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
82,268
Insurances with rates
7
CPT / HCPCS codes
11,304
Source MRF
Most expensive procedures (gross)
C1820
$28,200
CAP PRICE SPINAL STIMULATOR 9771IP
Gross
$47,000
3599555
$25,260
MOPS DISTAL FEMUR LEFT
Gross
$42,100
MOPS24
$25,260
MOPS DISTAL FEMUR LEFT OC
Gross
$42,100
HIP-FLEXREAM
$20,907
REAMER FLEXIBLE KIT HIP-FLEXREAM
Gross
$34,845
C1767
$20,400
ELECTRODES STIMQ-4A PNS SYSTEM 4 Q4SP-1-US
Gross
$34,000
3.809.900
$20,152
RETRACTOR HANDLE 03.809.900
Gross
$33,586
6633-7-765
$17,451
PATELLA MILLING CLAMP ASSEMBLY 6633-7-765
Gross
$29,085
3.809.921
$15,750
INSERT ORACLE LATERAL QUICK INSERTER/DISTRACTOR 03.809.921
Gross
$26,250
290-24-1010
$15,360
META-LINK-H HYDRATED AMNION TISSUE MEMBRANE 10CM X 10CM 290-24-1010
Gross
$25,600
CE-ACETSTD
$15,263
REAMER STD ACETABULAR KIT CE-ACETSTD
Gross
$25,438
HIP-CYLREAMER
$14,259
REAMER REST. CYLINDRICAL KIT HIP-CYLREAMER
Gross
$23,765
C1772
$13,440
IMPLANT PUMP SYNCHROMED III 8667-20
Gross
$22,400
3.808.121
$13,368
INSERT ALIF QUICK INSERTER/DISTRACTOR SQUID 03.808.121
Gross
$22,280
C2622
$13,192
PROSTHESIS PENILE 14 CM X 16 CM AMBICOR
Gross
$21,987
C1813
$12,912
AMS 700 LGX MS PUMP 18CM X 12MM
Gross
$21,520
6777-6-700
$12,753
K-MAX STAB BOX RESEC GUIDE.SET 6777-6-700
Gross
$21,256
316.003SS
$12,738
SAMPLE SALES
Gross
$21,230
L8679
$11,888
NEUROSTIMULATOR AXONICS 1101
Gross
$19,814
CAT01856
$11,880
HANDLEINJECTOR SURG FLOWPORT IIINSTR
Gross
$19,800
72401453
$11,743
PROSTHESIS PENILE 14 CM X 14 CM AMBICOR
Gross
$19,572
72401456
$11,743
PROSTHESIS PENILE 15.5 CM X 18 CM AMBICOR
Gross
$19,572
72401457
$11,743
PROSTHESIS PENILE 15.5 CM X 20 CM AMBICOR
Gross
$19,572
72401458
$11,743
PROSTHESIS PENILE 15.5 CM X 22 CM AMBICOR
Gross
$19,572
3.802.121
$11,574
INSERT SYNFIXTM-LR QUICK INSERTER/DISTRACTOR SQUID 03.802.121
Gross
$19,290
6737-8-640
$11,473
UPPER TIBIAL GUIDE ASSEMBLY 6737-8-640
Gross
$19,121
ES20004
$11,423
EVOLUCION-C MSD ES20004
Gross
$19,039
P20610
$11,305
FEMUR TISSUE P20610 WHOLE LEFT P20610
Gross
$18,842
T20610
$11,305
FEMUR TISSUE T20610 WHOLELEFT T20610
Gross
$18,842
T20620
$11,305
FEMUR TISSUE T20620 WHOLERIGHT T20620
Gross
$18,842
388.75
$10,549
ROD TABLE TOP CUTTER AND BENDER 388.750
Gross
$17,581
4.661.019
$10,476
PLATE TI ARCOFIX PF 144MM-174MM 04.661.019
Gross
$17,460
4.661.018
$10,450
PLATE TI ARCOFIX PF 119MM-149MM 04.661.018
Gross
$17,416
4.661.017
$10,422
PLATE TI ARCOFIX PF 94MM-124MM 04.661.017
Gross
$17,370
4.661.016
$10,396
PLATE TI ARCOFIX PF 69MM-99MM 04.661.016
Gross
$17,326
351.151
$10,385
FORTIFY-R 20MM CORE HEIGHT 28-36MM 351.151
Gross
$17,308
351.152
$10,385
FORTIFY-R 20MM CORE HEIGHT 33-46MM 351.152
Gross
$17,308
351.153
$10,385
FORTIFY-R 20MM CORE HEIGHT 43-64MM 351.153
Gross
$17,308
351.154
$10,385
