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
1,303
Insurances with rates
0
CPT / HCPCS codes
1,295
Source MRF
Most expensive procedures (gross)
63685
$104,380
INSERATION OR REPLACEMENT OF SPINAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER
Gross
$173,966
27279
$45,600
ARTHRODESIS, SACROILIAC JOINT, PERCUTANEOUS OR MINIMALLY INVASIVE, WITH IMAGE GUIDANCE INCLUDED OBTA
Gross
$76,000
C1767
$43,200
GENERATOR, NEUROSTIMULATOR NON-RECHARGABLE
Gross
$72,000
C1820
$43,200
GENERATOR, NEUROSTIMULATOR WITH RECHARGABLE BATTERY AND CHARGING SYSTEM
Gross
$72,000
C1889
$41,895
IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED
Gross
$69,825
62362
$40,781
IMPLANTATION OR REPLACEMENT OF DEVICE FOR INTRATHECAL OR EPIDURAL DRUG PROGRAMMING
Gross
$67,968
C1713
$34,350
ANCHOR/SCREW FOR OPPOSING BONE-TO BONE OR SOFT TISSUE-TO-BONE
Gross
$57,250
27278
$26,634
ARTHRODESIS, SACROILIAC JOINT, PERCUTANEOUS WITH IMAGES GUIDANCE, INCLUDING PLACEMENT OF INTRA-ARTIC
Gross
$44,390
63663
$18,900
REVISION INCLUDING REPLACEMENT, WHEN PERFORMED OF SPINAL
Gross
$31,500
C1772
$18,000
INFUSION PUMP, PROGRAMMABLE (IMPLANTABLE)
Gross
$30,000
27096
$13,209
INJECTION PROCEDURE FOR SACROILIAC JOINT
Gross
$22,016
0275T
$12,859
PERCUTANEOUS LAMINOTOMY/LAMINECTOMY(INTERLAMINAR APPROACH) FOR DECOMPRESSION OF NEURAL ELEMENTS, (WI
Gross
$21,431
64490
$11,858
INJECTIONS, DIAGNOSTIC OR THEREAPEUTIC AGENT, PARAVERTEBRAL FACET JOINT
Gross
$19,764
23550
$11,400
OPEN TX ACRMCLVCLR DISLC ACUTE/CHRONIC
Gross
$19,000
J0840
$10,800
INJECTION, CROTALIDAE POLYVALENT IMMUNE FAB
Gross
$18,000
63688
$10,302
REVISION OR REMOVAL OF IMPLANTED SPINAL NEUROSTIMULATOR
Gross
$17,170
90377
$9,961
RABIES IMMUNE GLOBULIN ADULT
Gross
$16,601
63650
$9,774
PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY
Gross
$16,290
27299
$9,657
UNLISTED PROCEDURE, PELVIS OR HIP JOINT
Gross
$16,095
21501
$9,445
INCISION AND DRAINAGE OF A DEEP ABSCESS OR HEMATOMA IN THE SOFT TISSUE OF THE NECK OR THORAX.
Gross
$15,741
49402
$8,470
REMOVAL OF PERITONEAL FOREIGN BODY FROM PERITONEAL CAVITY
Gross
$14,116
28001
$7,777
INCISION AND DRAINAGE, BURSA, FOOT
Gross
$12,962
19020
$7,777
MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP
Gross
$12,962
28192
$7,384
REMOVAL FOREIGN BODY FOOT DEEP
Gross
$12,306
24105
$7,200
EXCISION OLECRANON BURSA
Gross
$12,000
J0716
$7,200
ANASCORP (SCORPION ANTIVENOM) VIAL INJ
Gross
$12,000
63662
$7,200
REMOVAL SPINAL NEUROSTIMULATOR ELECTRODE PLATES OR PADDLES
Gross
$12,000
27372
$7,034
REMOVAL FOREIGN BODY DEEP THIGH/KNEE
Gross
$11,723
27301
$6,869
INCISION AND DRAINAGE, DEEP ABCESS, BURSA, OR HEMATOMA
Gross
$11,448
27603
$6,869
INCISION AND DRAINAGE, LEG OR ANKLE, DEEP ABCESS OR HEMATIMA
Gross
$11,448
22900
$6,869
EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL
Gross
$11,448
26746
$6,732
OPEN TX ARTICULAR FRACTURE MCP/IP JOINT
Gross
$11,220
31541
$6,555
LRGSC EXC TUM/STR CRDS/EPIG MCRSCP/TLSCP
Gross
$10,925
15850
$6,387
REMOVAL SUTURES UNDER ANES SAME SURGEON
