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
14,847
Insurances with rates
34
CPT / HCPCS codes
13,165
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 426372 | Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim | $111,983 | $111,983 | $6,950 | $38,807 | 16 |
| 426373 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $111,981 | $111,981 | $9,000 | $21,815 | 5 |
| 426371 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $111,981 | $111,981 | $6,950 | $38,807 | 19 |
| 426370 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $111,981 | $111,981 | $6,950 | $38,807 | 19 |
| 435471 | Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of | $48,796 | $48,796 | $25,391 | $42,938 | 4 |
| 417490 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu | $39,409 | $39,409 | $6,950 | $38,807 | 20 |
| 417495 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $36,410 | $36,410 | $6,950 | $38,807 | 20 |
| 417485 | Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula | $36,341 | $36,341 | $7,225 | $21,815 | 4 |
| 417488 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $36,341 | $36,341 | $7,225 | $21,815 | 4 |
| 417487 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $36,341 | $36,341 | $6,950 | $38,807 | 17 |
| 417486 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $36,341 | $36,341 | $16,521 | $21,815 | 3 |
| 417499 | Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervis | $32,060 | $32,060 | $6,950 | $38,807 | 8 |
| 417480 | Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re | $28,380 | $28,380 | $6,950 | $38,807 | 17 |
| 417482 | Intraventricular pacing | $28,380 | $28,380 | $6,950 | $38,807 | 17 |
| 417477 | Bundle of His recording | $28,380 | $28,380 | $6,950 | $38,807 | 17 |
| 417489 | Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co | $28,380 | $28,380 | $6,950 | $38,807 | 17 |
| 417483 | Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for prima | $27,812 | $27,812 | $6,950 | $38,807 | 17 |
| 418168 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $24,605 | $24,605 | — | — | 3 |
| 418170 | Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fr | $21,680 | $21,680 | $2,026 | $2,069 | 2 |
| 414625 | Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphade | $20,347 | $20,347 | $946 | $1,156 | 3 |
| 414716 | Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardi | $20,347 | $20,347 | $946 | $1,156 | 3 |
| 425516 | Quantitative differential pulmonary perfusion, including imaging when performed UNSCHEDULED | $20,232 | $20,232 | $2,026 | $2,069 | 2 |
| 425515 | Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging UNSCHEDULED | $20,232 | $20,232 | $2,123 | $2,168 | 2 |
| 425514 | Pulmonary ventilation imaging (eg, aerosol or gas) | $20,232 | $20,232 | — | — | 3 |
| 908720 | Injection, artesunate, 1 mg | $20,169 | $20,169 | — | — | 3 |
| 412794 | Electroconvulsive therapy (includes necessary monitoring) | $18,403 | $18,403 | $978 | $1,191 | 3 |
| 425435 | Hepatobiliary system imaging, including gallbladder when present; UNSCHEDULED | $17,704 | $17,704 | $1,745 | $1,781 | 2 |
| 425436 | Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, i | $17,701 | $17,701 | — | — | 3 |
| 414726 | Magnetic resonance angiography with contrast, pelvis | $17,251 | $17,251 | $946 | $1,156 | 3 |
| 902964 | Injection, hemin, 1 mg | $17,137 | $17,137 | $33.07 | $33.07 | 4 |
| 413233 | Angiography, adrenal, bilateral, selective, radiological supervision and interpretation | $16,875 | $16,875 | — | — | 3 |
| 414702 | Magnetic resonance angiography with contrast, abdomen | $15,774 | $15,774 | $828 | $828 | 1 |
| 414703 | Magnetic resonance angiography without contrast, abdomen | $15,774 | $15,774 | $518 | $518 | 1 |
| 414610 | Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) | $15,559 | $15,559 | $518 | $3,418 | 4 |
| 908984 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | $15,547 | $15,547 | $19.98 | $19.98 | 4 |
| 421121 | Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must | $15,329 | $15,329 | $1,618 | $12,107 | 12 |
| 418167 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $15,306 | $15,306 | — | — | 3 |
| 413859 | Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological super | $14,155 | $14,155 | — | — | 3 |
| 414693 | Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injecti | $13,671 | $13,671 | $1,508 | $3,418 | 3 |
| 414713 | Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral | $13,641 | $13,641 | $946 | $1,156 | 3 |
| 418161 | Bone and/or joint imaging; whole body UNSCHEDULED | $13,496 | $13,496 | $520 | $531 | 2 |
| 413268 | Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and int | $13,134 | $13,134 | — | — | 3 |
| 429876 | Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel | $12,561 | $12,561 | $1,630 | $1,665 | 2 |
| 414619 | Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) | $12,381 | $12,381 | $828 | $3,418 | 4 |
| 418169 | Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fr | $12,208 | $12,208 | — | — | 3 |
| 425395 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | $12,111 | $12,111 | $1,756 | $1,756 | 4 |
| 414617 | Magnetic resonance angiography, neck; without contrast material(s) | $11,761 | $11,761 | $518 | $3,418 | 4 |
| 414615 | Magnetic resonance angiography, head; with contrast material(s) | $11,761 | $11,761 | $946 | $1,156 | 3 |
| 414614 | Magnetic resonance angiography, head; without contrast material(s) | $11,761 | $11,761 | $946 | $1,156 | 3 |
| 414618 | Magnetic resonance angiography, neck; with contrast material(s) | $11,761 | $11,761 | $946 | $1,156 | 3 |
Showing top 50 of 14,847 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.