45 CFR § 180 compliance
C · 70
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
1,254
Insurances with rates
22
CPT / HCPCS codes
671
Source MRF
Most expensive procedures (gross)
C1767
$64,197
GENERATOR PULSE SENTIVA PROGRAMMABLE EPILEPSY
Gross
$80,246
C1822
$39,792
KIT NEUROMUSCULAR SENZA IPG IPG3000 STERILE LATEX FREE DISPOSABLE
Gross
$49,740
C1772
$32,115
PUMP INFUSION SYNCHROMED III 40ML
Gross
$40,144
C1776
$20,904
COMPONENT FEMORAL 7 STANDARD KNEE CONDYLAR CEMENT CONSTRAIN PERSONA COCR STERILE LATEX
Gross
$26,130
C1762
$20,585
GRAFT NERVE 50MM 4-5MM AVANCE NERVE ALLOGRAFT NATURAL CONNECTION
Gross
$25,732
Q4104
$18,763
MATRIX WOUND 10CMX12.5CM INTEGRA 125 CM2 BILAYER STERILE DISPOSABLE
Gross
$23,453
C1778
$17,480
LEAD NEUROSTIMULATOR 50X8X2CM PRECISION ARTISAN PLATNALOCK PADDLE LIM SPINAL CORD
Gross
$21,850
77301
$16,511
High Precision Radiation Therapy Planning
Gross
$20,639
105000020
$15,436
Operative Session Level 6 Initial 30 Minutes
Gross
$19,295
105000016
$12,582
Operative Session Level 5 Initial 30 Minutes
Gross
$15,727
Q4166
$12,294
MATRIX TISSUE 15X10CM CYTAL PORCINE BLADDER 3 LAYER WOUND
Gross
$15,368
278
$12,276
IMPLANT BIOLOGICAL TISSUE 70X50MM TAPESTRY BIOINTEGRATIVE INSERTION SLEEVE STERILE LATEX
Gross
$15,345
Q4125
$11,720
GRAFT SOFT TISSUE 70X40X2MM DERMIS DECELLULARIZED LATEX FREE
Gross
$14,651
C1763
$11,361
PROTECTOR NERVE 40MM 10MM AXOGUARD EXTRACELLULAR MATRIX MULTILAMINAR STERILE
Gross
$14,201
22514
$10,656
Treatment of Broken Lower Spine Bone With Placement of Stabilizing Device
Gross
$13,320
105000012
$10,230
Operative Session Level 4 Initial 30 Minutes
Gross
$12,787
C1820
$9,443
KIT NEUROSTIMULATOR PRECISION SPECTRA CHARGE
Gross
$11,804
Q4118
$8,513
MATRIX WOUND MICROMATRIX UBM PARTICULATE POWDER 1000MG STERILE
Gross
$10,642
105000008
$8,513
Operative Session Level 3 Initial 30 Minutes
Gross
$10,641
C1889
$8,457
GRAFT BONE FLEXIGRAFT GRAFTLINK ALLOGRAFT FROZEN PRESUTURE 60-80MM 7.5-10.5MM STERILE
Gross
$10,571
105000022
$8,184
Operative Session Level 6 Each Additional 30 Minutes
Gross
$10,230
105000018
$8,136
Operative Session Level 5 Each Additional 30 Minutes
Gross
$10,170
C9353
$7,883
PROTECTOR NERVE 3MM AXOGUARD NERVE CAP SIS MATRIX END TAB BIFURCATION
Gross
$9,853
77338
$7,554
Design/Construct Radiation Treatment Device for High Precision Therapy
Gross
$9,443
105000004
$7,296
Operative Session Level 2 Initial 30 Minutes
Gross
$9,120
A9570
$6,836
Indium in-111 Labeled Autologous White Blood Cells
Gross
$8,545
272
$6,735
KIT REPAIR 4 BUTTON DRILL PIN INSERTER LARGE EYELET NEEDLE SHOULDER PECTORALIS
Gross
$8,419
105000014
$6,573
Operative Session Level 4 Each Additional 30 Minutes
Gross
$8,216
105000000
$6,370
Operative Session Level 1 Initial 30 Minutes
Gross
$7,962
C1787
$6,330
RECHARGER NEUROSTIMULATOR PRGM RTM PAPR LIT STERILE LATEX FREE DISPOSABLE
Gross
$7,913
23405
$5,726
Incision of Shoulder Tendon
Gross
$7,157
C1781
$5,633
ENVELOPE ABSORBABLE LARGE 3.35X3IN POLYARYLATE MINOCYCLINE RIFAMPIN TYRX NEURO STERILE
Gross
$7,041
105000010
$5,426
Operative Session Level 3 Each Additional 30 Minutes
Gross
$6,783
Q4107
$5,064
MATRIX TISSUE 4X2CM GRAFTJACKET NOW THK.4-1MM THIN ACELLULAR DERMAL ALLOGRAFT REGENERATIVE
Gross
$6,330
36561
$4,738
Insertion of Central Venous Tube With Port (5 Years or Older)
Gross
$5,922
