45 CFR § 180 compliance
F · 50
This hospital published little 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
13,107
Insurances with rates
0
CPT / HCPCS codes
626
Source MRF
Most expensive procedures (gross)
790021
—
Ipg Pump Ans Pain Mgmt 01829
Gross
$174,211
791011
—
Proclaim Elite 1PG Pump #20587
Gross
$123,227
701399
—
Ipg Generator Pump #19053
Gross
$122,384
700912
—
IPG Restore Sensor 3 18092
Gross
$102,935
700274
—
Generator Neuro Rechg Bat Sys
Gross
$97,674
790017
—
Generator Neuro Rechg Bat Sys
Gross
$96,649
723419
—
Sychromed Pump # 8617-18
Gross
$94,301
789824
—
Pain Pump
Gross
$92,753
700986
—
Thoracic Endo Graft 18251
Gross
$90,365
370103
—
Optimizer Smart IPG #24470
Gross
$88,780
789939
—
Pain Pump Generator
Gross
$88,245
700148
—
Stim Restore
Gross
$88,201
791437
—
1 PG Kit #23016
Gross
$87,623
702159
—
Strattice Mesh 30 X 30 #20290
Gross
$83,456
789202
—
Graft # 16030
Gross
$77,287
789206
—
Ancure Graft
Gross
$77,287
789203
—
Generator ( Pain Management)
Gross
$76,916
789485
—
Ans Pain Pump 3608
Gross
$76,883
789146
—
Endograft
Gross
$73,591
789733
—
Infusion Pump, Progra 07418
Gross
$72,411
791719
—
Tag Thoracic Stent #23736
Gross
$71,015
702215
—
Protege MRI 1 Pg #20369
Gross
$68,190
791172
—
IPG Kit #21469
Gross
$67,582
370340
—
COBALTXTMRIQDMMQM #26850
Gross
$67,155
745535
—
Ipg Stimulator #19118
Gross
$64,536
700228
—
Endo Aaa Tag Device 09924
Gross
$62,421
792063
—
Inspire Generator #25563
Gross
$61,800
702099
—
Strattice Mesh #19684
Gross
$61,601
701354
—
Mesh Surgimend #18964
Gross
$61,507
791123
—
Proclaim Elite 1PG Pump
Gross
$60,442
700122
—
Endo Aaa Graft 09480
Gross
$59,707
370211
—
CRTD Cobalt XT MRI #25688
Gross
$58,526
700018
—
PM - 16 Channel Receiver
Gross
$57,505
789351
—
Receiver Kit 3416
Gross
$56,177
789352
—
Transmitter 3516
Gross
$56,177
370332
—
MOMENTUM X4 CRT-D IS4 #26748
Gross
$55,584
700016
—
PM- 16 Channel Transmitter
Gross
$55,042
700034
—
Powerlink System 09279
Gross
$54,659
370210
—
Emblem MRI S-ICD #25656
Gross
$54,170
902590
—
Srs, Linear Based
Gross
$54,116
700694
—
Interstim Ii Ipg 17284
Gross
$54,062
370222
—
CRTD Cobalt HF MRI #25866
Gross
$53,205
370324
—
Intica NEO 7HFT QP DF-1 #26614
Gross
$52,950
701216
—
Strattice Mesh #18578
Gross
$52,420
789494
—
Endograph - Gore
Gross
$51,630
789624
—
AAA Stent Graft Bifurcated
Gross
$50,768
789776
—
Graft Aaa Stent Bifurcated
Gross
$50,768
792299
—
TrueLok Elevate Kit #26846
Gross
$50,000
791068
—
Acetabular Component #20738
Gross
$48,735
370223
—
Dynagen CRT-D #25900
Gross
$48,438
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 790021 | Ipg Pump Ans Pain Mgmt 01829 | $174,211 | — | — | — | 0 |
| 791011 | Proclaim Elite 1PG Pump #20587 | $123,227 | — | — | — | 0 |
| 701399 | Ipg Generator Pump #19053 | $122,384 | — | — | — | 0 |
| 700912 | IPG Restore Sensor 3 18092 | $102,935 | — | — | — | 0 |
