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
19,127
Insurances with rates
50
CPT / HCPCS codes
13,696
Source MRF
Most expensive procedures (gross)
596573
$104,062
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$104,062
596571
$104,062
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$104,062
596577
$104,062
Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit
Gross
$104,062
794549
$79,538
Injection, gemtuzumab ozogamicin, 0.1 mg
Gross
$79,538
17196
$75,357
Not otherwise classified, antineoplastic drugs
Gross
$75,357
795971
$61,799
Injection, caplacizumab-yhdp, 1 mg
Gross
$61,799
121542
$58,308
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr
Gross
$58,308
886536
$48,168
Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, re
Gross
$48,168
121533
$45,901
Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula
Gross
$45,901
121534
$45,681
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$45,681
595765
$45,166
Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
Gross
$45,166
792073
$44,609
Injection, vedolizumab, intravenous, 1 mg
Gross
$44,609
122606
$42,433
Indium in-111 pentetate, diagnostic, per 0.5 millicurie
Gross
$42,433
121536
$40,633
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$40,633
121527
$40,061
Right ventricular recording
Gross
$40,061
121526
$40,061
Intra-atrial recording
Gross
$40,061
121525
$40,061
Bundle of His recording
Gross
$40,061
121531
$40,061
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima
Gross
$40,061
121537
$40,061
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co
Gross
$40,061
596575
$38,431
Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim
Gross
$38,431
596579
$38,431
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment
Gross
$38,431
799948
$33,549
Injection, ethacrynate sodium, 1 mg
Gross
$33,549
891434
$30,576
Biodfence, per square centimeter (add-on, list separately in addition to primary procedure)
Gross
$30,576
121546
$27,624
Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis
Gross
$27,624
869152
$26,264
Integra flowable wound matrix, injectable, 1 cc
Gross
$26,264
121919
$25,777
Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode r
Gross
$25,777
115668
$25,720
Aortography, thoracic, by serialography, radiological supervision and interpretation UNSCHEDULED
Gross
$25,720
121539
$25,394
Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads incl
Gross
$25,394
795801
$24,570
Injection, cemiplimab-rwlc, 1 mg
Gross
$24,570
122475
$23,425
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or
Gross
$23,425
796159
$22,875
Injection, lanreotide, 1 mg
Gross
$22,875
115465
$22,071
Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further
Gross
$22,071
121528
$21,887
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re
Gross
$21,887
8906
$20,849
Injection, pentostatin, 10 mg
Gross
$20,849
115493
$20,334
Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe
Gross
$20,334
115504
$20,334
Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff,
Gross
$20,334
115691
$19,882
Angiography, adrenal, unilateral, selective, radiological supervision and interpretation
Gross
$19,882
4283
$19,572
Injection, digoxin immune fab (ovine), per vial
Gross
$19,572
115440
$19,302
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contra
Gross
$19,302
115492
$19,071
Computed tomography, abdomen; with contrast material(s)
Gross
$19,071
115694
$18,676
Angiography, pelvic, selective or supraselective, radiological supervision and interpretation UNSCHE
Gross
$18,676
115683
$18,676
Angiography, spinal, selective, radiological supervision and interpretation UNSCHEDULED
Gross
$18,676
115723
$18,676
Venography, adrenal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED
Gross
$18,676
115715
$18,676
Venography, caval, inferior, with serialography, radiological supervision and interpretation
Gross
$18,676
115719
$18,676
Venography, renal, unilateral, selective, radiological supervision and interpretation
Gross
$18,676
115730
$18,676
Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interp
Gross
$18,676
115731
$18,676
Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and int
Gross
$18,676
115732
$18,544
Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin),
Gross
$18,544
115443
$18,078
Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s)
Gross
$18,078
121927
$17,972
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording,
Gross
$17,972
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 596573 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $104,062 | $104,062 | $33,328 | $34,030 | 3 |
| 596571 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $104,062 | $104,062 | $26,150 | $26,701 | 3 |
| 596577 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $104,062 | $104,062 | $7,350 | $43,464 | 22 |
| 794549 | Injection, gemtuzumab ozogamicin, 0.1 mg | $79,538 | $79,538 | $226 | $226 | 4 |
| 17196 | Not otherwise classified, antineoplastic drugs | $75,357 | $75,357 | — | — | 3 |
