ARH OUR LADY OF THE WAY — 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

1,246

Insurances with rates

CPT / HCPCS codes

935

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J3101	TNKASE 50MG INJ	$35,210	$21,126	—	—	16
A2025	MIRO3D 100 CM3/CM3	$30,557	$18,334	—	—	16
J2997	ACTIVASE 50MG VIAL	$24,451	$14,671	—	—	16
90377	KEDRAB 1500UNIT/10ML	$22,799	$13,679	—	—	16
J0840	CROFAB 1 EA	$18,122	$10,873	—	—	16
LITHOTRIPSY UNILAT 1ST 10 MIN	LITHOTRIPSY UNILAT 1ST 10 MIN	$14,486	$8,692	—	—	16
J2426	INVEGA SUSTENNA SYR 234MG/1.5M	$13,902	$8,341	—	—	16
OB SURGERY LEVEL 3 1ST 30 MINS	OB SURGERY LEVEL 3 1ST 30 MINS	$11,475	$6,885	—	—	16
Q4197	PURAPLY XT 4.91X4.91(25)/SQCM	$11,305	$6,783	—	—	16
74178	CT ABD+PELVIS W+WO CONTRAST	$8,784	$5,270	—	—	16
PRODIGY 1520-36-050	PRODIGY 1520-36-050	$8,723	$5,234	—	—	16
Q4101	APLIGRAF DISK KIT 44 SQ CM	$8,479	$5,087	—	—	16
Q4133	GRAFIX PL PRIME 12 SQ CM/SQCM	$8,047	$4,828	—	—	16
J7165	BALFAXAR 500 UNIT VIAL	$7,814	$4,688	—	—	16
70553	MR HEAD W/WO CONTRAST	$7,671	$4,603	—	—	16
Q4159	AFFINITY 2.25 SQ CM/SQCM	$7,648	$4,589	—	—	16
25651	ULNAR STYLD FX W/SKELET FIX LT	$7,244	$4,346	—	—	16
74177	CT ABD+PELVIS W/CONTRAST	$7,079	$4,247	—	—	16
73706	CT ANG L EXT W OR WO CONTR BIL	$6,992	$4,195	—	—	16
74174	CT ANG ABD+PLVS W OR WO CNTRS	$6,992	$4,195	—	—	16
73701	CT LOW EXTREMITY W CON BIL	$6,893	$4,136	—	—	16
46040	I&D ISCHIORECTAL ABSCESS	$6,652	$3,991	—	—	16
J1745	INFLIXIMAB 100MG INJ	$6,491	$3,895	—	—	16
72158	MR LUMBAR SPINE W/WO CONTRAST	$6,258	$3,755	—	—	16
27762	CLS TX MED MALLEOLUS FX W/M LT	$5,683	$3,410	—	—	16
27781	CLS TX FIB/SHAFT FX W/MAN RT	$5,683	$3,410	—	—	16
59409	VAG DELIVERY	$5,641	$3,385	—	—	16
74176	CT ABD+PELVIS WO CONTRAST	$5,385	$3,231	—	—	16
70551	MR HEAD W/O CONTRAST	$5,342	$3,205	—	—	16
72197	MR PELVIS W/WO CONTRAST	$5,342	$3,205	—	—	16
73221	MR UP EXT JNT WO CON LT	$5,342	$3,205	—	—	16
73721	MR LOW EXT JNT WO CON LT	$5,342	$3,205	—	—	16
73700	CT LOW EXTREMITY WO CON BIL	$5,292	$3,175	—	—	16
72148	MR LUMBAR SPINE W/O CONTRAST	$5,089	$3,053	—	—	16
72141	MR C-SPINE W/O CONTRAST	$5,087	$3,052	—	—	16
73718	MR LOW EXT NON JNT WO CON LT	$5,087	$3,052	—	—	16
72146	MR THORACIC W/O CONTRAST	$5,017	$3,010	—	—	16
10121	INCISION & REMOVAL FB SC COMP	$4,931	$2,959	—	—	16
72194	CT PELVIS W/WO CONTRAST	$4,864	$2,918	—	—	16
71270	CT CHEST W/WO CONTRAST	$4,833	$2,900	—	—	16
21315	CLS TX NASAL BONE FX WO STAB	$4,726	$2,836	—	—	16
21337	CLS TX NASAL SPTL FX W OR WO S	$4,726	$2,836	—	—	16
95811	SLEEP STUDY>3PRMT W/CP+TCH-INT	$4,587	$2,752	—	—	16
71275	CT ANG CHST W OR WO CONTR	$4,489	$2,693	—	—	16
74183	MRI ABDOMEN W/O & W/CONTRAST M	$4,445	$2,667	—	—	16
70544	MR ANGIO HEAD W/O CONTRAST	$4,411	$2,647	—	—	16
23655	CLS TX DSLC SHLD W/MAN W/M LT	$4,242	$2,545	—	—	16
26775	CLS TX FNGR DSL W/MAN W/AN F4	$4,242	$2,545	—	—	16
72125	CT C-SPINE WO CONTRAST	$4,229	$2,537	—	—	16
95810	SLEEP STUDY>3PARMTRS W/T-INT	$4,128	$2,477	—	—	16

Showing top 50 of 1,246 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.