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
23,253
Insurances with rates
4
CPT / HCPCS codes
6,066
Source MRF
Most expensive procedures (gross)
230349
$89,261
TETANUS IMMUNE GLOBULIN 250SYR
Gross
$162,293
027535
$37,334
GENERATOR PULSE SPECTRA SC1160
Gross
$67,880
030304
$30,800
SYSTEM SENZA OMNIA IPG HF10CKI
Gross
$56,000
031472
$30,173
KIT NEUROSTIMULATOR SCS 9770VS
Gross
$54,860
019359
$28,771
IMPLANT SPECTRA IPG SC-1132
Gross
$52,310
028670
$28,600
IMPLANT PULSE GEN NIPG2000
Gross
$52,000
030669
$28,600
IMPLANT PULSE GEN NIPG2500
Gross
$52,000
025471
$28,485
BATTERY STIM PRODIGY MRI 3772
Gross
$51,790
017322
$27,506
STIM RESTORE SENSOR 37714
Gross
$50,010
019488
$27,506
GENERATOR RESTORE PULSE 97714
Gross
$50,010
019493
$27,506
NAIL ANKLE 12X22CM 1200-011222
Gross
$50,010
024064
$27,506
GENERATOR PULSE SENZA NIPG1500
Gross
$50,010
026849
$27,506
STIMULATOR PROCLAIM 3662
Gross
$50,010
027660
$27,506
SYSTEM INTELLIS STIM 9771IS
Gross
$50,010
030605
$27,506
KIT INTELLISSENSOR MRI 9771IP
Gross
$50,010
030751
$27,506
GENERATOR WAVEWRITER SC-1232
Gross
$50,010
031919
$27,506
BATTERY NEURO VANTA 977006
Gross
$50,010
034241
$27,506
INSPIRE SYSTEM V 3150
Gross
$50,010
026219
$27,500
KIT PLATFORM CLINICAL EV1000
Gross
$50,000
026220
$27,500
KIT PLATFORM CLINICAL EV1000CS
Gross
$50,000
026905
$27,500
BATTERY STIM INTELLIS 97715
Gross
$50,000
034539
$27,231
NEUROSTIMLATOR ALTAVIVA P7850N
Gross
$49,510
012244
$25,919
FEMUR DISTAL 268016
Gross
$47,125
011474
$25,781
BATTERY RESTORE ULTRA 37712
Gross
$46,875
149841
$25,630
PUMP PAIN RESTORE 37711KIT
Gross
$46,600
149842
$25,630
RESTORE NEUROSTIM GEN&EXT RECH
Gross
$46,600
027615
$25,163
KIT GENERATOR PULSE SC-1060B
Gross
$45,750
027941
$25,163
KIT GEN WAVEITER SC-1060A
Gross
$45,750
033213
$25,061
GENERATOR INSPIRE 3028
Gross
$45,565
027149
$24,863
KIT SIGNIA ADAPTRE9
Gross
$45,205
028614
$24,855
PROCLAIM XR5 W/CONTROLLER 3660
Gross
$45,190
030332
$24,750
GENERATOR PULSE WAVE SC-1216
Gross
$45,000
013842
$24,745
BATTERY 16 CHANNEL RECHRG 3788
Gross
$44,990
025236
$24,404
ALLODERM RTU 16X20 1518320BP
Gross
$44,370
155650
$24,346
AMBICOR 18 CM
Gross
$44,265
022197
$23,788
GENERATOR SPECTRA/KIT SC1032B
Gross
$43,250
033371
$22,688
STIMULATOR ECOIN EC-001
Gross
$41,250
010629
$21,986
IPG ANS RECHARGEABLE 3716
Gross
$39,975
010027
$21,967
RESTORE ADVANCED 37713
Gross
$39,940
009340
$21,563
BATTERY GENERATOR PULSE KIT
Gross
$39,205
023683
$21,307
GENERATOR RESTORE ULTRA 97712
Gross
$38,740
009706
$21,005
NEUROSTIMULATOR RESTORE 37711
Gross
$38,190
033059
$20,488
REVI TOTAL SYSTEM BWRS1
Gross
$37,250
021757
$19,938
BATTERY RECHARGE 16 CHAN 3789
Gross
$36,250
029259
$19,855
GLENOID COMPREHENSIVE VRS
Gross
$36,100
034091
$19,517
PUMP PENILE 18CM ANGLE EN8818
Gross
$35,485
034669
$19,388
IMPLANT COCHLEAR ULTRA 3D MS
Gross
$35,250
034670
$19,388
IMPLANT COCHLEAR 3D SLIMJ
Gross
$35,250
020461
$19,217
GENERATOR RESTORE ADVAN 97713
Gross
$34,940
028272
$19,148
PENILE PROSTH 20X14 72401455
Gross
$34,815
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 230349 | TETANUS IMMUNE GLOBULIN 250SYR | $162,293 | $89,261 | — | — | 6 |
| 027535 | GENERATOR PULSE SPECTRA SC1160 | $67,880 | $37,334 | — | — | 0 |
| 030304 | SYSTEM SENZA OMNIA IPG HF10CKI | $56,000 | $30,800 | — | — | 0 |
| 031472 | KIT NEUROSTIMULATOR SCS 9770VS | $54,860 | $30,173 | — | — | 0 |
