ASCENSION SAINT THOMAS HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
1714562	SOD BENZ+SOD PHENYL 50 ML	$34,800	$10,440	—	—	30
40006575	BRONCH W/EBUS BX 3 OR >STATION	$32,125	$9,637	—	—	37
40414010	NEOCOMP MYELOID DISORDERS PROF	$25,421	$7,626	—	—	45
40006567	BRONCH W/EBUS BX 1-2 STATIONS	$19,720	$5,916	—	—	37
40005366	ERCP W/REPLACE STENT	$19,060	$5,718	—	—	37
40005374	ERCP W/BAL DIL INCL SPHINCT	$19,060	$5,718	—	—	37
40005382	ERCP W/ABL INCL DIL	$19,060	$5,718	—	—	37
40005390	ERCP W/STENT INCL DIL/SPHIN	$19,060	$5,718	—	—	37
1706462	IDARUCIZUMAB 2.5GM INJ	$17,574	$5,272	—	—	30
31400147	PERCUTANEOUS TRACH	$14,912	$4,474	—	—	37
40413758	NEOTYPE MDS/CMML PROFILE	$13,726	$4,118	—	—	59
31400201	TEMPORARY PACER	$13,565	$4,070	—	—	36
33360401	LEVEL 5-1ST 60 MINUTES	$13,129	$3,939	—	—	30
33360398	LEVEL 4-1ST 60 MINUTES	$13,076	$3,923	—	—	30
41804696	NM IN 111 WBC BLD KIT	$12,347	$3,704	—	—	47
41803568	NM TC99 EXAMETAZIME WBC'S	$12,040	$3,612	—	—	47
33360371	LEVEL 3-1ST 60 MINUTES	$11,666	$3,500	—	—	30
1715615	PHENOBARBITAL 3000 MG/NS 300 M	$11,291	$3,387	—	—	30
42405094	US BRST BX 1ST LESION	$10,041	$3,012	—	—	37
46903420	MAM ULTRASOUND BIOPSY LEFT	$10,041	$3,012	—	—	38
46903439	MAM ULTRASOUND BIOPSY RIGHT	$10,041	$3,012	—	—	38
40001417	ERCP DCBA	$9,530	$2,859	—	—	34
40001514	ERCP DCAA	$9,530	$2,859	—	—	38
40002308	ERCP W/WO BRUSH/WASH	$9,530	$2,859	—	—	37
40002464	ERCP W/BIOPSY	$9,530	$2,859	—	—	37
40002480	ERCP W/DEST STONE ANY METHOD	$9,530	$2,859	—	—	37
40002502	ERCP W/SPHINCT/PAPILLOTOMY	$9,530	$2,859	—	—	37
40002529	ERCP W/STONE/DEBRIS RMVL	$9,530	$2,859	—	—	37
40005323	EGD W/STENT INC PRE/POST DIL	$9,530	$2,859	—	—	37
40005358	ERCP W/RMVL FB OR STENT	$9,530	$2,859	—	—	37
40005854	COLON VIA STOMA W/STNT INC DIL	$9,530	$2,859	—	—	37
40005870	FLEX SIG W/STENT INC DIL	$9,530	$2,859	—	—	37
40005943	COLON W/STENT INC DIL	$9,530	$2,859	—	—	37
1718339	ANAVIP 1 VIAL	$9,457	$2,837	—	—	53
1715607	PHENOBARBITAL 2500 MG/NS 250 M	$9,435	$2,830	—	—	30
46902866	BX BREAST INCISIONAL	$8,885	$2,666	—	—	37
33326165	LEVEL 2 1ST 60 MINUTES	$8,414	$2,524	—	—	30
40007113	COLONOSCOPY W/EMR	$8,409	$2,523	—	—	37
1715593	PHENOBARBITAL 2150 MG/NS 250 M	$8,135	$2,441	—	—	30
40005331	EGD W/ABL INC PRE/POST DIL	$7,848	$2,354	—	—	37
40049932	BRONCH W/ STENT	$7,568	$2,270	—	—	37
42406481	US BIOPSY LUNG W NDL GUIDANCE	$7,335	$2,200	—	—	37
42677264	CT BIOPSY LUNG W NDL GUIDANCE	$7,335	$2,200	—	—	37
40403701	MUSK QUAN TITER AB TEST	$7,295	$2,189	—	—	59
40007121	EGD W/ EMR	$7,288	$2,186	—	—	37
1715585	PHENOBARBITAL 1850 MG/NS 200 M	$7,022	$2,107	—	—	30
33326149	LEVEL 1 1ST 60 MINUTES	$6,924	$2,077	—	—	30
42617776	CT ABD&PELVIS W&WO CONT	$6,670	$2,001	—	—	51
40005900	BRONCH W/FIDUCIAL SGL OR MULT	$6,497	$1,949	—	—	37
70002841	PACU TYPE M ROOM CHARGE	$6,330	$1,899	—	—	39

Showing top 50 of 5,110 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.