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
630
Insurances with rates
4
CPT / HCPCS codes
555
Source MRF
Most expensive procedures (gross)
C1721
$99,626
EVERA XT DR SSTEM MMEM [EVERAXTDRMMEM]
Gross
$99,626
C1820
$92,501
IMPLANT PULSE GENERATOR [SC-1132]
Gross
$92,501
C1722
$71,251
FORTIFYASSURA VR ICD [CD1357-40Q]
Gross
$71,251
Q4116
$69,763
ALLODERM 16X20 THICK [1519320]
Gross
$69,763
C1882
$67,978
CRTD DTMA1QQQ CLARIA MRI [DTMA1QQ]
Gross
$67,978
C2621
$54,158
CRT VIVA [C6TR01]
Gross
$54,158
C1776
$43,401
TOTAL HIP HYBRID
Gross
$43,401
981
$42,877
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS W
Gross
$42,877
C1785
$42,500
AZURE XT DR MRI MEEM [AZUREXTDRMRIMEEM]
Gross
$42,500
C1764
$36,016
REVEAL LINQ SYSTEM [C6TR01]
Gross
$36,016
904
$34,824
SKIN GRAFTS FOR INJURIES WITH CC/MCC
Gross
$34,824
C2619
$32,586
GENERATOR PMKR DEFIB [POM2210]
Gross
$32,586
492
$32,029
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND
Gross
$32,029
C1786
$31,641
ADVISA SR MRI SYSTEM [ADVISASRMRIPEEM]
Gross
$31,641
C2620
$30,066
PACEMAKER U PR
Gross
$30,066
169
$29,481
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWE
Gross
$29,481
Q4126
$27,329
DERMASPAN 2MM-3.5MM [48-2000612]
Gross
$27,329
464
$26,594
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKEL
Gross
$26,594
C1895
$25,663
LEAD QUATTRO [693565]
Gross
$25,663
483
$22,983
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMI
Gross
$22,983
493
$21,655
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND
Gross
$21,655
473
$21,352
CERVICAL SPINAL FUSION WITHOUT CC/MCC
Gross
$21,352
478
$21,092
BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WIT
Gross
$21,092
041
$20,367
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURE
Gross
$20,367
030
$20,071
SPINAL PROCEDURES WITHOUT CC/MCC
Gross
$20,071
475
$19,457
AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
Gross
$19,457
496
$17,795
LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCE
Gross
$17,795
511
$17,689
SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PR
Gross
$17,689
941
$17,626
O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH
Gross
$17,626
744
$17,624
D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/
Gross
$17,624
617
$17,422
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND META
Gross
$17,422
470
$17,006
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWE
Gross
$17,006
494
$17,005
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND
Gross
$17,005
742
$16,476
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
Gross
$16,476
15777
$16,129
ACELLULAR DERMIS 6CMX16CM [2304]
Gross
$16,129
501
$16,097
SOFT TISSUE PROCEDURES WITH CC
Gross
$16,097
479
$16,016
BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WIT
Gross
$16,016
042
$15,852
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURE
Gross
$15,852
504
$15,829
FOOT PROCEDURES WITH CC
Gross
$15,829
505
$15,829
FOOT PROCEDURES WITHOUT CC/MCC
Gross
$15,829
465
$15,658
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKEL
Gross
$15,658
C1762
$15,401
ACHILLES TENDON [10017000]
Gross
$15,401
578
$15,246
SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MC
Gross
$15,246
583
$14,816
MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
Gross
$14,816
512
$14,501
SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PR
Gross
$14,501
Q4107
$14,176
GRAFTJACKET 5X5CM [B40784-084]
Gross
$14,176
115
$13,809
EXTRAOCULAR PROCEDURES EXCEPT ORBIT
Gross
$13,809
517
$13,463
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROC
Gross
$13,463
581
$12,981
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOU
Gross
$12,981
630
$12,639
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES W
Gross
$12,639
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1721 | EVERA XT DR SSTEM MMEM [EVERAXTDRMMEM] | $99,626 | $99,626 | — | — | 0 |
| C1820 | IMPLANT PULSE GENERATOR [SC-1132] | $92,501 | $92,501 | — | — | 0 |
| C1722 | FORTIFYASSURA VR ICD [CD1357-40Q] | $71,251 | $71,251 | — | — | 0 |
