Christus Dubuis Hospital Of Beaumont prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
110	SubAcute (per diem)	—	$1,100	$728	$1,200	1
250	Famotidine 20 Mg Oral Tab	—	$4	—	—	0
771	Flu Vaccine Given	—	$16.8	—	—	0
260	Lg Iv Infusion Concurrently Ot	—	$62.4	—	—	0
761	Picc Line Insertion w Imaging	—	$480	—	—	0
450	Change Tracheotomy Tube	—	$142	—	—	0
801	Hemodialysis Multiple	—	$476	—	—	0
420	Non-Selective Debridement	—	$331	—	—	0
300	Sputum Culture	—	$12.88	—	—	0
306	Mrsa by Naa	—	$52.46	—	—	0
302	Histoplasma Gal'mannan Ag Ur	—	$138	—	—	0
258	Gs Sodium Chl 0.9 500cc	—	$2	—	—	0
206	High Acuity Priv Room&board	—	$720	—	—	0
257	Sugammadex 100mg/ml	—	$546	—	—	0
309	Extractable Nuclear Ag Abs	—	$64	—	—	0
301	Uric Acid Body Fluid	—	$100	—	—	0
305	Select Cell Panel	—	$773	—	—	0
310	Tissue Cult Bm	—	$173	—	—	0
360	Us Asp Abscess Hematoma Cyst	—	$1,020	—	—	0
255	Lgmc Isovue 250 50ml Bottle	—	$52	—	—	0
320	Xr Hip 2-3 Views	—	$802	—	—	0
343	Tc 99m Labelled Rbc Per Tes	—	$43.2	—	—	0
350	Ct Needle Placement Guidance	—	$845	—	—	0
610	Mri Ext Lower Joint Left W/	—	$221	—	—	0
410	Ippb Initial	—	$12	—	—	0
460	Spirometry	—	$35.2	—	—	0
271	Oxygen, Per Hour	—	$13.34	—	—	0
272	Hc Vapotherm Circuit	—	$4	—	—	0
278	Kit Central Line 3 Lumen	—	$331	—	—	0
312	Cytopath:brochoaveolar Lavage	—	$26	—	—	0
340	Muga; Multi W Wm & Ef	—	$402	—	—	0
352	Ct Pelvis W Contrast	—	$630	—	—	0
351	Ct Head W/O Contrast	—	$1,630	—	—	0
361	Picc Line Placement >5 Years	—	$666	—	—	0
370	Mod Sed Intl 15 Other Phys	—	$200	—	—	0
381	Rbc Leukocytes Reduced	—	$0.4	—	—	0
390	Leuko Split Unit	—	$479	—	—	0
391	Blood Transfusion/Administrati	—	$0.4	—	—	0
402	Us Soft Tiss of Head Neck Thyr	—	$202	—	—	0
412	Ventilator Mang Initial Day	—	$960	—	—	0
424	Pt Eval: Low Complex	—	$11.2	—	—	0
324	Chest 1 View	—	$35	—	—	0
434	Hc Eval, Low Complexity - Ot	—	$164	—	—	0
311	Chromo Analysis 20-25	—	$618	—	—	0
612	Mri Thoracic/Spine W/O Contra	—	$1,388	—	—	0
430	Ot Paraffin, one or more areas	—	$12	—	—	0
483	Transesoph Echo Complete	—	$3,408	—	—	0
440	St Evaluation/Feed/Swallow	—	$60	—	—	0
444	St Eval Prodw/Lang to30min	—	$24	—	—	0
480	Defib Eval Multi Prgramming	—	$46.55	—	—	0

Showing top 50 of 83 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.