FORTIFY-R 20MM CORE HEIGHT 61-82MM 351.154
Gross
$17,308
351.155
$10,385
FORTIFY-R 20MM CORE HEIGHT 80-101MM 351.155
Gross
$17,308
351.156
$10,385
FORTIFY-R 20MM CORE HEIGHT 96-120MM 351.156
Gross
$17,308
4.661.015
$10,368
PLATE TI ARCOFIX PF 50MM-74MM 04.661.015
Gross
$17,280
4.661.014
$10,342
PLATE TI ARCOFIX PF 40MM-54MM 04.661.014
Gross
$17,236
4.661.013
$10,314
PLATE TI ARCOFIX PF 35MM-44MM 04.661.013
Gross
$17,190
4.661.012
$10,288
PLATE TI ARCOFIX PF 32MM-38MM 04.661.012
Gross
$17,146
4.661.011
$10,260
PLATE TI ARCOFIX PF 30MM-34MM 04.661.011
Gross
$17,100
316.023
$10,242
SPACER XPAND -R CORPECTOMY LARGE 25X30 -4/4DEG 69-91MM 316.023
Gross
$17,070
316.022
$10,076
SPACER XPAND -R CORPECTOMY LARGE 25X30 -4/4DEG 53-67MM 316.022
Gross
$16,794
RR0001
$9,991
ROD STEALTH FIXATOR TRIPLE ARTHRODESIS RR0001
Gross
$16,652
905-904
$9,737
MESH 905-904 PYRM 25 X 150 ANGLED 905-904
Gross
$16,228
337.001
$9,680
FORTIFY I -R 14MM CORE HEIGHT 25-29MM 14X14MM FOOTPRINT 0DEG NO SPIKES 337.001
Gross
$16,134
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1820 | CAP PRICE SPINAL STIMULATOR 9771IP | $47,000 | $28,200 | — | — | 0 |
| 3599555 | MOPS DISTAL FEMUR LEFT | $42,100 | $25,260 | — | — | 0 |
| MOPS24 | MOPS DISTAL FEMUR LEFT OC | $42,100 | $25,260 | — | — | 0 |
| HIP-FLEXREAM | REAMER FLEXIBLE KIT HIP-FLEXREAM | $34,845 | $20,907 | — | — | 0 |
| C1767 | ELECTRODES STIMQ-4A PNS SYSTEM 4 Q4SP-1-US | $34,000 | $20,400 | — | — | 0 |
| 3.809.900 | RETRACTOR HANDLE 03.809.900 | $33,586 | $20,152 | — | — | 0 |
| 6633-7-765 | PATELLA MILLING CLAMP ASSEMBLY 6633-7-765 | $29,085 | $17,451 | — | — | 0 |
| 3.809.921 | INSERT ORACLE LATERAL QUICK INSERTER/DISTRACTOR 03.809.921 | $26,250 | $15,750 | — | — | 0 |
| 290-24-1010 | META-LINK-H HYDRATED AMNION TISSUE MEMBRANE 10CM X 10CM 290-24-1010 | $25,600 | $15,360 | — | — | 0 |
| CE-ACETSTD | REAMER STD ACETABULAR KIT CE-ACETSTD | $25,438 | $15,263 | — | — | 0 |
| HIP-CYLREAMER | REAMER REST. CYLINDRICAL KIT HIP-CYLREAMER | $23,765 | $14,259 | — | — | 0 |
| C1772 | IMPLANT PUMP SYNCHROMED III 8667-20 | $22,400 | $13,440 | — | — | 0 |
| 3.808.121 | INSERT ALIF QUICK INSERTER/DISTRACTOR SQUID 03.808.121 | $22,280 | $13,368 | — | — | 0 |
| C2622 | PROSTHESIS PENILE 14 CM X 16 CM AMBICOR | $21,987 | $13,192 | — | — | 0 |
| C1813 | AMS 700 LGX MS PUMP 18CM X 12MM | $21,520 | $12,912 | — | — | 0 |
| 6777-6-700 | K-MAX STAB BOX RESEC GUIDE.SET 6777-6-700 | $21,256 | $12,753 | — | — | 0 |
| 316.003SS | SAMPLE SALES | $21,230 | $12,738 | — | — | 0 |
| L8679 | NEUROSTIMULATOR AXONICS 1101 | $19,814 | $11,888 | — | — | 0 |
| CAT01856 | HANDLEINJECTOR SURG FLOWPORT IIINSTR | $19,800 | $11,880 | — | — | 0 |
| 72401453 | PROSTHESIS PENILE 14 CM X 14 CM AMBICOR | $19,572 | $11,743 | — | — | 0 |
