HOLY CROSS HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-30183520222	HC Quest 91622 Immunoassay Antibody Quantitative Nos	$2,952	$2,952	—	—	79
PX-30182234003	HC Quest 94628 Beta-Amyloid 1-42 CSF	$2,132	$2,132	—	—	104
PX-30182233002	HC Quest 94628 Beta-Amyloid 1-40 CSF	$2,132	$2,132	—	—	10
PX-30086891001	HC Autologous Blood/Component Collection Processing Storage Intra Postoperative Salvage	$1,542	$1,542	—	—	104
PX-30182233003	HC Quest 94627 Beta-Amyloid 1-40 CSF	$1,536	$1,536	—	—	10
PX-30182234006	HC Quest 94627 Beta-Amyloid 1-42 CSF	$1,536	$1,536	—	—	104
PX-26096365001	HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour	$1,052	$1,052	—	—	104
PX-30081517001	HC Quest Liver Disease Immunoassay Analysis 3 Biomarkers W Serum Prognostic Algorithm	$1,046	$1,046	—	—	104
PX-30182234002	HC Quest 92433 Beta-Amyloid 1-42 CSF	$940	$940	—	—	104
PX-30182234007	HC Warde 3401103 Beta-Amyloid 1-42 CSF	$940	$940	—	—	104
PX-22100000001	HC R&B Admission Charge	$750	$750	—	—	103
PX-30081378001	HC External Hla Class I & II Typing High Resolution Hla-a/B/C/Db1	$705	$705	—	—	103
PX-3000035U004	HC Warde 3700116 Neurology Prion Protein Detection Quaking-Induced Confirmational Conversion CSF Ql	$678	$678	—	—	104
PX-30183520326	HC Warde 3700116 Creutzfeldt-Jakob Protein 14-3-3 Quantitative CSF	$678	$678	—	—	104
PX-3000035U003	HC Quest 37989 Neurology Prion Protein Detection Quaking-Induced Confirmational Conversion CSF Qual	$670	$670	—	—	104
PX-3010003M001	HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)	$605	$605	—	—	104
PX-26096374001	HC Injection Therapeutic/Prophylactic/Diagnostic IV Push Single/Initial Substance/Drug	$585	$585	—	—	104
PX-30081381003	HC Quest Hla Class I Typing High Resolution One Allele/Allele Group Each	$517	$517	—	—	104
PX-30182731001	HC Fetal Fibronectin	$514	$514	—	—	61
PX-30086890001	HC Autologous Blood/Component Collection Processing Storage Predeposited	$499	$499	—	—	103
PX-26096360001	HC Hydration IV Infusion Initial 31minutes - 1 Hour	$468	$468	—	—	104
PX-30180339013	HC Warde Antiepileptics Nos Definitive Assay 1-3 Clobazam W Metabolites	$441	$441	—	—	104
PX-30182139003	HC Warde Amino Acids 6 or More Quantitative Each Specimen	$441	$441	—	—	104
PX-30182139007	HC Mayo Amino Acids 6 or More Quantitative Each Specimen Plasma	$441	$441	—	—	104
PX-30182139005	HC Quest 36183 Amino Acids 6 or More Quantitative Each Specimen Urine	$441	$441	—	—	104
PX-30182379004	HC Quest Carnitine Total and Free Quantitative Each Specimen	$441	$441	—	—	104
PX-30182379002	HC Warde Carnitine Total and Free Quantitative Each Specimen	$441	$441	—	—	104
PX-30182139001	HC Amino Acids 6 or More Quantitative Each Specimen	$441	$441	—	—	104
PX-30182139009	HC Quest Amino Acids 6 or More Quantitative Each Specimen CSF	$441	$441	—	—	104
PX-30182139006	HC Quest Amino Acids 6 or More Quantitative Each Specimen Plasma	$441	$441	—	—	104
PX-30182139002	HC Amino Acids 6 or More Urine Quantitative Each Specimen	$441	$441	—	—	104
PX-30182139008	HC External Amino Acids 6 or More Quantitative Each Specimen	$441	$441	—	—	104
PX-30182139004	HC Warde Amino Acids 6 or More Urine Quantitative Each Specimen	$441	$441	—	—	104
PX-30182379001	HC Carnitine Total and Free Quantitative Each Specimen	$441	$441	—	—	104
PX-30182379005	HC Labcorp Carnitine Total and Free Quantitative Each Specimen	$441	$441	—	—	104
PX-30182379007	HC Mayo Carnitine Total and Free Quantitative Each Specimen	$441	$441	—	—	104
PX-30182379003	HC Warde Carnitine Total and Free Quantitative Each Specimen Urine	$441	$441	—	—	104
PX-30182379006	HC Mayo Carnitine Total and Free Quantitative Each Specimen Plasma	$441	$441	—	—	104
PX-26096367001	HC IV Infusion Therapy/Prophylaxis/Diagnosis Addl Sequential Infusion New Drug/Substance > 1 Hour	$409	$409	—	—	104
PX-30182017001	HC Acylcarnitines Quantitative Each Specimen	$382	$382	—	—	104
PX-30182017002	HC Warde Acylcarnitines Quantitative Each Specimen	$382	$382	—	—	104
PX-30182017003	HC Quest Acylcarnitines Quantitative Each Specimen	$382	$382	—	—	104
PX-30182017004	HC Mayo Acylcarnitines Quantitative Each Specimen Plasma	$382	$382	—	—	104
PX-30182726002	HC Warde Fatty Acids Very Long Chain	$352	$352	—	—	104
PX-30183661001	HC Fetal Lung Maturity Assessment L/S Ratio	$352	$352	—	—	103
PX-30180321016	HC Quest Alcohol Biomarkers Definitive Assay 1 or 2 Phosphatidylethanol	$338	$338	—	—	104
PX-30081373002	HC Warde Hla Class I Typing Low Resolution One Locus Each	$332	$332	—	—	104
PX-30081373004	HC External Hla Class I Typing Low Resolution One Locus Each	$332	$332	—	—	104
PX-30081373003	HC Quest Hla Class I Typing Low Resolution One Locus Each	$332	$332	—	—	104
PX-30081373001	HC Hla Class I Typing Low Resolution One Locus Each	$332	$332	—	—	104

Showing top 50 of 1,971 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.