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
19,242
Insurances with rates
45
CPT / HCPCS codes
13,641
Source MRF
Most expensive procedures (gross)
596578
$93,512
Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit
Gross
$93,512
596574
$93,512
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$93,512
596572
$84,161
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$84,161
17196
$78,473
Not otherwise classified, antineoplastic drugs
Gross
$78,473
122612
$46,486
Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries
Gross
$46,486
905680
$41,790
Epifix, per square centimeter (add-on, list separately in addition to primary procedure)
Gross
$41,790
124153
$40,747
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr
Gross
$40,747
8301
$40,101
Injection, carmustine, 100 mg
Gross
$40,101
122625
$37,166
Strontium sr-89 chloride, therapeutic, per millicurie
Gross
$37,166
117429
$36,443
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast
Gross
$36,443
77047
$36,022
Magnetic resonance imaging, breast, without contrast material; bilateral
Gross
$36,022
117531
$36,022
Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral
Gross
$36,022
117529
$36,022
Magnetic resonance imaging with contrast, breast; bilateral
Gross
$36,022
905675
$35,910
Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)
Gross
$35,910
124145
$32,721
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$32,721
4283
$32,695
Injection, digoxin immune fab (ovine), per vial
Gross
$32,695
124147
$32,688
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$32,688
124146
$32,688
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$32,688
122624
$31,721
Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
Gross
$31,721
124148
$31,364
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co
Gross
$31,364
596580
$31,364
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment
Gross
$31,364
596576
$31,364
Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim
Gross
$31,364
124149
$29,449
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu
Gross
$29,449
124144
$29,449
Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula
Gross
$29,449
124139
$28,228
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re
Gross
$28,228
124137
$28,228
Intra-atrial recording
Gross
$28,228
124141
$28,228
Intraventricular pacing SCHEDULED
Gross
$28,228
124136
$28,228
Bundle of His recording
Gross
$28,228
124142
$28,228
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima
Gross
$28,228
124140
$28,228
Intra-atrial pacing
Gross
$28,228
124138
$26,137
Right ventricular recording
Gross
$26,137
596098
$23,543
Injection, denosumab, 1 mg
Gross
$23,543
122574
$23,462
Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
Gross
$23,462
122587
$23,033
Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
Gross
$23,033
117408
$22,701
Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s)
Gross
$22,701
122626
$22,674
Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
Gross
$22,674
117472
$22,658
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con
Gross
$22,658
885217
$22,346
Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addi
Gross
$22,346
115693
$22,120
Angiography, adrenal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED
Gross
$22,120
122620
$21,053
Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
Gross
$21,053
8906
$20,563
Injection, pentostatin, 10 mg
Gross
$20,563
7619
$19,140
Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial
Gross
$19,140
117425
$19,019
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$19,019
117423
$19,019
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$19,019
117411
$19,019
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo
Gross
$19,019
117424
$19,019
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$19,019
115391
$18,789
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuati
Gross
$18,789
115393
$18,789
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuati
Gross
$18,789
115392
$18,789
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuati
Gross
$18,789
117428
$18,311
Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)
Gross
$18,311
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 596578 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $93,512 | $93,512 | $7,350 | $43,464 | 17 |
| 596574 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $93,512 | $93,512 | $7,350 | $43,464 | 17 |
| 596572 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $84,161 | $84,161 | $7,350 | $43,464 | 17 |
| 17196 | Not otherwise classified, antineoplastic drugs | $78,473 | $78,473 | — | — | 3 |
| 122612 | Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries | $46,486 | $46,486 | $1,280 | $1,280 | 1 |
