45 CFR § 180 compliance
B · 85
This hospital published most 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
17,118
Insurances with rates
29
CPT / HCPCS codes
2,650
Source MRF
Most expensive procedures (gross)
62103225
$32,300
BOSTON SCIENTIFIC PRECISION MONTAGE GENERATOR IMPLANT AND CHARGING SYSTEM
Gross
$32,300
62103225
$32,300
BOSTON SCIENTIFIC PRECISION MONTAGE GENERATOR IMPLANT AND CHARGING SYSTEM
Gross
$32,300
7071076
$31,810
LUPRON DEPOT 45 MG INJ.
Gross
$31,810
7071076
$31,810
LUPRON DEPOT 45 MG INJ.
Gross
$31,810
7071239
$30,120
ACTIVASE ALTEPLASE 100 MG
Gross
$30,120
7071239
$30,120
ACTIVASE ALTEPLASE 100 MG
Gross
$30,120
62103686
$19,778
AXONICS NEUROSTIMULATOR F15 4101
Gross
$19,778
62103686
$19,778
AXONICS NEUROSTIMULATOR F15 4101
Gross
$19,778
702070
$18,946
SAMARIUM 153 LEXIDRONM
Gross
$18,946
702070
$18,946
SAMARIUM 153 LEXIDRONM
Gross
$18,946
6210720
$18,863
INTERSTIM X NEUROSTIMULATOR
Gross
$18,863
6210720
$18,863
INTERSTIM X NEUROSTIMULATOR
Gross
$18,863
62103486
$18,700
ARTHREX CARTIFORM ALLOGRAFT 20 X 25MM DISC
Gross
$18,700
62103486
$18,700
ARTHREX CARTIFORM ALLOGRAFT 20 X 25MM DISC
Gross
$18,700
62103410
$18,248
AXONICS NEUROSTIMULATOR #1101
Gross
$18,248
62103410
$18,248
AXONICS NEUROSTIMULATOR #1101
Gross
$18,248
62103463
$18,190
FLOWONIX PROMETRA II PROGRAMMABLE PUMP
Gross
$18,190
62103463
$18,190
FLOWONIX PROMETRA II PROGRAMMABLE PUMP
Gross
$18,190
62102827
$16,958
MEDTRONIC ENDURANT II BIFURCATED STENT
Gross
$16,958
62102827
$16,958
MEDTRONIC ENDURANT II BIFURCATED STENT
Gross
$16,958
62103547
$16,957
MEDTRONIC ENDURANT II AORTO-UNI-LLIAC STENT
Gross
$16,957
62103547
$16,957
MEDTRONIC ENDURANT II AORTO-UNI-LLIAC STENT
Gross
$16,957
62102835
$16,840
AMS AMBICOR IMPLANT 16CM X 12.5MM
Gross
$16,840
62102835
$16,840
AMS AMBICOR IMPLANT 16CM X 12.5MM
Gross
$16,840
702022
$15,628
SRS LINEAR BASED 1 SESSION
Gross
$15,628
702022
$15,628
SRS LINEAR BASED 1 SESSION
Gross
$15,628
7070368
$15,418
NEULASTA (PEGFILGRASTIM) 6MG/0.6ML INJ
Gross
$15,418
7070368
$15,418
NEULASTA (PEGFILGRASTIM) 6MG/0.6ML INJ
Gross
$15,418
62103107
$14,450
INTERSPINOUS PROCESS DISTRACTION DEVICE/VERTIFLEX SUPERION
Gross
$14,450
62103487
$14,450
ARTHREX CARTIFORM ALLOGRAFT 20MM DISC
Gross
$14,450
62103107
$14,450
INTERSPINOUS PROCESS DISTRACTION DEVICE/VERTIFLEX SUPERION
Gross
$14,450
62103487
$14,450
ARTHREX CARTIFORM ALLOGRAFT 20MM DISC
Gross
$14,450
62103013
$11,815
COFLEX INTERLAMINAR IMPLANT
Gross
$11,815
62103013
$11,815
COFLEX INTERLAMINAR IMPLANT
Gross
$11,815
702019
$11,721
DESIGN MLC DEVICE FOR IMRT
Gross
$11,721
702019
$11,721
DESIGN MLC DEVICE FOR IMRT
Gross
$11,721
25163
$10,442
DIGIBIND 40MG/VIAL INJ.
