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
14,968
Insurances with rates
28
CPT / HCPCS codes
13,423
Source MRF
Most expensive procedures (gross)
957987
$60,648
Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary ar
Gross
$60,648
74174
$55,991
Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra
Gross
$55,991
777804
$52,500
Injection, polatuzumab vedotin-piiq, 1 mg
Gross
$52,500
116938
$38,899
Injection, dostarlimab-gxly, 10 mg
Gross
$38,899
955340
$38,073
Injection, brentuximab vedotin, 1 mg
Gross
$38,073
75733
$37,145
Angiography, adrenal, bilateral, selective, radiological supervision and interpretation
Gross
$37,145
75827
$36,225
Venography, caval, superior, with serialography, radiological supervision and interpretation
Gross
$36,225
75825
$36,225
Venography, caval, inferior, with serialography, radiological supervision and interpretation
Gross
$36,225
75887
$35,019
Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and i
Gross
$35,019
884415
$33,467
Injection, lanreotide, 1 mg
Gross
$33,467
75872
$32,979
Venography, epidural, radiological supervision and interpretation
Gross
$32,979
802940
$32,860
Injection, hemin, 1 mg
Gross
$32,860
114469
$31,756
Injection, daratumumab, 10 mg and hyaluronidase-fihj
Gross
$31,756
74178
$30,180
Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll
Gross
$30,180
75889
$28,471
Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interp
Gross
$28,471
75833
$27,773
Venography, renal, bilateral, selective, radiological supervision and interpretation
Gross
$27,773
74175
$26,664
Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images,
Gross
$26,664
75635
$26,664
Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff,
Gross
$26,664
74176
$26,248
Computed tomography, abdomen and pelvis; without contrast material
Gross
$26,248
75842
$26,039
Venography, adrenal, bilateral, selective, radiological supervision and interpretation
Gross
$26,039
775747
$25,549
Injection, obinutuzumab, 10 mg
Gross
$25,549
115245
$24,623
Injection, lurbinectedin, 0.1 mg
Gross
$24,623
74177
$24,143
Computed tomography, abdomen and pelvis; with contrast material(s)
Gross
$24,143
78452
$23,995
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or
Gross
$23,995
886872
$23,547
Injection, vedolizumab, intravenous, 1 mg
Gross
$23,547
320
$22,626
Splenoportography, radiological supervision and interpretation
Gross
$22,626
75810
$22,626
Splenoportography, radiological supervision and interpretation
Gross
$22,626
75891
$22,626
Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and int
Gross
$22,626
74363
$22,495
Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, rad
Gross
$22,495
78451
$21,677
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or
Gross
$21,677
75885
$21,012
Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and inte
Gross
$21,012
74485
$20,481
Dilation of ureter(s) or urethra, radiological supervision and interpretation
Gross
$20,481
78454
$19,523
Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fr
Gross
$19,523
72157
$18,609
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$18,609
72158
$18,609
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$18,609
75970
$18,567
Transcatheter biopsy, radiological supervision and interpretation
Gross
$18,567
70553
$18,488
Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo
Gross
$18,488
72156
$18,483
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$18,483
962777
$18,338
Osteogenesis stimulator, electrical, surgically implanted
Gross
$18,338
72147
$18,045
Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material
Gross
$18,045
72149
$18,045
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s
Gross
$18,045
72142
$17,936
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material
Gross
$17,936
70552
$17,921
Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)
Gross
$17,921
901103
$17,911
Intra-atrial pacing
Gross
$17,911
901097
$17,844
Intraventricular pacing
Gross
$17,844
78579
$17,793
Pulmonary ventilation imaging (eg, aerosol or gas)
Gross
$17,793
77012
$17,581
Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization d
Gross
$17,581
911775
$17,334
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep,
Gross
$17,334
903566
$17,107
Magnetic resonance angiography without contrast followed by with contrast, pelvis
Gross
$17,107
71552
$17,086
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade
Gross
$17,086
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 957987 | Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary ar | $60,648 | $60,648 | $10,852 | $30,000 | 11 |
| 74174 | Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra | $55,991 | $55,991 | $365 | $451 | 4 |
| 777804 | Injection, polatuzumab vedotin-piiq, 1 mg | $52,500 | $52,500 | $133 | $166 | 13 |
| 116938 | Injection, dostarlimab-gxly, 10 mg | $38,899 | $38,899 | $240 | $300 | 13 |
| 955340 | Injection, brentuximab vedotin, 1 mg | $38,073 | $38,073 | $249 | $311 | 13 |
