SAINT ALPHONSUS REGIONAL MEDICAL CENTER

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

1,353

Insurances with rates

119

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-274L5700001	HC Replacement Below Knee Socket Molded to Patient Model Restricted Non-Mm Supply	$3,424	$2,226	—	—	133
PX-274L8035001	HC Prosthesis Custom Post Mastectomy Restricted Non-Mm Supply	$3,372	$2,192	—	—	140
PX-3000152U001	HC External Infectious Disease Microbial Cell-Free Dna Plasma Untargeted Next-Generation Sequencing	$2,436	$1,583	—	—	155
PX-274L0810001	HC Halo Procedure Cervical Jacket Vest Restricted Non-Mm Supply	$2,420	$1,573	—	—	133
PX-274L0710001	HC Ctlso Anterior/Posterior/Lateral Cntrl Molded to Pt Model W Interfc Mat Restricted Non-Mm Supply	$2,010	$1,306	—	—	133
PX-30086891001	HC Autologous Blood/Component Collection Processing Storage Intra Postoperative Salvage	$1,794	$1,166	—	—	155
PX-274L0700001	HC Ctlso Anterior/Posterior/Lateral Control Molded to Patient Model Restricted Non-Mm Supply	$1,779	$1,157	—	—	133
PX-274L0486001	HC Tlso Triplanar Control Rigid Two Plastic Shells W/ Interface Liner Cust Prefab Rest Non-Mm Supply	$1,659	$1,079	—	—	133
PX-274L0464001	HC Tlso Triplanar Control Modular Rigid Four Plastic Shells Prefabricated Restricted Non-Mm Supply	$1,366	$888	—	—	140
PX-274L3900001	HC Whfo Dynamic Flexor Hinge Wrist/Finger Driven Custom Fabricated Restricted Non-Mm Supply	$1,254	$815	—	—	140
PX-274L0638001	HC Lso Sagittal-Coronal Cntrl Rigid a&P Frame/Panel Custom Fabricated Restricted Non-Mm Supply	$1,212	$788	—	—	133
PX-274L0462001	HC Tlso Triplanar Control Modular Rigid Three Plastic Shells Custom Prefab Restricted Non-Mm Supply	$1,147	$746	—	—	133
PX-274L3766001	HC Orthosis Elbow/Wrist/Hand/Finger Nontorsion Joints Custom Fabricated Restricted Non-Mm Supply	$1,135	$738	—	—	133
PX-274L0859001	HC Halo Procedure Addition MRI Compatible Systems Restricted Non-Mm Supply	$1,072	$697	—	—	133
PX-274L3765001	HC Orthosis Elbow/Wrist/Hand/Finger Rigid Without Joints Custom Fabricated Restricted Non-Mm Supply	$1,072	$697	—	—	133
PX-274L0639001	HC Lso Sagittal-Coronal Cntrl Rigid Shell/Panel Custom Fabricated Restricted Non-Mm Supply	$1,033	$671	—	—	133
PX-274L0637001	HC Lso Sagittal-Coronal Cntrl Rigid a&P Frame/Panel Custom Prefab Restricted Non-Mm Supply	$1,033	$671	—	—	140
PX-260C8957001	HC IV Infusion Therapy/Diagnosis Initiation Prolonged Infusion	$1,011	$657	—	—	156
PX-30081372002	HC Warde 3510536 Hla Class I Typing Low Resolution Complete	$962	$625	—	—	155
PX-274L0640001	HC Tlso Sagittal-Coronal Control Rigid Shell/Panel Custom Restricted Non-Mm Supply	$961	$625	—	—	133
PX-26096365001	HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour	$931	$605	—	—	155
PX-274L0460001	HC Tlso Triplanar Control Modular Rigid Two Plastic Shells Custom Prefab Restricted Non-Mm Supply	$922	$599	—	—	133
PX-274L0456001	HC Tlso Trunk Support Flexible Rigid Post & Soft Ant Custom Prefab Restricted Non-Mm Supply	$914	$594	—	—	133
