SAINT AGNES MEDICAL CENTER — 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

1,917

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-361C9767002	HC Revascularization Endovascular Open or Percutaneous With Lower Extremity Artery(Ies)Except Tibial	$62,732	$40,776	—	—	26
PX-361C9765002	HC Revascularization Endovascular Open or Percutaneous Lower Extremity Artery(Ies) Except Tibial/Per	$38,995	$25,347	—	—	15
PX-361C9766002	HC Revascularization Endovascular Open or Percutaneous Lower Extremity Artery(Ies) Except Tibial/Per	$38,995	$25,347	—	—	14
PX-361C9765004	HC Revascularization Endovascular Open or Percutaneous Lower Extremity Artery(Ies) Except Tibial/Per	$38,995	$25,347	—	—	20
PX-36136903001	HC Introduction Needle(S) &/or Catheter(S) Dialysis Circuit W/Diagnostic Angiography Stent	$38,604	$25,093	—	—	100
PX-36136905001	HC Thrombectomy Mechanical Percutaneous Dialysis Circuit W/ Diag Angiography W/Balloon Angioplasty	$38,604	$25,093	—	—	100
PX-36163685001	HC Insertion/Replacement Spine Neurostim Pulse Generator or Receiver Require Pocket Creation & Cnct	$36,229	$23,549	—	—	61
PX-36136836001	HC Create Av Fistula Perc Ue Sgl Access Peripheral Art/Vein Incl Vasc Access Img Guid & Rad S&I	$27,031	$17,570	—	—	96
PX-36136837001	HC Create Av Fistula Perc Ue Sep Access Peripheral Art/Vein Incl Vasc Access Img Guid & Rad S&I	$27,031	$17,570	—	—	96
PX-36136224001	HC Placement Catheter Internal Carotid Artery Select With Angio Extracranial Carotid & Arch Bl	$23,220	$15,093	—	—	100
PX-36163663001	HC Revision Incl Repl Spinal Neurostimulator Electrode Percutaneous Arrays	$21,382	$13,898	—	—	61
PX-36136223001	HC Placement Catheter Common Carotid/Innominate Artery Select W/Angio Extracranial Carotid&Arch Bl	$19,689	$12,798	—	—	100
PX-361C9764002	HC Revascularization Endovascular Open/Perc Lower Extremity Art Excpt T/P W/Intravasc Lithotripsy Lt	$19,496	$12,672	—	—	12
PX-361C9772002	HC Revascularization Endovascular Open or Percutaneous Tibial/Peroneal Artery(Ies) W/Intravascular L	$19,496	$12,672	—	—	16
PX-36136902001	HC Introduction Needle(S) &/or Catheter(S) Dialysis Circuit W/Diagnostic Angiography Peripheral	$19,101	$12,416	—	—	100
PX-36136904001	HC Thrombectomy Mechanical Percutaneous Dialysis Circuit W/ Diagnostic Angiography	$19,101	$12,416	—	—	100
PX-36136227001	HC Placement Catheter External Carotid Artery Selective With Angiography With Arch Bl	$17,226	$11,197	—	—	60
PX-36133995001	HC Insert Vad Percutaneous Right Heart Venous Access With S&I	$14,878	$9,671	—	—	84
PX-36137187001	HC Thrombectomy Mechanical Percutaneous Vein Bl	$14,511	$9,432	—	—	40
PX-36134203003	HC Embolectomy/Thrombectomy Popliteal-Tibio-Peroneal Artery Leg Incision Rt	$13,586	$8,831	—	—	61
PX-36136226002	HC Placement Catheter Vertebral Artery Selective With Angiography With Arch Lt	$13,484	$8,765	—	—	100
PX-36136226003	HC Placement Catheter Vertebral Artery Selective With Angiography With Arch Rt	$13,484	$8,765	—	—	100
PX-36136223002	HC Placement Catheter Common Carotid/Innominate Artery Select W/Angio Extracranial Carotid&Arch Lt	$13,126	$8,532	—	—	100