| 72401456 | PROSTHESIS PENILE 15.5 CM X 18 CM AMBICOR | $19,572 | $11,743 | — | — | 0 |
| 72401457 | PROSTHESIS PENILE 15.5 CM X 20 CM AMBICOR | $19,572 | $11,743 | — | — | 0 |
| 72401458 | PROSTHESIS PENILE 15.5 CM X 22 CM AMBICOR | $19,572 | $11,743 | — | — | 0 |
| 3.802.121 | INSERT SYNFIXTM-LR QUICK INSERTER/DISTRACTOR SQUID 03.802.121 | $19,290 | $11,574 | — | — | 0 |
| 6737-8-640 | UPPER TIBIAL GUIDE ASSEMBLY 6737-8-640 | $19,121 | $11,473 | — | — | 0 |
| ES20004 | EVOLUCION-C MSD ES20004 | $19,039 | $11,423 | — | — | 0 |
| P20610 | FEMUR TISSUE P20610 WHOLE LEFT P20610 | $18,842 | $11,305 | — | — | 0 |
| T20610 | FEMUR TISSUE T20610 WHOLELEFT T20610 | $18,842 | $11,305 | — | — | 0 |
| T20620 | FEMUR TISSUE T20620 WHOLERIGHT T20620 | $18,842 | $11,305 | — | — | 0 |
| 388.75 | ROD TABLE TOP CUTTER AND BENDER 388.750 | $17,581 | $10,549 | — | — | 0 |
| 4.661.019 | PLATE TI ARCOFIX PF 144MM-174MM 04.661.019 | $17,460 | $10,476 | — | — | 0 |
| 4.661.018 | PLATE TI ARCOFIX PF 119MM-149MM 04.661.018 | $17,416 | $10,450 | — | — | 0 |
| 4.661.017 | PLATE TI ARCOFIX PF 94MM-124MM 04.661.017 | $17,370 | $10,422 | — | — | 0 |
| 4.661.016 | PLATE TI ARCOFIX PF 69MM-99MM 04.661.016 | $17,326 | $10,396 | — | — | 0 |
| 351.151 | FORTIFY-R 20MM CORE HEIGHT 28-36MM 351.151 | $17,308 | $10,385 | — | — | 0 |
| 351.152 | FORTIFY-R 20MM CORE HEIGHT 33-46MM 351.152 | $17,308 | $10,385 | — | — | 0 |
| 351.153 | FORTIFY-R 20MM CORE HEIGHT 43-64MM 351.153 | $17,308 | $10,385 | — | — | 0 |
| 351.154 | FORTIFY-R 20MM CORE HEIGHT 61-82MM 351.154 | $17,308 | $10,385 | — | — | 0 |
| 351.155 | FORTIFY-R 20MM CORE HEIGHT 80-101MM 351.155 | $17,308 | $10,385 | — | — | 0 |
| 351.156 | FORTIFY-R 20MM CORE HEIGHT 96-120MM 351.156 | $17,308 | $10,385 | — | — | 0 |
| 4.661.015 | PLATE TI ARCOFIX PF 50MM-74MM 04.661.015 | $17,280 | $10,368 | — | — | 0 |
| 4.661.014 | PLATE TI ARCOFIX PF 40MM-54MM 04.661.014 | $17,236 | $10,342 | — | — | 0 |
| 4.661.013 | PLATE TI ARCOFIX PF 35MM-44MM 04.661.013 | $17,190 | $10,314 | — | — | 0 |
| 4.661.012 | PLATE TI ARCOFIX PF 32MM-38MM 04.661.012 | $17,146 | $10,288 | — | — | 0 |
| 4.661.011 | PLATE TI ARCOFIX PF 30MM-34MM 04.661.011 | $17,100 | $10,260 | — | — | 0 |
| 316.023 | SPACER XPAND -R CORPECTOMY LARGE 25X30 -4/4DEG 69-91MM 316.023 | $17,070 | $10,242 | — | — | 0 |
| 316.022 | SPACER XPAND -R CORPECTOMY LARGE 25X30 -4/4DEG 53-67MM 316.022 | $16,794 | $10,076 | — | — | 0 |
| RR0001 | ROD STEALTH FIXATOR TRIPLE ARTHRODESIS RR0001 | $16,652 | $9,991 | — | — | 0 |
| 905-904 | MESH 905-904 PYRM 25 X 150 ANGLED 905-904 | $16,228 | $9,737 | — | — | 0 |
| 337.001 | FORTIFY I -R 14MM CORE HEIGHT 25-29MM 14X14MM FOOTPRINT 0DEG NO SPIKES 337.001 | $16,134 | $9,680 | — | — | 0 |
Showing top 50 of 82,268 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.