Gross
$10,442
25163
$10,442
DIGIBIND 40MG/VIAL INJ.
Gross
$10,442
6210940
$10,270
V GRAFT BARD DISTAFLO 7 X 80
Gross
$10,270
6210940
$10,270
V GRAFT BARD DISTAFLO 7 X 80
Gross
$10,270
702023
$10,158
SBRT DELIVERY PER FRACTION
Gross
$10,158
702023
$10,158
SBRT DELIVERY PER FRACTION
Gross
$10,158
708161
$9,870
PERC IMPLANT NEUROSTIMULATOR ELECTRODE ARRAY: EPIDURAL
Gross
$9,870
708161
$9,870
PERC IMPLANT NEUROSTIMULATOR ELECTRODE ARRAY: EPIDURAL
Gross
$9,870
7081102
$9,696
PERIPHERAL NERVE STIMULATOR TRIAL
Gross
$9,696
7081102
$9,696
PERIPHERAL NERVE STIMULATOR TRIAL
Gross
$9,696
623049
$9,651
REPAIR TENDON OR MUSCLE UPPER ARM OR ELBOW
Gross
$9,651
623049
$9,651
REPAIR TENDON OR MUSCLE UPPER ARM OR ELBOW
Gross
$9,651
62102705
$9,500
STENT GORE VIABAN 8 X 15
Gross
$9,500
62102705
$9,500
STENT GORE VIABAN 8 X 15
Gross
$9,500
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 62103225 | BOSTON SCIENTIFIC PRECISION MONTAGE GENERATOR IMPLANT AND CHARGING SYSTEM | $32,300 | $32,300 | — | — | 26 |
| 62103225 | BOSTON SCIENTIFIC PRECISION MONTAGE GENERATOR IMPLANT AND CHARGING SYSTEM | $32,300 | $32,300 | — | — | 26 |
| 7071076 | LUPRON DEPOT 45 MG INJ. | $31,810 | $31,810 | — | — | 24 |
| 7071076 | LUPRON DEPOT 45 MG INJ. | $31,810 | $31,810 | — | — | 37 |
| 7071239 | ACTIVASE ALTEPLASE 100 MG | $30,120 | $30,120 | — | — | 24 |
| 7071239 | ACTIVASE ALTEPLASE 100 MG | $30,120 | $30,120 | — | — | 37 |
| 62103686 | AXONICS NEUROSTIMULATOR F15 4101 | $19,778 | $19,778 | — | — | 26 |
| 62103686 | AXONICS NEUROSTIMULATOR F15 4101 | $19,778 | $19,778 | — | — | 26 |
| 702070 | SAMARIUM 153 LEXIDRONM | $18,946 | $18,946 | — | — | 24 |
| 702070 | SAMARIUM 153 LEXIDRONM | $18,946 | $18,946 | — | — | 37 |
| 6210720 | INTERSTIM X NEUROSTIMULATOR | $18,863 | $18,863 | — | — | 26 |
| 6210720 | INTERSTIM X NEUROSTIMULATOR | $18,863 | $18,863 | — | — | 26 |
| 62103486 | ARTHREX CARTIFORM ALLOGRAFT 20 X 25MM DISC | $18,700 | $18,700 | — | — | 26 |
| 62103486 | ARTHREX CARTIFORM ALLOGRAFT 20 X 25MM DISC | $18,700 | $18,700 | — | — | 26 |
| 62103410 | AXONICS NEUROSTIMULATOR #1101 | $18,248 | $18,248 | — | — | 26 |
| 62103410 | AXONICS NEUROSTIMULATOR #1101 | $18,248 | $18,248 | — | — | 26 |
| 62103463 | FLOWONIX PROMETRA II PROGRAMMABLE PUMP | $18,190 | $18,190 | — | — | 26 |
| 62103463 | FLOWONIX PROMETRA II PROGRAMMABLE PUMP | $18,190 | $18,190 | — | — | 26 |
| 62102827 | MEDTRONIC ENDURANT II BIFURCATED STENT | $16,958 | $16,958 | — | — | 24 |
| 62102827 | MEDTRONIC ENDURANT II BIFURCATED STENT | $16,958 | $16,958 | — | — | 26 |
