MAHNOMEN HEALTH CENTER — Hospital Ledger

45 CFR § 180 compliance

F · 55

This hospital published little 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

10,032

Insurances with rates

CPT / HCPCS codes

9,254

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
0111	ROUTINE ROOM & BOARD LVL 3	$9,036	$8,132	—	—	0
0110	ROUTINE ROOM & BOARD LVL II	$8,501	$7,651	—	—	0
J3101	TENECTEPLASE (TNKASE) IV BOLUS (CVA)	$8,331	$7,498	—	—	24
0120	SKILLED SWING ROOM & BRD SEMI	$7,966	$7,169	—	—	0
70553	MRI BRAIN WO THEN W CONT	$6,276	$5,648	—	—	12
74177	CT ABD PELVIS W CONTRAST	$6,201	$5,581	—	—	12
A0434	SCT GRND TRANSPORT	$5,885	$5,297	—	—	9
59612	ED 59612 VAG DELIVERY ONLY AFTER PREVIOUS CESAREAN	$5,846	$5,261	—	—	11
59409	ED 59409 ED DELIVERY VAGINAL ONLY	$5,827	$5,244	—	—	11
72158	MRI L SPINE WO THEN W CONT	$5,677	$5,109	—	—	12
74178	CT ABD PELVIS WO THEN W CONT	$5,597	$5,037	—	—	12
72156	MRI C SPINE WO THEN W CONT	$5,582	$5,024	—	—	12
72157	MRI T SPINE WO THEN W CONT	$5,582	$5,024	—	—	12
72149	MRI L SPINE W CONTRAST	$5,195	$4,676	—	—	12
74174	CTA ABD PELVIS W CONTRAST+WO IF PERFORM	$4,955	$4,460	—	—	12
70549	MRA NECK WO THEN W CONT	$4,954	$4,459	—	—	12
70548	MRA NECK W CONTRAST	$4,865	$4,379	—	—	12
73702	CT EXT LOWER WO THEN W CONT	$4,817	$4,335	—	—	12
72197	MRI PELVIS WO THEN W CONT	$4,726	$4,253	—	—	12
72196	MRI PELVIS W CONTRAST	$4,679	$4,211	—	—	12
74182	MRI ABDOMEN W CONTRAST	$4,665	$4,199	—	—	12
73720	MRI LOWER EXT WO THEN W CONT	$4,634	$4,171	—	—	12
74183	MRI ABDOMEN WO THEN W CONT	$4,613	$4,152	—	—	12
C8924	ECHO WWO FOL WCONTRAST 2D LMTD	$4,428	$3,985	—	—	12
93306	ECHO (2D) COMPLETE W DOPPLER & COLOR	$4,428	$3,985	—	—	12
C8929	ECHO WWO FOL WCONT 2D COMPLETE	$4,428	$3,985	—	—	12
G0390	TRAUMA ACTIVATION FULL W CCARE	$4,375	$3,938	—	—	12
74181	MRI ABDOMEN WO CONTRAST	$4,264	$3,838	—	—	12
72148	MRI L SPINE WO CONTRAST	$4,250	$3,825	—	—	12
A0433	AMBULANCE ALS LEVEL 2	$4,173	$3,756	—	—	9
73706	CTA EXT LOWER W CONT +WO IF PERF	$4,173	$3,756	—	—	12
74176	CT ABD PELVIS WO CONTRAST	$4,048	$3,643	—	—	12
74175	CTA ABD WCONT +WO IF PERF	$4,034	$3,631	—	—	12
70492	CT SFT TISUE NECK WWO THEN W	$3,961	$3,565	—	—	12
72146	MRI T SPINE WO CONTRAST	$3,906	$3,515	—	—	12
73723	MRI LOWER EXT JT WO THEN W CONT	$3,874	$3,487	—	—	12
73221	MRI UPPER EXT JT WO CONTRAST	$3,874	$3,487	—	—	12
72141	MRI C SPINE WO CONTRAST	$3,848	$3,463	—	—	12
70542	MRI FACE NECK ORB W CONTRAST	$3,785	$3,407	—	—	12
70543	MRI FACE NECK ORB WO THEN W CONT	$3,785	$3,407	—	—	12
73722	MRI LOWER EXT JT W CONTRAST	$3,779	$3,401	—	—	12
73223	MRI UPPER EXT JT WO THEN W CONT	$3,778	$3,400	—	—	12
73218	MRI UP EXT WO CONT	$3,778	$3,400	—	—	12
70551	MRI BRAIN WO CONTRAST	$3,695	$3,326	—	—	12
73721	MRI LOWER EXT JT WO CONTRAST	$3,687	$3,318	—	—	12
70496	CTA HEAD W CONT WO IF PERF	$3,660	$3,294	—	—	12
70544	MRA HEAD WO CONTRAST	$3,645	$3,281	—	—	12
70552	MRI BRAIN W CONTRAST	$3,645	$3,281	—	—	12
J0401	ARIPIPRAZOLE ER 300 MG IM PRSY	$3,625	$3,263	—	—	12
70498	CT ANGIO NECK W CON+WO IF PERF	$3,596	$3,236	—	—	12

Showing top 50 of 10,032 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.