100100008
$4,722
Pediatric Semi Private Room and Board Standard
Gross
$5,902
J0475
$4,613
BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SYRINGE
Gross
$5,766
77307
$4,605
Complex Radiation Therapy Planning for Delivery of External Radiation
Gross
$5,756
Q4100
$4,460
MATRIX WOUND 10X10CM POLYURETHANE FOAM NOVOSORB BTM SEAL MEMBRANE ADHESIVE STERILE
Gross
$5,575
77373
$4,365
Stereotactic Body Radiation Treatment
Gross
$5,456
C1713
$4,303
SCREW BONE 7MM 50MM TITANIUM SPINE CORTICAL FIX ANGLE 5.5MM ROD
Gross
$5,379
105000006
$4,094
Operative Session Level 2 Each Additional 30 Minutes
Gross
$5,118
93306
$3,666
Ultrasound of Heart With Blood Flow, Rate, Direction and Valve Function
Gross
$4,583
105000002
$3,634
Operative Session Level 1 Each Additional 30 Minutes
Gross
$4,543
100100004
$3,579
Telemetry Room and Board
Gross
$4,474
J0630
$3,341
CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION
Gross
$4,176
27265
$3,322
Closed Treatment of Dislocated Hip Prosthesis
Gross
$4,152
P9037
$3,188
Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit
Gross
$3,985
49440
$3,049
Insertion of Stomach Tube Using Fluoroscopic Guidance With Contrast
Gross
$3,811
77386
$2,985
Delivery of Complex High Precision Radiation Treatment
Gross
$3,731
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| C1767 | GENERATOR PULSE SENTIVA PROGRAMMABLE EPILEPSY | $80,246 | $64,197 | — | — | 32 |
| C1822 | KIT NEUROMUSCULAR SENZA IPG IPG3000 STERILE LATEX FREE DISPOSABLE | $49,740 | $39,792 | — | — | 32 |
| C1772 | PUMP INFUSION SYNCHROMED III 40ML | $40,144 | $32,115 | — | — | 32 |
| C1776 | COMPONENT FEMORAL 7 STANDARD KNEE CONDYLAR CEMENT CONSTRAIN PERSONA COCR STERILE LATEX | $26,130 | $20,904 | — | — | 64 |
| C1762 | GRAFT NERVE 50MM 4-5MM AVANCE NERVE ALLOGRAFT NATURAL CONNECTION | $25,732 | $20,585 | — | — | 32 |
| Q4104 | MATRIX WOUND 10CMX12.5CM INTEGRA 125 CM2 BILAYER STERILE DISPOSABLE | $23,453 | $18,763 | — | — | 27 |
| C1778 | LEAD NEUROSTIMULATOR 50X8X2CM PRECISION ARTISAN PLATNALOCK PADDLE LIM SPINAL CORD | $21,850 | $17,480 | — | — | 32 |
| 77301 | High Precision Radiation Therapy Planning | $20,639 | $16,511 | — | — | 52 |
| 105000020 | Operative Session Level 6 Initial 30 Minutes | $19,295 | $15,436 | — | — | 24 |
| 105000016 | Operative Session Level 5 Initial 30 Minutes | $15,727 | $12,582 | — | — | 24 |
| Q4166 | MATRIX TISSUE 15X10CM CYTAL PORCINE BLADDER 3 LAYER WOUND | $15,368 | $12,294 | — | — | 27 |
| 278 | IMPLANT BIOLOGICAL TISSUE 70X50MM TAPESTRY BIOINTEGRATIVE INSERTION SLEEVE STERILE LATEX | $15,345 | $12,276 | — | — | 31 |
| Q4125 | GRAFT SOFT TISSUE 70X40X2MM DERMIS DECELLULARIZED LATEX FREE | $14,651 | $11,720 | — | — | 23 |
| C1763 | PROTECTOR NERVE 40MM 10MM AXOGUARD EXTRACELLULAR MATRIX MULTILAMINAR STERILE | $14,201 | $11,361 | — | — | 32 |
| 22514 | Treatment of Broken Lower Spine Bone With Placement of Stabilizing Device | $13,320 | $10,656 | — | — | 47 |
| 105000012 | Operative Session Level 4 Initial 30 Minutes | $12,787 | $10,230 | — | — | 24 |
| C1820 | KIT NEUROSTIMULATOR PRECISION SPECTRA CHARGE | $11,804 | $9,443 | — | — | 32 |
| Q4118 | MATRIX WOUND MICROMATRIX UBM PARTICULATE POWDER 1000MG STERILE | $10,642 | $8,513 | — | — | 27 |
| 105000008 | Operative Session Level 3 Initial 30 Minutes | $10,641 | $8,513 | — | — | 24 |
