WABASH GENERAL HOSPITAL 1 (Mount Carmel, IL) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
612	MRI CERVICAL SPINE W/WO	$4,998	$3,998	$3,299	$4,498	7
611	MRI BRAIN W	$4,322	$3,458	$850	$3,890	8
278	BIPOLAR 009519206	$4,250	$3,400	$2,763	$2,763	0
616	MRA ABD WITH CONTRAST	$3,615	$2,892	$850	$3,254	8
610	MRI SHOULDER RT WO	$3,571	$2,857	$850	$3,214	8
618	MRA ABDOMEN W/O CONTRAST	$3,404	$2,723	$850	$3,063	8
615	MRA HEAD W DYE	$3,317	$2,654	$850	$2,985	8
274	KAFO, CUSTOM FABRICATED	$3,311	$2,649	$2,152	$2,152	0
619	MRI ABDOMEN W DYE	$3,257	$2,605	$850	$2,931	8
340	*NMSTRESS/REST MYO PERFUSION IMAGING	$3,251	$2,600	$2,145	$2,925	8
636	AL SINGLE INJ MONOVISC	$3,053	$2,443	$0	$0	0
350	CT NEEDLE BIOPSY	$2,769	$2,216	$1,828	$2,492	8
960	CAPSULOTOMY 2ND MEMBRANE CA SATAR	$2,434	$1,947	$1,606	$2,190	7
483	US ECHO M-MODE 2D 93306	$1,723	$1,378	$1,137	$1,550	7
972	WGH CX TX DISTAL FIBUALR FX W MANIP	$1,694	$1,355	$1,118	$1,524	7
391	BLOOD ADMIN	$1,426	$1,141	$941	$1,283	7
359	CT ABCESS DRAINAGE GUID SUBDIAPHRAGMATIC	$1,356	$1,085	$811	$1,221	8
921	#	$1,332	$1,066	$879	$1,199	8
924	INHALATION BRONCHIAL CHALLENGE METHACHOL	$1,263	$1,010	$86	$1,136	8
120	ROOM CHARGE	$1,233	$986	$813	$1,109	7
351	*CT LIMITED FACE W/O	$1,078	$863	$712	$1,000	8
740	EEG AWAKE AND ASLEEP	$1,069	$855	$706	$962	7
202	CPR	$1,043	$834	$688	$938	7
450	*CLOSED TX RIB FX UNCOMPLICATED EACH	$775	$620	$512	$698	7
276	ANTERIOR CHAMBER LENS 27.0	$711	$569	$462	$462	0
324	*CHEST 2 VIEWS & LORDOTIC	$656	$524	$433	$590	7
302	* DELEPLASMINOGEN ACT INHIBITOR(PAI)	$637	$509	$420	$573	7
361	ARTHROCENTESIS INJECT ANKLE LT	$617	$494	$407	$555	8
311	*M/PHMTRC ALYS ISHQUANT/SEMIQ	$605	$484	$400	$545	7
500	ER BONE MARROW BIOPSY, NEEDLE /TROCAR	$586	$469	$387	$527	7
621	.ABCESS DRAINAGE MALECOT 10F	$566	$453	$374	$510	7
312	* PATH M OR PHMTRC ALY	$553	$442	$365	$498	7
987	BONE MARROW BIOPSY NEEDLE OR TROCAR	$548	$438	$362	$493	7
988	INPATIENT CONSULT COMPREHENSIVE	$545	$436	$360	$491	7
480	*US CARDIAC DOPPLER	$527	$422	$348	$475	8
341	*NM MYOCARD-PERF-EJECT (ADD ON)	$522	$418	$345	$470	8
335	CHEMO ADMIN IV INFUSION 1HR INITIAL/SING	$474	$379	$313	$426	7
370	1ST FIFTEEN MINUTES	$463	$370	$305	$417	7
402	*US BLADDER VOLUME 78730	$436	$349	$288	$393	8
390	#	$436	$349	$288	$392	7
320	*ABDOMEN 3 VIEWS	$428	$343	$283	$386	7
441	HOME VISIT SPEECH THERAPY	$422	$338	$279	$380	8
421	HOME VISIT PHYSICAL THERAPY	$404	$323	$266	$363	7
760	CC IV INF THERAPY INI UP TO ONE HOUR	$366	$293	$242	$329	7
920	ACTIGRAPHY	$352	$282	$232	$317	7
922	EMG BLINK REFLEX TESTING	$342	$274	$86	$308	8
444	ASSESS OF APHASIA	$323	$258	$213	$291	8
434	*OT EVAL (OLD)	$320	$256	$211	$288	8
975	*THORACENTESIS FOR ASPIRATION	$310	$248	$205	$279	7
780	TELEHEALTH ORIGINATING SITE EVAL	$310	$248	$205	$279	7

Showing top 50 of 119 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.