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
18,558
Insurances with rates
53
CPT / HCPCS codes
13,447
Source MRF
Most expensive procedures (gross)
596573
$106,718
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$106,718
596577
$106,571
Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit
Gross
$106,571
596571
$99,623
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$99,623
796303
$97,464
Injection, dostarlimab-gxly, 10 mg
Gross
$97,464
798920
$78,972
Injection, obinutuzumab, 10 mg
Gross
$78,972
121542
$74,749
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr
Gross
$74,749
795971
$73,635
Injection, caplacizumab-yhdp, 1 mg
Gross
$73,635
122606
$61,838
Indium in-111 pentetate, diagnostic, per 0.5 millicurie
Gross
$61,838
795268
$51,022
Injection, rituximab, 10 mg
Gross
$51,022
121535
$50,675
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$50,675
121534
$50,675
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$50,675
121533
$50,675
Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula
Gross
$50,675
121537
$50,675
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co
Gross
$50,675
121536
$48,288
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$48,288
121530
$45,892
Intraventricular pacing UNSCHEDULED
Gross
$45,892
121527
$45,892
Right ventricular recording
Gross
$45,892
121526
$45,892
Intra-atrial recording
Gross
$45,892
121528
$45,892
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re
Gross
$45,892
121529
$45,892
Intra-atrial pacing
Gross
$45,892
121532
$45,892
Induction of arrhythmia by electrical pacing
Gross
$45,892
587758
$45,892
Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or
Gross
$45,892
121538
$45,892
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu
Gross
$45,892
121531
$45,892
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima
Gross
$45,892
121525
$45,892
Bundle of His recording UNSCHEDULED
Gross
$45,892
851314
$40,200
Cochlear device, includes all internal and external components Other Outpatient
Gross
$40,200
797267
$39,992
Injection, cemiplimab-rwlc, 1 mg
Gross
$39,992
7611
$35,600
Injection, tenecteplase, 1 mg
Gross
$35,600
4283
$34,120
Injection, digoxin immune fab (ovine), per vial
Gross
$34,120
122604
$32,213
Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie
Gross
$32,213
278
$32,000
Brachytherapy source, non-stranded, yttrium-90, per source
Gross
$32,000
122626
$31,162
Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
Gross
$31,162
869152
$26,264
Integra flowable wound matrix, injectable, 1 cc
Gross
$26,264
797865
$25,753
Injection, fam-trastuzumab deruxtecan-nxki, 1 mg
Gross
$25,753
795387
$25,237
Injection, atezolizumab, 10 mg
Gross
$25,237
796063
$24,226
Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg
Gross
$24,226
116325
$23,304
Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thor
Gross
$23,304
792646
$22,755
Injection, pembrolizumab, 1 mg
Gross
$22,755
117425
$22,508
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$22,508
122587
$21,510
Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
Gross
$21,510
11500
$19,973
Noc drugs, inhalation solution administered through dme
Gross
$19,973
117406
$19,890
Magnetic resonance angiography, neck; without contrast material(s)
Gross
$19,890
117521
$19,890
Magnetic resonance angiography without contrast followed by with contrast, abdomen
Gross
$19,890
117403
$19,890
Magnetic resonance angiography, head; without contrast material(s)
Gross
$19,890
587297
$19,679
Injection, bendamustine hydrochloride, 1 mg
Gross
$19,679
117401
$19,129
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)
Gross
$19,129
117411
$18,280
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo
Gross
$18,280
792574
$17,564
Injection, naltrexone, depot form, 1 mg
Gross
$17,564
117423
$17,310
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$17,310
122625
$17,069
Strontium sr-89 chloride, therapeutic, per millicurie
Gross
$17,069
117409
$16,822
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material
Gross
$16,822
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 596573 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $106,718 | $106,718 | $7,350 | $43,464 | 17 |
| 596577 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $106,571 | $106,571 | $7,350 | $43,464 | 17 |
| 596571 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $99,623 | $99,623 | $7,350 | $43,464 | 17 |
| 796303 | Injection, dostarlimab-gxly, 10 mg | $97,464 | $97,464 | $233 | $233 | 4 |
| 798920 | Injection, obinutuzumab, 10 mg | $78,972 | $78,972 | $72.95 | $72.95 | 4 |
| 121542 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $74,749 | $74,749 | $7,350 | $43,464 | 19 |
