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
15,043
Insurances with rates
36
CPT / HCPCS codes
13,359
Source MRF
Most expensive procedures (gross)
818535
$112,131
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c
Gross
$112,131
77372
$74,309
Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani
Gross
$74,309
77373
$43,482
Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, includin
Gross
$43,482
896781
$40,910
Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extend
Gross
$40,910
899435
$40,910
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sa
Gross
$40,910
942952
$40,910
Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and clo
Gross
$40,910
841996
$35,965
Ankle foot orthosis, plastic with ankle joint, custom fabricated
Gross
$35,965
806291
$35,259
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr
Gross
$35,259
806273
$35,222
Bundle of His recording
Gross
$35,222
806278
$35,222
Intraventricular pacing
Gross
$35,222
806282
$35,222
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$35,222
806274
$35,222
Intra-atrial recording
Gross
$35,222
806277
$35,222
Intra-atrial pacing
Gross
$35,222
806283
$34,924
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$34,924
806284
$33,352
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr
Gross
$33,352
906805
$29,134
Injection, nivolumab, 1 mg
Gross
$29,134
806295
$27,371
Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis
Gross
$27,371
806281
$25,777
Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula
Gross
$25,777
948110
$24,096
Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double
Gross
$24,096
75842
$23,639
Venography, adrenal, bilateral, selective, radiological supervision and interpretation
Gross
$23,639
942948
$23,010
Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilf
Gross
$23,010
807350
$22,119
Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
Gross
$22,119
75705
$21,952
Angiography, spinal, selective, radiological supervision and interpretation
Gross
$21,952
75605
$21,952
Aortography, thoracic, by serialography, radiological supervision and interpretation
Gross
$21,952
77301
$20,603
Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical stru
Gross
$20,603
894171
$20,573
Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction con
Gross
$20,573
806285
$20,541
Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co
Gross
$20,541
77338
$18,945
Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and c
Gross
$18,945
809308
$17,397
Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation
Gross
$17,397
90375
$15,073
Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use
Gross
$15,073
802595
$14,654
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method
Gross
$14,654
902294
$14,264
Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
Gross
$14,264
72197
$14,062
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast
Gross
$14,062
814171
$14,062
Magnetic resonance angiography without contrast followed by with contrast, pelvis
Gross
$14,062
806286
$14,045
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu
Gross
$14,045
75860
$13,995
Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological sup
Gross
$13,995
913563
$13,959
Injection, digoxin immune fab (ovine), per vial
Gross
$13,959
74485
$13,585
Dilation of ureter(s) or urethra, radiological supervision and interpretation
Gross
$13,585
75827
$13,423
Venography, caval, superior, with serialography, radiological supervision and interpretation
Gross
$13,423
75887
$13,323
Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and i
Gross
$13,323
72157
$13,274
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$13,274
72156
$13,274
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$13,274
72158
$13,274
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo
Gross
$13,274
78812
$13,139
Positron emission tomography (PET) imaging; skull base to mid-thigh
Gross
$13,139
78811
$13,139
Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)
Gross
$13,139
78813
$13,139
Positron emission tomography (PET) imaging; whole body
Gross
$13,139
71552
$12,906
Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade
Gross
$12,906
74183
$12,906
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con
Gross
$12,906
802945
$12,906
Magnetic resonance angiography without contrast followed by with contrast, abdomen
Gross
$12,906
70546
$12,769
Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s)
Gross
$12,769
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 818535 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $112,131 | $112,131 | $1,660 | $32,755 | 18 |
| 77372 | Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani | $74,309 | $74,309 | $1,831 | $27,150 | 13 |
| 77373 | Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, includin | $43,482 | $43,482 | $3,419 | $27,150 | 13 |
| 896781 | Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extend | $40,910 | $40,910 | $1,203 | $1,488 | 26 |
| 899435 | Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sa | $40,910 | $40,910 | $1,632 | $2,019 | 26 |