| 62103547 | MEDTRONIC ENDURANT II AORTO-UNI-LLIAC STENT | $16,957 | $16,957 | — | — | 24 |
| 62103547 | MEDTRONIC ENDURANT II AORTO-UNI-LLIAC STENT | $16,957 | $16,957 | — | — | 26 |
| 62102835 | AMS AMBICOR IMPLANT 16CM X 12.5MM | $16,840 | $16,840 | — | — | 26 |
| 62102835 | AMS AMBICOR IMPLANT 16CM X 12.5MM | $16,840 | $16,840 | — | — | 26 |
| 702022 | SRS LINEAR BASED 1 SESSION | $15,628 | $15,628 | — | — | 24 |
| 702022 | SRS LINEAR BASED 1 SESSION | $15,628 | $15,628 | — | — | 37 |
| 7070368 | NEULASTA (PEGFILGRASTIM) 6MG/0.6ML INJ | $15,418 | $15,418 | — | — | 24 |
| 7070368 | NEULASTA (PEGFILGRASTIM) 6MG/0.6ML INJ | $15,418 | $15,418 | — | — | 37 |
| 62103107 | INTERSPINOUS PROCESS DISTRACTION DEVICE/VERTIFLEX SUPERION | $14,450 | $14,450 | — | — | 26 |
| 62103487 | ARTHREX CARTIFORM ALLOGRAFT 20MM DISC | $14,450 | $14,450 | — | — | 26 |
| 62103107 | INTERSPINOUS PROCESS DISTRACTION DEVICE/VERTIFLEX SUPERION | $14,450 | $14,450 | — | — | 26 |
| 62103487 | ARTHREX CARTIFORM ALLOGRAFT 20MM DISC | $14,450 | $14,450 | — | — | 26 |
| 62103013 | COFLEX INTERLAMINAR IMPLANT | $11,815 | $11,815 | — | — | 26 |
| 62103013 | COFLEX INTERLAMINAR IMPLANT | $11,815 | $11,815 | — | — | 26 |
| 702019 | DESIGN MLC DEVICE FOR IMRT | $11,721 | $11,721 | — | — | 24 |
| 702019 | DESIGN MLC DEVICE FOR IMRT | $11,721 | $11,721 | — | — | 37 |
| 25163 | DIGIBIND 40MG/VIAL INJ. | $10,442 | $10,442 | — | — | 24 |
| 25163 | DIGIBIND 40MG/VIAL INJ. | $10,442 | $10,442 | — | — | 37 |
| 6210940 | V GRAFT BARD DISTAFLO 7 X 80 | $10,270 | $10,270 | — | — | 26 |
| 6210940 | V GRAFT BARD DISTAFLO 7 X 80 | $10,270 | $10,270 | — | — | 26 |
| 702023 | SBRT DELIVERY PER FRACTION | $10,158 | $10,158 | — | — | 24 |
| 702023 | SBRT DELIVERY PER FRACTION | $10,158 | $10,158 | — | — | 37 |
| 708161 | PERC IMPLANT NEUROSTIMULATOR ELECTRODE ARRAY: EPIDURAL | $9,870 | $9,870 | — | — | 24 |
| 708161 | PERC IMPLANT NEUROSTIMULATOR ELECTRODE ARRAY: EPIDURAL | $9,870 | $9,870 | — | — | 37 |
| 7081102 | PERIPHERAL NERVE STIMULATOR TRIAL | $9,696 | $9,696 | — | — | 24 |
| 7081102 | PERIPHERAL NERVE STIMULATOR TRIAL | $9,696 | $9,696 | — | — | 37 |
| 623049 | REPAIR TENDON OR MUSCLE UPPER ARM OR ELBOW | $9,651 | $9,651 | — | — | 24 |
| 623049 | REPAIR TENDON OR MUSCLE UPPER ARM OR ELBOW | $9,651 | $9,651 | — | — | 37 |
| 62102705 | STENT GORE VIABAN 8 X 15 | $9,500 | $9,500 | — | — | 26 |
| 62102705 | STENT GORE VIABAN 8 X 15 | $9,500 | $9,500 | — | — | 26 |
Showing top 50 of 17,118 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.