| Q4116 | ALLODERM 16X20 THICK [1519320] | $69,763 | $69,763 | — | — | 0 |
| C1882 | CRTD DTMA1QQQ CLARIA MRI [DTMA1QQ] | $67,978 | $67,978 | — | — | 0 |
| C2621 | CRT VIVA [C6TR01] | $54,158 | $54,158 | — | — | 0 |
| C1776 | TOTAL HIP HYBRID | $43,401 | $43,401 | — | — | 0 |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS W | $42,877 | $42,877 | — | — | 3 |
| C1785 | AZURE XT DR MRI MEEM [AZUREXTDRMRIMEEM] | $42,500 | $42,500 | — | — | 0 |
| C1764 | REVEAL LINQ SYSTEM [C6TR01] | $36,016 | $36,016 | — | — | 0 |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $34,824 | $34,824 | — | — | 3 |
| C2619 | GENERATOR PMKR DEFIB [POM2210] | $32,586 | $32,586 | — | — | 0 |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND | $32,029 | $32,029 | — | — | 3 |
| C1786 | ADVISA SR MRI SYSTEM [ADVISASRMRIPEEM] | $31,641 | $31,641 | — | — | 0 |
| C2620 | PACEMAKER U PR | $30,066 | $30,066 | — | — | 0 |
| 169 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWE | $29,481 | $29,481 | — | — | 3 |
| Q4126 | DERMASPAN 2MM-3.5MM [48-2000612] | $27,329 | $27,329 | — | — | 0 |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKEL | $26,594 | $26,594 | — | — | 3 |
| C1895 | LEAD QUATTRO [693565] | $25,663 | $25,663 | — | — | 0 |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMI | $22,983 | $22,983 | — | — | 3 |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND | $21,655 | $21,655 | — | — | 3 |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $21,352 | $21,352 | — | — | 3 |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WIT | $21,092 | $21,092 | — | — | 3 |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURE | $20,367 | $20,367 | — | — | 3 |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $20,071 | $20,071 | — | — | 3 |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE | $19,457 | $19,457 | — | — | 3 |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCE | $17,795 | $17,795 | — | — | 3 |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PR | $17,689 | $17,689 | — | — | 3 |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH | $17,626 | $17,626 | — | — | 3 |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/ | $17,624 | $17,624 | — | — | 3 |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND META | $17,422 | $17,422 | — | — | 3 |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWE | $17,006 | $17,006 | — | — | 3 |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND | $17,005 | $17,005 | — | — | 3 |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $16,476 | $16,476 | — | — | 3 |
| 15777 | ACELLULAR DERMIS 6CMX16CM [2304] | $16,129 | $16,129 | — | — | 0 |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,097 | $16,097 | — | — | 3 |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WIT | $16,016 | $16,016 | — | — | 3 |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURE | $15,852 | $15,852 | — | — | 3 |
| 504 | FOOT PROCEDURES WITH CC | $15,829 | $15,829 | — | — | 3 |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $15,829 | $15,829 | — | — | 3 |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKEL | $15,658 | $15,658 | — | — | 3 |
| C1762 | ACHILLES TENDON [10017000] | $15,401 | $15,401 | — | — | 0 |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MC | $15,246 | $15,246 | — | — | 3 |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $14,816 | $14,816 | — | — | 3 |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PR | $14,501 | $14,501 | — | — | 3 |
| Q4107 | GRAFTJACKET 5X5CM [B40784-084] | $14,176 | $14,176 | — | — | 0 |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,809 | $13,809 | — | — | 3 |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROC | $13,463 | $13,463 | — | — | 3 |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOU | $12,981 | $12,981 | — | — | 3 |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES W | $12,639 | $12,639 | — | — | 3 |
Showing top 50 of 630 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.