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
19,946
Insurances with rates
46
CPT / HCPCS codes
14,316
Source MRF
Most expensive procedures (gross)
818539
$64,059
Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment
Gross
$64,059
818538
$64,059
Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit
Gross
$64,059
818536
$64,059
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$64,059
818537
$64,059
Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim
Gross
$64,059
818535
$64,059
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$64,059
921270
$48,927
Injection, icatibant, 1 mg
Gross
$48,927
818470
$42,328
Injection, brentuximab vedotin, 1 mg
Gross
$42,328
640351
$42,204
Fecal microbiota, live - jslm, 1 ml
Gross
$42,204
806291
$37,538
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr
Gross
$37,538
919343
$36,729
Injection, lurbinectedin, 0.1 mg
Gross
$36,729
917886
$32,007
Injection, tenecteplase, 1 mg
Gross
$32,007
906923
$31,082
Injection, atezolizumab, 10 mg
Gross
$31,082
918364
$30,660
Injection, caplacizumab-yhdp, 1 mg
Gross
$30,660
906552
$28,700
Injection, gemtuzumab ozogamicin, 0.1 mg
Gross
$28,700
920154
$26,956
Injection, pegfilgrastim, excludes biosimilar, 0.5 mg
Gross
$26,956
906102
$25,485
Injection, ipilimumab, 1 mg
Gross
$25,485
75705
$25,290
Angiography, spinal, selective, radiological supervision and interpretation UNSCHEDULED
Gross
$25,290
902449
$24,470
Injection, eculizumab, 2 mg
Gross
$24,470
806282
$21,889
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$21,889
33272
$19,316
Removal of subcutaneous implantable defibrillator electrode
Gross
$19,316
906940
$19,289
Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg
Gross
$19,289
36252
$18,602
Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for
Gross
$18,602
919361
$17,535
Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg
Gross
$17,535
75630
$16,039
Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radio
Gross
$16,039
906433
$16,033
Injection, pembrolizumab, 1 mg
Gross
$16,033
906894
$15,859
Injection, durvalumab, 10 mg
Gross
$15,859
916138
$15,832
Injection, panitumumab, 10 mg
Gross
$15,832
78452
$15,676
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or
Gross
$15,676
75901
$15,425
Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous devi
Gross
$15,425
806286
$15,336
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu
Gross
$15,336
806285
$14,389
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co
Gross
$14,389
806281
$14,227
Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula
Gross
$14,227
72130
$13,991
Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and
Gross
$13,991
902294
$12,654
Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
Gross
$12,654
75860
$12,229
Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological sup
Gross
$12,229
72265
$11,907
Myelography, lumbosacral, radiological supervision and interpretation
Gross
$11,907
913563
$11,691
Injection, digoxin immune fab (ovine), per vial
Gross
$11,691
915896
$11,505
Injection, carmustine, 100 mg
Gross
$11,505
77301
$11,459
Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical stru
Gross
$11,459
78315
$11,348
Bone and/or joint imaging; 3 phase study
Gross
$11,348
78300
$11,348
Bone and/or joint imaging; limited area UNSCHEDULED
Gross
$11,348
806266
$11,188
Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode r
Gross
$11,188
806283
$10,948
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$10,948
806284
$10,948
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$10,948
915808
$10,220
Injection, bendamustine hydrochloride, 1 mg
Gross
$10,220
78215
$10,062
Liver and spleen imaging; static only
Gross
$10,062
78707
$9,949
Kidney imaging morphology; with vascular flow and function, single study without pharmacological int
Gross
$9,949
78290
$9,636
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) UNSCHEDULED
Gross
$9,636
78803
$9,636
Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic
Gross
$9,636
903469
$9,583
Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg
Gross
$9,583
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 818539 | Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment | $64,059 | $64,059 | $9,611 | $38,312 | 9 |
| 818538 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $64,059 | $64,059 | $27,092 | $28,518 | 3 |
| 818536 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $64,059 | $64,059 | $29,531 | $31,085 | 3 |
| 818537 | Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim | $64,059 | $64,059 | $9,611 | $38,312 | 9 |
| 818535 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $64,059 | $64,059 | $9,611 | $38,312 | 12 |
