STILLWATER BILLINGS CLINIC — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer
74177	CT Abd and Pelvis w/ Contrast	$3,444	—	—	—
ROOM/BED: Specialty Care STW	ROOM/BED: Specialty Care STW	$3,258	—	—	—
81229	Chromosomal Microarray (Shodair)	$3,108	—	—	—
ROOM/BED: Acute STW	ROOM/BED: Acute STW	$2,958	—	—	—
59612	59612 ED PROC VAG DLVR AFTER CESARIAN	$2,607	—	—	—
ROOM/BED: Skilled with Specialty Care STW	ROOM/BED: Skilled with Specialty Care STW	$2,544	—	—	—
71275	CT Chest Angio PE Protocol	$2,355	—	—	—
70470	CT Head w/wo Contrast	$2,349	—	—	—
72194	CT Pelvis w/wo Contrast	$2,349	—	—	—
70492	CT Soft Tissue Neck w/wo Contrast	$2,334	—	—	—
74174	CT Abd/Pelvis Angiography	$2,274	—	—	—
71270	CT Chest w/wo Contrast	$2,250	—	—	—
ROOM/BED: Skilled STW	ROOM/BED: Skilled STW	$2,244	—	—	—
70482	CT Orbits w/wo Contrast	$2,144	—	—	—
72129	CT T Spine w/ Contrast	$2,123	—	—	—
93306	EC 3D Echocardiogram Complete	$2,030	—	—	—
73702	CT Ankle w/wo Contrast L	$1,988	—	—	—
72193	CT Pelvis w/ Contrast	$1,972	—	—	—
70491	CT Soft Tissue Neck w/ Contrast	$1,889	—	—	—
74178	CT Abd/Pelvis w/wo Contrast	$1,812	—	—	—
74160	CT Abdomen Upper w/ Contrast	$1,807	—	—	—
71260	CT Chest w/ Contrast	$1,793	—	—	—
70481	CT Orbits w/ Contrast	$1,790	—	—	—
99291	99291 - Critical Care - Lynx Visit Level	$1,760	—	—	—
73202	CT Clavicle w/wo Contrast L	$1,750	—	—	—
70487	CT Facial Bones w/ Contrast	$1,748	—	—	—
70460	CT Head w/ Contrast	$1,690	—	—	—
73701	CT Ankle w/ Contrast L	$1,683	—	—	—
72192	CT Pelvis wo Contrast	$1,676	—	—	—
72131	CT L Spine wo Contrast	$1,665	—	—	—
72125	CT C Spine wo Contrast	$1,631	—	—	—
74150	CT Abdomen Upper wo Contrast	$1,630	—	—	—
70480	CT Orbits wo Contrast	$1,624	—	—	—
10140	10140 ED PROC DRN HEMATOMA SMP-HOSPITAL	$1,614	—	—	—
45378	BC Colonoscopy Flx Dx W Wo Coll Specimens	$1,584	—	—	—
45384	BC Colonoscopy Flx Prox Splenic Flxr Rmvl Les Caut	$1,584	—	—	—
45385	BC Colonoscopy Flx Prox Splenic Flxr Rmvl Les Snare Tq	$1,584	—	—	—
45381	BC Colonoscopy Flx Prox Splenic Flxr Sbmcsl Njx	$1,584	—	—	—
45380	BC Colonoscopy W Biopsy Single Multiple	$1,584	—	—	—
44389	BC Oscopy Stoma W Biopsy Single Multiple	$1,584	—	—	—
BC Scrn Colonoscopy Pt Hi Risk	BC Scrn Colonoscopy Pt Hi Risk	$1,584	—	—	—
BC Scrn Colonoscopy Pt Not Hi Risk	BC Scrn Colonoscopy Pt Not Hi Risk	$1,584	—	—	—
45330	BC Sigmoidoscopy Flx Dx W Wo Collj Specimens	$1,584	—	—	—
74170	CT Abdomen Triphasic	$1,551	—	—	—
73200	CT Clavicle wo Contrast L	$1,505	—	—	—
G0390	Trauma Activation RP	$1,504	—	—	—
73201	CT Clavicle w/ Contrast L	$1,500	—	—	—
72128	CT T Spine wo Contrast	$1,487	—	—	—
71250	CT Chest High Resolution wo Contrast	$1,458	—	—	—
70450	CT Head wo Contrast	$1,448	—	—	—

Showing top 50 of 1,260 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.