TYLER HOLMES MEMORIAL HOSPITAL CAH

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
8056137_1	INJECTION, ALTEPLASE RECOMBINANT, 1 MG	$18,481	$13,861	—	—	4
8189767_1	INJECTION, TENECTEPLASE, 1 MG	$12,679	$9,509	—	—	4
8056801_1	INJECTION, TENECTEPLASE, 1 MG	$12,310	$9,232	—	—	4
8393343_1	INJECTION, ROMOSOZUMAB-AQQG, 1 MG	$7,731	$5,798	—	—	4
8237297_1	INJECTION, DENOSUMAB-BBDZ (JUBBONTI/WYOST), BIOSIMILAR, 1 MG	$5,096	$3,822	—	—	4
8056647_1	INJECTION, OMALIZUMAB, 5 MG	$4,649	$3,487	—	—	4
8073617_1	Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a	$4,466	$3,350	—	—	5
9544004_1	MIDLINE/PICC Kit Max Barrier	$4,391	$3,293	—	—	4
9160643_1	Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion vari	$3,750	$2,813	—	—	4
1168635_1	MRI scan of blood vessels of abdomen	$3,656	$2,742	—	—	5
1168643_1	MRI scan of blood vessels of chest	$3,656	$2,742	—	—	5
1168649_1	MRI scan of blood vessels of head before and after contrast	$3,656	$2,742	—	—	5
1168651_1	MRI scan of blood vessels of head with contrast	$3,656	$2,742	—	—	5
1168679_1	MRI scan of blood vessels of neck before and after contrast	$3,656	$2,742	—	—	5
1168681_1	MRI scan of blood vessels of neck with contrast	$3,656	$2,742	—	—	5
1168687_1	MRI scan of blood vessels of pelvis	$3,656	$2,742	—	—	5
1168730_1	MRI scan of abdomen before and after contrast	$3,656	$2,742	—	—	5
1168732_1	MRI scan of abdomen with contrast	$3,656	$2,742	—	—	5
1168738_1	MRI scan of leg joint before and after contrast	$3,656	$2,742	—	—	5
1168740_1	MRI scan of leg joint before and after contrast	$3,656	$2,742	—	—	5
1168744_1	MRI scan of leg joint with contrast	$3,656	$2,742	—	—	5
1168746_1	MRI scan of leg joint with contrast	$3,656	$2,742	—	—	5
1168796_1	MRI scan of brain before and after contrast	$3,656	$2,742	—	—	5
1168820_1	MRI scan of chest before and after contrast	$3,656	$2,742	—	—	5
1168822_1	MRI scan of chest with contrast	$3,656	$2,742	—	—	5
1168836_1	MRI scan of arm joint before and after contrast	$3,656	$2,742	—	—	5
1168838_1	MRI scan of arm joint before and after contrast	$3,656	$2,742	—	—	5
1168842_1	MRI scan of arm joint with contrast	$3,656	$2,742	—	—	5
1168844_1	MRI scan of arm joint with contrast	$3,656	$2,742	—	—	5
1168852_1	MRI scan of bone of eye socket, face, and/or neck before and after contrast	$3,656	$2,742	—	—	5
1168854_1	MRI scan of bone of eye socket, face, and/or neck with contrast	$3,656	$2,742	—	—	5
1168878_1	MRI scan of leg before and after contrast	$3,656	$2,742	—	—	5
1168880_1	MRI scan of leg before and after contrast	$3,656	$2,742	—	—	5
1168884_1	MRI scan of leg with contrast	$3,656	$2,742	—	—	5
1168886_1	MRI scan of leg with contrast	$3,656	$2,742	—	—	5
1168918_1	MRI scan of arm before and after contrast	$3,656	$2,742	—	—	5
1168920_1	MRI scan of arm before and after contrast	$3,656	$2,742	—	—	5
1168924_1	MRI scan of arm with contrast	$3,656	$2,742	—	—	5
1168926_1	MRI scan of arm with contrast	$3,656	$2,742	—	—	5
1168936_1	MRI scan of leg joint before and after contrast	$3,656	$2,742	—	—	5
1168938_1	MRI scan of leg joint before and after contrast	$3,656	$2,742	—	—	5
1168942_1	MRI scan of leg joint with contrast	$3,656	$2,742	—	—	5
1168944_1	MRI scan of leg joint with contrast	$3,656	$2,742	—	—	5
1168972_1	MRI scan of leg joint before and after contrast	$3,656	$2,742	—	—	5
1168974_1	MRI scan of leg joint before and after contrast	$3,656	$2,742	—	—	5
1168978_1	MRI scan of leg joint with contrast	$3,656	$2,742	—	—	5
1168980_1	MRI scan of leg joint with contrast	$3,656	$2,742	—	—	5
1169024_1	MRI scan of pelvis before and after contrast	$3,656	$2,742	—	—	5
1169026_1	MRI scan of pelvis with contrast	$3,656	$2,742	—	—	5
1169032_1	MRI scan of arm joint before and after contrast	$3,656	$2,742	—	—	5

Showing top 50 of 2,975 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.