MINERAL COMMUNITY HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
74178	CT Abdomen and Pelvis w/ + w/o Contrast	$4,748	$3,799	—	—	1
73206	CT Angio Upper Extremity Left	$4,052	$3,242	—	—	1
71552	MRI Chest w/ + w/o Contrast	$3,899	$3,120	—	—	1
74185	MRA Abdomen w/ + w/o Contrast	$3,865	$3,092	—	—	1
70553	MRI Brain w/ + w/o Contrast	$3,838	$3,070	—	—	1
70488	CT Maxillofacial w/ + w/o Contrast	$3,798	$3,038	—	—	1
74177	CT Abdomen and Pelvis w/ Contrast	$3,772	$3,017	—	—	1
72158	MRI Spine Lumbar w/ + w/o Contrast	$3,746	$2,997	—	—	1
74183	MRI Abdomen w/ + w/o Contrast	$3,735	$2,988	—	—	1
72156	MRI Spine Cervical w/ + w/o Contrast	$3,716	$2,973	—	—	1
70470	CT Brain/Head w/ + w/o Contrast	$3,688	$2,950	—	—	1
72194	CT Pelvis w/ + w/o Contrast	$3,688	$2,950	—	—	1
72127	CT Spine Cervical w/ + w/o Contrast	$3,688	$2,950	—	—	1
72197	MRI Pelvis w/ + w/o Contrast	$3,656	$2,925	—	—	1
70543	MRI Face Neck Orbit w/ + w/o Contrast	$3,563	$2,851	—	—	1
73202	CT Elbow w/ + w/o Contrast Left	$3,529	$2,823	—	—	1
72157	MRI Spine Thoracic w/ + w/o Contrast	$3,468	$2,774	—	—	1
31535	31535 LARYNGOSCOPY DIRECT	$3,334	$2,667	—	—	1
73723	MRI Ankle w/ + w/o Contrast Left	$3,291	$2,633	—	—	1
74176	CT Abdomen and Pelvis w/o Contrast	$3,210	$2,568	—	—	1
74174	CT Angio Abdomen and Pelvis	$3,201	$2,560	—	—	1
73720	MRI Femur w/ + w/o Contrast Lt	$3,146	$2,517	—	—	1
26765	26765 OPEN TX DISTAL PHALANGEAL FRACTURE EACH TechFee	$3,081	$2,465	—	—	1
70546	MRA Brain/Head w/ + w/o Contrast	$3,075	$2,460	—	—	1
75635	CT Angio Abdomen Aorta + Iliofemoral	$3,026	$2,420	—	—	1
74170	CT Abdomen w/ + w/o Contrast	$3,010	$2,408	—	—	1
70549	MRA Neck w/ + w/o Contrast	$2,989	$2,391	—	—	1
59409	59409 VAGINAL DELIVERY ONLY TechFee	$2,926	$2,341	—	—	1
72149	MRI Spine Lumbar w/ Contrast	$2,862	$2,290	—	—	1
70498	CT Angio Neck	$2,826	$2,261	—	—	1
73725	MRA Lower Extremity w/ + w/o Cnt Left	$2,826	$2,260	—	—	1
74175	CT Angio Abdomen	$2,801	$2,241	—	—	1
70496	CT Angio Brain/Head	$2,787	$2,230	—	—	1
72142	MRI Spine Cervical w/ Contrast	$2,782	$2,225	—	—	1
70552	MRI Brain w/ Contrast	$2,737	$2,190	—	—	1
71275	CT Angio Chest	$2,696	$2,157	—	—	1
72133	CT Spine Lumbar w/ + w/o Contrast	$2,691	$2,152	—	—	1
72196	MRI Pelvis w/ Contrast	$2,682	$2,146	—	—	1
70542	MRI Face Neck Orbit w/ Contrast	$2,675	$2,140	—	—	1
27301	27301 I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee	$2,673	$2,139	—	—	1
45321	45321 Proctosigmoidoscopy, rigid with decompression of volvulus	$2,659	$2,127	—	—	1
45382	45382 Colonoscopy, flexible with control of bleeding, any method	$2,641	$2,113	—	—	1
71555	MRA Chest w/ + w/o Contrast	$2,626	$2,100	—	—	1
ROOM/BED: Isolation	ROOM/BED: Isolation	$2,590	$2,072	—	—	1
69436	69436 TYMPANOSTOMY GENERAL	$2,541	$2,032	—	—	1
72148	MRI Spine Lumbar w/o Contrast	$2,490	$1,992	—	—	1
71270	CT Chest w/ + w/o Contrast	$2,484	$1,987	—	—	1
72146	MRI Spine Thoracic w/o Contrast	$2,476	$1,981	—	—	1
70551	MRI Brain w/o Contrast	$2,469	$1,975	—	—	1
72195	MRI Pelvis w/o Contrast	$2,469	$1,975	—	—	1

Showing top 50 of 1,335 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.