| 921270 | Injection, icatibant, 1 mg | $48,927 | $48,927 | $122 | $122 | 4 |
| 818470 | Injection, brentuximab vedotin, 1 mg | $42,328 | $42,328 | $241 | $241 | 4 |
| 640351 | Fecal microbiota, live - jslm, 1 ml | $42,204 | $42,204 | $62.01 | $62.01 | 4 |
| 806291 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $37,538 | $37,538 | $9,611 | $38,312 | 13 |
| 919343 | Injection, lurbinectedin, 0.1 mg | $36,729 | $36,729 | $199 | $199 | 4 |
| 917886 | Injection, tenecteplase, 1 mg | $32,007 | $32,007 | $158 | $158 | 4 |
| 906923 | Injection, atezolizumab, 10 mg | $31,082 | $31,082 | $86.71 | $86.71 | 4 |
| 918364 | Injection, caplacizumab-yhdp, 1 mg | $30,660 | $30,660 | — | — | 3 |
| 906552 | Injection, gemtuzumab ozogamicin, 0.1 mg | $28,700 | $28,700 | $226 | $226 | 4 |
| 920154 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | $26,956 | $26,956 | $19.38 | $19.38 | 4 |
| 906102 | Injection, ipilimumab, 1 mg | $25,485 | $25,485 | $175 | $175 | 4 |
| 75705 | Angiography, spinal, selective, radiological supervision and interpretation UNSCHEDULED | $25,290 | $25,290 | $2,076 | $2,185 | 3 |
| 902449 | Injection, eculizumab, 2 mg | $24,470 | $24,470 | $43.47 | $43.47 | 4 |
| 806282 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $21,889 | $21,889 | $7,500 | $38,312 | 14 |
| 33272 | Removal of subcutaneous implantable defibrillator electrode | $19,316 | $19,316 | $12,500 | $34,579 | 10 |
| 906940 | Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg | $19,289 | $19,289 | $110 | $110 | 4 |
| 36252 | Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for | $18,602 | $18,602 | $8,168 | $26,107 | 10 |
| 919361 | Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg | $17,535 | $17,535 | $159 | $159 | 4 |
| 75630 | Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radio | $16,039 | $16,039 | $2,076 | $2,185 | 3 |
| 906433 | Injection, pembrolizumab, 1 mg | $16,033 | $16,033 | $57.57 | $57.57 | 4 |
| 906894 | Injection, durvalumab, 10 mg | $15,859 | $15,859 | $81.35 | $81.35 | 4 |
| 916138 | Injection, panitumumab, 10 mg | $15,832 | $15,832 | $160 | $160 | 4 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $15,676 | $15,676 | — | — | 3 |
| 75901 | Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous devi | $15,425 | $15,425 | $2,076 | $2,185 | 3 |
| 806286 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu | $15,336 | $15,336 | $9,702 | $10,213 | 3 |
| 806285 | Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co | $14,389 | $14,389 | $7,500 | $38,312 | 11 |
| 806281 | Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula | $14,227 | $14,227 | $7,500 | $38,312 | 14 |
| 72130 | Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and | $13,991 | $13,991 | $1,258 | $1,888 | 3 |
| 902294 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | $12,654 | $12,654 | $1,703 | $1,703 | 4 |
| 75860 | Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological sup | $12,229 | $12,229 | — | — | 3 |
| 72265 | Myelography, lumbosacral, radiological supervision and interpretation | $11,907 | $11,907 | — | — | 3 |
| 913563 | Injection, digoxin immune fab (ovine), per vial | $11,691 | $11,691 | $4,820 | $4,820 | 4 |
| 915896 | Injection, carmustine, 100 mg | $11,505 | $11,505 | $141 | $141 | 4 |
| 77301 | Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical stru | $11,459 | $11,459 | $6,000 | $6,000 | 4 |
| 78315 | Bone and/or joint imaging; 3 phase study | $11,348 | $11,348 | — | — | 3 |
| 78300 | Bone and/or joint imaging; limited area UNSCHEDULED | $11,348 | $11,348 | $1,885 | $1,984 | 3 |
| 806266 | Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode r | $11,188 | $11,188 | $146 | $154 | 3 |
| 806283 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $10,948 | $10,948 | $7,500 | $38,312 | 11 |
| 806284 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $10,948 | $10,948 | $7,500 | $38,312 | 11 |
| 915808 | Injection, bendamustine hydrochloride, 1 mg | $10,220 | $10,220 | $1.2 | $1.2 | 4 |
| 78215 | Liver and spleen imaging; static only | $10,062 | $10,062 | — | — | 3 |
| 78707 | Kidney imaging morphology; with vascular flow and function, single study without pharmacological int | $9,949 | $9,949 | — | — | 3 |
| 78290 | Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) UNSCHEDULED | $9,636 | $9,636 | $1,885 | $1,984 | 3 |
| 78803 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $9,636 | $9,636 | — | — | 3 |
| 903469 | Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg | $9,583 | $9,583 | $146 | $146 | 4 |
Showing top 50 of 19,946 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.