ELIZABETHTOWN COMMUNITY HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
610	HC - MRA NECK W/O &W/CONTRAST MATERIAL	$6,218	$6,218	—	—	34
618	HC - MRA SPINAL CANAL WITHOUT CONTRAST, SPINAL CANAL AND CONTENTS	$5,142	$5,142	—	—	33
615	HC - MRA HEAD W/O CONTRST MATERIAL	$4,413	$4,413	—	—	34
619	HC - MRI TEMPOROMANDIBULAR JOINT	$4,290	$4,290	—	—	34
612	HC - MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL	$3,697	$3,697	—	—	34
720	HC - VAGINAL DELIVERY ONLY	$3,280	$3,280	—	—	31
750	HC - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$3,168	$3,168	—	—	31
120	HC - ROOM RATE - SEMI-PRIVATE	$2,892	$2,892	—	—	38
483	HC - ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D	$2,839	$2,839	—	—	31
351	HC - CT HEAD/BRAIN W/O CONTRAST MATERIAL	$2,106	$2,106	—	—	34
350	HC - COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-	$2,042	$2,042	—	—	34
352	HC - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST	$2,042	$2,042	—	—	34
19083	PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID	$1,851	$1,851	—	—	40
921	HC - DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$1,783	$1,783	—	—	31
90380	PR RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE	$1,767	$1,767	—	—	15
90381	PR RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE	$1,767	$1,767	—	—	15
482	HC - CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$1,361	$1,361	—	—	31
77778	CHG INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX	$1,357	$1,357	—	—	40
77763	CHG INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX	$1,341	$1,341	—	—	40
390	HC - RED BLOOD CELLS, LEUKOCYTES REDUCED, EACH UNIT	$1,189	$1,189	—	—	29
391	HC - TRANSFUSION BLOOD/BLOOD COMPONENTS	$1,161	$1,161	—	—	31
335	HC - CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG	$1,020	$1,020	—	—	31
306	HC - MAYO IODINE, SERUM	$964	$964	—	—	31
45390	PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION	$928	$928	—	—	40
329	HC - DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL	$904	$904	—	—	34
77762	CHG INTRACAVITARY RADIATION SOURCE APPLIC INTERMED	$892	$892	—	—	40
636	PR RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ	$844	$844	—	—	35
77772	CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS	$831	$831	—	—	40
77750	CHG NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE	$775	$775	—	—	40
43254	PR EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION	$753	$753	—	—	40
90792	PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$700	$700	—	—	41
762	HC - DIRECT ADMISSION OF PATIENT FOR HOSPITAL OBSERVATION CARE	$674	$674	—	—	31
361	HC - REMOVAL INTRAUTERINE DEVICE IUD	$658	$658	—	—	39
90791	PR PSYCHIATRIC DIAGNOSTIC EVALUATION	$623	$623	—	—	41
982	PR INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB	$610	$610	—	—	40
320	HC - RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY	$608	$608	—	—	34
77761	CHG INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE	$596	$596	—	—	40
90621	PR MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM	$589	$589	—	—	18
77771	CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL	$588	$588	—	—	40
90837	PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$577	$577	—	—	41
98003	PR SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN	$573	$573	—	—	16
90839	PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	$554	$554	—	—	40
401	HC - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$537	$537	—	—	33
94729	PR CO DIFFUSING CAPACITY	$530	$530	—	—	40
90697	PR DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR	$530	$530	—	—	17
94726	PR PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST	$524	$524	—	—	40
98011	PR SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN	$524	$524	—	—	16
402	HC - OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN	$477	$477	—	—	34
90838	PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN	$457	$457	—	—	41
77307	CHG TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY	$449	$449	—	—	40

Showing top 50 of 1,598 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.