BOSTON CHILDREN'S HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
278	HC BUNDLE - COCHLEAR AMERICA IMPLANT & SOUND PROCESSOR	$90,106	$90,106	$39,957	$85,601	32
610	HC MRI SPECTROSCOPY	$6,151	$6,151	$3,014	$5,843	32
615	HC MRA HEAD WO IV CONTRAST	$5,288	$5,288	$1,160	$5,024	33
616	HC MRA LOWER EXTREM W/ CONTRAST	$5,259	$5,259	$2,577	$4,996	32
618	HC MR ANGIO CHEST (MRA) - MR CHEST ANGIO W AND WO IV CONTRAST	$5,218	$5,218	$2,557	$4,957	32
611	HC MRI BRAIN WO CONTRAST	$5,154	$5,154	$1,160	$4,896	33
614	HC MRI ORBIT/FACE/NECK W/O CONTRAST	$4,367	$4,367	$1,160	$4,149	33
343	TC-99M-EXAMETAZIME 0.5 MG INTRAVENOUS KIT (WBC)	$3,981	$3,981	$1,950	$8,672	32
740	HC EEGEXTENDED MONITORING41-60 MINUTES - EEG	$3,102	$3,102	$609	$2,947	33
612	HC MRI CERVICAL SPINE W/O CONTRAST	$2,787	$2,787	$1,160	$2,648	33
360	HC OR TIME - INITIAL BASE CHARGE - PROCEDURE LEVEL A	$2,772	$2,772	$1,358	$2,633	31
750	HC REPOSITION GASTROSTOMY TUBE - GASTROSTOMY TUBE CHANGE / REPOSITION	$2,192	$2,192	$558	$2,082	32
270	CERV COLLAR SUPP ADJ CERV BA	$2,044	$2,044	$1,002	$1,942	32
275	LEAD PMKR TRANSVENOUS VDD	$2,030	$2,030	$995	$1,929	31
921	HC INTRACRANIAL LIMITED STUDY DOPPLER	$1,632	$1,632	$271	$1,550	33
710	HC RECOVERY ROOM TIME - INITIAL BASE CHARGE	$1,466	$1,466	$718	$1,393	31
483	HC TTE F-UP OR LMTD - TTE LIMITED	$1,424	$1,424	$368	$1,353	33
310	HC DMD DEL/DUP	$1,357	$1,357	$406	$1,289	33
761	HC INJECT NERV BLCKTRIGEMINAL	$1,321	$1,321	$597	$1,255	33
482	HC CARDIAC STRESS TSTTRACING - STRESS TEST ONLY DOBUTAMINE	$1,284	$1,284	$606	$1,220	33
370	HC ANESTHESIA TIME - INITIAL BASE CHARGE LEVEL 1	$1,273	$1,273	$624	$1,209	31
480	HC PM DEVICE PROGR EVAL SNGL - CARD DEVICE INPATIENT PCMKR W/ PROG	$1,154	$1,154	$81.13	$1,096	33
900	HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$968	$968	$474	$968	33
450	HC CLOSED RX RADIAL HEAD DISLOCCHILD	$860	$860	$421	$817	32
304	HC ASSAY OF ALUMINUM 24HR U	$851	$851	$89.71	$808	33
311	HC CHROM ANALYSIS TISSUE CULTURE	$844	$844	$137	$802	33
929	HC ELECTRO-OCULOGRAPHY	$812	$812	$134	$771	33
402	HC US CHESTREAL TIME	$701	$701	$232	$666	33
440	HC SLP SPEECH/HEARING THERAPY INDIVIDUAL	$657	$657	$255	$624	33
444	HC SLP EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE	$655	$655	$321	$622	33
700	HC APPLY LONG ARM CAST	$629	$629	$308	$598	32
279	DAILY CONT LENS	$613	$613	$300	$582	31
916	HC HEALTH BEHAVIOR INTERV FAMILY W/PT INITIAL 30 MIN	$571	$571	$0.01	$571	34
922	HC EMG NEEDLE ONE LIMB - EMG 1 LIMB	$566	$566	$257	$605	33
434	HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS	$551	$551	$270	$523	32
276	ANTER CHAMBER INTRAOCUL LENS	$543	$543	$248	$516	32
470	HC DISPENSING FEE HEARING AID BINAURAL	$537	$537	$263	$510	31
635	EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION	$528	$528	$7.57	$501	32
320	HC RAD EXAM FOOT COMPLETE 3+ VIEWS	$485	$485	$128	$461	33
424	HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$485	$485	$238	$461	32
731	HC EXT ECG RECORD CONTIN 48 HR RECORD - HOLTER MONITOR - 24 HOUR	$480	$480	$235	$456	33
914	HC PSYCHOTHERAPY W PATIENT 30 MINUTES	$466	$466	$228	$466	33
481	HC 3D ECHO IMG AND POSTPROCESSING TEE/TTE CONGENITAL CARDIAC ANOMAL	$447	$447	$219	$425	31
460	HC VENTILATORY TESTS	$424	$424	$208	$403	33
472	HC AUDITORY REHAB PRE-LINGUAL HEAR LOSS	$396	$396	$194	$376	31
350	HC 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION	$385	$385	$42.64	$366	32
410	HC NON PRESS INHAL AERO/NEB	$354	$354	$78.27	$462	33
324	HC RAD EXAM CHEST SINGLE VIEW	$339	$339	$128	$322	32
730	HC ELECTROCARDIOGRAM TRACING	$301	$301	$92.44	$286	33
983	HC INTERPROF PHONE/INTERNET/EHR CONSULT 30 MIN	$299	$299	$147	$299	32

Showing top 50 of 80 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.