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
20,862
Insurances with rates
41
CPT / HCPCS codes
14,847
Source MRF
Most expensive procedures (gross)
709494
$140,341
Injection, ipilimumab, 1 mg
Gross
$140,341
0716T
$48,582
Cardiac acoustic waveform recording with automated analysis and generation of coronary artery diseas
Gross
$48,582
719897
$42,194
Injection, atezolizumab, 10 mg
Gross
$42,194
704850
$37,381
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll
Gross
$37,381
704849
$37,381
Computed tomography, abdomen and pelvis; with contrast material(s)
Gross
$37,381
705421
$37,381
Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra
Gross
$37,381
691808
$35,420
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or
Gross
$35,420
677550
$35,168
Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis
Gross
$35,168
704848
$32,087
Computed tomography, abdomen and pelvis; without contrast material
Gross
$32,087
677579
$27,070
Intra-atrial pacing
Gross
$27,070
691811
$26,867
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or
Gross
$26,867
682956
$25,470
Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s)
Gross
$25,470
682959
$25,470
Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s)
Gross
$25,470
683721
$25,236
Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral
Gross
$25,236
682953
$25,236
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol
Gross
$25,236
680914
$25,236
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo
Gross
$25,236
681668
$24,995
Non-cardiac vascular flow imaging (ie, angiography, venography)
Gross
$24,995
677369
$24,813
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep,
Gross
$24,813
705420
$24,143
Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging
Gross
$24,143
705381
$24,143
Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imagin
Gross
$24,143
682957
$23,157
Magnetic resonance angiography, neck; with contrast material(s)
Gross
$23,157
682955
$23,157
Magnetic resonance angiography, head; with contrast material(s) UNSCHEDULED
Gross
$23,157
716072
$22,352
Injection, vedolizumab, intravenous, 1 mg
Gross
$22,352
675004
$22,071
Emergency department visit for the evaluation and management of a patient, which requires a medicall
Gross
$22,071
682954
$21,049
Magnetic resonance angiography, head; without contrast material(s) UNSCHEDULED
Gross
$21,049
683697
$21,049
Magnetic resonance angiography without contrast followed by with contrast, abdomen
Gross
$21,049
679891
$21,049
Magnetic resonance angiography without contrast followed by with contrast, pelvis
Gross
$21,049
682958
$21,049
Magnetic resonance angiography, neck; without contrast material(s)
Gross
$21,049
686947
$20,893
Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, rec
Gross
$20,893
681281
$20,765
Angiography, adrenal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED
Gross
$20,765
697860
$20,636
Injection, octreotide, depot form for intramuscular injection, 1 mg
Gross
$20,636
679887
$20,475
Magnetic resonance angiography with contrast, pelvis
Gross
$20,475
691805
$20,255
Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fr
Gross
$20,255
680905
$20,124
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material UNS
Gross
$20,124
679889
$19,908
Magnetic resonance angiography without contrast, pelvis
Gross
$19,908
721964
$19,569
Injection, eculizumab, 2 mg
Gross
$19,569
680932
$19,512
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$19,512
683368
$19,498
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con
Gross
$19,498
718310
$19,442
Magnetic resonance imaging, breast, without contrast material; bilateral
Gross
$19,442
691797
$19,388
Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morpholo
Gross
$19,388
680930
$19,348
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s
Gross
$19,348
680931
$19,297
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$19,297
680933
$19,297
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$19,297
683693
$19,122
Magnetic resonance angiography with contrast, abdomen
Gross
$19,122
683369
$19,122
Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) UNSCHEDULED
Gross
$19,122
712365
$19,108
Injection, pertuzumab, 1 mg
Gross
$19,108
680926
$19,021
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material
Gross
$19,021
680082
$18,866
Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s)
Gross
$18,866
682974
$18,866
Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr
Gross
$18,866
692303
$18,770
Injection abciximab, 10 mg
Gross
$18,770
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 709494 | Injection, ipilimumab, 1 mg | $140,341 | $140,341 | $175 | $180 | 5 |
| 0716T | Cardiac acoustic waveform recording with automated analysis and generation of coronary artery diseas | $48,582 | $48,582 | — | — | 3 |
| 719897 | Injection, atezolizumab, 10 mg | $42,194 | $42,194 | $86.71 | $89.39 | 5 |
| 704850 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $37,381 | $37,381 | $913 | $1,404 | 3 |
| 704849 | Computed tomography, abdomen and pelvis; with contrast material(s) | $37,381 | $37,381 | $913 | $1,404 | 3 |
