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
20,650
Insurances with rates
42
CPT / HCPCS codes
14,618
Source MRF
Most expensive procedures (gross)
691321
$222,397
Not otherwise classified, antineoplastic drugs
Gross
$222,397
704850
$45,154
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll
Gross
$45,154
704849
$41,714
Computed tomography, abdomen and pelvis; with contrast material(s)
Gross
$41,714
720289
$38,124
Injection, icatibant, 1 mg
Gross
$38,124
704848
$36,407
Computed tomography, abdomen and pelvis; without contrast material
Gross
$36,407
716072
$35,614
Injection, vedolizumab, intravenous, 1 mg
Gross
$35,614
705421
$29,410
Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra
Gross
$29,410
933452
$29,292
Osteogenesis stimulator, electrical, surgically implanted Other Outpatient
Gross
$29,292
682980
$24,525
Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, i
Gross
$24,525
680094
$23,447
Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further
Gross
$23,447
677851
$23,282
Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff,
Gross
$23,282
683341
$23,282
Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images,
Gross
$23,282
680093
$21,710
Computed tomography, pelvis; with contrast material(s)
Gross
$21,710
680110
$21,710
Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe
Gross
$21,710
682974
$21,616
Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr
Gross
$21,616
0042T
$20,779
Cerebral perfusion analysis using computed tomography with contrast administration, including post-p
Gross
$20,779
682950
$20,779
Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if
Gross
$20,779
680082
$20,660
Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s)
Gross
$20,660
680081
$20,330
Computed tomography, thorax, diagnostic; with contrast material(s)
Gross
$20,330
680109
$20,008
Computed tomography, abdomen; with contrast material(s) UNSCHEDULED
Gross
$20,008
719249
$19,748
Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic
Gross
$19,748
680719
$19,748
Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic
Gross
$19,748
680044
$19,346
Computed tomography, head or brain; without contrast material, followed by contrast material(s) and
Gross
$19,346
680092
$19,047
Computed tomography, pelvis; without contrast material
Gross
$19,047
691798
$17,509
Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with co
Gross
$17,509
682951
$17,451
Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if
Gross
$17,451
680108
$17,358
Computed tomography, abdomen; without contrast material UNSCHEDULED
Gross
$17,358
680042
$17,208
Computed tomography, head or brain; with contrast material(s) UNSCHEDULED
Gross
$17,208
680088
$17,083
Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and
Gross
$17,083
680085
$16,859
Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and
Gross
$16,859
680078
$16,649
Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) an
Gross
$16,649
680070
$16,620
Computed tomography, maxillofacial area; with contrast material(s)
Gross
$16,620
683516
$16,577
Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, rad
Gross
$16,577
680059
$16,462
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contra
Gross
$16,462
960975
$16,362
Integra flowable wound matrix, injectable, 1 cc
Gross
$16,362
680087
$16,311
Computed tomography, thoracic spine; with contrast material
Gross
$16,311
680073
$16,257
Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s)
Gross
$16,257
681345
$16,028
Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and int
Gross
$16,028
680077
$15,931
Computed tomography, soft tissue neck; with contrast material(s)
Gross
$15,931
680084
$15,931
Computed tomography, cervical spine; with contrast material UNSCHEDULED
Gross
$15,931
680090
$15,931
Computed tomography, lumbar spine; with contrast material
Gross
$15,931
680091
$15,670
Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and f
Gross
$15,670
534839
$15,316
Matrion, per square centimeter (add-on, list separately in addition to primary procedure)
Gross
$15,316
680039
$15,304
Computed tomography, head or brain; without contrast material
Gross
$15,304
680067
$15,114
Computed tomography, maxillofacial area; without contrast material
Gross
$15,114
691808
$14,842
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or
Gross
$14,842
680052
$14,565
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast
Gross
$14,565
677151
$14,492
Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and i
Gross
$14,492
680086
$13,940
Computed tomography, thoracic spine; without contrast material
Gross
$13,940
677558
$13,935
Angiography, internal mammary, radiological supervision and interpretation UNSCHEDULED
Gross
$13,935
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 691321 | Not otherwise classified, antineoplastic drugs | $222,397 | $222,397 | — | — | 3 |
| 704850 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $45,154 | $45,154 | $848 | $1,404 | 3 |
| 704849 | Computed tomography, abdomen and pelvis; with contrast material(s) | $41,714 | $41,714 | $848 | $1,404 | 3 |
| 720289 | Injection, icatibant, 1 mg | $38,124 | $38,124 | $122 | $125 | 5 |
| 704848 | Computed tomography, abdomen and pelvis; without contrast material | $36,407 | $36,407 | $848 | $1,404 | 3 |
