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
14,599
Insurances with rates
33
CPT / HCPCS codes
13,517
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 78452 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $23,745 | $23,745 | $3,359 | $3,536 | 3 |
| 75736 | Angiography, pelvic, selective or supraselective, radiological supervision and interpretation | $20,377 | $20,377 | — | — | 3 |
| 75726 | Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological s | $20,377 | $20,377 | $3,962 | $4,171 | 3 |
| 75605 | Aortography, thoracic, by serialography, radiological supervision and interpretation UNSCHEDULED | $20,377 | $20,377 | $2,100 | $2,210 | 3 |
| 0042T | Cerebral perfusion analysis using computed tomography with contrast administration, including post-p | $19,240 | $19,240 | $968 | $1,266 | 3 |
| 78804 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $18,904 | $18,904 | — | — | 3 |
| 75630 | Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radio | $17,459 | $17,459 | — | — | 3 |
| 75716 | Angiography, extremity, bilateral, radiological supervision and interpretation UNSCHEDULED | $15,959 | $15,959 | $2,100 | $2,210 | 3 |
| 75989 | Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous draina | $13,381 | $13,381 | $625 | $658 | 3 |
| 75756 | Angiography, internal mammary, radiological supervision and interpretation | $13,174 | $13,174 | — | — | 3 |
| 77012 | Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization d | $12,518 | $12,518 | $968 | $1,266 | 3 |
| 78306 | Bone and/or joint imaging; whole body | $11,167 | $11,167 | — | — | 3 |
| Q4108 | Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) | $10,878 | $10,878 | $48.97 | $48.97 | 1 |
| J0840 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | $10,754 | $10,754 | $1,703 | $1,703 | 4 |
| 78278 | Acute gastrointestinal blood loss imaging UNSCHEDULED | $10,206 | $10,206 | $1,906 | $2,007 | 3 |
| 78802 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $9,943 | $9,943 | — | — | 3 |
| J1162 | Injection, digoxin immune fab (ovine), per vial | $9,325 | $9,325 | $4,820 | $4,820 | 4 |
| 78708 | Kidney imaging morphology; with vascular flow and function, single study, with pharmacological inter | $8,853 | $8,853 | $1,906 | $2,007 | 3 |
| 70542 | Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) UNSCHED | $8,845 | $8,845 | $2,070 | $2,179 | 3 |
| 72149 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s | $8,845 | $8,845 | $5,067 | $5,334 | 3 |
| 70546 | Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) | $8,845 | $8,845 | $1,392 | $1,816 | 3 |
| 72142 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material | $8,845 | $8,845 | $1,392 | $1,816 | 3 |
| 78264 | Gastric emptying imaging study (eg, solid, liquid, or both); UNSCHEDULED | $8,260 | $8,260 | $1,906 | $2,007 | 3 |
| 78709 | Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharm | $7,903 | $7,903 | $1,906 | $2,007 | 3 |
| 78707 | Kidney imaging morphology; with vascular flow and function, single study without pharmacological int | $7,903 | $7,903 | $1,906 | $2,007 | 3 |
| 75625 | Aortography, abdominal, by serialography, radiological supervision and interpretation | $7,821 | $7,821 | — | — | 3 |
| 78195 | Lymphatics and lymph nodes imaging UNSCHEDULED | $7,527 | $7,527 | $1,906 | $2,007 | 3 |
| 78451 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $7,513 | $7,513 | $4,506 | $4,743 | 3 |
| 78215 | Liver and spleen imaging; static only UNSCHEDULED | $7,194 | $7,194 | $1,814 | $1,910 | 3 |
| 78070 | Parathyroid planar imaging (including subtraction, when performed); | $6,960 | $6,960 | — | — | 3 |
| 78580 | Pulmonary perfusion imaging (eg, particulate) UNSCHEDULED | $6,953 | $6,953 | $2,942 | $3,097 | 3 |
| 78315 | Bone and/or joint imaging; 3 phase study UNSCHEDULED | $6,410 | $6,410 | $1,906 | $2,007 | 3 |
| 77301 | Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical stru | $6,246 | $6,246 | $3,467 | $3,649 | 3 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct s | $6,145 | $6,145 | $42.08 | $42.08 | 4 |
| 73523 | Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views | $6,071 | $6,071 | — | — | 3 |
| 75774 | Angiography, selective, each additional vessel studied after basic examination, radiological supervi | $5,934 | $5,934 | — | — | 3 |
| 78803 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $5,765 | $5,765 | $1,906 | $2,007 | 3 |
| J0841 | Injection, crotalidae immune f(ab')2 (equine), 120 mg | $5,544 | $5,544 | $1,012 | $1,012 | 4 |
| 93923 | Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more l | $5,262 | $5,262 | — | — | 3 |
| 93320 | Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately | $5,066 | $5,066 | $1,541 | $1,622 | 3 |
| 93024 | Ergonovine provocation test UNSCHEDULED | $4,930 | $4,930 | $1,252 | $1,318 | 3 |
| J2407 | Injection, oritavancin (orbactiv), 10 mg | $4,876 | $4,876 | $27.67 | $27.67 | 4 |
| J3262 | Injection, tocilizumab, 1 mg | $4,781 | $4,781 | $5.7 | $5.7 | 4 |
| 74270 | Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when pe | $4,542 | $4,542 | — | — | 3 |
| 74280 | Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when pe | $4,491 | $4,491 | — | — | 3 |
| J2325 | Injection, nesiritide, 0.1 mg | $4,407 | $4,407 | — | — | 3 |
| 74246 | Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and de | $4,344 | $4,344 | — | — | 3 |
| 78300 | Bone and/or joint imaging; limited area | $4,328 | $4,328 | — | — | 3 |
| 78012 | Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, | $4,280 | $4,280 | — | — | 3 |
| J0130 | Injection abciximab, 10 mg | $4,122 | $4,122 | — | — | 3 |
Showing top 50 of 14,599 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.