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
18,790
Insurances with rates
47
CPT / HCPCS codes
13,429
Source MRF
Most expensive procedures (gross)
596572
$105,610
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$105,610
596578
$105,610
Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit
Gross
$105,610
596574
$105,610
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$105,610
796409
$78,909
Injection, daratumumab, 10 mg and hyaluronidase-fihj
Gross
$78,909
792073
$70,952
Injection, vedolizumab, intravenous, 1 mg
Gross
$70,952
122606
$53,151
Indium in-111 pentetate, diagnostic, per 0.5 millicurie
Gross
$53,151
7888
$49,334
Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram
Gross
$49,334
792646
$48,428
Injection, pembrolizumab, 1 mg
Gross
$48,428
124137
$37,360
Intra-atrial recording
Gross
$37,360
124153
$37,360
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr
Gross
$37,360
124136
$37,360
Bundle of His recording
Gross
$37,360
124149
$37,360
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu
Gross
$37,360
124145
$37,360
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$37,360
124144
$37,360
Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula
Gross
$37,360
796345
$35,842
Injection, bezlotoxumab, 10 mg
Gross
$35,842
596576
$35,206
Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim
Gross
$35,206
596580
$35,206
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment
Gross
$35,206
587297
$28,633
Injection, bendamustine hydrochloride, 1 mg
Gross
$28,633
124146
$27,018
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$27,018
124147
$27,018
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$27,018
124139
$27,018
Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re
Gross
$27,018
124148
$27,018
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co
Gross
$27,018
124142
$27,018
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima
Gross
$27,018
8417
$26,365
Injection, cladribine, per 1 mg
Gross
$26,365
796063
$26,300
Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg
Gross
$26,300
3855
$24,765
Injection, onabotulinumtoxina, 1 unit
Gross
$24,765
4283
$24,248
Injection, digoxin immune fab (ovine), per vial
Gross
$24,248
797875
$23,137
Injection, crizanlizumab-tmca, 5 mg
Gross
$23,137
7611
$22,420
Injection, tenecteplase, 1 mg
Gross
$22,420
794690
$22,247
Injection, calcitonin salmon, up to 400 units
Gross
$22,247
115746
$21,831
Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat
Gross
$21,831
159994
$21,831
Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg,
Gross
$21,831
159995
$21,831
Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thorac
Gross
$21,831
115747
$21,831
Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat
Gross
$21,831
122624
$21,721
Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
Gross
$21,721
121530
$21,632
Intraventricular pacing
Gross
$21,632
117423
$19,196
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$19,196
791684
$18,857
Injection, golimumab, 1 mg, for intravenous use
Gross
$18,857
8272
$18,849
Injection, bortezomib, 0.1 mg
Gross
$18,849
115683
$18,759
Angiography, spinal, selective, radiological supervision and interpretation
Gross
$18,759
115731
$18,759
Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and int
Gross
$18,759
115728
$18,759
Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and inte
Gross
$18,759
117418
$18,608
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material
Gross
$18,608
122587
$18,490
Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
Gross
$18,490
3629
$18,453
Injection, amifostine, 500 mg
Gross
$18,453
121916
$17,912
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording,
Gross
$17,912
117424
$17,773
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$17,773
115690
$17,086
Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological s
Gross
$17,086
795833
$16,951
Ustekinumab, for intravenous injection, 1 mg
Gross
$16,951
4324
$16,715
Injection, dexrazoxane hydrochloride, per 250 mg
Gross
$16,715
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 596572 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $105,610 | $105,610 | $7,350 | $55,583 | 21 |
| 596578 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $105,610 | $105,610 | $7,350 | $55,583 | 21 |
| 596574 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $105,610 | $105,610 | $7,350 | $55,583 | 21 |
| 796409 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | $78,909 | $78,909 | $51.4 | $51.4 | 4 |
| 792073 | Injection, vedolizumab, intravenous, 1 mg | $70,952 | $70,952 | $20.53 | $20.53 | 4 |
