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
19,715
Insurances with rates
39
CPT / HCPCS codes
14,003
Source MRF
Most expensive procedures (gross)
906844
$123,242
Not otherwise classified, antineoplastic drugs
Gross
$123,242
426370
$120,110
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$120,110
426371
$120,110
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$120,110
426373
$120,110
Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit
Gross
$120,110
426421
$65,716
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nea
Gross
$65,716
428561
$51,967
Injection, pegaspargase, per single dose vial
Gross
$51,967
417490
$43,418
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu
Gross
$43,418
417495
$39,056
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr
Gross
$39,056
417486
$38,984
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$38,984
417485
$38,984
Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula
Gross
$38,984
417488
$38,984
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$38,984
417487
$38,984
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$38,984
417499
$34,072
Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis
Gross
$34,072
417479
$30,447
Right ventricular recording
Gross
$30,447
417480
$30,447
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re
Gross
$30,447
417477
$30,447
Bundle of His recording
Gross
$30,447
417482
$30,447
Intraventricular pacing
Gross
$30,447
417478
$30,447
Intra-atrial recording
Gross
$30,447
417489
$30,447
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co
Gross
$30,447
417481
$30,447
Intra-atrial pacing
Gross
$30,447
417483
$29,838
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima
Gross
$29,838
903107
$23,874
Injection, tenecteplase, 1 mg
Gross
$23,874
905493
$23,327
Injection, brentuximab vedotin, 1 mg
Gross
$23,327
413233
$20,013
Angiography, adrenal, bilateral, selective, radiological supervision and interpretation
Gross
$20,013
413269
$20,013
Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin),
Gross
$20,013
413223
$20,013
Angiography, spinal, selective, radiological supervision and interpretation UNSCHEDULED
Gross
$20,013
905994
$19,697
Injection, ecallantide, 1 mg
Gross
$19,697
902964
$18,078
Injection, hemin, 1 mg
Gross
$18,078
907342
$17,677
Injection, pembrolizumab, 1 mg
Gross
$17,677
413282
$17,468
Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat
Gross
$17,468
413284
$17,468
Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg,
Gross
$17,468
413283
$17,468
Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat
Gross
$17,468
413285
$17,468
Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thorac
Gross
$17,468
413267
$16,944
Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interp
Gross
$16,944
413232
$16,944
Angiography, adrenal, unilateral, selective, radiological supervision and interpretation UNSCHEDULED
Gross
$16,944
413265
$16,944
Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and inte
Gross
$16,944
905909
$16,851
Injection, pertuzumab, 1 mg
Gross
$16,851
426420
$16,436
Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring re
Gross
$16,436
413247
$15,991
Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation UNSCHEDUL
Gross
$15,991
420335
$15,921
Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall
Gross
$15,921
420333
$15,921
Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventri
Gross
$15,921
420074
$15,341
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade
Gross
$15,341
418674
$14,639
Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must
Gross
$14,639
420670
$13,020
Radiopharmaceutical therapy, by intracavitary administration
Gross
$13,020
414690
$12,766
Magnetic resonance spectroscopy
Gross
$12,766
433886
$12,396
Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided
Gross
$12,396
907761
$12,058
Injection, aripiprazole lauroxil, (aristada), 1 mg
Gross
$12,058
435293
$11,980
Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation UNSCHEDU
Gross
$11,980
417492
$11,943
Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads incl
Gross
$11,943
417494
$11,943
Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillato
Gross
$11,943
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 906844 | Not otherwise classified, antineoplastic drugs | $123,242 | $123,242 | — | — | 3 |
| 426370 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $120,110 | $120,110 | $7,092 | $21,815 | 7 |
| 426371 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $120,110 | $120,110 | $7,650 | $38,807 | 18 |
| 426373 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $120,110 | $120,110 | $7,650 | $38,807 | 18 |
| 426421 | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nea | $65,716 | $65,716 | $549 | $561 | 3 |