| 700274 | Generator Neuro Rechg Bat Sys | $97,674 | — | — | — | 0 |
| 790017 | Generator Neuro Rechg Bat Sys | $96,649 | — | — | — | 0 |
| 723419 | Sychromed Pump # 8617-18 | $94,301 | — | — | — | 0 |
| 789824 | Pain Pump | $92,753 | — | — | — | 0 |
| 700986 | Thoracic Endo Graft 18251 | $90,365 | — | — | — | 0 |
| 370103 | Optimizer Smart IPG #24470 | $88,780 | — | — | — | 0 |
| 789939 | Pain Pump Generator | $88,245 | — | — | — | 0 |
| 700148 | Stim Restore | $88,201 | — | — | — | 0 |
| 791437 | 1 PG Kit #23016 | $87,623 | — | — | — | 0 |
| 702159 | Strattice Mesh 30 X 30 #20290 | $83,456 | — | — | — | 0 |
| 789202 | Graft # 16030 | $77,287 | — | — | — | 0 |
| 789206 | Ancure Graft | $77,287 | — | — | — | 0 |
| 789203 | Generator ( Pain Management) | $76,916 | — | — | — | 0 |
| 789485 | Ans Pain Pump 3608 | $76,883 | — | — | — | 0 |
| 789146 | Endograft | $73,591 | — | — | — | 0 |
| 789733 | Infusion Pump, Progra 07418 | $72,411 | — | — | — | 0 |
| 791719 | Tag Thoracic Stent #23736 | $71,015 | — | — | — | 0 |
| 702215 | Protege MRI 1 Pg #20369 | $68,190 | — | — | — | 0 |
| 791172 | IPG Kit #21469 | $67,582 | — | — | — | 0 |
| 370340 | COBALTXTMRIQDMMQM #26850 | $67,155 | — | — | — | 0 |
| 745535 | Ipg Stimulator #19118 | $64,536 | — | — | — | 0 |
| 700228 | Endo Aaa Tag Device 09924 | $62,421 | — | — | — | 0 |
| 792063 | Inspire Generator #25563 | $61,800 | — | — | — | 0 |
| 702099 | Strattice Mesh #19684 | $61,601 | — | — | — | 0 |
| 701354 | Mesh Surgimend #18964 | $61,507 | — | — | — | 0 |
| 791123 | Proclaim Elite 1PG Pump | $60,442 | — | — | — | 0 |
| 700122 | Endo Aaa Graft 09480 | $59,707 | — | — | — | 0 |
| 370211 | CRTD Cobalt XT MRI #25688 | $58,526 | — | — | — | 0 |
| 700018 | PM - 16 Channel Receiver | $57,505 | — | — | — | 0 |
| 789351 | Receiver Kit 3416 | $56,177 | — | — | — | 0 |
| 789352 | Transmitter 3516 | $56,177 | — | — | — | 0 |
| 370332 | MOMENTUM X4 CRT-D IS4 #26748 | $55,584 | — | — | — | 0 |
| 700016 | PM- 16 Channel Transmitter | $55,042 | — | — | — | 0 |
| 700034 | Powerlink System 09279 | $54,659 | — | — | — | 0 |
| 370210 | Emblem MRI S-ICD #25656 | $54,170 | — | — | — | 0 |
| 902590 | Srs, Linear Based | $54,116 | — | — | — | 0 |
| 700694 | Interstim Ii Ipg 17284 | $54,062 | — | — | — | 0 |
| 370222 | CRTD Cobalt HF MRI #25866 | $53,205 | — | — | — | 0 |
| 370324 | Intica NEO 7HFT QP DF-1 #26614 | $52,950 | — | — | — | 0 |
| 701216 | Strattice Mesh #18578 | $52,420 | — | — | — | 0 |
| 789494 | Endograph - Gore | $51,630 | — | — | — | 0 |
| 789624 | AAA Stent Graft Bifurcated | $50,768 | — | — | — | 0 |
| 789776 | Graft Aaa Stent Bifurcated | $50,768 | — | — | — | 0 |
| 792299 | TrueLok Elevate Kit #26846 | $50,000 | — | — | — | 0 |
| 791068 | Acetabular Component #20738 | $48,735 | — | — | — | 0 |
| 370223 | Dynagen CRT-D #25900 | $48,438 | — | — | — | 0 |
Showing top 50 of 13,107 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.