Mclaren St Luke's prices — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
LV GRAM OR LV PRESSURE ONLY	LV GRAM OR LV PRESSURE ONLY	$7,051	$3,526	—	—	1
DIAGNOSTIC SPLIT SLEEP STUDY	DIAGNOSTIC SPLIT SLEEP STUDY	$6,944	$3,472	—	—	1
PET CT SKULL THIGH INITIAL STAGING	PET CT SKULL THIGH INITIAL STAGING	$6,607	$3,304	—	—	1
DIAGNOSTIC BASELINE SLEEP STUDY	DIAGNOSTIC BASELINE SLEEP STUDY	$6,597	$3,299	—	—	1
NM MYOCARDIAL SPECT REST AND STRESS	NM MYOCARDIAL SPECT REST AND STRESS	$4,127	$2,064	—	—	1
MRI MRCP ONLY W/ + W/O CONTRAST	MRI MRCP ONLY W/ + W/O CONTRAST	$3,509	$1,755	—	—	1
CT ABDOMEN AND PELVIS W/ + W/O CONTRAST	CT ABDOMEN AND PELVIS W/ + W/O CONTRAST	$3,333	$1,667	—	—	1
MRI SPINE CERVICAL W/ + W/O CONTRAST	MRI SPINE CERVICAL W/ + W/O CONTRAST	$3,325	$1,663	—	—	1
MRI SPINE LUMBAR W/ + W/O CONTRAST	MRI SPINE LUMBAR W/ + W/O CONTRAST	$3,325	$1,663	—	—	1
TILT TABLE EVALUATION	TILT TABLE EVALUATION	$3,310	$1,655	—	—	1
MRI FOOT W/ + W/O CONTRAST RIGHT	MRI FOOT W/ + W/O CONTRAST RIGHT	$3,155	$1,578	—	—	1
MRI BRAIN AND IAC'S W/ + W/O CONTRAST	MRI BRAIN AND IAC'S W/ + W/O CONTRAST	$3,138	$1,569	—	—	1
CV ECHO ACQUISITION	CV ECHO ACQUISITION	$3,090	$1,545	—	—	1
MRI ENTEROGRAPHY PELVIS W W/O CONT BO	MRI ENTEROGRAPHY PELVIS W W/O CONT BO	$3,070	$1,535	—	—	1
CT ABDOMEN AND PELVIS W/ CONTRAST	CT ABDOMEN AND PELVIS W/ CONTRAST	$2,853	$1,427	—	—	1
MRI ELBOW W/ CONTRAST RIGHT	MRI ELBOW W/ CONTRAST RIGHT	$2,506	$1,253	—	—	1
CT ANGIO CHEST	CT ANGIO CHEST	$2,479	$1,240	—	—	1
CT ABDOMEN AND PELVIS W/O CONTRAST	CT ABDOMEN AND PELVIS W/O CONTRAST	$2,360	$1,180	—	—	1
MRI SPINE LUMBAR W/O CONTRAST	MRI SPINE LUMBAR W/O CONTRAST	$2,306	$1,153	—	—	1
MRI ELBOW W/O CONTRAST RIGHT	MRI ELBOW W/O CONTRAST RIGHT	$2,306	$1,153	—	—	1
MRI ANKLE W/O CONTRAST RIGHT	MRI ANKLE W/O CONTRAST RIGHT	$2,306	$1,153	—	—	1
CT ANGIO BRAIN AND NECK	CT ANGIO BRAIN AND NECK	$2,228	$1,114	—	—	1
99285 - LEVEL 5	99285 - LEVEL 5	$2,129	$1,065	—	—	1
MRA BRAIN/HEAD W/O CONTRAST	MRA BRAIN/HEAD W/O CONTRAST	$2,097	$1,049	—	—	1
MRI BRAIN HYPERACUTE W/O CONTRAST	MRI BRAIN HYPERACUTE W/O CONTRAST	$2,097	$1,049	—	—	1
IR CISTERNOGRAM ALL INCLUSIVE	IR CISTERNOGRAM ALL INCLUSIVE	$2,080	$1,040	—	—	1
MRI SPINE CERVICAL W/O CONTRAST	MRI SPINE CERVICAL W/O CONTRAST	$2,012	$1,006	—	—	1
RH PHENOTYPE	RH PHENOTYPE	$2,003	$1,002	—	—	1
BILL AS -> 10	BILL AS -> 10	$2,003	$1,002	—	—	1
CT PERFUSION CEREBRAL	CT PERFUSION CEREBRAL	$1,924	$962	—	—	1
CV VASCULAR ACQUISITION	CV VASCULAR ACQUISITION	$1,881	$941	—	—	1
NM BONE IMAGING WHOLE BODY	NM BONE IMAGING WHOLE BODY	$1,820	$910	—	—	1
CT ANGIO NECK	CT ANGIO NECK	$1,654	$827	—	—	1
NM BONE THREE PHASE STUDY	NM BONE THREE PHASE STUDY	$1,638	$819	—	—	1
NM GASTRIC EMPTYING STUDY	NM GASTRIC EMPTYING STUDY	$1,574	$787	—	—	1
CT NECK SOFT TISSUE W/ CONTRAST	CT NECK SOFT TISSUE W/ CONTRAST	$1,473	$737	—	—	1
99284 - LEVEL 4	99284 - LEVEL 4	$1,448	$724	—	—	1
CT CHEST W/CONTRAST	CT CHEST W/CONTRAST	$1,407	$704	—	—	1
CT BRAIN STROKE PROTOCOL W/O CONTRAST	CT BRAIN STROKE PROTOCOL W/O CONTRAST	$1,393	$697	—	—	1
RT CHARGE PFT -> BRONCHOPROVOCATION (INHALATION	RT CHARGE PFT -> BRONCHOPROVOCATION (INHALATION AGENT)	$1,351	$676	—	—	1
CT PELVIS W/ CONTRAST	CT PELVIS W/ CONTRAST	$1,347	$674	—	—	1
US BIOPSY PROSTATE ANY APPROACH	US BIOPSY PROSTATE ANY APPROACH	$1,336	$668	—	—	1
US RENALS AND BLADDER	US RENALS AND BLADDER	$1,326	$663	—	—	1
G0260	IR INJ SI JT ANES STER TX W/FLUORO	$1,294	$647	—	—	1
EEG CHARGE -> EEG AWAKE & DROWSY	EEG CHARGE -> EEG AWAKE & DROWSY	$1,221	$611	—	—	1
CT FACIAL BONES W/O CONTRAST	CT FACIAL BONES W/O CONTRAST	$1,208	$604	—	—	1
CT SPINE CERVICAL W/O CONTRAST	CT SPINE CERVICAL W/O CONTRAST	$1,208	$604	—	—	1
CT SPINE LUMBAR W/O CONTRAST	CT SPINE LUMBAR W/O CONTRAST	$1,208	$604	—	—	1
G0399	HOME SLEEP STUDY HST	$1,166	$583	—	—	1
CT CHEST HIGH RESOLUTION	CT CHEST HIGH RESOLUTION	$1,159	$580	—	—	1

Showing top 50 of 299 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.