17 |
| 25176431 | Comp Fem Knee Nexgen F Lft | $12,213 | $9,160 | — | — | 17 |
| 25182966 | Comp Knee Fem Nexgen Sz F R | $12,213 | $9,160 | — | — | 17 |
| 3870005951 | VYVGART 400 MG/20 ML VIAL | $12,017 | $9,012 | — | — | 1 |
| 25241543 | Cone Arcos Sz E Hi Offset 60mm | $11,850 | $8,888 | — | — | 17 |
| 25242141 | Hip Mod Arcos Sz A Hi 80mm | $11,850 | $8,888 | — | — | 17 |
| 25241093 | Implant Arco Con Sz A Hip 50mm | $11,850 | $8,887 | — | — | 17 |
| 25241163 | Implant Std Cone Prox 60mm | $11,850 | $8,887 | — | — | 17 |
| 25241197 | Cone High Offset Prox Sz D HI | $11,850 | $8,887 | — | — | 17 |
| 25241250 | Cone Standard Prox Body | $11,850 | $8,887 | — | — | 17 |
| 25241278 | Cone Arcos Sz D HI 70mm | $11,850 | $8,887 | — | — | 17 |
| 25242046 | Hp Systm Con Sz D Std 60mm | $11,850 | $8,887 | — | — | 17 |
| 3420063688 | Rem/Rev Neurstim Gen/Rec OR TC | $11,500 | $8,625 | — | — | 1 |
| 4490043282 | Lap Paraesoph Her w/Mesh GS | $10,832 | $8,124 | — | — | 1 |
| 4490843282 | Lap Paraesoph Her w/Mesh MD AS | $10,832 | $8,124 | — | — | 1 |
| 4490943282 | Lap Paraesoph Her w/Mesh APPAS | $10,832 | $8,124 | — | — | 1 |
| 3870005517 | FASENRA 30 MG/ML SYRINGE | $10,502 | $7,876 | — | — | 2 |
| 3870005619 | Rituxan 500 mg/50 ml Vial | $10,429 | $7,822 | — | — | 1 |
Showing top 50 of 5,614 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.