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
16,114
Insurances with rates
41
CPT / HCPCS codes
14,316
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 818539 | Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment | $64,059 | $64,059 | $9,611 | $38,312 | 9 |
| 818538 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit | $64,059 | $64,059 | $27,092 | $28,518 | 3 |
| 818536 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $64,059 | $64,059 | $29,531 | $31,085 | 3 |
| 818537 | Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim | $64,059 | $64,059 | $9,611 | $38,312 | 9 |
| 818535 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c | $64,059 | $64,059 | $9,611 | $38,312 | 12 |
| 921270 | Injection, icatibant, 1 mg | $48,927 | $48,927 | $122 | $122 | 4 |
| 818470 | Injection, brentuximab vedotin, 1 mg | $42,328 | $42,328 | $241 | $241 | 4 |
| 640351 | Fecal microbiota, live - jslm, 1 ml | $42,204 | $42,204 | $62.01 | $62.01 | 4 |
| 806291 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr | $37,538 | $37,538 | $9,611 | $38,312 | 13 |
| 919343 | Injection, lurbinectedin, 0.1 mg | $36,729 | $36,729 | $199 | $199 | 4 |
| 917886 | Injection, tenecteplase, 1 mg | $32,007 | $32,007 | $158 | $158 | 4 |
| 906923 | Injection, atezolizumab, 10 mg | $31,082 | $31,082 | $86.71 | $86.71 | 4 |
| 918364 | Injection, caplacizumab-yhdp, 1 mg | $30,660 | $30,660 | — | — | 3 |
| 906552 | Injection, gemtuzumab ozogamicin, 0.1 mg | $28,700 | $28,700 | $226 | $226 | 4 |
| 920154 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | $26,956 | $26,956 | $19.38 | $19.38 | 4 |
| 906102 | Injection, ipilimumab, 1 mg | $25,485 | $25,485 | $175 | $175 | 4 |
| 75705 | Angiography, spinal, selective, radiological supervision and interpretation UNSCHEDULED | $25,290 | $25,290 | $2,076 | $2,185 | 3 |
| 902449 | Injection, eculizumab, 2 mg | $24,470 | $24,470 | $43.47 | $43.47 | 4 |
| 806282 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $21,889 | $21,889 | $7,500 | $38,312 | 14 |
| 33272 | Removal of subcutaneous implantable defibrillator electrode | $19,316 | $19,316 | $12,500 | $34,579 | 10 |
| 906940 | Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg | $19,289 | $19,289 | $110 | $110 | 4 |
| 36252 | Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for | $18,602 | $18,602 | $8,168 | $26,107 | 10 |
| 919361 | Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg | $17,535 | $17,535 | $159 | $159 | 4 |
| 75630 | Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radio | $16,039 | $16,039 | $2,076 | $2,185 | 3 |
| 906433 | Injection, pembrolizumab, 1 mg | $16,033 | $16,033 | $57.57 | $57.57 | 4 |
| 906894 | Injection, durvalumab, 10 mg | $15,859 | $15,859 | $81.35 | $81.35 | 4 |
| 916138 | Injection, panitumumab, 10 mg | $15,832 | $15,832 | $160 | $160 | 4 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or | $15,676 | $15,676 | — | — | 3 |
| 75901 | Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous devi | $15,425 | $15,425 | $2,076 | $2,185 | 3 |
| 806286 | Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, inclu | $15,336 | $15,336 | $9,702 | $10,213 | 3 |
| 806285 | Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to co | $14,389 | $14,389 | $7,500 | $38,312 | 11 |
| 806281 | Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula | $14,227 | $14,227 | $7,500 | $38,312 | 14 |
| 72130 | Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and | $13,991 | $13,991 | $1,258 | $1,888 | 3 |
| 902294 | Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram | $12,654 | $12,654 | $1,703 | $1,703 | 4 |
| 75860 | Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological sup | $12,229 | $12,229 | — | — | 3 |
| 72265 | Myelography, lumbosacral, radiological supervision and interpretation | $11,907 | $11,907 | — | — | 3 |
| 913563 | Injection, digoxin immune fab (ovine), per vial | $11,691 | $11,691 | $4,820 | $4,820 | 4 |
| 915896 | Injection, carmustine, 100 mg | $11,505 | $11,505 | $141 | $141 | 4 |
| 77301 | Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical stru | $11,459 | $11,459 | $6,000 | $6,000 | 4 |
| 78315 | Bone and/or joint imaging; 3 phase study | $11,348 | $11,348 | — | — | 3 |
| 78300 | Bone and/or joint imaging; limited area UNSCHEDULED | $11,348 | $11,348 | $1,885 | $1,984 | 3 |
| 806266 | Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode r | $11,188 | $11,188 | $146 | $154 | 3 |
| 806283 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $10,948 | $10,948 | $7,500 | $38,312 | 11 |
| 806284 | Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr | $10,948 | $10,948 | $7,500 | $38,312 | 11 |
| 915808 | Injection, bendamustine hydrochloride, 1 mg | $10,220 | $10,220 | $1.2 | $1.2 | 4 |
| 78215 | Liver and spleen imaging; static only | $10,062 | $10,062 | — | — | 3 |
| 78707 | Kidney imaging morphology; with vascular flow and function, single study without pharmacological int | $9,949 | $9,949 | — | — | 3 |
| 78290 | Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) UNSCHEDULED | $9,636 | $9,636 | $1,885 | $1,984 | 3 |
| 78803 | Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutic | $9,636 | $9,636 | — | — | 3 |
| 903469 | Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg | $9,583 | $9,583 | $146 | $146 | 4 |
Showing top 50 of 16,114 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.