| 019359 | IMPLANT SPECTRA IPG SC-1132 | $52,310 | $28,771 | — | — | 0 |
| 028670 | IMPLANT PULSE GEN NIPG2000 | $52,000 | $28,600 | — | — | 0 |
| 030669 | IMPLANT PULSE GEN NIPG2500 | $52,000 | $28,600 | — | — | 0 |
| 025471 | BATTERY STIM PRODIGY MRI 3772 | $51,790 | $28,485 | — | — | 0 |
| 017322 | STIM RESTORE SENSOR 37714 | $50,010 | $27,506 | — | — | 0 |
| 019488 | GENERATOR RESTORE PULSE 97714 | $50,010 | $27,506 | — | — | 0 |
| 019493 | NAIL ANKLE 12X22CM 1200-011222 | $50,010 | $27,506 | — | — | 0 |
| 024064 | GENERATOR PULSE SENZA NIPG1500 | $50,010 | $27,506 | — | — | 0 |
| 026849 | STIMULATOR PROCLAIM 3662 | $50,010 | $27,506 | — | — | 0 |
| 027660 | SYSTEM INTELLIS STIM 9771IS | $50,010 | $27,506 | — | — | 0 |
| 030605 | KIT INTELLISSENSOR MRI 9771IP | $50,010 | $27,506 | — | — | 0 |
| 030751 | GENERATOR WAVEWRITER SC-1232 | $50,010 | $27,506 | — | — | 0 |
| 031919 | BATTERY NEURO VANTA 977006 | $50,010 | $27,506 | — | — | 0 |
| 034241 | INSPIRE SYSTEM V 3150 | $50,010 | $27,506 | — | — | 0 |
| 026219 | KIT PLATFORM CLINICAL EV1000 | $50,000 | $27,500 | — | — | 0 |
| 026220 | KIT PLATFORM CLINICAL EV1000CS | $50,000 | $27,500 | — | — | 0 |
| 026905 | BATTERY STIM INTELLIS 97715 | $50,000 | $27,500 | — | — | 0 |
| 034539 | NEUROSTIMLATOR ALTAVIVA P7850N | $49,510 | $27,231 | — | — | 0 |
| 012244 | FEMUR DISTAL 268016 | $47,125 | $25,919 | — | — | 0 |
| 011474 | BATTERY RESTORE ULTRA 37712 | $46,875 | $25,781 | — | — | 0 |
| 149841 | PUMP PAIN RESTORE 37711KIT | $46,600 | $25,630 | — | — | 0 |
| 149842 | RESTORE NEUROSTIM GEN&EXT RECH | $46,600 | $25,630 | — | — | 0 |
| 027615 | KIT GENERATOR PULSE SC-1060B | $45,750 | $25,163 | — | — | 0 |
| 027941 | KIT GEN WAVEITER SC-1060A | $45,750 | $25,163 | — | — | 0 |
| 033213 | GENERATOR INSPIRE 3028 | $45,565 | $25,061 | — | — | 0 |
| 027149 | KIT SIGNIA ADAPTRE9 | $45,205 | $24,863 | — | — | 0 |
| 028614 | PROCLAIM XR5 W/CONTROLLER 3660 | $45,190 | $24,855 | — | — | 0 |
| 030332 | GENERATOR PULSE WAVE SC-1216 | $45,000 | $24,750 | — | — | 0 |
| 013842 | BATTERY 16 CHANNEL RECHRG 3788 | $44,990 | $24,745 | — | — | 0 |
| 025236 | ALLODERM RTU 16X20 1518320BP | $44,370 | $24,404 | — | — | 3 |
| 155650 | AMBICOR 18 CM | $44,265 | $24,346 | — | — | 0 |
| 022197 | GENERATOR SPECTRA/KIT SC1032B | $43,250 | $23,788 | — | — | 0 |
| 033371 | STIMULATOR ECOIN EC-001 | $41,250 | $22,688 | — | — | 0 |
| 010629 | IPG ANS RECHARGEABLE 3716 | $39,975 | $21,986 | — | — | 0 |
| 010027 | RESTORE ADVANCED 37713 | $39,940 | $21,967 | — | — | 0 |
| 009340 | BATTERY GENERATOR PULSE KIT | $39,205 | $21,563 | — | — | 0 |
| 023683 | GENERATOR RESTORE ULTRA 97712 | $38,740 | $21,307 | — | — | 0 |
| 009706 | NEUROSTIMULATOR RESTORE 37711 | $38,190 | $21,005 | — | — | 0 |
| 033059 | REVI TOTAL SYSTEM BWRS1 | $37,250 | $20,488 | — | — | 0 |
| 021757 | BATTERY RECHARGE 16 CHAN 3789 | $36,250 | $19,938 | — | — | 0 |
| 029259 | GLENOID COMPREHENSIVE VRS | $36,100 | $19,855 | — | — | 0 |
| 034091 | PUMP PENILE 18CM ANGLE EN8818 | $35,485 | $19,517 | — | — | 0 |
| 034669 | IMPLANT COCHLEAR ULTRA 3D MS | $35,250 | $19,388 | — | — | 0 |
| 034670 | IMPLANT COCHLEAR 3D SLIMJ | $35,250 | $19,388 | — | — | 0 |
| 020461 | GENERATOR RESTORE ADVAN 97713 | $34,940 | $19,217 | — | — | 0 |
| 028272 | PENILE PROSTH 20X14 72401455 | $34,815 | $19,148 | — | — | 0 |
Showing top 50 of 23,253 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.