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
18,798
Insurances with rates
36
CPT / HCPCS codes
13,763
Source MRF
Most expensive procedures (gross)
596572
$72,149
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$72,149
596578
$72,149
Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit
Gross
$72,149
596574
$72,149
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$72,149
159848
$48,382
Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
Gross
$48,382
122606
$48,382
Indium in-111 pentetate, diagnostic, per 0.5 millicurie
Gross
$48,382
4283
$37,185
Injection, digoxin immune fab (ovine), per vial
Gross
$37,185
124142
$30,751
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima
Gross
$30,751
594773
$26,875
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll
Gross
$26,875
594772
$25,310
Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED
Gross
$25,310
794690
$25,248
Injection, calcitonin salmon, up to 400 units
Gross
$25,248
7543
$24,338
Injection, reteplase, 18.1 mg
Gross
$24,338
594771
$23,855
Computed tomography, abdomen and pelvis; without contrast material
Gross
$23,855
115440
$23,525
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contra
Gross
$23,525
124149
$22,686
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu
Gross
$22,686
124153
$22,686
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr
Gross
$22,686
124137
$22,686
Intra-atrial recording
Gross
$22,686
124140
$22,686
Intra-atrial pacing
Gross
$22,686
124136
$22,686
Bundle of His recording
Gross
$22,686
8906
$22,377
Injection, pentostatin, 10 mg
Gross
$22,377
792393
$22,324
Injection, triptorelin pamoate, 3.75 mg
Gross
$22,324
116562
$22,310
Radiologic examination, osseous survey, infant
Gross
$22,310
8272
$21,393
Injection, bortezomib, 0.1 mg
Gross
$21,393
117424
$20,973
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$20,973
117423
$20,298
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$20,298
117425
$20,177
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$20,177
115447
$19,800
Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if
Gross
$19,800
117411
$19,041
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo
Gross
$19,041
115715
$18,649
Venography, caval, inferior, with serialography, radiological supervision and interpretation
Gross
$18,649
115670
$18,649
Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radio
Gross
$18,649
115697
$18,649
Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation
Gross
$18,649
115668
$18,649
Aortography, thoracic, by serialography, radiological supervision and interpretation
Gross
$18,649
115694
$18,649
Angiography, pelvic, selective or supraselective, radiological supervision and interpretation
Gross
$18,649
115690
$18,649
Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological s
Gross
$18,649
8877
$18,536
Injection, oxaliplatin, 0.5 mg
Gross
$18,536
121887
$18,157
Therapeutic apheresis; for white blood cells
Gross
$18,157
595786
$18,015
Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra
Gross
$18,015
115437
$18,006
Computed tomography, head or brain; without contrast material, followed by contrast material(s) and
Gross
$18,006
122587
$17,709
Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
Gross
$17,709
0042T
$17,196
Cerebral perfusion analysis using computed tomography with contrast administration, including post-p
Gross
$17,196
115452
$16,761
Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr
Gross
$16,761
115458
$16,400
Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and
Gross
$16,400
117402
$16,208
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol
Gross
$16,208
117472
$16,208
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con
Gross
$16,208
117429
$16,208
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast
Gross
$16,208
115493
$15,458
Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe
Gross
$15,458
115451
$15,400
Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s)
Gross
$15,400
115494
$15,272
Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images,
Gross
$15,272
117471
$15,185
Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)
Gross
$15,185
595765
$15,151
Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
Gross
$15,151
121927
$15,150
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording,
Gross
$15,150
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 596572 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $72,149 | $72,149 | $7,350 | $43,464 | 14 |
| 596578 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $72,149 | $72,149 | $7,350 | $43,464 | 14 |
| 596574 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $72,149 | $72,149 | $7,350 | $43,464 | 14 |
| 159848 | Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries | $48,382 | $48,382 | $3,302 | $3,302 | 1 |
