CAPE COD HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-76002390	Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$2,413	$1,810	—	—	10
PX-76002392	Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$2,413	$1,810	—	—	14
PX-76001587	Dest Nerve Lumbar/Sacral Sgl	$2,372	$1,779	—	—	1
PX-76002665	Destruction Neurolytic Agt Genicular Nerve W/Img	$2,110	$1,583	—	—	1
PX-76001520	Njx Aa&/Strd Tfrml Epi Cervical/Thoracic 1 Level	$1,895	$1,421	—	—	1
PX-76001526	Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$1,895	$1,421	—	—	5
PX-76001526	Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level\|BILATERAL PROCEDURE	$1,895	$1,421	—	—	3
PX-76001529	Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl	$1,895	$1,421	—	—	3
PX-76001555	Impl Elect Neurostim Peripher Perc	$1,878	$1,409	—	—	1
PX-92000122	Nerve Conduction Studies 13/> Stud	$1,694	$1,271	—	—	6
PX-92000121	Nerve Conduction Studies 11-12 Stud	$1,473	$1,105	—	—	6
PX-27000485	HC Ewo Rigit Without Joints Custom Tier1	$1,387	$1,040	—	—	1
PX-92000120	Nerve Conduction Studies 9-10 Stud	$1,264	$948	—	—	7
PX-76001532	Inj Paravert F Jnt C/T 1 Lev	$1,189	$892	—	—	2
PX-76001541	Inj Paravert F Jnt L/S 1 Lev	$1,189	$892	—	—	1
PX-32000067	Xr L-Spine W/Bending Views, Min 6	$1,173	$880	—	—	1
PX-76002664	Injection Aa&/Strd Genicular Nrv Branches W/Img	$1,168	$876	—	—	1
PX-76001484	Analysis Pump Pain W/Program	$1,163	$872	—	—	1
PX-32000364	Xr Fluoro Needle Placement	$1,092	$819	—	—	4
PX-44000008	St Eval Speech Comm Device 1st Hr	$1,079	$809	—	—	2
PX-44000060	Speech Sound Lang Comprehen	$1,059	$794	—	—	4
PX-92000119	Nerve Conduction Studies 7-8 Stu	$1,044	$783	—	—	10
PX-43000110	Occupational Therapy Evaluation, High Complexity	$1,028	$771	—	—	1
PX-42000100	Physical Therapy Evaluation, High Complexity	$1,028	$771	—	—	5
PX-27000495	HC Who Gauntlet Molded Custom Tier1	$926	$695	—	—	2
PX-32000066	Xr L-Spine 4+ Views	$880	$660	—	—	3
PX-32000057	Xr C-Spine 4 or 5 Views	$836	$627	—	—	8
PX-92000118	Nerve Conduction Studies 5-6 Stud	$792	$594	—	—	6
PX-27000491	Whfo, Rigid W/O Joints	$764	$573	—	—	8
PX-98301901	Destruction Neurolytic Agt Genicular Nerve W/Img	$724	$543	—	—	1
PX-76001850	Chemdnrvtn Mscl Facial Trige Cerv	$711	$533	—	—	8
PX-43000109	Occupational Therapy Evaluation, Moderate Complexity	$686	$515	—	—	6
PX-42000099	Physical Therapy Evaluation, Moderate Complexity	$686	$515	—	—	8
PX-92000117	Nerve Conduction Studies 3-4 Stud	$661	$496	—	—	1
PX-32000065	Xr L-Spine 2-3 Views	$633	$475	—	—	3
PX-44000058	Evaluation of Speech Fluency	$630	$473	—	—	1
PX-76001967	Chemodenervation 1 Extremity 5 or More Muscles	$628	$471	—	—	9
PX-76001952	Chemodenerv Trunk Musc 1-5	$622	$467	—	—	4
PX-27000478	Eo W/O Joints Custom T1	$616	$462	—	—	1
PX-32000056	Xr C-Spine 2 or 3 Views	$600	$450	—	—	1
PX-44000010	St Modify or Train Voice Prosth	$588	$441	—	—	5
PX-76001950	Chemodenerv 1 Extremity 1-4	$576	$432	—	—	13
PX-76001949	Chemodenerv Musc Neck Dyston	$570	$428	—	—	4
PX-27000498	Hfo W/O Joints Cf	$559	$419	—	—	8
PX-32000427	Radex Hips Bilateral With Pelvis Minimum 5 Views	$541	$406	—	—	1
PX-51000084	Office Visit, Established Pat	$534	$401	—	—	2
PX-44000061	Behavral Qualit Analys Voice	$530	$398	—	—	1
PX-27000499	Ho W/O Joints Custom T1	$519	$389	—	—	4
PX-32000060	Xr T-Spine 2 Views	$517	$388	—	—	1
PX-44000059	Evaluate Speech Production	$507	$380	—	—	2

Showing top 50 of 135 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.