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
84,169
Insurances with rates
7
CPT / HCPCS codes
11,326
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 105.19 | SET IMPLANTINSTR W/ 6.5 MM 7.3 MM CANNULATED SCREW IMP | $95,229 | $57,137 | — | — | 0 |
| 2540002 | MESH FIRM 25 CM X 40 CM STRATTICE | $55,112 | $33,067 | — | — | 0 |
| PSMT3030 | MATRIX SURG THICK 30CM X 30CM MATRISTEM IMP | $44,280 | $26,568 | — | — | 0 |
| C1767 | CONTROLLER PROCLAIM PULSE 222PP5PENSY33 | $40,500 | $24,300 | — | — | 0 |
| 1161935 | GRAFT SURG 19CM X 35CM RECTANGLE REGENERATIVE COLLAGEN MATRIX XENMATRIX | $35,192 | $21,115 | — | — | 0 |
| IDRIVEXTRSPB | KIT RELOADS POWERED REINFORCED PURPLE AND BLACK | $35,183 | $21,110 | — | — | 0 |
| 1003T | ARTHROPLASTY; FIRST CARPOMETACARPAL JOINT 1003T | $35,000 | $21,000 | — | — | 0 |
| SC-1110 | GENERATOR PULSE IMPLANTABLE PRECISION | $34,900 | $20,940 | — | — | 0 |
| HIP-FLEXREAM | REAMER FLEXIBLE KIT HIP-FLEXREAM | $34,049 | $20,430 | — | — | 0 |
| 3.809.900 | RETRACTOR HANDLE 03.809.900 | $33,586 | $20,152 | — | — | 0 |
| 8200027 | PLATE BONE 2 HOLE LAT XLIF IMP | $32,056 | $19,234 | — | — | 0 |
| IDRIVEXTRSP | KIT LOADS PURPLE POWERED REINFORCED | $31,013 | $18,608 | — | — | 0 |
| 105.135 | SET IMPLANTINSTR W/ 4 MM CANNULATED SCREW IMP | $29,703 | $17,822 | — | — | 0 |
| P152030 | MESH SURG 20CM X 30CM X 1.5MM PERMACOL | $29,608 | $17,765 | — | — | 0 |
| 6633-7-765 | PATELLA MILLING CLAMP ASSEMBLY 6633-7-765 | $28,421 | $17,053 | — | — | 0 |
| 37702K | KIT STIMULATION SPINAL CORD PRIMEADVANCED | $28,330 | $16,998 | — | — | 0 |
| 3644 | GENERATOR PULSE DUAL 4 CHANNEL GENESIS XP IMP | $27,590 | $16,554 | — | — | 0 |
| C1772 | IMPLANT PUMP SYNCHROMED III 8667-20 | $27,388 | $16,433 | — | — | 0 |
| 37701 | NEUROSTIMULATOR PRIMARY CELL 65MM X 49MM X 15MM RESTORPRIME | $27,280 | $16,368 | — | — | 0 |
| 3.809.921 | INSERT ORACLE LATERAL QUICK INSERTER/DISTRACTOR 03.809.921 | $26,250 | $15,750 | — | — | 0 |
| 290-24-1010 | META-LINK-H HYDRATED AMNION TISSUE MEMBRANE 10CM X 10CM 290-24-1010 | $25,600 | $15,360 | — | — | 0 |
| CE-ACETSTD | REAMER STD ACETABULAR KIT CE-ACETSTD | $24,857 | $14,914 | — | — | 0 |
| 7427 | NEUROSTIMULATOR IMPLANTABLE 61MM X 76MM 8 ELECTRODES SYNERGY | $23,800 | $14,280 | — | — | 0 |
| 23155 | EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROX HUMERUS W/AUTOGRAFT 23155 | $23,390 | $14,034 | $3,344 | $12,865 | 19 |
| HIP-CYLREAMER | REAMER REST. CYLINDRICAL KIT HIP-CYLREAMER | $23,222 | $13,933 | — | — | 0 |
