CYPRESS POINTE SURGICAL HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
71260	CT THORAX W/ CON	$5,993	$316	—	—	20
74170	CT ABDOMEN W/WO CON	$4,166	$316	—	—	20
74178	CT ABD/PEL W/WO CON	$4,166	$634	—	—	20
71270	CT THORAX W/WO CON	$3,772	$316	—	—	20
72197	MRI PELVIS W/WO CON	$3,731	$714	—	—	20
70553	MRI brain before and after contrast	$3,668	$634	—	—	20
72158	MRI SPINE LUMBAR W/WO CON	$3,665	$634	—	—	20
72157	MRI SPINE THORACIC W/WO CON	$3,538	$634	—	—	20
74183	MRI ABDOMEN W/WO CON	$3,538	$634	—	—	20
70543	MRI ORBIT/FACE/NECK W/WO CON	$3,058	$634	—	—	20
72156	MRI SPINE CERVICAL W/WO CON	$3,016	$634	—	—	20
71250	CT THORAX W/O CON	$2,925	$189	—	—	20
73721	MRI lower extremity joint without contrast	$2,508	$429	—	—	20
73221	CT joint upr extrem w/out dye	$2,421	$429	—	—	20
73502	MRI UPP EXT JT LT W/O CON	$2,421	$429	—	—	20
70498	CTA NECK W/ AND PP	$2,410	$316	—	—	20
93312	US ECHO TEE	$2,400	$974	—	—	20
70551	MRI BRAIN/STEM W/O CON	$2,281	$429	—	—	20
72148	MRI lumbar spine without contrast	$2,147	$429	—	—	20
70544	MRA HEAD W/O CON	$2,102	$429	—	—	20
70547	MRA NECK W/O CON	$2,102	$429	—	—	20
72146	MRI SPINE THORACIC W/O CON	$2,063	$429	—	—	20
72195	MRI PELVIS W/O CON	$2,024	$429	—	—	20
73218	MRI UPP EXT NOT JT RT W/O CON	$2,024	$429	—	—	20
73718	MRI LOW EXT NOT JT RT W/O CON	$2,024	$429	—	—	20
71271	CT CHEST LOW DOSE W/O CONT	$2,000	$100	—	—	20
70486	CT MAXILLOFACIAL W/O CON	$1,929	$189	—	—	20
72194	CT PELVIS W/WO CON	$1,893	$316	—	—	20
70490	CT SOFT TISSUE NECK W/O CON	$1,881	$189	—	—	20
72295	X-ray of lower spine disc	$1,877	$3,469	—	—	20
70496	CTA HEAD W/ AND PP	$1,809	$316	—	—	20
72125	CT SPINE CERVICAL W/O CON	$1,778	$189	—	—	20
72127	CT neck spine with and without dye	$1,778	$316	—	—	20
72129	CT SPINE THORACIC W/ CON	$1,746	$316	—	—	20
70491	CT SOFT TISSUE NECK W/ CON	$1,677	$316	—	—	20
74176	CT ABD/PEL W/O CON	$1,675	$429	—	—	20
72132	CT SPINE LUMBAR W/ CON	$1,616	$634	—	—	20
72126	CT SPINE CERVICAL W/ CON	$1,594	$634	—	—	20
72131	CT SPINE LUMBAR W/O CON	$1,592	$189	—	—	20
70450	CT head/brain without contrast	$1,587	$189	—	—	20
70480	CT ORBIT/SELLA/POST FOSSA/EAR W/O CON	$1,512	$189	—	—	20
72128	CT SPINE THORACIC W/O CON	$1,492	$1,492	—	—	20
72192	CT PELVIS W/O CON	$1,490	$189	—	—	20
73700	CT LOW EXT RT W/O CON	$1,475	$189	—	—	20
74177	CT abdomen and pelvis with contrast	$1,199	$634	—	—	20
75571	CT CALCIUM SCORING	$1,199	$156	—	—	20
76700	Ultrasound abdomen complete	$1,164	$189	—	—	20
76770	US RETROPERITONEAL COMP	$979	$189	—	—	20
76856	US PELVIS NON OB COMP	$890	$189	—	—	20
76857	US PELVIS NON OB LTD	$890	$189	—	—	20

Showing top 50 of 296 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.