HELEN HAYES HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
72147	MRI T-SPINE W/CONTRAST	$2,282	$2,282	—	—	20
72149	MRI L-SPINE W/CONTRAST	$2,261	$2,261	—	—	20
70552	M.R BRAIN W/CONTRAST	$2,248	$2,248	—	—	20
93925	DUPLEX SCAN ARTERY BILATERAL	$1,879	$1,879	—	—	19
70553	MRI BRAIN W & W/O CONTRAST	$1,849	$1,849	—	—	20
74160	CT ABDOMEN WITH CONTRAST	$1,801	$1,801	—	—	20
72193	CT SCAN PELVIS WITH CONTRAST	$1,763	$1,763	—	—	38
73221	MRI UPPER EXTREMITY JOINT	$1,667	$1,667	—	—	20
73721	MRI LOWER EXTRMITY JOINT	$1,664	$1,664	—	—	20
70551	MRI BRAIN W/O CONTRAST	$1,663	$1,663	—	—	20
72148	M.R. LUMBAR SPINE	$1,578	$1,578	—	—	20
72146	MRI T-SPINE W/O CONTRAST	$1,575	$1,575	—	—	20
52000	CYSTOURETHOSCOPY SEPARATE POC	$1,566	$1,566	—	—	19
93880	DUPLEX SCAN CAROTID BILATERAL	$1,474	$1,474	—	—	19
92612	FEES SWALLOWING EVALUATION	$1,465	$1,465	—	—	18
93970	DUPLEX SCAN VEIN BILATERAL	$1,444	$1,444	—	—	19
99223	INIT HOSP CARE 3 KEY COMPI HIG	$1,432	$1,432	—	—	6
71260	CT THORAX WITH CONTRAST	$1,424	$1,424	—	—	20
70470	CT SCAN BRAIN UNENHANCED & ENH	$1,386	$1,386	—	—	20
92950	CODE 99	$1,364	$1,364	—	—	19
92523	EVAL SPEECH & LANGUAGE FULL	$1,364	$1,364	—	—	18
92950	CARDIOPULMONARY RESUSCITATION	$1,364	$1,364	—	—	24
73200	CT SCAN UPPER EXTMTY W/OUT CNTRS	$1,301	$1,301	—	—	20
95861	EMG TOW EXTREMITIES	$1,247	$1,247	—	—	19
99205	NEW PT COMPH VISIT	$1,213	$1,213	—	—	17
70490	CT SOFT TISSUE NECK W/O CONTRA	$1,188	$1,188	—	—	20
74150	CT ABDOMEN W/O CONTRAST	$1,188	$1,188	—	—	20
70460	CT BRAIN/SKULL W/CONTRAST	$1,181	$1,181	—	—	20
99306	NURSING FACILITY CARE HIGH	$1,175	$1,175	—	—	12
93312	ECHO 2D	$1,174	$1,174	—	—	18
71250	CT SCAN,THORAX W/O CONTR MATL	$1,143	$1,143	—	—	37
72125	CT CERVICAL SPINE W/O CONTRAST	$1,130	$1,130	—	—	20
73700	CT SCAN LWR EXMTY W/OUT CNTRS	$1,125	$1,125	—	—	20
72192	CT SCAN PELVIS W/OUT CONTRAST	$1,051	$1,051	—	—	20
93926	DUPLEX SCAN ARTERY UNIL LT	$999	$999	—	—	19
99222	INIT HOSP CARE 3 KEY COMP CPLX	$984	$984	—	—	12
93882	DUPLEX SCAN CAROTID UNILAT LT	$965	$965	—	—	19
90792	PSYCHIATRIC DIAG EVAL W/E&M	$950	$950	—	—	12
74230	VIDEO FLURO- SWALLOWING	$945	$945	—	—	20
74400	UROGRAPHY INTRAVENOUS	$936	$936	—	—	20
99204	COMPREHENSIVE-MDRT CMPLXTY 45M	$930	$930	—	—	30
64645	CHEMODEN EA ADD EXTREM 5+ MUSC	$916	$916	—	—	16
64644	CHEMODENERV 1 EXTREM 5+MUSC	$916	$916	—	—	18
92607	CRT EVAL SPCH GEN DEV AAC MIN	$915	$915	—	—	35
99305	NURSING FACILITY CARE MOD POR	$907	$907	—	—	6
76700	US ABDOMINAL COMPLETE	$898	$898	—	—	20
93971	DUPLEX SCAN VEIN UNILATERAL LT	$898	$898	—	—	19
76830	U/S TRANSVAGINAL	$897	$897	—	—	20
64616	CHEMODENERV NECK MUSCLE (S)	$895	$895	—	—	18
90839	PSYCHOTHRPY FORCRISIS 1ST 60M	$884	$884	—	—	9

Showing top 50 of 522 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.