| C1889 | GRAFT BONE FLEXIGRAFT GRAFTLINK ALLOGRAFT FROZEN PRESUTURE 60-80MM 7.5-10.5MM STERILE | $10,571 | $8,457 | — | — | 32 |
| 105000022 | Operative Session Level 6 Each Additional 30 Minutes | $10,230 | $8,184 | — | — | 24 |
| 105000018 | Operative Session Level 5 Each Additional 30 Minutes | $10,170 | $8,136 | — | — | 24 |
| C9353 | PROTECTOR NERVE 3MM AXOGUARD NERVE CAP SIS MATRIX END TAB BIFURCATION | $9,853 | $7,883 | — | — | 31 |
| 77338 | Design/Construct Radiation Treatment Device for High Precision Therapy | $9,443 | $7,554 | — | — | 47 |
| 105000004 | Operative Session Level 2 Initial 30 Minutes | $9,120 | $7,296 | — | — | 24 |
| A9570 | Indium in-111 Labeled Autologous White Blood Cells | $8,545 | $6,836 | — | — | 46 |
| 272 | KIT REPAIR 4 BUTTON DRILL PIN INSERTER LARGE EYELET NEEDLE SHOULDER PECTORALIS | $8,419 | $6,735 | — | — | 26 |
| 105000014 | Operative Session Level 4 Each Additional 30 Minutes | $8,216 | $6,573 | — | — | 24 |
| 105000000 | Operative Session Level 1 Initial 30 Minutes | $7,962 | $6,370 | — | — | 24 |
| C1787 | RECHARGER NEUROSTIMULATOR PRGM RTM PAPR LIT STERILE LATEX FREE DISPOSABLE | $7,913 | $6,330 | — | — | 26 |
| 23405 | Incision of Shoulder Tendon | $7,157 | $5,726 | — | — | 48 |
| C1781 | ENVELOPE ABSORBABLE LARGE 3.35X3IN POLYARYLATE MINOCYCLINE RIFAMPIN TYRX NEURO STERILE | $7,041 | $5,633 | — | — | 30 |
| 105000010 | Operative Session Level 3 Each Additional 30 Minutes | $6,783 | $5,426 | — | — | 24 |
| Q4107 | MATRIX TISSUE 4X2CM GRAFTJACKET NOW THK.4-1MM THIN ACELLULAR DERMAL ALLOGRAFT REGENERATIVE | $6,330 | $5,064 | — | — | 25 |
| 36561 | Insertion of Central Venous Tube With Port (5 Years or Older) | $5,922 | $4,738 | — | — | 47 |
| 100100008 | Pediatric Semi Private Room and Board Standard | $5,902 | $4,722 | — | — | 11 |
| J0475 | BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SYRINGE | $5,766 | $4,613 | — | — | 50 |
| 77307 | Complex Radiation Therapy Planning for Delivery of External Radiation | $5,756 | $4,605 | — | — | 52 |
| Q4100 | MATRIX WOUND 10X10CM POLYURETHANE FOAM NOVOSORB BTM SEAL MEMBRANE ADHESIVE STERILE | $5,575 | $4,460 | — | — | 23 |
| 77373 | Stereotactic Body Radiation Treatment | $5,456 | $4,365 | — | — | 52 |
| C1713 | SCREW BONE 7MM 50MM TITANIUM SPINE CORTICAL FIX ANGLE 5.5MM ROD | $5,379 | $4,303 | — | — | 60 |
| 105000006 | Operative Session Level 2 Each Additional 30 Minutes | $5,118 | $4,094 | — | — | 24 |
| 93306 | Ultrasound of Heart With Blood Flow, Rate, Direction and Valve Function | $4,583 | $3,666 | — | — | 52 |
| 105000002 | Operative Session Level 1 Each Additional 30 Minutes | $4,543 | $3,634 | — | — | 24 |
| 100100004 | Telemetry Room and Board | $4,474 | $3,579 | — | — | 11 |
| J0630 | CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION | $4,176 | $3,341 | — | — | 46 |
| 27265 | Closed Treatment of Dislocated Hip Prosthesis | $4,152 | $3,322 | — | — | 52 |
| P9037 | Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit | $3,985 | $3,188 | — | — | 52 |
| 49440 | Insertion of Stomach Tube Using Fluoroscopic Guidance With Contrast | $3,811 | $3,049 | — | — | 52 |
| 77386 | Delivery of Complex High Precision Radiation Treatment | $3,731 | $2,985 | — | — | 52 |
Showing top 50 of 1,254 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.