Gross
$10,645
10140
$6,318
INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION
Gross
$10,530
24999
$6,000
UPPER ARM/ELBOW SURGERY
Gross
$10,000
26236
$6,000
PARTIAL REMOVAL FINGER BONE
Gross
$10,000
51102
$5,851
ASPIRATION OF BLADDER WITH INSERTION OF SUPRAPUBIC CATHETER
Gross
$9,752
25028
$5,840
INCISION AND DRAINAGE, FOREARM AND/OR WRIST; DEEP ABCESS OR HEMATOMA
Gross
$9,734
28003
$5,840
INCISION AND DRAINAGE BELOW FASCIA, WITH OR WITHOUT TENDON SHEATH
Gross
$9,734
30310
$5,838
REMOVAL FOREIGN BODY, INTRANASAL: REQUIRING GENERAL ANESTHESIA
Gross
$9,729
99291
$5,760
CRITICAL CARE ILL/INJ PT INIT 30-74 MIN
Gross
$9,600
74170
$5,358
CT ABDOMEN WO&W CON
Gross
$8,930
71270
$5,307
CT CHEST WO&W CON
Gross
$8,845
36558
$5,006
INSJ TUNNEL CVC W/O SUBQ PORT/PMP 5 YR/>
Gross
$8,343
71250
$4,899
CT CHEST WO CON
Gross
$8,165
73700
$4,802
CT LOW EXT WO CON BIL
Gross
$8,004
73701
$4,802
CT LOW EXT W CON BIL
Gross
$8,004
73718
$4,688
MRI LOWER EXT OTH/THN JT W/O CONTR MATRL
Gross
$7,814
32557
$4,560
PLEURAL DRAINAGE , PERCUTANEOUS, WITH INSERTION OF INDWELLING CATH
Gross
$7,600
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 63685 | INSERATION OR REPLACEMENT OF SPINAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER | $173,966 | $104,380 | — | — | 0 |
| 27279 | ARTHRODESIS, SACROILIAC JOINT, PERCUTANEOUS OR MINIMALLY INVASIVE, WITH IMAGE GUIDANCE INCLUDED OBTA | $76,000 | $45,600 | — | — | 0 |
| C1767 | GENERATOR, NEUROSTIMULATOR NON-RECHARGABLE | $72,000 | $43,200 | — | — | 0 |
| C1820 | GENERATOR, NEUROSTIMULATOR WITH RECHARGABLE BATTERY AND CHARGING SYSTEM | $72,000 | $43,200 | — | — | 0 |
| C1889 | IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED | $69,825 | $41,895 | — | — | 0 |
| 62362 | IMPLANTATION OR REPLACEMENT OF DEVICE FOR INTRATHECAL OR EPIDURAL DRUG PROGRAMMING | $67,968 | $40,781 | — | — | 0 |
| C1713 | ANCHOR/SCREW FOR OPPOSING BONE-TO BONE OR SOFT TISSUE-TO-BONE | $57,250 | $34,350 | — | — | 0 |
| 27278 | ARTHRODESIS, SACROILIAC JOINT, PERCUTANEOUS WITH IMAGES GUIDANCE, INCLUDING PLACEMENT OF INTRA-ARTIC | $44,390 | $26,634 | — | — | 0 |
| 63663 | REVISION INCLUDING REPLACEMENT, WHEN PERFORMED OF SPINAL | $31,500 | $18,900 | — | — | 0 |
| C1772 | INFUSION PUMP, PROGRAMMABLE (IMPLANTABLE) | $30,000 | $18,000 | — | — | 0 |
| 27096 | INJECTION PROCEDURE FOR SACROILIAC JOINT | $22,016 | $13,209 | — | — | 0 |
| 0275T | PERCUTANEOUS LAMINOTOMY/LAMINECTOMY(INTERLAMINAR APPROACH) FOR DECOMPRESSION OF NEURAL ELEMENTS, (WI | $21,431 | $12,859 | — | — | 0 |
| 64490 | INJECTIONS, DIAGNOSTIC OR THEREAPEUTIC AGENT, PARAVERTEBRAL FACET JOINT | $19,764 | $11,858 | — | — | 0 |
| 23550 | OPEN TX ACRMCLVCLR DISLC ACUTE/CHRONIC | $19,000 | $11,400 | — | — | 0 |
| J0840 | INJECTION, CROTALIDAE POLYVALENT IMMUNE FAB | $18,000 | $10,800 | — | — | 0 |
| 63688 | REVISION OR REMOVAL OF IMPLANTED SPINAL NEUROSTIMULATOR | $17,170 | $10,302 | — | — | 0 |
| 90377 | RABIES IMMUNE GLOBULIN ADULT | $16,601 | $9,961 | — | — | 0 |