| 942952 | Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and clo | $40,910 | $40,910 | $2,102 | $2,600 | 26 |
| 841996 | Ankle foot orthosis, plastic with ankle joint, custom fabricated | $35,965 | $35,965 | $914 | $1,131 | 26 |
| 806291 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $35,259 | $35,259 | $1,850 | $27,753 | 20 |
| 806273 | Bundle of His recording | $35,222 | $35,222 | $1,850 | $27,753 | 12 |
| 806278 | Intraventricular pacing | $35,222 | $35,222 | $1,660 | $27,753 | 17 |
| 806282 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $35,222 | $35,222 | $1,660 | $27,753 | 17 |
| 806274 | Intra-atrial recording | $35,222 | $35,222 | $1,850 | $27,753 | 16 |
| 806277 | Intra-atrial pacing | $35,222 | $35,222 | $1,660 | $27,753 | 17 |
| 806283 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $34,924 | $34,924 | $1,850 | $27,753 | 12 |
| 806284 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $33,352 | $33,352 | $1,850 | $27,753 | 12 |
| 906805 | Injection, nivolumab, 1 mg | $29,134 | $29,134 | $31.38 | $84.61 | 13 |
| 806295 | Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis | $27,371 | $27,371 | $1,850 | $17,870 | 14 |
| 806281 | Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula | $25,777 | $25,777 | $1,660 | $27,753 | 17 |
| 948110 | Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double | $24,096 | $24,096 | $526 | $650 | 26 |
| 75842 | Venography, adrenal, bilateral, selective, radiological supervision and interpretation | $23,639 | $23,639 | $13,594 | $14,160 | 3 |
| 942948 | Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilf | $23,010 | $23,010 | $627 | $776 | 26 |
| 807350 | Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries | $22,119 | $22,119 | $4,815 | $5,015 | 3 |
| 75705 | Angiography, spinal, selective, radiological supervision and interpretation | $21,952 | $21,952 | $302 | $817 | 6 |
| 75605 | Aortography, thoracic, by serialography, radiological supervision and interpretation | $21,952 | $21,952 | $163 | $695 | 6 |
| 77301 | Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical stru | $20,603 | $20,603 | $1,898 | $3,322 | 6 |
| 894171 | Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction con | $20,573 | $20,573 | $465 | $575 | 26 |
| 806285 | Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co | $20,541 | $20,541 | $1,850 | $27,753 | 12 |
| 77338 | Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and c | $18,945 | $18,945 | $370 | $558 | 6 |
| 809308 | Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation | $17,397 | $17,397 | $328 | $328 | 6 |
| 90375 | Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use | $15,073 | $15,073 | $281 | $734 | 8 |
| 802595 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | $14,654 | $14,654 | $905 | $942 | 3 |
| 902294 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | $14,264 | $14,264 | $1,703 | $4,662 | 7 |
| 72197 | Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast | $14,062 | $14,062 | $898 | $936 | 3 |
| 814171 | Magnetic resonance angiography without contrast followed by with contrast, pelvis | $14,062 | $14,062 | $898 | $936 | 3 |
| 806286 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu | $14,045 | $14,045 | $1,660 | $27,753 | 17 |
| 75860 | Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological sup | $13,995 | $13,995 | $7,915 | $8,245 | 3 |
| 913563 | Injection, digoxin immune fab (ovine), per vial | $13,959 | $13,959 | $4,820 | $13,281 | 7 |
| 74485 | Dilation of ureter(s) or urethra, radiological supervision and interpretation | $13,585 | $13,585 | $181 | $204 | 6 |
| 75827 | Venography, caval, superior, with serialography, radiological supervision and interpretation | $13,423 | $13,423 | $3,906 | $4,069 | 3 |
| 75887 | Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and i | $13,323 | $13,323 | $6,580 | $6,854 | 3 |
| 72157 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $13,274 | $13,274 | $898 | $936 | 3 |
| 72156 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $13,274 | $13,274 | $556 | $1,613 | 6 |
| 72158 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $13,274 | $13,274 | $898 | $936 | 3 |
| 78812 | Positron emission tomography (PET) imaging; skull base to mid-thigh | $13,139 | $13,139 | $3,668 | $3,821 | 3 |
| 78811 | Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) | $13,139 | $13,139 | $3,283 | $3,420 | 3 |
| 78813 | Positron emission tomography (PET) imaging; whole body | $13,139 | $13,139 | $3,668 | $3,821 | 3 |
| 71552 | Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade | $12,906 | $12,906 | $971 | $2,040 | 6 |
| 74183 | Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con | $12,906 | $12,906 | $619 | $2,045 | 6 |
| 802945 | Magnetic resonance angiography without contrast followed by with contrast, abdomen | $12,906 | $12,906 | $898 | $936 | 3 |
| 70546 | Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) | $12,769 | $12,769 | $659 | $1,866 | 6 |
Showing top 50 of 15,043 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.