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
20,224
Insurances with rates
15
CPT / HCPCS codes
19,405
Source MRF
Most expensive procedures (gross)
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 75605 | S&I AORTOGRAPHY THORACIC | $14,055 | $7,028 | $200 | $13,633 | 54 |
| 87903 | PHENOTYPE 1ST THRU 10 DRUGS | $11,105 | $5,553 | $489 | $10,772 | 54 |
| 78815 | PET BREAST STGE MON SK TO TH INIT TX | $10,523 | $5,262 | $1,149 | $10,207 | 54 |
| 78816 | PET/CT NM WB IMAG INIT TX | $10,523 | $5,262 | $1,151 | $10,207 | 54 |
| 88362 | NERVE TEASING PREPARATIONS | $9,908 | $4,954 | $783 | $9,611 | 54 |
| 78608 | PET BRAIN IMAGING METABOLIC | $7,050 | $3,525 | $1,105 | $6,839 | 54 |
| 78814 | PET/CT LTD TUMOR IMAG INIT TX | $7,050 | $3,525 | $1,139 | $6,839 | 54 |
| 75891 | S&I HEPATIC VENOGRPHY WO HEMD | $6,705 | $3,353 | $193 | $6,504 | 54 |
| 75893 | S&I VENOUS SAMPLING THRU CATH | $6,570 | $3,285 | $164 | $10,815 | 54 |
| 87483 | CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25 | $6,510 | $3,255 | $417 | $6,315 | 54 |
| 74178 | CT ABD PELVIS W&WO CONTRAST | $6,497 | $3,249 | $339 | $6,302 | 54 |
| 75842 | S&I VENOGRAM ADRENAL BILAT | $6,403 | $3,202 | $221 | $6,211 | 47 |
| 78452 | MYOCARDL PERFUS SPECT MULTI | $6,330 | $3,165 | $329 | $6,140 | 53 |
| 36514 | ARC APHERESIS THERAPEUTIC PLASMA PHERESIS | $6,318 | $3,159 | $1,513 | $6,128 | 54 |
| 59412 | US EXTERNAL CEPHALIC VERSION | $6,196 | $3,098 | $2,008 | $6,291 | 53 |
| 75726 | S&I ANGIO VISCERAL SEL SUPRASEL | $6,187 | $3,094 | $210 | $10,815 | 54 |
| 75716 | S&I ANGIO EXTREMITY BILAT | $6,187 | $3,094 | $243 | $6,137 | 54 |
| 75833 | S&I VENOGRAM RENAL SEL BILAT | $6,157 | $3,079 | $220 | $6,137 | 54 |
| 78266 | GASTRIC EMPTYING IMAG STUDY MULTIPLE DAYS | $6,033 | $3,017 | $528 | $5,852 | 54 |
| 87912 | HBV GENOTYPE | $5,852 | $2,926 | $257 | $5,676 | 54 |
| 78431 | MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT | $5,851 | $2,926 | $1,896 | $5,675 | 53 |
| 78459 | PET CARDIAC IMAGING METABOLIC | $5,650 | $2,825 | $1,258 | $5,481 | 54 |
| 74177 | CT ABD PELVIS W CONTRAST | $5,640 | $2,820 | $290 | $5,471 | 54 |
| 75710 | S&I ANGIO EXTREMITY UNIL | $5,622 | $2,811 | $211 | $6,137 | 54 |
| 75736 | S&I ANGIO PELVIC SEL SUPRASEL | $5,622 | $2,811 | $210 | $10,815 | 54 |
| 75705 | S&I ANGIO SPINAL SELECTIVE | $5,622 | $2,811 | $254 | $10,815 | 54 |
| 78072 | PARATHYRD PLANAR W/SPECT&CT | $5,547 | $2,774 | $528 | $5,381 | 38 |
| 86152 | CIRCULATING TUMOR CELLS | $5,509 | $2,755 | $251 | $5,344 | 54 |
| 75831 | S&I VENOGRAP RENAL SEL UNILAT | $5,377 | $2,689 | $204 | $6,137 | 54 |
| 75733 | S&I ANGIO ADRENAL SEL BIL | $5,367 | $2,684 | $245 | $6,137 | 54 |
| 74174 | CTA ABD/PEL W/WO CONTRAST POST | $5,330 | $2,665 | $339 | $5,170 | 54 |
| 87507 | GI PANEL STOOL PCR 12-25 TARGETS | $5,310 | $2,655 | $417 | $5,151 | 54 |
| 75580 | N-INVAS EST C FFR SW ALY CTA | $5,216 | $2,608 | $834 | $5,060 | 54 |
| 72255 | S&I MYELOGRAM THORACIC | $5,197 | $2,599 | $117 | $5,041 | 54 |
| 75743 | S&I ANGIO PULMON SELECT BIL | $5,133 | $2,567 | $224 | $6,137 | 54 |
| 75810 | S&I SPLENOPORTOGRAPHY | $5,133 | $2,567 | $503 | $6,137 | 54 |
| 75840 | S&I VENOGRAM ADRENAL UNIL | $5,132 | $2,566 | $201 | $6,137 | 54 |
| 86833 | HLA CLASS II ANTIBODY HD | $5,091 | $2,546 | $326 | $4,938 | 54 |
| 36513 | ARC APHERESIS THERAPEUTIC PLATELETS | $5,061 | $2,531 | $429 | $4,909 | 54 |
| 36512 | ARC APHERESIS THERAPEUTIC RBC | $5,061 | $2,531 | $1,513 | $4,909 | 54 |
| 36455 | ARC BLOOD EXCHANGE/TRANSFUSE NON-NB | $5,061 | $2,531 | $429 | $4,909 | 53 |
| 87633 | RESP VIRUS PCR | $5,040 | $2,520 | $417 | $4,889 | 54 |
| 72295 | S&I DISKOGRAM LUMBAR | $5,038 | $2,519 | $116 | $4,887 | 54 |
| 38220 | BONE MARROW ASPIRATION ONLY | $5,012 | $2,506 | $1,605 | $4,862 | 54 |
| 38221 | BONE MARROW BIOPSY | $5,012 | $2,506 | $1,605 | $4,862 | 54 |
| 78492 | PET MYOCARDIAL PERF MULTI | $4,956 | $2,478 | $1,314 | $4,807 | 54 |
| 78491 | PET MYOCARDIAL PERF SINGLE | $4,956 | $2,478 | $805 | $4,807 | 54 |
| 87506 | GASTRO PATHOGEN 6-7 TARGETS | $4,850 | $2,425 | $263 | $4,705 | 54 |
| MHMC - 3001 - 110000200 | IP INTENSIVE | $4,818 | $2,409 | — | — | 0 |
| 75889 | S&I HEPATIC VENOGRPHY W HEMDY | $4,786 | $2,393 | $193 | $6,137 | 54 |
Showing top 50 of 20,224 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.