| 428561 | Injection, pegaspargase, per single dose vial | $51,967 | $51,967 | $27,071 | $27,071 | 4 |
| 417490 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu | $43,418 | $43,418 | $7,650 | $38,807 | 19 |
| 417495 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $39,056 | $39,056 | $7,650 | $38,807 | 19 |
| 417486 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $38,984 | $38,984 | $7,650 | $38,807 | 19 |
| 417485 | Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula | $38,984 | $38,984 | $7,650 | $38,807 | 19 |
| 417488 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $38,984 | $38,984 | $7,650 | $38,807 | 16 |
| 417487 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $38,984 | $38,984 | $7,650 | $38,807 | 16 |
| 417499 | Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis | $34,072 | $34,072 | $1,380 | $21,815 | 8 |
| 417479 | Right ventricular recording | $30,447 | $30,447 | $7,650 | $38,807 | 16 |
| 417480 | Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re | $30,447 | $30,447 | $7,650 | $38,807 | 16 |
| 417477 | Bundle of His recording | $30,447 | $30,447 | $7,650 | $38,807 | 16 |
| 417482 | Intraventricular pacing | $30,447 | $30,447 | $7,650 | $38,807 | 16 |
| 417478 | Intra-atrial recording | $30,447 | $30,447 | $7,092 | $21,815 | 6 |
| 417489 | Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co | $30,447 | $30,447 | $7,650 | $38,807 | 16 |
| 417481 | Intra-atrial pacing | $30,447 | $30,447 | $7,650 | $38,807 | 16 |
| 417483 | Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima | $29,838 | $29,838 | $10,428 | $10,648 | 3 |
| 903107 | Injection, tenecteplase, 1 mg | $23,874 | $23,874 | $162 | $162 | 4 |
| 905493 | Injection, brentuximab vedotin, 1 mg | $23,327 | $23,327 | $249 | $249 | 4 |
| 413233 | Angiography, adrenal, bilateral, selective, radiological supervision and interpretation | $20,013 | $20,013 | — | — | 3 |
| 413269 | Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), | $20,013 | $20,013 | — | — | 3 |
| 413223 | Angiography, spinal, selective, radiological supervision and interpretation UNSCHEDULED | $20,013 | $20,013 | $2,231 | $2,278 | 3 |
| 905994 | Injection, ecallantide, 1 mg | $19,697 | $19,697 | $565 | $565 | 4 |
| 902964 | Injection, hemin, 1 mg | $18,078 | $18,078 | $33.07 | $33.07 | 4 |
| 907342 | Injection, pembrolizumab, 1 mg | $17,677 | $17,677 | $59.35 | $59.35 | 4 |
| 413282 | Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat | $17,468 | $17,468 | $2,231 | $2,278 | 3 |
| 413284 | Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, | $17,468 | $17,468 | $2,231 | $2,278 | 3 |
| 413283 | Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat | $17,468 | $17,468 | $2,231 | $2,278 | 3 |
| 413285 | Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thorac | $17,468 | $17,468 | — | — | 1 |
| 413267 | Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interp | $16,944 | $16,944 | $2,231 | $2,278 | 3 |
| 413232 | Angiography, adrenal, unilateral, selective, radiological supervision and interpretation UNSCHEDULED | $16,944 | $16,944 | $2,231 | $2,278 | 3 |
| 413265 | Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and inte | $16,944 | $16,944 | $2,231 | $2,278 | 3 |
| 905909 | Injection, pertuzumab, 1 mg | $16,851 | $16,851 | $16.23 | $16.23 | 4 |
| 426420 | Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring re | $16,436 | $16,436 | $549 | $561 | 3 |
| 413247 | Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation UNSCHEDUL | $15,991 | $15,991 | $2,231 | $2,278 | 3 |
| 420335 | Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall | $15,921 | $15,921 | $5,484 | $5,599 | 3 |
| 420333 | Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventri | $15,921 | $15,921 | $2,026 | $2,069 | 3 |
| 420074 | Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade | $15,341 | $15,341 | $1,508 | $3,418 | 4 |
| 418674 | Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must | $14,639 | $14,639 | $1,618 | $12,107 | 12 |
| 420670 | Radiopharmaceutical therapy, by intracavitary administration | $13,020 | $13,020 | — | — | 3 |
| 414690 | Magnetic resonance spectroscopy | $12,766 | $12,766 | $182 | $3,418 | 4 |
| 433886 | Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided | $12,396 | $12,396 | $946 | $1,156 | 3 |
| 907761 | Injection, aripiprazole lauroxil, (aristada), 1 mg | $12,058 | $12,058 | $3.26 | $3.26 | 4 |
| 435293 | Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation UNSCHEDU | $11,980 | $11,980 | $2,231 | $2,278 | 3 |
| 417492 | Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads incl | $11,943 | $11,943 | $1,380 | $21,815 | 8 |
| 417494 | Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillato | $11,943 | $11,943 | $2,735 | $21,815 | 8 |
Showing top 50 of 19,715 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.