| 716072 | Injection, vedolizumab, intravenous, 1 mg | $35,614 | $35,614 | $20.53 | $21.16 | 5 |
| 705421 | Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra | $29,410 | $29,410 | $4,926 | $5,030 | 3 |
| 933452 | Osteogenesis stimulator, electrical, surgically implanted Other Outpatient | $29,292 | $29,292 | $344 | $344 | 1 |
| 682980 | Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, i | $24,525 | $24,525 | $3,165 | $3,231 | 3 |
| 680094 | Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further | $23,447 | $23,447 | $848 | $1,404 | 3 |
| 677851 | Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, | $23,282 | $23,282 | $848 | $1,404 | 3 |
| 683341 | Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, | $23,282 | $23,282 | $848 | $1,404 | 3 |
| 680093 | Computed tomography, pelvis; with contrast material(s) | $21,710 | $21,710 | $848 | $1,404 | 3 |
| 680110 | Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe | $21,710 | $21,710 | $7,956 | $8,123 | 3 |
| 682974 | Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr | $21,616 | $21,616 | $3,062 | $3,126 | 3 |
| 0042T | Cerebral perfusion analysis using computed tomography with contrast administration, including post-p | $20,779 | $20,779 | $848 | $1,404 | 3 |
| 682950 | Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if | $20,779 | $20,779 | $3,675 | $3,752 | 3 |
| 680082 | Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) | $20,660 | $20,660 | $848 | $1,404 | 3 |
| 680081 | Computed tomography, thorax, diagnostic; with contrast material(s) | $20,330 | $20,330 | $848 | $1,404 | 3 |
| 680109 | Computed tomography, abdomen; with contrast material(s) UNSCHEDULED | $20,008 | $20,008 | $2,844 | $2,904 | 3 |
| 719249 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $19,748 | $19,748 | $848 | $1,404 | 4 |
| 680719 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $19,748 | $19,748 | — | — | 3 |
| 680044 | Computed tomography, head or brain; without contrast material, followed by contrast material(s) and | $19,346 | $19,346 | $848 | $1,404 | 3 |
| 680092 | Computed tomography, pelvis; without contrast material | $19,047 | $19,047 | $848 | $1,404 | 3 |
| 691798 | Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with co | $17,509 | $17,509 | $848 | $13,040 | 9 |
| 682951 | Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if | $17,451 | $17,451 | $848 | $1,404 | 3 |
| 680108 | Computed tomography, abdomen; without contrast material UNSCHEDULED | $17,358 | $17,358 | $2,869 | $2,929 | 3 |
| 680042 | Computed tomography, head or brain; with contrast material(s) UNSCHEDULED | $17,208 | $17,208 | $3,342 | $3,413 | 3 |
| 680088 | Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and | $17,083 | $17,083 | $848 | $1,404 | 3 |
| 680085 | Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and | $16,859 | $16,859 | $848 | $1,404 | 3 |
| 680078 | Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) an | $16,649 | $16,649 | $848 | $1,404 | 3 |
| 680070 | Computed tomography, maxillofacial area; with contrast material(s) | $16,620 | $16,620 | $848 | $1,404 | 3 |
| 683516 | Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, rad | $16,577 | $16,577 | $798 | $815 | 3 |
| 680059 | Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contra | $16,462 | $16,462 | $5,251 | $5,361 | 3 |
| 960975 | Integra flowable wound matrix, injectable, 1 cc | $16,362 | $16,362 | $1,450 | $1,494 | 2 |
| 680087 | Computed tomography, thoracic spine; with contrast material | $16,311 | $16,311 | $848 | $1,404 | 3 |
| 680073 | Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) | $16,257 | $16,257 | $3,140 | $3,206 | 3 |
| 681345 | Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and int | $16,028 | $16,028 | — | — | 3 |
| 680077 | Computed tomography, soft tissue neck; with contrast material(s) | $15,931 | $15,931 | $848 | $1,404 | 3 |
| 680084 | Computed tomography, cervical spine; with contrast material UNSCHEDULED | $15,931 | $15,931 | $3,781 | $3,860 | 3 |
| 680090 | Computed tomography, lumbar spine; with contrast material | $15,931 | $15,931 | $848 | $1,404 | 3 |
| 680091 | Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and f | $15,670 | $15,670 | $848 | $1,404 | 3 |
| 534839 | Matrion, per square centimeter (add-on, list separately in addition to primary procedure) | $15,316 | $15,316 | $83.76 | $86.35 | 2 |
| 680039 | Computed tomography, head or brain; without contrast material | $15,304 | $15,304 | $848 | $1,404 | 3 |
| 680067 | Computed tomography, maxillofacial area; without contrast material | $15,114 | $15,114 | $848 | $1,404 | 3 |
| 691808 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $14,842 | $14,842 | — | — | 3 |
| 680052 | Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast | $14,565 | $14,565 | $848 | $1,404 | 3 |
| 677151 | Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and i | $14,492 | $14,492 | — | — | 3 |
| 680086 | Computed tomography, thoracic spine; without contrast material | $13,940 | $13,940 | $848 | $1,404 | 3 |
| 677558 | Angiography, internal mammary, radiological supervision and interpretation UNSCHEDULED | $13,935 | $13,935 | $2,679 | $2,736 | 3 |
Showing top 50 of 20,650 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.