| 122606 | Indium in-111 pentetate, diagnostic, per 0.5 millicurie | $53,151 | $53,151 | $1,230 | $1,230 | 1 |
| 7888 | Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram | $49,334 | $49,334 | $2.45 | $2.45 | 4 |
| 792646 | Injection, pembrolizumab, 1 mg | $48,428 | $48,428 | $57.57 | $57.57 | 4 |
| 124137 | Intra-atrial recording | $37,360 | $37,360 | $7,350 | $55,583 | 21 |
| 124153 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $37,360 | $37,360 | $7,350 | $55,583 | 22 |
| 124136 | Bundle of His recording | $37,360 | $37,360 | $7,350 | $55,583 | 21 |
| 124149 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu | $37,360 | $37,360 | $7,350 | $55,583 | 22 |
| 124145 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $37,360 | $37,360 | $7,350 | $55,583 | 22 |
| 124144 | Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula | $37,360 | $37,360 | $10,180 | $58,053 | 7 |
| 796345 | Injection, bezlotoxumab, 10 mg | $35,842 | $35,842 | $38.67 | $38.67 | 4 |
| 596576 | Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim | $35,206 | $35,206 | $7,350 | $55,583 | 20 |
| 596580 | Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment | $35,206 | $35,206 | $7,350 | $55,583 | 20 |
| 587297 | Injection, bendamustine hydrochloride, 1 mg | $28,633 | $28,633 | $1.2 | $1.2 | 4 |
| 124146 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $27,018 | $27,018 | $7,350 | $55,583 | 21 |
| 124147 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $27,018 | $27,018 | $7,350 | $55,583 | 21 |
| 124139 | Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re | $27,018 | $27,018 | $10,180 | $58,053 | 5 |
| 124148 | Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co | $27,018 | $27,018 | $7,350 | $55,583 | 21 |
| 124142 | Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima | $27,018 | $27,018 | $7,350 | $55,583 | 21 |
| 8417 | Injection, cladribine, per 1 mg | $26,365 | $26,365 | $9.89 | $9.89 | 4 |
| 796063 | Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg | $26,300 | $26,300 | $28.93 | $28.93 | 4 |
| 3855 | Injection, onabotulinumtoxina, 1 unit | $24,765 | $24,765 | $10.74 | $10.74 | 1 |
| 4283 | Injection, digoxin immune fab (ovine), per vial | $24,248 | $24,248 | $4,820 | $4,820 | 4 |
| 797875 | Injection, crizanlizumab-tmca, 5 mg | $23,137 | $23,137 | $126 | $126 | 4 |
| 7611 | Injection, tenecteplase, 1 mg | $22,420 | $22,420 | $158 | $158 | 4 |
| 794690 | Injection, calcitonin salmon, up to 400 units | $22,247 | $22,247 | — | — | 3 |
| 115746 | Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat | $21,831 | $21,831 | $2,325 | $2,374 | 3 |
| 159994 | Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, | $21,831 | $21,831 | $2,325 | $2,374 | 3 |
| 159995 | Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thorac | $21,831 | $21,831 | $2,325 | $2,374 | 3 |
| 115747 | Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrat | $21,831 | $21,831 | — | — | 1 |
| 122624 | Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries | $21,721 | $21,721 | $3,824 | $3,824 | 1 |
| 121530 | Intraventricular pacing | $21,632 | $21,632 | $7,350 | $55,583 | 21 |
| 117423 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $19,196 | $19,196 | $828 | $3,879 | 9 |
| 791684 | Injection, golimumab, 1 mg, for intravenous use | $18,857 | $18,857 | $10.45 | $10.45 | 4 |
| 8272 | Injection, bortezomib, 0.1 mg | $18,849 | $18,849 | $2.42 | $2.42 | 4 |
| 115683 | Angiography, spinal, selective, radiological supervision and interpretation | $18,759 | $18,759 | — | — | 3 |
| 115731 | Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and int | $18,759 | $18,759 | — | — | 3 |
| 115728 | Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and inte | $18,759 | $18,759 | $2,325 | $2,374 | 3 |
| 117418 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material | $18,608 | $18,608 | $1,499 | $2,012 | 5 |
| 122587 | Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries | $18,490 | $18,490 | $1,531 | $1,531 | 1 |
| 3629 | Injection, amifostine, 500 mg | $18,453 | $18,453 | — | — | 3 |
| 121916 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, | $17,912 | $17,912 | $1,862 | $1,901 | 3 |
| 117424 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $17,773 | $17,773 | $828 | $3,879 | 9 |
| 115690 | Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological s | $17,086 | $17,086 | — | — | 3 |
| 795833 | Ustekinumab, for intravenous injection, 1 mg | $16,951 | $16,951 | $12.43 | $12.43 | 4 |
| 4324 | Injection, dexrazoxane hydrochloride, per 250 mg | $16,715 | $16,715 | $78.53 | $78.53 | 4 |
Showing top 50 of 18,790 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.