MOUNT SINAI HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
RX-105644	CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION	$44,160	$44,160	—	—	130
PX-36137244001	HC Embolization/Occlusion Vascular Hemorrhage/Lymphatic Extravasation Arterial/Venous	$30,026	$16,514	—	—	120
PX-36122514001	HC Augumentation Percutaneous Vertebral Including Cavity Creation 1 Vertebral Body Lumbar	$26,310	$14,471	—	—	120
RX-10475	ANTI-THYMOCYTE GLOB (EQUINE) 50 MG/ML IV INJ	$14,665	$14,665	—	—	114
PX-36149440001	HC Insertion Gastrostomy Tube Percutaneous W/Fluoroscopy	$8,399	$4,619	—	—	120
PX-48133361001	HC Cath Replace Aortic Valve Perq Femoral Artry Approach	$7,040	$3,872	—	—	66
RX-105502	DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE	$6,752	$6,752	—	—	130
PX-34178831001	HC NM Radiopharmaceutical Localization Tumor Spect 2+ Area Single Day / Single Area 2+ Days Imaging	$5,196	$2,858	—	—	130
PX-36133017001	HC Pericardial Drain W/Insertion of Indwelling Cath Percutaneous 6+Yrs WO Congenital Cardiac Anomaly	$4,418	$2,430	—	—	104
PX-390P9055001	HC Platelets Leukoreduced Cmv Negative Apheresis/Phresis Each Unit	$3,607	$1,984	—	—	111
RX-10137	GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT	$3,537	$3,537	—	—	130
PX-390P9052001	HC Platelets Hla Matched Leukocytes Reduced Apheresis/Pheresis Each Unit	$3,358	$1,847	—	—	127
PX-31081229002	HC Warde Analysis Microarray Cytogenomic Copy Number/Snp Variants	$3,043	$1,674	—	—	130
PX-390P9039001	HC RBC Deglycerolized Each Unit	$2,864	$1,575	—	—	111
PX-80190935001	HC Hemodialysis IP Single Evaluation Acute	$2,858	$1,572	—	—	130
PX-390P9053001	HC Platelets Pheresis Leukocytes Reduced Cmv Negative Irradiated Each Unit	$2,666	$1,466	—	—	127
PX-31081479001	HC Unlisted Procedure Molecular Pathology	$2,558	$1,407	—	—	121
PX-36149185001	HC Sclerotherapy Fluid Collection W/Supervision & Interpretation	$2,549	$1,402	—	—	120
PX-390P9073001	HC Platelets Pheresis Pathogen-Reduced Each Unit	$2,505	$1,378	—	—	127
PX-31188262001	HC Chromosome Analysis Count 15-20 Cells/2 Karotypes With Banding	$2,452	$1,349	—	—	130
PX-39136430001	HC Transfusion Blood/Blood Component(S)	$2,425	$1,334	—	—	127
PX-390P9037002	HC 7 Day Platelets Pheresis Leukocytes Reduced Irradiated Each Unit	$2,418	$1,330	—	—	127
PX-390P9034001	HC Platelets Pheresis Each Unit	$2,239	$1,231	—	—	111
PX-390P9035002	HC 7 Day Platelets Pheresis Leukocytes Reduced Each Unit	$2,239	$1,231	—	—	127
PX-30687507001	HC Infectious Agent Nucleic Acid Multiplex Amplified Probe GI Pathogen 12-25 Targets	$2,233	$1,228	—	—	130
PX-44492612001	HC St Evaluation Swallowing by Endoscopic Cine/Video	$1,977	$1,087	—	—	5
PX-74095714001	HC Eeg Unmonitored W/ Video by Tech Each Increment of 12-26 Hours	$1,953	$1,074	—	—	72
PX-32074230001	HC Xr Swallowing Function W/Ciner/Videoradiography Neck Radiographs(S)&Delayed Images Contrast Study	$1,666	$916	—	—	130
PX-390P9033001	HC Platelets Leukocytes Reduced Irradiated Each Unit	$1,558	$857	—	—	127
PX-390P9010001	HC Blood (Whole) for Transfusion per Unit	$1,504	$827	—	—	111
PX-42029405001	HC Pt Application Cast Short Leg Bl	$1,498	$824	—	—	130
PX-390P9031001	HC Platelets Leukocytes Reduced Each Unit	$1,418	$780	—	—	127
PX-390P9058001	HC Red Blood Cells Leukocytes Reduced Cmv Negative Irradiated Each Unit	$1,336	$735	—	—	127
PX-3060202U001	HC Infectious Disease Pathogen Specific Nucleic Acid 22 Targets Including Sars-Cov-2 Qual (Biofire 2	$1,264	$695	—	—	130
PX-31081225003	HC Warde Analysis Gene Cyp2c19 Common Variants	$1,263	$695	—	—	130
PX-44492523001	HC St Evaluate Speech Sound Production Comprehensive/Expressive	$1,240	$682	—	—	12
PX-30687901003	HC Warde 3503525 Infectious Agent Nucleic Acid Genotype Hiv-1 Rev Transcriptase/Protease Regions	$1,211	$666	—	—	130
PX-30687901001	HC Infectious Agent Nucleic Acid Genotype Hiv-1 Reverse Transcriptase/Protease Regions	$1,211	$666	—	—	130
PX-30687154001	HC Culture Typing Nucleic Acid Probe Amplified per Culture/Isolate 6 or More Targets	$1,203	$662	—	—	130
PX-390P9038001	HC Red Blood Cells Irradiated Each Unit	$1,180	$649	—	—	127
PX-390P9040001	HC Red Blood Cells Leukocytes Reduced Irradiated Each Unit	$1,180	$649	—	—	127
PX-74095715001	HC Eeg Intermittent Monitoring and Maintenance W/ Video by Tech Each Increment of 12-26 Hours	$1,169	$643	—	—	98
PX-31188120001	HC Cytopathology in Situ Hybridization Urinary Tract 3-5 Probes Each Specimen Manual	$1,130	$622	—	—	130
PX-31188120002	HC Warde Cytopathology in Situ Hybridization Urinary Tract 3-5 Probes Each Specimen Manual	$1,130	$622	—	—	130
PX-31081220002	HC Warde Analysis Gene Cftr Common Variants	$1,129	$621	—	—	130
PX-31188261001	HC Chromosome Analysis Count 5 Cells/1 Karotype With Banding	$1,103	$607	—	—	114
PX-312G0416001	HC Biopsy Prostate Needle Surgical Pathology > 4 Separately Identified Specimens	$1,048	$576	—	—	130
PX-74095707001	HC Eeg Continuous Real-Time Monitoring and Maintenance WO Video by Tech 2-12 Hours	$1,004	$552	—	—	106
PX-390P9021001	HC Red Blood Cells Each Unit	$1,002	$551	—	—	111
PX-42029405002	HC Pt Application Cast Short Leg Lt	$998	$549	—	—	130

Showing top 50 of 1,575 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.