NORTH RUNNELS HOSPITAL (Winters, TX) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J0840	CROTALIDAE POLYVALENT IMMUNE(CROFAB) VAC	$32,346	$22,642	—	—	6
J3101	TENECTEPLASE (TNKase) INJ 50 MG	$17,816	$12,471	—	—	6
74178	CT ABDOMEN/PELVIS W & WO CONTRAST	$6,032	$4,222	—	—	6
74174	CT ANGIO ABD & PELVIS	$4,750	$3,325	—	—	6
20553	TRIGGER POINT 3+ MUS	$4,498	$3,149	—	—	5
70553	MRI BRAIN W/O & W/	$4,115	$2,881	—	—	6
64450	INJ ANES AGENT OTH PERIPH	$4,075	$2,853	—	—	5
70490	CT NECK WO CONTRAST	$4,019	$2,813	—	—	6
20552	TRIGGER POINT 1-2 MUS	$3,998	$2,799	—	—	5
74183	MRI ABDOMEN W/O & W/	$3,942	$2,759	—	—	6
70470	CT HEAD W & WO CONTRAST	$3,806	$2,664	—	—	6
70491	CT NECK W CONTRAST	$3,747	$2,623	—	—	6
73200	CT UPPER EXT WO CONTRAST RT	$3,529	$2,470	—	—	6
74170	CT ABDOMEN W & WO CONTRAST	$3,414	$2,390	—	—	6
74177	CT ABDOMEN/PELVIS W CONTRAST	$3,404	$2,383	—	—	6
73718	MRI LOW EXT NO JNT W/O-RT	$3,097	$2,168	—	—	6
72146	MRI SPINE CNL THOR W/O	$3,017	$2,112	—	—	6
72194	CT PELVIS W & WO CONTRAST	$2,909	$2,036	—	—	6
72128	CT T-SPINE WO CONTRAST	$2,902	$2,031	—	—	6
72130	CT T-SPINE W & WO CONTRAST	$2,809	$1,966	—	—	6
70551	MRI BRAIN W/O	$2,788	$1,952	—	—	6
70496	CT ANGIO HEAD	$2,725	$1,908	—	—	6
70498	CT ANGIO NECK	$2,725	$1,908	—	—	6
99291	EMERG CRIT/CARE UNST PT	$2,688	$1,882	—	—	6
72127	CT C-SPINE W & WO CONTRAST	$2,677	$1,874	—	—	6
71260	CT CHEST W CONTRAST	$2,583	$1,808	—	—	6
72193	CT PELVIS W CONTRAST	$2,539	$1,777	—	—	6
72148	MRI SPINE CNL LUMB W/O	$2,477	$1,734	—	—	6
74176	CT ABDOMEN/PELVIS WO CONTRAST	$2,400	$1,680	—	—	6
72141	MRI SPINE CNL CERV W/O	$2,362	$1,653	—	—	6
71270	CT CHEST W & WO CONTRAST	$2,343	$1,640	—	—	6
73221	MRI UPPR EXT ANY JNT W/O-RT	$2,300	$1,610	—	—	6
73721	MRI LOW EXT ANY JNT W/O-RT	$2,300	$1,610	—	—	6
71275	CT THORAX ANG WO & W	$2,250	$1,575	—	—	6
72129	CT T-SPINE W CONTRAST	$2,208	$1,546	—	—	6
72126	CT C-SPINE W CONTRAST	$2,190	$1,533	—	—	6
70492	CT NECK W & WO CONTRAST	$2,114	$1,480	—	—	6
72133	CT L-SPINE W & WO CONTRAST	$2,066	$1,446	—	—	6
72132	CT L-SPINE W CONTRAST	$2,027	$1,419	—	—	6
73702	CT LOW EXT W & WO CONTRAST RT	$2,005	$1,404	—	—	6
70460	CT HEAD W CONTRAST	$2,005	$1,404	—	—	6
72131	CT L-SPINE WO CONTRAST	$1,965	$1,376	—	—	6
72125	CT C-SPINE WO CONTRAST	$1,859	$1,301	—	—	6
93308	US ECHOCARDIOGRAM	$1,854	$1,298	—	—	6
72156	MRI SPINE CNL CERV W/O&W/	$1,811	$1,268	—	—	6
73720	MRI LOW EXT NO JNT W/O&W/-RT	$1,811	$1,268	—	—	6
73723	MRI LOW EXT ANY JNT W/O&W-RT	$1,811	$1,268	—	—	6
73223	MRI UP EXT ANY JNT W/O&W/-RT	$1,811	$1,268	—	—	6
72158	MRI SPINE CNL LUMB W/O&W/	$1,811	$1,268	—	—	6
71552	MRI CHEST W/O & W/	$1,811	$1,268	—	—	6

Showing top 50 of 1,211 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.