| 795971 | Injection, caplacizumab-yhdp, 1 mg | $73,635 | $73,635 | — | — | 3 |
| 122606 | Indium in-111 pentetate, diagnostic, per 0.5 millicurie | $61,838 | $61,838 | $1,230 | $1,230 | 1 |
| 795268 | Injection, rituximab, 10 mg | $51,022 | $51,022 | $74.14 | $74.14 | 4 |
| 121535 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $50,675 | $50,675 | $7,350 | $43,464 | 18 |
| 121534 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $50,675 | $50,675 | $6,826 | $22,510 | 5 |
| 121533 | Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula | $50,675 | $50,675 | $276 | $281 | 3 |
| 121537 | Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co | $50,675 | $50,675 | $7,350 | $43,464 | 18 |
| 121536 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $48,288 | $48,288 | $7,350 | $43,464 | 18 |
| 121530 | Intraventricular pacing UNSCHEDULED | $45,892 | $45,892 | $11,370 | $11,610 | 3 |
| 121527 | Right ventricular recording | $45,892 | $45,892 | $7,350 | $43,464 | 18 |
| 121526 | Intra-atrial recording | $45,892 | $45,892 | $7,350 | $43,464 | 18 |
| 121528 | Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re | $45,892 | $45,892 | $7,350 | $43,464 | 18 |
| 121529 | Intra-atrial pacing | $45,892 | $45,892 | $7,350 | $43,464 | 18 |
| 121532 | Induction of arrhythmia by electrical pacing | $45,892 | $45,892 | $7,350 | $43,464 | 18 |
| 587758 | Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or | $45,892 | $45,892 | $7,350 | $43,464 | 18 |
| 121538 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu | $45,892 | $45,892 | $7,350 | $43,464 | 19 |
| 121531 | Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima | $45,892 | $45,892 | $11,370 | $11,610 | 3 |
| 121525 | Bundle of His recording UNSCHEDULED | $45,892 | $45,892 | $11,370 | $11,610 | 3 |
| 851314 | Cochlear device, includes all internal and external components Other Outpatient | $40,200 | $40,200 | $23,438 | $23,438 | 1 |
| 797267 | Injection, cemiplimab-rwlc, 1 mg | $39,992 | $39,992 | $28.05 | $28.05 | 4 |
| 7611 | Injection, tenecteplase, 1 mg | $35,600 | $35,600 | $158 | $158 | 4 |
| 4283 | Injection, digoxin immune fab (ovine), per vial | $34,120 | $34,120 | $4,820 | $4,820 | 4 |
| 122604 | Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie | $32,213 | $32,213 | $1,372 | $1,372 | 1 |
| 278 | Brachytherapy source, non-stranded, yttrium-90, per source | $32,000 | $32,000 | $40,000 | $40,000 | 1 |
| 122626 | Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries | $31,162 | $31,162 | $5,214 | $5,214 | 1 |
| 869152 | Integra flowable wound matrix, injectable, 1 cc | $26,264 | $26,264 | $1,450 | $1,450 | 1 |
| 797865 | Injection, fam-trastuzumab deruxtecan-nxki, 1 mg | $25,753 | $25,753 | $28.03 | $28.03 | 4 |
| 795387 | Injection, atezolizumab, 10 mg | $25,237 | $25,237 | $86.71 | $86.71 | 4 |
| 796063 | Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg | $24,226 | $24,226 | $28.93 | $28.93 | 4 |
| 116325 | Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thor | $23,304 | $23,304 | — | — | 3 |
| 792646 | Injection, pembrolizumab, 1 mg | $22,755 | $22,755 | $57.57 | $57.57 | 4 |
| 117425 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $22,508 | $22,508 | $828 | $2,329 | 4 |
| 122587 | Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries | $21,510 | $21,510 | $1,531 | $1,531 | 1 |
| 11500 | Noc drugs, inhalation solution administered through dme | $19,973 | $19,973 | — | — | 3 |
| 117406 | Magnetic resonance angiography, neck; without contrast material(s) | $19,890 | $19,890 | $518 | $2,329 | 4 |
| 117521 | Magnetic resonance angiography without contrast followed by with contrast, abdomen | $19,890 | $19,890 | $1,116 | $2,012 | 5 |
| 117403 | Magnetic resonance angiography, head; without contrast material(s) | $19,890 | $19,890 | $1,116 | $2,012 | 5 |
| 587297 | Injection, bendamustine hydrochloride, 1 mg | $19,679 | $19,679 | $1.2 | $1.2 | 4 |
| 117401 | Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) | $19,129 | $19,129 | $1,116 | $2,012 | 5 |
| 117411 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo | $18,280 | $18,280 | $1,116 | $2,012 | 5 |
| 792574 | Injection, naltrexone, depot form, 1 mg | $17,564 | $17,564 | $4 | $4 | 4 |
| 117423 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $17,310 | $17,310 | $1,116 | $2,012 | 5 |
| 122625 | Strontium sr-89 chloride, therapeutic, per millicurie | $17,069 | $17,069 | — | — | 3 |
| 117409 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $16,822 | $16,822 | $1,116 | $2,012 | 5 |
Showing top 50 of 18,558 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.