| 3.808.121 | INSERT ALIF QUICK INSERTER/DISTRACTOR SQUID 03.808.121 | $22,280 | $13,368 | — | — | 0 |
| 2683 | GRAFT FEMORAL MEDIAL HEMI CONDYLE LFT IMP | $21,990 | $13,194 | — | — | 0 |
| 8200005 | KIT IMPLANT EXTREME LATINTERBODY FUSION XLIF NORTHWEST HILLS | $21,752 | $13,051 | — | — | 0 |
| 152040 | MESH PERMACOL 20 CM X 40 CM X 1.5MM | $21,420 | $12,852 | — | — | 0 |
| Q4116 | ALLODERM RTU 16X20CM THICK | $20,836 | $12,502 | — | — | 0 |
| 6777-6-700 | K-MAX STAB BOX RESEC GUIDE.SET 6777-6-700 | $20,771 | $12,462 | — | — | 0 |
| 8010005 | GRAFT BONE 10MM X 18MM X 50MM 0DEG MAS XLIF IMP | $20,646 | $12,388 | — | — | 0 |
| 54TC3024615 | SPACER CUSTOM 30MM X 24MM X 15MM 6DEG | $20,000 | $12,000 | — | — | 0 |
| 54TC3024617 | SPACER CUSTOM 30MM X 24MM X 17MM 6DEG | $20,000 | $12,000 | — | — | 0 |
| 54TC3428617 | SPACER CUSTOM 34MM X 28MM X 17MM 6DEG | $20,000 | $12,000 | — | — | 0 |
| 54TC3428619 | SPACER CUSTOM 34MM X 28MM X 19MM 6DEG | $20,000 | $12,000 | — | — | 0 |
| 54TC30241215 | SPACER PLATEAU 30MM X 24MM X 15MM 12DEG CUSTOM | $20,000 | $12,000 | — | — | 0 |
| 54TC30241217 | SPACER PLATEAU 30MM X 24MM X 17MM 12DEG CUSTOM | $20,000 | $12,000 | — | — | 0 |
| 54TC30241213 | SPACER PLATEAU 30MMX 24MM X 13MM 12DEG CUSTOM | $20,000 | $12,000 | — | — | 0 |
| 14025-212 | CAGE SPINAL 30MM X 12MM X 25MM 12 DEGREE NO PROFILE MAGNUM IMP | $19,900 | $11,940 | — | — | 0 |
| 14025-612 | CAGE SPINAL 30MM X 25MM X 12MM 6 DEGREE MAGNUM IMP | $19,900 | $11,940 | — | — | 0 |
| 14025-214 | CAGE SPINAL 30MM X 25MM X 14MM 12 DEGREE IMP | $19,900 | $11,940 | — | — | 0 |
| 14727-212 | CAGE SPINAL 37MM X 27MM X 12MM 12DEG NO PROFILE MAGNUM IMP | $19,900 | $11,940 | — | — | 0 |
| 14727-614 | CAGE SPINAL 37MM X 27MM X 14MM 6DEG NO PROFILE MAGNUM IMP | $19,900 | $11,940 | — | — | 0 |
| 14727-214 | CAGE SPINAL 37MM X 27MM X 14MM NO PROFILE MAGNUM IMP | $19,900 | $11,940 | — | — | 0 |
| L8679 | NEUROSTIMULATOR AXONICS 1101 | $19,814 | $11,888 | — | — | 0 |
| PSMT2020 | MATRIX THICK MATRISTEM 20 X 20 CM | $19,680 | $11,808 | — | — | 0 |
| 3.802.121 | INSERT SYNFIXTM-LR QUICK INSERTER/DISTRACTOR SQUID 03.802.121 | $19,290 | $11,574 | — | — | 0 |
| STT36130-12LT | CAGE CRVCL 36MM X 13MM X 12DEG MIDLINE FOR 5.5 MM X 25 MM SCREW STALIF TT IMP | $19,192 | $11,515 | — | — | 0 |
| STT36150-12LT | IMPLANT SPNL 15MM HEIGHT 12 DEGREE MIDLINE PEEK OPTIMA W/ FOUR SCREWS 5.5 MM X 2 | $19,192 | $11,515 | — | — | 0 |
Showing top 50 of 84,169 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.