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
15,659
Insurances with rates
25
CPT / HCPCS codes
13,822
Source MRF
Most expensive procedures (gross)
88468
$53,289
Injection, vedolizumab, intravenous, 1 mg
Gross
$53,289
85459
$41,634
Injection, rituximab, 10 mg
Gross
$41,634
74178
$20,098
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll
Gross
$20,098
72837
$19,002
Injection, digoxin immune fab (ovine), per vial
Gross
$19,002
1192
$17,221
Injection, aldesleukin, per single use vial
Gross
$17,221
74174
$16,786
Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra
Gross
$16,786
74177
$16,308
Computed tomography, abdomen and pelvis; with contrast material(s)
Gross
$16,308
2594
$15,119
Injection, calcitonin salmon, up to 400 units
Gross
$15,119
59040
$12,039
Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted
Gross
$12,039
115034
$11,736
Copper cu-64, dotatate, diagnostic, 1 millicurie
Gross
$11,736
73434
$11,632
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or
Gross
$11,632
50073
$11,512
Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff,
Gross
$11,512
25724
$11,488
Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, i
Gross
$11,488
74176
$11,436
Computed tomography, abdomen and pelvis; without contrast material
Gross
$11,436
25956
$11,047
Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further
Gross
$11,047
73608
$10,851
Brain imaging, positron emission tomography (PET); metabolic evaluation
Gross
$10,851
72732
$10,043
Injection, reteplase, 18.1 mg
Gross
$10,043
57196
$9,753
Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
Gross
$9,753
57197
$9,753
Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
Gross
$9,753
59064
$9,753
Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
Gross
$9,753
25804
$9,498
Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images,
Gross
$9,498
25722
$9,406
Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr
Gross
$9,406
44612
$9,170
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording,
Gross
$9,170
57191
$9,112
Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
Gross
$9,112
25966
$9,052
Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe
Gross
$9,052
25910
$8,789
Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s)
Gross
$8,789
116246
$8,750
Fluoroestradiol f 18, diagnostic, 1 millicurie
Gross
$8,750
25917
$8,531
Computed tomography, thorax, diagnostic; without contrast material
Gross
$8,531
25918
$8,531
Computed tomography, thorax, diagnostic; with contrast material(s)
Gross
$8,531
25919
$8,531
Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s)
Gross
$8,531
25965
$8,436
Computed tomography, abdomen; with contrast material(s)
Gross
$8,436
70739
$8,401
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording,
Gross
$8,401
25902
$8,262
Computed tomography, head or brain; without contrast material, followed by contrast material(s) and
Gross
$8,262
25904
$8,262
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast
Gross
$8,262
25912
$8,137
Computed tomography, soft tissue neck; with contrast material(s)
Gross
$8,137
35978
$8,058
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$8,058
35979
$8,058
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$8,058
35965
$8,058
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo
Gross
$8,058
35977
$8,058
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$8,058
25955
$7,883
Computed tomography, pelvis; with contrast material(s)
Gross
$7,883
35906
$7,824
Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol
Gross
$7,824
58902
$7,824
Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral
Gross
$7,824
35937
$7,824
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con
Gross
$7,824
35915
$7,824
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast
Gross
$7,824
35912
$7,824
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade
Gross
$7,824
35970
$7,811
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material
Gross
$7,811
35968
$7,811
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast mater
Gross
$7,811
35973
$7,811
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast materia
Gross
$7,811
35963
$7,811
Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)
Gross
$7,811
35971
$7,811
Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast mater
Gross
$7,811
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 88468 | Injection, vedolizumab, intravenous, 1 mg | $53,289 | $53,289 | $17.99 | $32.59 | 7 |
| 85459 | Injection, rituximab, 10 mg | $41,634 | $41,634 | $64.97 | $118 | 7 |
| 74178 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $20,098 | $20,098 | $1,408 | $1,705 | 5 |
| 72837 | Injection, digoxin immune fab (ovine), per vial | $19,002 | $19,002 | $4,223 | $7,652 | 7 |
| 1192 | Injection, aldesleukin, per single use vial | $17,221 | $17,221 | $8,848 | $8,848 | 4 |
