HSHS GOOD SHEPHERD HOSPITAL INC

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

1,378

Insurances with rates

CPT / HCPCS codes

1,354

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
23552	HC TX CLAVICAL DISC	$21,431	$15,430	—	—	35
C1762	DECELLULARIZED ARTHROFLEX DERMIS LIFENET 40X70 2.5-3.5MM	$12,300	$8,856	—	—	32
29824	HC SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC	$9,734	$7,008	—	—	35
36558	HC INSERT TUNNELED CVC > 5 YEARS OLD	$9,442	$6,798	—	—	35
59612	HC VAGINAL DELIVERY AFTER CESAREAN DELIVERY	$8,936	$6,434	—	—	35
24071	HC EXC ARM/ELBOW LES CM 3CM/>	$8,927	$6,427	—	—	35
22901	HC EXC TUMOR 5CM> ABD WALL	$8,586	$6,182	—	—	35
36556	HC INS CATH CV NON-TUNL >5 YR	$8,211	$5,912	—	—	70
95811	HC SLEEP STUDY W/CPAP	$7,772	$5,596	—	—	70
78452	HC HT MUSCLE IMAGE SPECT MULTI	$7,407	$5,333	—	—	140
74178	HC CT ABDOMEN/PELVIS W&W/O CONTR	$7,278	$5,240	—	—	315
75635	HC CTA ABDOMEN AORTA ILIOFEM RUNOFF	$7,273	$5,237	—	—	175
10140	HC I&D HEMATOMA/SEROMA/FLUID	$7,103	$5,114	—	—	70
74177	HC CT ABDOMEN/PELVIS W/CONTRAST	$6,560	$4,723	—	—	420
74174	HC CT ANGIO ABD/PELV W & WO CONTRAST	$6,489	$4,672	—	—	280
95810	HC SLEEP STUDY	$6,360	$4,579	—	—	70
72156	HC MRI C-SPINE W&W/O CON	$6,345	$4,568	—	—	175
72197	HC MRI PELVIS W&W/O CON	$6,074	$4,373	—	—	105
73723	HC MRI LWR EXT JOINT W&W/O CONTRAST	$6,046	$4,353	—	—	35
64831	HC REPAIR NERVE DIGITAL HAND/FOOT INIT	$5,858	$4,218	—	—	35
72157	HC MRI T-SPINE W&W/O CON	$5,673	$4,085	—	—	175
72158	HC MRI L-SPINE W&W/O CON	$5,673	$4,085	—	—	140
71552	HC MRI CHEST W&W/O CONTRAST	$5,666	$4,080	—	—	70
C1763	HC ALLOGRAFT PASTE	$5,538	$3,987	—	—	32
70543	HC MRI ORBIT/FACE/NECK W&W/O CON	$5,501	$3,961	—	—	70
70553	MRI BRAIN STEM W/O & W/DYE	$5,501	$3,961	—	—	245
73223	HC MRI UPPR EXT JOINT W&W/O CONTRAST	$5,501	$3,961	—	—	35
14041	HC TISS TRANS WND 10.1-30 SQ CM	$5,497	$3,958	—	—	35
C8902	HC MRA ABDOMEN W&W/O CON	$5,415	$3,899	—	—	35
72142	HC MRI C-SPINE W/CON	$5,390	$3,881	—	—	35
74176	HC CT ABDOMEN/PELVIS W/O CONTRAST	$5,388	$3,879	—	—	350
73222	HC MRI UPPR EXT JOINT W/CONTRAST	$5,357	$3,857	—	—	35
73220	HC MRI UPPR EXT NONJOINT W&W/O CONTRAST	$5,357	$3,857	—	—	35
70549	HC MRA NECK W&W/O CONTRAST	$5,348	$3,851	—	—	70
70546	HC MRA HEAD W&W/O CONTRAST	$5,348	$3,851	—	—	175
78451	HC HT MUSCLE IMAGE SPECT SINGLE	$5,322	$3,832	—	—	35
750	HC EGD W/PLACEMENT G-TUBE - 43246	$5,298	$3,815	—	—	32
73720	HC MRI LE NONJOINT W/WO CONTRAST	$5,202	$3,745	—	—	35
74183	HC MRI ABDOMEN W&W/O CON	$5,202	$3,745	—	—	175
81162	HC BRCA1 & BRCA2 FULL SEQ/DUPE/DEL ANALYSIS -90	$5,188	$3,735	—	—	35
72147	HC MRI T-SPINE W/CON	$5,181	$3,730	—	—	35
C1713	ANCHOR/SCREW BN/BN,TIS/BN	$5,100	$3,672	—	—	320
74182	HC MRI ABDOMEN W/CON	$5,028	$3,620	—	—	35
70542	HC MRI ORBIT/FACE/NECK W/CONTRAST	$5,028	$3,620	—	—	35
72141	HC MRI C-SPINE W/O CONTRAST	$5,028	$3,620	—	—	175
36573	HC INS PER CV CATH W/O PORT W/GUIDANCE 5>	$5,010	$3,607	—	—	175
72196	HC MRI PELVIS W/CON	$5,000	$3,600	—	—	70
73722	HC MRI LWR EXT JOINT W/CONTRAST	$4,992	$3,594	—	—	35
70552	HC MRI BRAIN W/CON	$4,948	$3,563	—	—	35
72149	HC MRI L-SPINE W/CON	$4,881	$3,514	—	—	35

Showing top 50 of 1,378 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.