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
15,736
Insurances with rates
24
CPT / HCPCS codes
13,661
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 75705 | Angiography, spinal, selective, radiological supervision and interpretation | $31,981 | $31,981 | — | — | 3 |
| 799699 | Injection, rasburicase, 0.5 mg | $30,858 | $30,858 | — | — | 3 |
| 78815 | Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuati | $27,507 | $27,507 | $3,746 | $5,031 | 5 |
| 78814 | Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuati | $23,258 | $23,258 | $3,746 | $5,031 | 5 |
| 75736 | Angiography, pelvic, selective or supraselective, radiological supervision and interpretation | $22,679 | $22,679 | — | — | 3 |
| 75600 | Aortography, thoracic, without serialography, radiological supervision and interpretation | $22,679 | $22,679 | — | — | 3 |
| 587704 | Programming device evaluation (in person) with iterative adjustment of the implantable device to tes | $21,758 | $21,758 | — | — | 3 |
| 4283 | Injection, digoxin immune fab (ovine), per vial | $20,477 | $20,477 | — | — | 3 |
| 122574 | Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries | $20,189 | $20,189 | $2,766 | $2,766 | 1 |
| 78816 | Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuati | $19,210 | $19,210 | $3,746 | $5,031 | 5 |
| 794690 | Injection, calcitonin salmon, up to 400 units | $18,640 | $18,640 | — | — | 3 |
| 75860 | Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological sup | $16,469 | $16,469 | — | — | 3 |
| 115384 | Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventri | $16,452 | $16,452 | $1,483 | $3,879 | 9 |
| 75756 | Angiography, internal mammary, radiological supervision and interpretation | $16,212 | $16,212 | — | — | 3 |
| 117105 | Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with | $15,543 | $15,543 | $184 | $184 | 1 |
| 117472 | Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with con | $15,351 | $15,351 | $1,499 | $2,012 | 5 |
| 595765 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | $15,189 | $15,189 | — | — | 3 |
| 122530 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $14,988 | $14,988 | — | — | 3 |
| 594772 | Computed tomography, abdomen and pelvis; with contrast material(s) | $13,836 | $13,836 | $1,087 | $1,462 | 5 |
| 595786 | Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontra | $13,720 | $13,720 | $1,087 | $1,462 | 5 |
| 595794 | Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological s | $13,567 | $13,567 | — | — | 3 |
| 117425 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, follo | $13,323 | $13,323 | $3,231 | $3,231 | 1 |
| 594773 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, foll | $12,920 | $12,920 | $4,586 | $4,586 | 1 |
| 122606 | Indium in-111 pentetate, diagnostic, per 0.5 millicurie | $12,044 | $12,044 | $1,230 | $1,230 | 1 |
| 122533 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $11,758 | $11,758 | — | — | 3 |
| 122521 | Kidney imaging morphology; with vascular flow | $11,496 | $11,496 | — | — | 3 |
| 122524 | Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharm | $11,496 | $11,496 | — | — | 3 |
| 117422 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s | $11,257 | $11,257 | $828 | $3,879 | 9 |
| 121920 | Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode r | $11,181 | $11,181 | — | — | 3 |
| 122534 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $11,140 | $11,140 | — | — | 3 |
| 594771 | Computed tomography, abdomen and pelvis; without contrast material | $11,045 | $11,045 | $1,087 | $1,462 | 5 |
| 121541 | Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillato | $11,007 | $11,007 | $8,000 | $48,120 | 9 |
| 121530 | Intraventricular pacing | $10,085 | $10,085 | $8,000 | $55,583 | 18 |
| 121526 | Intra-atrial recording | $10,085 | $10,085 | $8,000 | $55,583 | 18 |
| 121527 | Right ventricular recording | $10,085 | $10,085 | $8,000 | $55,583 | 18 |
| 122514 | Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography | $10,074 | $10,074 | — | — | 3 |
| 121532 | Induction of arrhythmia by electrical pacing | $10,005 | $10,005 | $8,000 | $55,583 | 18 |
| 117471 | Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) | $9,846 | $9,846 | $828 | $3,879 | 9 |
| 117421 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast materia | $9,454 | $9,454 | $518 | $3,879 | 9 |
| 158569 | Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast | $9,424 | $9,424 | $402 | $3,879 | 9 |
| 73523 | Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views | $9,310 | $9,310 | — | — | 3 |
| 117399 | Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) | $9,240 | $9,240 | $518 | $3,879 | 9 |
| 122532 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $9,181 | $9,181 | — | — | 3 |
| 122401 | Interstitial radiation source application, complex, includes supervision, handling, loading of radia | $9,126 | $9,126 | — | — | 3 |
| 3835 | Injection, bivalirudin, 1 mg | $8,983 | $8,983 | — | — | 3 |
| 595787 | Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, i | $8,762 | $8,762 | — | — | 3 |
| 72081 | Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spin | $8,735 | $8,735 | — | — | 3 |
| 122587 | Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries | $8,623 | $8,623 | $1,531 | $1,531 | 1 |
| 122462 | Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) | $8,547 | $8,547 | — | — | 3 |
| 595789 | Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging UNSCHEDULED | $8,353 | $8,353 | $1,989 | $1,989 | 1 |
Showing top 50 of 15,736 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.