| 74174 | Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra | $16,786 | $16,786 | $1,408 | $1,705 | 5 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material(s) | $16,308 | $16,308 | $1,408 | $1,705 | 5 |
| 2594 | Injection, calcitonin salmon, up to 400 units | $15,119 | $15,119 | $1,607 | $2,356 | 3 |
| 59040 | Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted | $12,039 | $12,039 | — | — | 3 |
| 115034 | Copper cu-64, dotatate, diagnostic, 1 millicurie | $11,736 | $11,736 | $1,575 | $1,575 | 4 |
| 73434 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $11,632 | $11,632 | $439 | $660 | 8 |
| 50073 | Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, | $11,512 | $11,512 | $1,408 | $1,705 | 5 |
| 25724 | Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, i | $11,488 | $11,488 | $1,408 | $1,705 | 5 |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | $11,436 | $11,436 | $1,408 | $1,705 | 5 |
| 25956 | Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further | $11,047 | $11,047 | $1,408 | $1,705 | 5 |
| 73608 | Brain imaging, positron emission tomography (PET); metabolic evaluation | $10,851 | $10,851 | $7,135 | $9,436 | 5 |
| 72732 | Injection, reteplase, 18.1 mg | $10,043 | $10,043 | $3,236 | $4,745 | 3 |
| 57196 | Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries | $9,753 | $9,753 | $4,708 | $6,905 | 3 |
| 57197 | Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie | $9,753 | $9,753 | $920 | $1,349 | 3 |
| 59064 | Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries | $9,753 | $9,753 | $1,038 | $1,522 | 3 |
| 25804 | Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, | $9,498 | $9,498 | $1,408 | $1,705 | 5 |
| 25722 | Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontr | $9,406 | $9,406 | $1,408 | $1,705 | 5 |
| 44612 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, | $9,170 | $9,170 | — | — | 4 |
| 57191 | Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries | $9,112 | $9,112 | $1,449 | $2,125 | 3 |
| 25966 | Computed tomography, abdomen; without contrast material, followed by contrast material(s) and furthe | $9,052 | $9,052 | $1,408 | $1,705 | 5 |
| 25910 | Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) | $8,789 | $8,789 | $1,408 | $1,705 | 5 |
| 116246 | Fluoroestradiol f 18, diagnostic, 1 millicurie | $8,750 | $8,750 | $1,220 | $1,220 | 4 |
| 25917 | Computed tomography, thorax, diagnostic; without contrast material | $8,531 | $8,531 | $1,408 | $1,705 | 5 |
| 25918 | Computed tomography, thorax, diagnostic; with contrast material(s) | $8,531 | $8,531 | $1,408 | $1,705 | 5 |
| 25919 | Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) | $8,531 | $8,531 | $1,408 | $1,705 | 5 |
| 25965 | Computed tomography, abdomen; with contrast material(s) | $8,436 | $8,436 | $1,408 | $1,705 | 5 |
| 70739 | Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, | $8,401 | $8,401 | — | — | 4 |
| 25902 | Computed tomography, head or brain; without contrast material, followed by contrast material(s) and | $8,262 | $8,262 | $1,408 | $1,705 | 5 |
| 25904 | Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast | $8,262 | $8,262 | $1,408 | $1,705 | 5 |
| 25912 | Computed tomography, soft tissue neck; with contrast material(s) | $8,137 | $8,137 | $1,408 | $1,705 | 5 |
| 35978 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $8,058 | $8,058 | $1,387 | $1,866 | 5 |
| 35979 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $8,058 | $8,058 | $1,387 | $1,866 | 5 |
| 35965 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo | $8,058 | $8,058 | $1,387 | $1,866 | 5 |
| 35977 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $8,058 | $8,058 | $1,387 | $1,866 | 5 |
| 25955 | Computed tomography, pelvis; with contrast material(s) | $7,883 | $7,883 | $1,408 | $1,705 | 5 |
| 35906 | Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), fol | $7,824 | $7,824 | $1,387 | $1,866 | 5 |
| 58902 | Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral | $7,824 | $7,824 | $828 | $828 | 4 |
| 35937 | Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con | $7,824 | $7,824 | $1,387 | $1,866 | 5 |
| 35915 | Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast | $7,824 | $7,824 | $1,387 | $1,866 | 5 |
| 35912 | Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade | $7,824 | $7,824 | $1,387 | $1,866 | 5 |
| 35970 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material | $7,811 | $7,811 | $1,387 | $1,866 | 5 |
| 35968 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast mater | $7,811 | $7,811 | $1,387 | $1,866 | 5 |
| 35973 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast materia | $7,811 | $7,811 | $1,387 | $1,866 | 5 |
| 35963 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) | $7,811 | $7,811 | $1,387 | $1,866 | 5 |
| 35971 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast mater | $7,811 | $7,811 | $1,387 | $1,866 | 5 |
Showing top 50 of 15,659 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.