| 63650 | PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY | $16,290 | $9,774 | — | — | 0 |
| 27299 | UNLISTED PROCEDURE, PELVIS OR HIP JOINT | $16,095 | $9,657 | — | — | 0 |
| 21501 | INCISION AND DRAINAGE OF A DEEP ABSCESS OR HEMATOMA IN THE SOFT TISSUE OF THE NECK OR THORAX. | $15,741 | $9,445 | — | — | 0 |
| 49402 | REMOVAL OF PERITONEAL FOREIGN BODY FROM PERITONEAL CAVITY | $14,116 | $8,470 | — | — | 0 |
| 28001 | INCISION AND DRAINAGE, BURSA, FOOT | $12,962 | $7,777 | — | — | 0 |
| 19020 | MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP | $12,962 | $7,777 | — | — | 0 |
| 28192 | REMOVAL FOREIGN BODY FOOT DEEP | $12,306 | $7,384 | — | — | 0 |
| 24105 | EXCISION OLECRANON BURSA | $12,000 | $7,200 | — | — | 0 |
| J0716 | ANASCORP (SCORPION ANTIVENOM) VIAL INJ | $12,000 | $7,200 | — | — | 0 |
| 63662 | REMOVAL SPINAL NEUROSTIMULATOR ELECTRODE PLATES OR PADDLES | $12,000 | $7,200 | — | — | 0 |
| 27372 | REMOVAL FOREIGN BODY DEEP THIGH/KNEE | $11,723 | $7,034 | — | — | 0 |
| 27301 | INCISION AND DRAINAGE, DEEP ABCESS, BURSA, OR HEMATOMA | $11,448 | $6,869 | — | — | 0 |
| 27603 | INCISION AND DRAINAGE, LEG OR ANKLE, DEEP ABCESS OR HEMATIMA | $11,448 | $6,869 | — | — | 0 |
| 22900 | EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL | $11,448 | $6,869 | — | — | 0 |
| 26746 | OPEN TX ARTICULAR FRACTURE MCP/IP JOINT | $11,220 | $6,732 | — | — | 0 |
| 31541 | LRGSC EXC TUM/STR CRDS/EPIG MCRSCP/TLSCP | $10,925 | $6,555 | — | — | 0 |
| 15850 | REMOVAL SUTURES UNDER ANES SAME SURGEON | $10,645 | $6,387 | — | — | 0 |
| 10140 | INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION | $10,530 | $6,318 | — | — | 0 |
| 24999 | UPPER ARM/ELBOW SURGERY | $10,000 | $6,000 | — | — | 0 |
| 26236 | PARTIAL REMOVAL FINGER BONE | $10,000 | $6,000 | — | — | 0 |
| 51102 | ASPIRATION OF BLADDER WITH INSERTION OF SUPRAPUBIC CATHETER | $9,752 | $5,851 | — | — | 0 |
| 25028 | INCISION AND DRAINAGE, FOREARM AND/OR WRIST; DEEP ABCESS OR HEMATOMA | $9,734 | $5,840 | — | — | 0 |
| 28003 | INCISION AND DRAINAGE BELOW FASCIA, WITH OR WITHOUT TENDON SHEATH | $9,734 | $5,840 | — | — | 0 |
| 30310 | REMOVAL FOREIGN BODY, INTRANASAL: REQUIRING GENERAL ANESTHESIA | $9,729 | $5,838 | — | — | 0 |
| 99291 | CRITICAL CARE ILL/INJ PT INIT 30-74 MIN | $9,600 | $5,760 | — | — | 0 |
| 74170 | CT ABDOMEN WO&W CON | $8,930 | $5,358 | — | — | 0 |
| 71270 | CT CHEST WO&W CON | $8,845 | $5,307 | — | — | 0 |
| 36558 | INSJ TUNNEL CVC W/O SUBQ PORT/PMP 5 YR/> | $8,343 | $5,006 | — | — | 0 |
| 71250 | CT CHEST WO CON | $8,165 | $4,899 | — | — | 0 |
| 73700 | CT LOW EXT WO CON BIL | $8,004 | $4,802 | — | — | 0 |
| 73701 | CT LOW EXT W CON BIL | $8,004 | $4,802 | — | — | 0 |
| 73718 | MRI LOWER EXT OTH/THN JT W/O CONTR MATRL | $7,814 | $4,688 | — | — | 0 |
| 32557 | PLEURAL DRAINAGE , PERCUTANEOUS, WITH INSERTION OF INDWELLING CATH | $7,600 | $4,560 | — | — | 0 |
Showing top 50 of 1,303 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.