| 795971 | Injection, caplacizumab-yhdp, 1 mg | $61,799 | $61,799 | — | — | 3 |
| 121542 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $58,308 | $58,308 | $7,350 | $43,464 | 24 |
| 886536 | Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, re | $48,168 | $48,168 | $4,913 | $7,499 | 28 |
| 121533 | Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula | $45,901 | $45,901 | $7,350 | $43,464 | 24 |
| 121534 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $45,681 | $45,681 | $7,350 | $43,464 | 24 |
| 595765 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | $45,166 | $45,166 | $3,014 | $3,014 | 1 |
| 792073 | Injection, vedolizumab, intravenous, 1 mg | $44,609 | $44,609 | $20.53 | $20.53 | 4 |
| 122606 | Indium in-111 pentetate, diagnostic, per 0.5 millicurie | $42,433 | $42,433 | $1,230 | $1,230 | 1 |
| 121536 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $40,633 | $40,633 | $7,350 | $43,464 | 23 |
| 121527 | Right ventricular recording | $40,061 | $40,061 | $7,350 | $43,464 | 23 |
| 121526 | Intra-atrial recording | $40,061 | $40,061 | $7,350 | $43,464 | 23 |
| 121525 | Bundle of His recording | $40,061 | $40,061 | $7,350 | $43,464 | 23 |
| 121531 | Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima | $40,061 | $40,061 | $7,350 | $43,464 | 23 |
| 121537 | Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co | $40,061 | $40,061 | $10,949 | $11,180 | 3 |
| 596575 | Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim | $38,431 | $38,431 | $521 | $532 | 3 |
| 596579 | Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment | $38,431 | $38,431 | $7,350 | $43,464 | 21 |
| 799948 | Injection, ethacrynate sodium, 1 mg | $33,549 | $33,549 | — | — | 3 |
| 891434 | Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) | $30,576 | $30,576 | $164 | $164 | 1 |
| 121546 | Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis | $27,624 | $27,624 | $7,350 | $43,464 | 13 |
| 869152 | Integra flowable wound matrix, injectable, 1 cc | $26,264 | $26,264 | $1,450 | $1,450 | 1 |
| 121919 | Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode r | $25,777 | $25,777 | $173 | $177 | 3 |
| 115668 | Aortography, thoracic, by serialography, radiological supervision and interpretation UNSCHEDULED | $25,720 | $25,720 | $2,343 | $2,392 | 3 |
| 121539 | Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads incl | $25,394 | $25,394 | $7,350 | $43,464 | 13 |
| 795801 | Injection, cemiplimab-rwlc, 1 mg | $24,570 | $24,570 | $28.05 | $28.05 | 4 |
| 122475 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $23,425 | $23,425 | $3,748 | $3,827 | 3 |
| 796159 | Injection, lanreotide, 1 mg | $22,875 | $22,875 | $38.36 | $38.36 | 4 |
| 115465 | Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further | $22,071 | $22,071 | $402 | $2,329 | 9 |
| 121528 | Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re | $21,887 | $21,887 | $7,350 | $43,464 | 23 |
| 8906 | Injection, pentostatin, 10 mg | $20,849 | $20,849 | $2,593 | $2,593 | 4 |
| 115493 | Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe | $20,334 | $20,334 | $8,228 | $8,402 | 3 |
| 115504 | Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, | $20,334 | $20,334 | $868 | $1,462 | 5 |
| 115691 | Angiography, adrenal, unilateral, selective, radiological supervision and interpretation | $19,882 | $19,882 | — | — | 3 |
| 4283 | Injection, digoxin immune fab (ovine), per vial | $19,572 | $19,572 | $4,820 | $4,820 | 4 |
| 115440 | Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contra | $19,302 | $19,302 | $402 | $2,329 | 9 |
| 115492 | Computed tomography, abdomen; with contrast material(s) | $19,071 | $19,071 | $402 | $2,329 | 9 |
| 115694 | Angiography, pelvic, selective or supraselective, radiological supervision and interpretation UNSCHE | $18,676 | $18,676 | $3,400 | $3,472 | 3 |
| 115683 | Angiography, spinal, selective, radiological supervision and interpretation UNSCHEDULED | $18,676 | $18,676 | $2,343 | $2,392 | 3 |
| 115723 | Venography, adrenal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED | $18,676 | $18,676 | $2,343 | $2,392 | 3 |
| 115715 | Venography, caval, inferior, with serialography, radiological supervision and interpretation | $18,676 | $18,676 | — | — | 3 |
| 115719 | Venography, renal, unilateral, selective, radiological supervision and interpretation | $18,676 | $18,676 | — | — | 3 |
| 115730 | Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interp | $18,676 | $18,676 | $2,343 | $2,392 | 3 |
| 115731 | Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and int | $18,676 | $18,676 | $2,343 | $2,392 | 3 |
| 115732 | Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), | $18,544 | $18,544 | $2,343 | $2,392 | 3 |
| 115443 | Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) | $18,078 | $18,078 | $402 | $2,329 | 9 |
| 121927 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, | $17,972 | $17,972 | $1,897 | $1,937 | 3 |
Showing top 50 of 19,127 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.