| 905680 | Epifix, per square centimeter (add-on, list separately in addition to primary procedure) | $41,790 | $41,790 | $154 | $154 | 1 |
| 124153 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $40,747 | $40,747 | $6,942 | $22,510 | 5 |
| 8301 | Injection, carmustine, 100 mg | $40,101 | $40,101 | $141 | $141 | 4 |
| 122625 | Strontium sr-89 chloride, therapeutic, per millicurie | $37,166 | $37,166 | $6,841 | $6,841 | 1 |
| 117429 | Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast | $36,443 | $36,443 | $1,060 | $2,012 | 5 |
| 77047 | Magnetic resonance imaging, breast, without contrast material; bilateral | $36,022 | $36,022 | $1,060 | $2,012 | 5 |
| 117531 | Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral | $36,022 | $36,022 | $828 | $828 | 1 |
| 117529 | Magnetic resonance imaging with contrast, breast; bilateral | $36,022 | $36,022 | $828 | $828 | 1 |
| 905675 | Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) | $35,910 | $35,910 | $102 | $102 | 1 |
| 124145 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $32,721 | $32,721 | $7,350 | $43,464 | 19 |
| 4283 | Injection, digoxin immune fab (ovine), per vial | $32,695 | $32,695 | $4,820 | $4,820 | 4 |
| 124147 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $32,688 | $32,688 | $7,350 | $43,464 | 18 |
| 124146 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $32,688 | $32,688 | $7,350 | $43,464 | 18 |
| 122624 | Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries | $31,721 | $31,721 | $3,824 | $3,824 | 1 |
| 124148 | Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co | $31,364 | $31,364 | $7,350 | $43,464 | 18 |
| 596580 | Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment | $31,364 | $31,364 | $7,350 | $43,464 | 16 |
| 596576 | Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim | $31,364 | $31,364 | $7,350 | $43,464 | 16 |
| 124149 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu | $29,449 | $29,449 | $6,942 | $22,510 | 5 |
| 124144 | Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula | $29,449 | $29,449 | $7,350 | $43,464 | 19 |
| 124139 | Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re | $28,228 | $28,228 | $7,350 | $43,464 | 18 |
| 124137 | Intra-atrial recording | $28,228 | $28,228 | $6,942 | $17,341 | 3 |
| 124141 | Intraventricular pacing SCHEDULED | $28,228 | $28,228 | $57.95 | $59.17 | 3 |
| 124136 | Bundle of His recording | $28,228 | $28,228 | $7,350 | $43,464 | 18 |
| 124142 | Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima | $28,228 | $28,228 | $7,350 | $43,464 | 18 |
| 124140 | Intra-atrial pacing | $28,228 | $28,228 | $7,350 | $43,464 | 18 |
| 124138 | Right ventricular recording | $26,137 | $26,137 | $7,350 | $43,464 | 18 |
| 596098 | Injection, denosumab, 1 mg | $23,543 | $23,543 | $26.98 | $26.98 | 4 |
| 122574 | Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries | $23,462 | $23,462 | $2,766 | $2,766 | 1 |
| 122587 | Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries | $23,033 | $23,033 | $1,531 | $1,531 | 1 |
| 117408 | Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) | $22,701 | $22,701 | $828 | $2,329 | 4 |
| 122626 | Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries | $22,674 | $22,674 | $5,214 | $5,214 | 1 |
| 117472 | Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con | $22,658 | $22,658 | $828 | $2,329 | 4 |
| 885217 | Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addi | $22,346 | $22,346 | $61.4 | $61.4 | 1 |
| 115693 | Angiography, adrenal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED | $22,120 | $22,120 | $2,453 | $2,505 | 3 |
| 122620 | Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries | $21,053 | $21,053 | $2,138 | $2,138 | 1 |
| 8906 | Injection, pentostatin, 10 mg | $20,563 | $20,563 | $2,593 | $2,593 | 4 |
| 7619 | Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial | $19,140 | $19,140 | $2,016 | $2,016 | 4 |
| 117425 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $19,019 | $19,019 | $1,060 | $2,012 | 5 |
| 117423 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $19,019 | $19,019 | $1,060 | $2,012 | 5 |
| 117411 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo | $19,019 | $19,019 | $1,060 | $2,012 | 5 |
| 117424 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $19,019 | $19,019 | $828 | $2,329 | 4 |
| 115391 | Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuati | $18,789 | $18,789 | $2,654 | $4,574 | 5 |
| 115393 | Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuati | $18,789 | $18,789 | $2,654 | $4,574 | 5 |
| 115392 | Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuati | $18,789 | $18,789 | $1,483 | $3,331 | 4 |
| 117428 | Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) | $18,311 | $18,311 | $828 | $2,329 | 4 |
Showing top 50 of 19,242 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.