ST. MARY'S HOSPITAL — Hospital Ledger

45 CFR § 180 compliance

B · 85

This hospital published most 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

2,107

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-3610571T001	HC Insertion/Replacement Icds W/Substernal Electrode	$109,654	$71,275	—	—	50
PX-36133903001	HC Revascularization Pulmonary Artery Perc by Stent Plcmnt Ini Abnormal Connections Bilateral	$85,029	$55,269	—	—	70
PX-3610408T001	HC Insertion/Replacement Cardiac Modulation System Pulse Generator With Transvenous Electrodes	$78,770	$51,201	—	—	31
PX-3610823T001	HC Insertion Transcatheter Single Chamber Leadless Pacemaker Right Atrial	$64,945	$42,214	—	—	40
PX-36133902001	HC Revascularization Pulmonary Artery Perc by Stent Plcmnt Ini Abnormal Connections Unilateral	$56,686	$36,846	—	—	70
PX-36133901001	HC Revascularization Pulmonary Artery Perc by Stent Plcmnt Ini Normal Native Connections Bilateral	$52,545	$34,154	—	—	70
PX-36133264001	HC Removal/Replacement Implantable Defibrillator W/Lead(S) Multiple Lead System	$36,122	$23,479	—	—	43
PX-3610339T001	HC Denervation Transcatheter Renal Sympathetic Bilat	$29,610	$19,247	—	—	46
PX-36133882001	HC Repair Endovascular Thoracic Aorta by Deployment of Branched Endograft Multipiece System	$26,580	$17,277	—	—	70
PX-36133991001	HC Insert Vad Left Heart Arterial & Venous Access Percutaneous S&I	$21,046	$13,680	—	—	70
PX-3610338T002	HC Denervation Transcatheter Renal Sympathetic Rt	$19,740	$12,831	—	—	70
PX-3610338T001	HC Denervation Transcatheter Renal Sympathetic Lt	$19,740	$12,831	—	—	70
PX-36000000025	HC or Level V Initial 15 Minutes	$15,351	$9,978	—	—	73
PX-36133273001	HC Repositioning Previously Implanted Subcutaneous Implantable Defibrillator Electrode	$13,089	$8,508	—	—	70
PX-36133272001	HC Removal Subcutaneous Implantable Defibrillator Electrode	$13,088	$8,507	—	—	94
PX-36136224002	HC Placement Catheter Internal Carotid Artery Select With Angio Extracranial Carotid & Arch Lt	$12,008	$7,805	—	—	43
PX-36136224003	HC Placement Catheter Internal Carotid Artery Select With Angio Extracranial Carotid & Arch Rt	$12,008	$7,805	—	—	29
PX-33377295001	HC Radiotherapy Plan 3d W/Volume Histogram	$11,179	$7,266	—	—	100
PX-36000000017	HC Lithotripsy Purchased Service	$11,102	$7,216	—	—	73
PX-36136222001	HC Placement Catheter Common Carotid/Innominate Artery Selective W/Angiography Includes Arch Bl	$11,013	$7,158	—	—	24
PX-36136225001	HC Placement Catheter Subclavian/Innominate Artery Selective With Angiography With Arch Bl	$11,013	$7,158	—	—	72
PX-36133419001	HC Repair Mitral Valve Transcatheter Percutaneous Including Transseptal Puncture Add Prosthesis	$10,450	$6,793	—	—	70
PX-36133418001	HC Repair Mitral Valve Transcatheter Percutaneous Including Transseptal Puncture 1st Prosthesis	$10,450	$6,793	—	—	70
PX-32075827001	HC Venogram Svc W/Serialography Supervision & Interpretation	$9,854	$6,405	—	—	46
PX-36000000023	HC or Level III Initial 15 Minutes	$7,616	$4,950	—	—	73
PX-33377770001	HC Hdr Brachytherpy 1 Channel	$7,404	$4,813	—	—	100
PX-33377771001	HC Hdr Brachytherpy 2-12 Channels	$7,404	$4,813	—	—	100
PX-36136221001	HC Placement Catheter Thoracic Aorta Nonselective W/Angiography Includes Arch	$7,342	$4,772	—	—	98
PX-36136222002	HC Placement Catheter Common Carotid/Innominate Artery Selective W/Angiography Includes Arch Lt	$7,342	$4,772	—	—	52
PX-36136222003	HC Placement Catheter Common Carotid/Innominate Artery Selective W/Angiography Includes Arch Rt	$7,342	$4,772	—	—	30
PX-31081162003	HC Quest Analysis Gene Brca1/ Brca2 Full Sequence Full Duplication/Deletion	$6,022	$3,914	—	—	99
PX-32075894001	HC Embolization Transcatheter Supervision & Interpretation	$5,782	$3,758	—	—	22
PX-32075822001	HC Venogram Extremity Supervision & Interpretation Bilateral	$5,338	$3,470	—	—	46
PX-32375726001	HC Angiography Visceral Selective/Supraselect W/O or W/Flush Aortogram Supervision & Interpretation	$5,247	$3,411	—	—	46
PX-32375743001	HC Angiography Pulmonary Selective Supervision & Interpretation Bilateral	$5,010	$3,257	—	—	46
PX-36000000022	HC or Level II Initial 15 Minutes	$4,978	$3,236	—	—	73
PX-31081406005	HC Quest 94877 Molecular Pathology Procedure Level 7	$4,426	$2,877	—	—	96
PX-31081406004	HC Quest 38661 Molecular Pathology Procedure Level 7	$4,426	$2,877	—	—	96
PX-31081406003	HC Quest 93796 Molecular Pathology Procedure Level 7	$4,426	$2,877	—	—	96
PX-33377385001	HC Imrt Delivery Simple	$4,369	$2,840	—	—	86
PX-36136247001	HC Placement Catheter Arterial Abd/Pelvic/Lower Extrem Selective Initial 3rd Order W/in Vascular Bl	$4,353	$2,829	—	—	5
PX-36136011001	HC Placement Catheter Venous Selective 1st Order Branch Bl	$3,847	$2,501	—	—	74
PX-36110035002	HC Placement Soft Tissue Localization Device(S) Percutaneous 1st Lesion Bl	$3,843	$2,498	—	—	36
PX-36136246001	HC Placement Catheter Arterial Abd/Pelvic/Lower Extrem Selective Initial 2nd Order W/in Vascular Bl	$3,746	$2,435	—	—	40
PX-35273702001	HC CT Lower Extremity W/O & W/Contrast Bl	$3,641	$2,367	—	—	46
PX-31081407003	HC Quest 94877 Molecular Pathology Procedure Level 8	$3,554	$2,310	—	—	96
PX-32072255001	HC Xr Myelography Thoracic Supervision & Interpretation	$3,481	$2,263	—	—	46
PX-32375716001	HC Angiography Extremity Bilateral Supervision & Interpretation	$3,472	$2,257	—	—	46
PX-35170492001	HC CT Neck Soft Tissue W/O & W/Contrast	$3,323	$2,160	—	—	46
PX-36136012001	HC Placement Catheter Venous Selective 2nd Order or More Selective Branch Bl	$3,323	$2,160	—	—	74

Showing top 50 of 2,107 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.