ST MARY MEDICAL CENTER — Hospital Ledger

45 CFR § 180 compliance

B · 85

This hospital published most 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

2,074

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-32375743001	HC Angiography Pulmonary Selective Supervision & Interpretation Bilateral	$11,788	$7,662	—	—	47
PX-36000000017	HC Lithotripsy Purchased Service	$11,102	$7,216	—	—	37
PX-32075746001	HC Angiography Pulmonary Nonselective Supervision & Interpretation	$9,443	$6,138	—	—	21
PX-31081220002	HC Warde Analysis Gene Cftr Common Variants	$6,207	$4,035	—	—	100
PX-31081162002	HC Warde Analysis Gene Brca1/ Brca2 Full Sequence Full Duplication/Deletion	$6,022	$3,914	—	—	100
PX-32375716001	HC Angiography Extremity Bilateral Supervision & Interpretation	$5,846	$3,800	—	—	47
PX-35170471001	HC Computed Tomographic Angiography Head and Neck With Contrast	$5,802	$3,771	—	—	98
PX-32375726001	HC Angiography Visceral Selective/Supraselect W/O or W/Flush Aortogram Supervision & Interpretation	$5,597	$3,638	—	—	47
PX-36000000023	HC or Level III Initial 15 Minutes	$5,280	$3,432	—	—	26
PX-32075822001	HC Venogram Extremity Supervision & Interpretation Bilateral	$5,036	$3,273	—	—	47
PX-3610673T001	HC Ablation Percutaneous Laser Benign Thyroid Nodule(S) W/Imaging Guidance	$4,742	$3,082	—	—	9
PX-35271270001	HC CT Thorax Diagnostic W/O & W/Contrast	$4,524	$2,941	—	—	47
PX-35273706001	HC Cta Lower Extremity W/O & W/Contrast Bl	$4,352	$2,829	—	—	6
PX-30687902024	HC Warde 3400966 Infectious Agent Nucleic Acid Genotype Hepatitis C	$3,849	$2,502	—	—	98
PX-30687902002	HC Warde Infectious Agent Nucleic Acid Genotype Hepatitis C	$3,849	$2,502	—	—	98
PX-30687902005	HC Quest Infectious Agent Nucleic Acid Genotype Hepatitis C	$3,849	$2,502	—	—	98
PX-35272194001	HC CT Pelvis W/O & W/Contrast	$3,832	$2,491	—	—	47
PX-30585097001	HC Bone Marrow Smear Interpretation	$3,566	$2,318	—	—	100
PX-35272126001	HC CT Cervical Spine W/Contrast	$3,299	$2,144	—	—	47
PX-35272132001	HC CT Lumbar Spine W/Contrast	$3,275	$2,129	—	—	47
PX-35271275001	HC Cta Chest W/O & W/Contrast	$3,191	$2,074	—	—	47
PX-31081450001	HC Analysis Genomic Sequence Hematolymphoid Neoplasm/Disorder 5-50 Genes	$3,190	$2,074	—	—	98
PX-30687906014	HC Quest 94807 Infectious Agent Nucleic Acid Genotype Hiv-1 Other Region	$3,142	$2,042	—	—	100
PX-30687901003	HC Warde 3503525 Infectious Agent Nucleic Acid Genotype Hiv-1 Rev Transcriptase/Protease Regions	$3,139	$2,040	—	—	100
PX-30687901004	HC Quest 34949 Infectious Agent Nucleic Acid Genotype Hiv-1 Reverse Transcriptase/Protease Regions	$3,139	$2,040	—	—	100
PX-30687901015	HC Quest 94807 Inf Agt Nucleic Acid Genotype Hiv-1 Reverse Transcriptase/Protease Regions	$3,139	$2,040	—	—	100
PX-30687901001	HC Infectious Agent Nucleic Acid Genotype Hiv-1 Reverse Transcriptase/Protease Regions	$3,139	$2,040	—	—	100
PX-32375898001	HC Angiography via Existing Catheter Follow Up Study Supervision & Iinterpretation	$3,091	$2,009	—	—	101
PX-35275574001	HC Cta Heart W/3d Image W/Contrast	$3,038	$1,975	—	—	3
PX-3000001U001	HC RBC Antigen Typing Dna Hea Gene Analysis 35 Antigens Whole Blood Reference	$3,024	$1,966	—	—	96
PX-35170492001	HC CT Neck Soft Tissue W/O & W/Contrast	$2,901	$1,886	—	—	47
PX-35170496001	HC Cta Head W/O &/or W/Contrast	$2,901	$1,886	—	—	47
PX-35272191001	HC Cta Pelvis W/O &/or W/Contrast	$2,901	$1,886	—	—	47
PX-35273206001	HC Cta Upper Extremity W &/or W/O Contrast Lt	$2,901	$1,886	—	—	6
PX-35273706002	HC Cta Lower Extremity W/O & W/Contrast Lt	$2,901	$1,886	—	—	6
PX-35274175001	HC Cta Abdomen W/O & /or W/Contrast	$2,901	$1,886	—	—	11
PX-35273702002	HC CT Lower Extremity W/O & W/Contrast Lt	$2,767	$1,799	—	—	18
PX-35273702003	HC CT Lower Extremity W/O & W/Contrast Rt	$2,767	$1,799	—	—	9
PX-35272131001	HC CT Lumbar Spine W/O Contrast	$2,726	$1,772	—	—	47
PX-35272128001	HC CT Thoracic Spine W/O Contrast	$2,726	$1,772	—	—	47
PX-35275572001	HC CT Heart Structure & Morphology W/Contrast	$2,672	$1,737	—	—	19
PX-35273200001	HC CT Upper Extremity W/O Contrast Bl	$2,627	$1,708	—	—	47
PX-35170487001	HC CT Maxillofacial W/Contrast	$2,624	$1,706	—	—	47
PX-35170481001	HC CT Orbit/Sella/ or Posterior Outer Inner or Middle Ear W/Contrast	$2,624	$1,706	—	—	47
PX-35170460001	HC CT Head/Brain W/Contrast	$2,624	$1,706	—	—	46
PX-35273201003	HC CT Upper Extremity W/Contrast Rt	$2,299	$1,494	—	—	4
PX-35273701002	HC CT Lower Extremity W/Contrast Lt	$2,299	$1,494	—	—	8
PX-35273701003	HC CT Lower Extremity W/Contrast Rt	$2,299	$1,494	—	—	10
PX-35170490001	HC CT Neck Soft Tissue W/O Contrast	$2,185	$1,420	—	—	47
PX-3010003M001	HC Warde Liver Disease Ten Biochemical Assays Serum (Nash)	$2,114	$1,374	—	—	98

Showing top 50 of 2,074 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.