MONTEFIORE NEW ROCHELLE HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
37242	HC VASC EMBOLIZE OCCLUDE ARTERY	$51,014	$33,159	—	—	39
37244	HC VASC EMBOLIZE OCCLUDE BLEED	$45,548	$29,606	—	—	39
75736	HC ARTERY X RAYS PELVIS	$27,292	$17,740	—	—	33
75726	HC ARTERY X RAYS ABDOMEN	$18,391	$11,954	—	—	33
75733	HC ARTERY X RAYS ADRENALS	$15,891	$10,329	—	—	33
75743	HC ARTERY X RAYS LUNGS BILATERAL SELECTIVE	$15,891	$10,329	—	—	33
36556	HC INSERT NON TUNNEL CV CATH 5YRS OR OLDER	$14,165	$9,207	—	—	39
47531	HC INJECTION FOR CHOLANGIOGRAM	$14,055	$9,136	—	—	45
31603	HC TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL	$12,871	$8,366	—	—	38
32557	HC TREATMENT ROOM INSERT CATH PLEURA W IMAGE	$11,418	$7,422	—	—	39
64450	HC N BLOCK OTHER PERIPHERAL	$10,341	$6,722	—	—	39
10030	HC DRAINAGE ABSCESS W IMAGE AND GUIDANCE	$10,341	$6,722	—	—	39
81455	HC TARGETED GENOMIC SEQ ANALYS	$10,073	$6,547	—	—	10
13151	HC CMPLX RPR E N E L 1 1 2 5 CM	$9,248	$6,011	—	—	39
12044	HC INTMD RPR N HF GENIT 7 6 12 5CM	$9,248	$6,011	—	—	39
29126	HC APPLICATION SHORT ARM SPLINT FOREARM HAND DYNAMIC	$9,248	$6,011	—	—	39
23545	HC CLSD TREAT ACROMIOCLAVICLE DISLOCAT W MANIPULATION	$9,248	$6,011	—	—	38
36680	HC INSERT NEEDLE BONE CAVITY	$9,248	$6,011	—	—	38
50432	HC PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS I	$9,093	$5,910	—	—	39
70546	HC MR ANGIOGRAPH HEAD W O W DYE	$8,631	$5,610	—	—	33
70549	HC MR ANGIOGRAPH NECK W O W DYE	$7,337	$4,769	—	—	33
72156	HC MRI NECK SPINE W O W DYE	$7,296	$4,742	—	—	33
72157	HC MRI CHEST SPINE W O W DYE	$7,255	$4,716	—	—	33
72158	HC MRI LUMBAR SPINE W O W DYE	$7,198	$4,679	—	—	33
72197	HC MRI PELVIS W O W DYE	$7,144	$4,644	—	—	33
10140	HC I D HEMATOMA SEROMA OR FLUID COLLECTION	$6,962	$4,525	—	—	39
32408	HC CORE NEEDLE BX LUNG MEDIASTINUM PERQ W IMG	$6,962	$4,525	—	—	39
19083	HC BX BREAST 1ST LESION US IMAG	$6,962	$4,525	—	—	39
50200	HC RENAL BIOPSY PERCUTANEOUS	$6,962	$4,525	—	—	39
32551	HC INSERTION OF CHEST TUBE	$6,958	$4,523	—	—	39
27818	HC CLSD TX TRIMALLEOLAR ANK FX W MANIP	$6,892	$4,480	—	—	38
24655	HC CLSD TX RAD HD NK FX W MANIP	$6,892	$4,480	—	—	38
25605	HC CLSDFX RADIAL ULNA COLLES SMITH W MANIP	$6,892	$4,480	—	—	39
54150	HC CIRCUMCISION W REGIONL BLOCK	$6,702	$4,356	—	—	39
49406	HC IMAGE CATH FLUID PERI RETRO	$6,216	$4,040	—	—	45
38505	HC NEEDLE BIOPSY LYMPH NODES	$6,216	$4,040	—	—	39
11420	HC EXC H F NK SP B9 MARG 0 5	$6,216	$4,040	—	—	39
19100	HC BX BREAST PERCUT W O IMAGE	$6,216	$4,040	—	—	39
75827	HC VEIN X RAY CHEST	$6,212	$4,038	—	—	39
75820	HC VEIN X RAY ARM LEG	$6,212	$4,038	—	—	39
70543	HC MRI ORBT FAC NCK W O W DYE	$6,167	$4,009	—	—	33
27762	HC CLTX MED ANKLE FX W MNPJ	$6,154	$4,000	—	—	38
70553	HC MRI BRAIN STEM W O W DYE	$5,997	$3,898	—	—	33
70552	HC MRI BRAIN STEM W DYE	$5,832	$3,791	—	—	33
74178	HC CT ABD PELV 1 REGNS	$5,817	$3,781	—	—	33
78452	HC HT MUSCLE IMAGE SPECT MULT	$5,629	$3,659	—	—	39
74183	HC MRI ABDOMEN W O W DYE	$5,472	$3,557	—	—	33
70544	HC MR ANGIOGRAPHY HEAD W O DYE	$5,379	$3,496	—	—	33
70545	HC MR ANGIOGRAPHY HEAD W DYE	$5,335	$3,468	—	—	33
74177	HC CT ABD PELV W CONTRAST	$5,331	$3,465	—	—	33

Showing top 50 of 9,322 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.