| 122606 | Indium in-111 pentetate, diagnostic, per 0.5 millicurie | $48,382 | $48,382 | $1,230 | $1,230 | 1 |
| 4283 | Injection, digoxin immune fab (ovine), per vial | $37,185 | $37,185 | — | — | 3 |
| 124142 | Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima | $30,751 | $30,751 | $7,350 | $43,464 | 15 |
| 594773 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $26,875 | $26,875 | $809 | $1,462 | 5 |
| 594772 | Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED | $25,310 | $25,310 | $5,085 | $5,085 | 2 |
| 794690 | Injection, calcitonin salmon, up to 400 units | $25,248 | $25,248 | — | — | 3 |
| 7543 | Injection, reteplase, 18.1 mg | $24,338 | $24,338 | — | — | 3 |
| 594771 | Computed tomography, abdomen and pelvis; without contrast material | $23,855 | $23,855 | $809 | $1,462 | 5 |
| 115440 | Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contra | $23,525 | $23,525 | $402 | $2,329 | 4 |
| 124149 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu | $22,686 | $22,686 | $7,350 | $43,464 | 16 |
| 124153 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $22,686 | $22,686 | $7,350 | $43,464 | 16 |
| 124137 | Intra-atrial recording | $22,686 | $22,686 | $7,350 | $43,464 | 15 |
| 124140 | Intra-atrial pacing | $22,686 | $22,686 | $7,350 | $43,464 | 15 |
| 124136 | Bundle of His recording | $22,686 | $22,686 | $7,350 | $43,464 | 15 |
| 8906 | Injection, pentostatin, 10 mg | $22,377 | $22,377 | — | — | 3 |
| 792393 | Injection, triptorelin pamoate, 3.75 mg | $22,324 | $22,324 | — | — | 3 |
| 116562 | Radiologic examination, osseous survey, infant | $22,310 | $22,310 | — | — | 3 |
| 8272 | Injection, bortezomib, 0.1 mg | $21,393 | $21,393 | — | — | 3 |
| 117424 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $20,973 | $20,973 | $1,116 | $2,012 | 5 |
| 117423 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $20,298 | $20,298 | $1,116 | $2,012 | 5 |
| 117425 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $20,177 | $20,177 | $1,116 | $2,012 | 5 |
| 115447 | Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if | $19,800 | $19,800 | $809 | $1,462 | 5 |
| 117411 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo | $19,041 | $19,041 | $1,116 | $2,012 | 5 |
| 115715 | Venography, caval, inferior, with serialography, radiological supervision and interpretation | $18,649 | $18,649 | — | — | 3 |
| 115670 | Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radio | $18,649 | $18,649 | — | — | 3 |
| 115697 | Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation | $18,649 | $18,649 | — | — | 3 |
| 115668 | Aortography, thoracic, by serialography, radiological supervision and interpretation | $18,649 | $18,649 | — | — | 3 |
| 115694 | Angiography, pelvic, selective or supraselective, radiological supervision and interpretation | $18,649 | $18,649 | — | — | 3 |
| 115690 | Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological s | $18,649 | $18,649 | — | — | 3 |
| 8877 | Injection, oxaliplatin, 0.5 mg | $18,536 | $18,536 | — | — | 3 |
| 121887 | Therapeutic apheresis; for white blood cells | $18,157 | $18,157 | $1,950 | $9,160 | 16 |
| 595786 | Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra | $18,015 | $18,015 | $809 | $1,462 | 5 |
| 115437 | Computed tomography, head or brain; without contrast material, followed by contrast material(s) and | $18,006 | $18,006 | $809 | $1,462 | 5 |
| 122587 | Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries | $17,709 | $17,709 | $1,531 | $1,531 | 1 |
| 0042T | Cerebral perfusion analysis using computed tomography with contrast administration, including post-p | $17,196 | $17,196 | $809 | $1,462 | 5 |
| 115452 | Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr | $16,761 | $16,761 | $809 | $1,462 | 5 |
| 115458 | Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and | $16,400 | $16,400 | $809 | $1,462 | 5 |
| 117402 | Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol | $16,208 | $16,208 | $1,116 | $2,012 | 5 |
| 117472 | Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con | $16,208 | $16,208 | $1,116 | $2,012 | 5 |
| 117429 | Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast | $16,208 | $16,208 | $1,116 | $2,012 | 5 |
| 115493 | Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe | $15,458 | $15,458 | $809 | $1,462 | 5 |
| 115451 | Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) | $15,400 | $15,400 | $809 | $1,462 | 5 |
| 115494 | Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, | $15,272 | $15,272 | $4,039 | $4,039 | 2 |
| 117471 | Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) | $15,185 | $15,185 | $828 | $2,329 | 4 |
| 595765 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | $15,151 | $15,151 | — | — | 3 |
| 121927 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, | $15,150 | $15,150 | — | — | 3 |
Showing top 50 of 18,798 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.