HOSPITAL EPISCOPAL SAN LUCAS II

45 CFR § 180 compliance

D · 65

This hospital published part 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

285

Insurances with rates

CPT / HCPCS codes

280

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer
216	Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major comp	$19,000	$17,500	—	—
55866	Surgical removal of prostate and surrounding lymph nodes using an endoscope	$2,948	$1,000	—	—
460	Spinal fusion except cervical without major comorbid conditions or complications (MCC)	$2,500	$1,000	—	—
470	Major joint replacement or reattachment of lower extremity without major comorbid conditions or comp	$2,500	$1,000	—	—
473	Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complication	$2,500	$1,000	—	—
743	Uterine and adnexa procedures for non-malignancy without comorbid conditions (CC) or major comorbid	$2,100	$1,604	—	—
42820	Removal of tonsils and adenoid glands patient younger than age 12	$1,800	$1,500	—	—
19120	Removal of 1 or more breast growth, open procedure	$1,750	$1,200	—	—
93452	Insertion of catheter into left heart for diagnosis	$1,750	$1,225	—	—
47562	Removal of gallbladder using an endoscope	$1,693	$1,000	—	—
72156	MRI CERV.SPINE W/O FOLL W/CONT	$1,600	$1,120	—	—
72157	MRI THORACIC WO/FOLL W/CONTRAS	$1,600	$1,120	—	—
72158	MRI LUMBAR WO/FOLL W/CONTRAST	$1,600	$1,120	—	—
66984	Removal of cataract with insertion of lens	$1,500	$1,000	—	—
70553	MRI scan of brain before and after contrast	$1,400	$980	—	—
70543	MRI ORB/FCE&NCK WO/DYE FL B DY	$1,300	$910	—	—
70546	MRA HEAD WO/DYE FOLLOWD BY DYE	$1,300	$910	—	—
70549	MRA NECK WO/DYE FOLLOWD BY DYE	$1,300	$910	—	—
29826	Shaving of shoulder bone using an endoscope	$1,200	$1,000	—	—
29881	Removal of one knee cartilage using an endoscope	$1,200	$1,000	—	—
55700	Biopsy of prostate gland	$1,117	$1,000	—	—
49505	Repair of groin hernia patient age 5 years or older	$1,089	$1,000	—	—
72130	CT THORACI SPINE WO/CM F BY CM	$1,075	$753	—	—
71275	CT ANGIOGRAPHY/CHEST W/CM	$975	$683	—	—
72142	MRI CERVICAL SPINE W/CONTRAST	$975	$683	—	—
72147	MRI SPIN CANL&CONT/THOR W/CONT	$950	$665	—	—
72149	MRI SPIN CANL&CONT LUMB W/CONT	$950	$665	—	—
72148	MRI scan of lower spinal canal	$900	$630	—	—
72146	MRI SPIN CANL&CONT/THOR WO/CON	$900	$630	—	—
71550	MRI CHE WO/CONT(EVAL.HIL&M LYM	$850	$595	—	—
72141	MRI CERVICAL SPINE W/O CONTRAS	$850	$595	—	—
72196	MRI PELVIS W/CONTRAST	$850	$595	—	—
70542	MRI ORBIT/FACE & NECK W/CONTRA	$800	$560	—	—
70545	MRA HEAD W/CONTRAST	$800	$560	—	—
70548	MRA NECK W/CONTRAST	$800	$560	—	—
72195	MRI PELVIS WO/CONTRAST	$800	$560	—	—
64483	Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging gui	$800	$650	—	—
70498	CT ANGIOGRAPHY NECK W/CM	$775	$543	—	—
73721	MRI scan of leg joint	$750	$525	—	—
70492	CT SFT TISS NECK W/OCONT.MAT&F	$750	$525	—	—
70540	MRI ORBIT/FACE & NECK WO/CONTR	$750	$525	—	—
70544	MRA HEAD WO/CONTRAST	$750	$525	—	—
70547	MRA NECK WO/CONTRAST	$750	$525	—	—
70488	CT MAXIL.W/OCONT.MAT.FL/CNT.MA	$725	$508	—	—
70487	CT MAXILLOFACIAL W/CONT. MAT	$600	$420	—	—
45378	Diagnostic examination of large bowel using an endoscope	$540	$378	—	—
45380	Biopsy of large bowel using an endoscope	$540	$378	—	—
45385	Removal of polyps or growths of large bowel using an endoscope	$540	$378	—	—
45391	Ultrasound examination of lower large bowel using an endoscope	$540	$378	—	—
43235	Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope	$510	$357	—	—

Showing top 50 of 285 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.