| 705421 | Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra | $37,381 | $37,381 | $913 | $1,404 | 3 |
| 691808 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $35,420 | $35,420 | — | — | 3 |
| 677550 | Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis | $35,168 | $35,168 | $5,010 | $10,402 | 10 |
| 704848 | Computed tomography, abdomen and pelvis; without contrast material | $32,087 | $32,087 | $913 | $1,404 | 3 |
| 677579 | Intra-atrial pacing | $27,070 | $27,070 | $5,010 | $35,277 | 22 |
| 691811 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $26,867 | $26,867 | — | — | 3 |
| 682956 | Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) | $25,470 | $25,470 | $6,870 | $7,014 | 3 |
| 682959 | Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) | $25,470 | $25,470 | $2,961 | $3,023 | 3 |
| 683721 | Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral | $25,236 | $25,236 | $1,186 | $1,826 | 3 |
| 682953 | Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol | $25,236 | $25,236 | $1,186 | $1,826 | 3 |
| 680914 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo | $25,236 | $25,236 | $3,633 | $3,709 | 3 |
| 681668 | Non-cardiac vascular flow imaging (ie, angiography, venography) | $24,995 | $24,995 | — | — | 3 |
| 677369 | Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, | $24,813 | $24,813 | $5,954 | $6,080 | 3 |
| 705420 | Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging | $24,143 | $24,143 | — | — | 3 |
| 705381 | Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imagin | $24,143 | $24,143 | $2,057 | $2,100 | 3 |
| 682957 | Magnetic resonance angiography, neck; with contrast material(s) | $23,157 | $23,157 | $1,186 | $1,826 | 3 |
| 682955 | Magnetic resonance angiography, head; with contrast material(s) UNSCHEDULED | $23,157 | $23,157 | $2,234 | $2,281 | 3 |
| 716072 | Injection, vedolizumab, intravenous, 1 mg | $22,352 | $22,352 | $20.53 | $21.16 | 5 |
| 675004 | Emergency department visit for the evaluation and management of a patient, which requires a medicall | $22,071 | $22,071 | $250 | $9,160 | 16 |
| 682954 | Magnetic resonance angiography, head; without contrast material(s) UNSCHEDULED | $21,049 | $21,049 | $2,531 | $2,585 | 3 |
| 683697 | Magnetic resonance angiography without contrast followed by with contrast, abdomen | $21,049 | $21,049 | $1,186 | $1,826 | 3 |
| 679891 | Magnetic resonance angiography without contrast followed by with contrast, pelvis | $21,049 | $21,049 | $1,186 | $1,826 | 3 |
| 682958 | Magnetic resonance angiography, neck; without contrast material(s) | $21,049 | $21,049 | $1,186 | $1,826 | 3 |
| 686947 | Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, rec | $20,893 | $20,893 | $1,309 | $2,660 | 3 |
| 681281 | Angiography, adrenal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED | $20,765 | $20,765 | $2,265 | $2,313 | 3 |
| 697860 | Injection, octreotide, depot form for intramuscular injection, 1 mg | $20,636 | $20,636 | $198 | $205 | 5 |
| 679887 | Magnetic resonance angiography with contrast, pelvis | $20,475 | $20,475 | $1,186 | $1,826 | 3 |
| 691805 | Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fr | $20,255 | $20,255 | $2,057 | $2,100 | 3 |
| 680905 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material UNS | $20,124 | $20,124 | $2,487 | $2,540 | 3 |
| 679889 | Magnetic resonance angiography without contrast, pelvis | $19,908 | $19,908 | $1,186 | $1,826 | 3 |
| 721964 | Injection, eculizumab, 2 mg | $19,569 | $19,569 | $43.47 | $44.81 | 5 |
| 680932 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $19,512 | $19,512 | $1,186 | $1,826 | 3 |
| 683368 | Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con | $19,498 | $19,498 | $1,186 | $1,826 | 3 |
| 718310 | Magnetic resonance imaging, breast, without contrast material; bilateral | $19,442 | $19,442 | $1,186 | $1,826 | 3 |
| 691797 | Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morpholo | $19,388 | $19,388 | $913 | $13,040 | 9 |
| 680930 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s | $19,348 | $19,348 | $5,466 | $5,581 | 3 |
| 680931 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $19,297 | $19,297 | $4,054 | $4,139 | 3 |
| 680933 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $19,297 | $19,297 | $3,501 | $3,575 | 3 |
| 683693 | Magnetic resonance angiography with contrast, abdomen | $19,122 | $19,122 | $1,186 | $1,826 | 3 |
| 683369 | Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) UNSCHEDULED | $19,122 | $19,122 | $3,461 | $3,534 | 3 |
| 712365 | Injection, pertuzumab, 1 mg | $19,108 | $19,108 | $15.74 | $16.23 | 5 |
| 680926 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material | $19,021 | $19,021 | $4,443 | $4,536 | 3 |
| 680082 | Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) | $18,866 | $18,866 | $2,817 | $2,876 | 3 |
| 682974 | Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr | $18,866 | $18,866 | $3,062 | $3,126 | 3 |
| 692303 | Injection abciximab, 10 mg | $18,770 | $18,770 | — | — | 3 |
Showing top 50 of 20,862 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.