PX-274L2134001	HC Knee Ankle Foot Orthotic Femoral Fracture Semi-Rigid Prefabricated Restricted Non-Mm Supply	$890	$579	—	—	133
PX-26096360001	HC Hydration IV Infusion Initial 31minutes - 1 Hour	$868	$564	—	—	155
PX-278C1717001	HC Brachytherapy Source Non-Stranded High Dose Rate Iridium-192 per Source	$840	$546	—	—	155
PX-274L3905001	HC Orthosis Wrist/Hand 1 or More Nontorsion Joints Custom Fabricated Restricted Non-Mm Supply	$829	$539	—	—	140
PX-30182525017	HC Mayo Copper	$822	$534	—	—	155
PX-274L1932001	HC Afo Rigid Anterior Tibial Prefabricated Restricted Non-Mm Supply	$820	$533	—	—	133
PX-274L0458001	HC Tlso Triplanar Control Modular Rigid Two Plastic Shells Prefabricated Restricted Non-Mm Supply	$819	$533	—	—	133
PX-274L1686001	HC Orthosis Hip Abduction Control Joint Post-OP Prefabricated Restricted Non-Mm Supply	$814	$529	—	—	133
PX-274L1951001	HC Orthotic Ankle/Foot (Afo) Spiral Plastic or Other Material Prefabricated Restricted Non-Mm Supply	$772	$502	—	—	133
PX-274L5645001	HC Addition Lower Extremity Below Knee Flexible Inner Socket External Frame Restricted Non-Mm Supply	$748	$486	—	—	133
PX-274L1845001	HC Orthosis Knee Double Upright Thigh/Calf Prefabricated Restricted Non-Mm Supply	$747	$486	—	—	133
PX-30183519029	HC Warde 3432700 Radioimmunoassay Acetylcholine Receptor Blocking Antibody Quantitative	$739	$480	—	—	155
PX-30183519030	HC Warde 3432700 Radioimmunoassay Acetylcholine Receptor Modulating Antibody Quantitative	$739	$480	—	—	155
PX-30183519028	HC Warde 3432700 Radioimmunoassay Acetylcholine Receptor Binding Antibody Quantitative	$739	$480	—	—	155
PX-30183519037	HC Warde Radioimmunoassay Acetylcholine Modulating Antibody Quantitative	$739	$480	—	—	155
PX-30183519046	HC Warde Radioimmunoassay Parathyroid Hormone Related Protein Quantitative	$739	$480	—	—	155
PX-30183519047	HC Warde Radioimmunoassay Procollagen Type 1 Intact N-Terminal Propeptide Quantitative	$739	$480	—	—	155
PX-30183519036	HC Warde Radioimmunoassay Acetylcholine Binding Antibody Quantitative	$739	$480	—	—	155
PX-30183519041	HC Warde Radioimmunoassay Melanocyte Stimulation Hormone Alpha Quantitative	$739	$480	—	—	155
PX-30182139003	HC Warde Amino Acids 6 or More Quantitative Each Specimen	$736	$478	—	—	155
PX-30182139004	HC Warde Amino Acids 6 or More Urine Quantitative Each Specimen	$736	$478	—	—	155
PX-30182139008	HC External Amino Acids 6 or More Quantitative Each Specimen	$736	$478	—	—	155
PX-30183884001	HC Mayo Neurofilament Light Chain	$720	$468	—	—	146
PX-3010003M001	HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)	$712	$463	—	—	155
PX-274L3960001	HC Othosis Shoulder Elbow Wrist Hand Abduction Airplane Positioning Prefab Restricted Non-Mm Supply	$712	$463	—	—	143
PX-274L3764001	HC Ewho With Joints Custom Fabricated Restricted Non-Mm Supply	$694	$451	—	—	140
PX-274L5673001	HC Addition Le Below/Above Knee Sockey Insert W/Locking Mechanism Restricted Non-Mm Supply	$672	$437	—	—	133

Showing top 50 of 1,353 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.