| 75733 | Angiography, adrenal, bilateral, selective, radiological supervision and interpretation | $37,145 | $37,145 | $242 | $2,540 | 20 |
| 75827 | Venography, caval, superior, with serialography, radiological supervision and interpretation | $36,225 | $36,225 | $182 | $1,391 | 20 |
| 75825 | Venography, caval, inferior, with serialography, radiological supervision and interpretation | $36,225 | $36,225 | $176 | $2,540 | 20 |
| 75887 | Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and i | $35,019 | $35,019 | $205 | $2,540 | 20 |
| 884415 | Injection, lanreotide, 1 mg | $33,467 | $33,467 | $35.39 | $39.55 | 10 |
| 75872 | Venography, epidural, radiological supervision and interpretation | $32,979 | $32,979 | $194 | $1,391 | 20 |
| 802940 | Injection, hemin, 1 mg | $32,860 | $32,860 | $33.07 | $41.34 | 12 |
| 114469 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | $31,756 | $31,756 | $90.85 | $90.85 | 1 |
| 74178 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $30,180 | $30,180 | $207 | $811 | 20 |
| 75889 | Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interp | $28,471 | $28,471 | $188 | $2,540 | 20 |
| 75833 | Venography, renal, bilateral, selective, radiological supervision and interpretation | $27,773 | $27,773 | $122 | $151 | 4 |
| 74175 | Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, | $26,664 | $26,664 | $101 | $811 | 20 |
| 75635 | Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, | $26,664 | $26,664 | $101 | $811 | 20 |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | $26,248 | $26,248 | $131 | $811 | 20 |
| 75842 | Venography, adrenal, bilateral, selective, radiological supervision and interpretation | $26,039 | $26,039 | $233 | $4,231 | 16 |
| 775747 | Injection, obinutuzumab, 10 mg | $25,549 | $25,549 | $75.21 | $94.01 | 13 |
| 115245 | Injection, lurbinectedin, 0.1 mg | $24,623 | $24,623 | $205 | $256 | 13 |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material(s) | $24,143 | $24,143 | $207 | $811 | 20 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $23,995 | $23,995 | $643 | $1,160 | 20 |
| 886872 | Injection, vedolizumab, intravenous, 1 mg | $23,547 | $23,547 | $21.16 | $26.45 | 12 |
| 320 | Splenoportography, radiological supervision and interpretation | $22,626 | $22,626 | $1,034 | $6,439 | 9 |
| 75810 | Splenoportography, radiological supervision and interpretation | $22,626 | $22,626 | $104 | $2,540 | 20 |
| 75891 | Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and int | $22,626 | $22,626 | $189 | $2,540 | 20 |
| 74363 | Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, rad | $22,495 | $22,495 | $80.03 | $675 | 19 |
| 78451 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $21,677 | $21,677 | $462 | $1,160 | 20 |
| 75885 | Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and inte | $21,012 | $21,012 | $205 | $2,540 | 20 |
| 74485 | Dilation of ureter(s) or urethra, radiological supervision and interpretation | $20,481 | $20,481 | $121 | $1,589 | 20 |
| 78454 | Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fr | $19,523 | $19,523 | $593 | $1,160 | 20 |
| 72157 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $18,609 | $18,609 | $207 | $1,836 | 20 |
| 72158 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $18,609 | $18,609 | $347 | $429 | 4 |
| 75970 | Transcatheter biopsy, radiological supervision and interpretation | $18,567 | $18,567 | $31.2 | $1,275 | 19 |
| 70553 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, fo | $18,488 | $18,488 | $345 | $427 | 4 |
| 72156 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $18,483 | $18,483 | $207 | $1,836 | 20 |
| 962777 | Osteogenesis stimulator, electrical, surgically implanted | $18,338 | $18,338 | $341 | $369 | 14 |
| 72147 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material | $18,045 | $18,045 | $207 | $1,836 | 20 |
| 72149 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s | $18,045 | $18,045 | $304 | $377 | 4 |
| 72142 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material | $17,936 | $17,936 | $207 | $1,836 | 20 |
| 70552 | Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) | $17,921 | $17,921 | $207 | $1,836 | 20 |
| 901103 | Intra-atrial pacing | $17,911 | $17,911 | $2,419 | $35,496 | 14 |
| 901097 | Intraventricular pacing | $17,844 | $17,844 | $2,419 | $35,496 | 14 |
| 78579 | Pulmonary ventilation imaging (eg, aerosol or gas) | $17,793 | $17,793 | $222 | $275 | 4 |
| 77012 | Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization d | $17,581 | $17,581 | $156 | $811 | 19 |
| 911775 | Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, | $17,334 | $17,334 | $401 | $501 | 12 |
| 903566 | Magnetic resonance angiography without contrast followed by with contrast, pelvis | $17,107 | $17,107 | $1,074 | $1,836 | 4 |
| 71552 | Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade | $17,086 | $17,086 | $207 | $1,836 | 20 |
Showing top 50 of 14,968 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.