PX-3500442T001	HC Ablation Percutaneous Cyoablation Nerve Plexus/Other Truncal Nerve Img Guid	$12,800	$8,320	—	—	62
PX-36136561001	HC Insertion Tunneled Centrally Inserted Central Venous Access Device W/ Port >= 5 Years Old Bl	$12,287	$7,987	—	—	91
PX-36137183001	HC Revision Transvenous Intrahepatic Shunt(S) (Tips)	$12,221	$7,944	—	—	100
PX-36163688001	HC Revision/Replacement Spine Neurostim Pulse Generator or Receiver W/Detach Connect to Eltrd Array	$11,364	$7,387	—	—	61
PX-36136228003	HC Placement Catheter Intracranial Branch Internal Carotid/Vertebral Arteries Ea Rt	$11,356	$7,381	—	—	60
PX-36136227002	HC Placement Catheter External Carotid Artery Selective With Angiography With Arch Lt	$11,356	$7,381	—	—	60
PX-36136228002	HC Placement Catheter Intracranial Branch Internal Carotid/Vertebral Arteries Ea Lt	$11,356	$7,381	—	—	60
PX-36136227003	HC Placement Catheter External Carotid Artery Selective With Angiography With Arch Rt	$11,356	$7,381	—	—	60
PX-36136254001	HC Placement Cath Superselective 2nd+Order Renal&Accessory Artery Angiography S&I Bilateral	$10,551	$6,858	—	—	16
PX-36163650001	HC Implantation Neurostimulator Electrode Array Epidural Percutaneous	$9,765	$6,347	—	—	100
PX-36136558001	HC Insertion Tunneled Centrally Inserted Central Venous Catheter W/O Port/Pump >= 5 Years Old Bl	$9,651	$6,273	—	—	100
PX-36137184002	HC Thrombectomy Mechanical Percutaneous Noncoronary Primary Initial Vessel Lt	$9,593	$6,235	—	—	100
PX-36134713003	HC Access & Closure Femoral Artery Percutaneous Rt	$9,551	$6,208	—	—	60
PX-33377295001	HC Radiotherapy Plan 3d W/Volume Histogram	$9,330	$6,065	—	—	111
PX-36136225002	HC Placement Catheter Subclavian/Innominate Artery Selective With Angiography With Arch Lt	$9,284	$6,035	—	—	100
PX-32375630001	HC Aortography Abdominal W/Bl Iliofemoral Lower Extremity Supervision & Interpretation	$8,979	$5,836	—	—	111
PX-36133992001	HC Removal Vad Left Heart Arterial/Venous Cannula Separate Session From Insertion	$8,495	$5,522	—	—	61
PX-36136571001	HC Insertion Peripherally Inserted Central Venous Device (Vad) W/Port >= 5 Years Bl	$8,393	$5,455	—	—	61
PX-36136561002	HC Insertion Tunneled Centrally Inserted Central Venous Access Device W/ Port >= 5 Years Old Lt	$8,191	$5,324	—	—	100
PX-36136561003	HC Insertion Tunneled Centrally Inserted Central Venous Access Device W/ Port >= 5 Years Old Rt	$8,191	$5,324	—	—	100
PX-33377301001	HC Imrt Treatment Planning	$8,185	$5,320	—	—	111
PX-32375625001	HC Aortography Abdominal by/Serialography Supervision & Interpretation	$8,073	$5,247	—	—	111
PX-36137186001	HC Thrombectomy Mechanical Secondary	$7,994	$5,196	—	—	61
PX-36136245001	HC Placement Catheter Arterial Abd/Pelvic/Lower Extremity Selective Each 1st Order W/in Vascular Bl	$7,759	$5,043	—	—	16
PX-36136253001	HC Placement Catheter Artery Renal Selective for Renal Angiography 2nd Order	$7,035	$4,573	—	—	55
PX-36136225003	HC Placement Catheter Subclavian/Innominate Artery Selective With Angiography With Arch Rt	$6,944	$4,514	—	—	100
PX-36164447001	HC Injection(S) Anesthetic Agent(S) and/or Steroid Femoral Nerve Bl	$6,454	$4,195	—	—	100

Showing top 50 of 1,917 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.