HOSPITAL EPISCOPAL SAN LUCAS II

CCN 400044

45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
285
Insurances with rates
0
CPT / HCPCS codes
280
Source MRF

Most expensive procedures (gross)

216
$17,500
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major comp
Gross
$19,000
55866
$1,000
Surgical removal of prostate and surrounding lymph nodes using an endoscope
Gross
$2,948
460
$1,000
Spinal fusion except cervical without major comorbid conditions or complications (MCC)
Gross
$2,500
470
$1,000
Major joint replacement or reattachment of lower extremity without major comorbid conditions or comp
Gross
$2,500
473
$1,000
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complication
Gross
$2,500
743
$1,604
Uterine and adnexa procedures for non-malignancy without comorbid conditions (CC) or major comorbid
Gross
$2,100
42820
$1,500
Removal of tonsils and adenoid glands patient younger than age 12
Gross
$1,800
19120
$1,200
Removal of 1 or more breast growth, open procedure
Gross
$1,750
93452
$1,225
Insertion of catheter into left heart for diagnosis
Gross
$1,750
47562
$1,000
Removal of gallbladder using an endoscope
Gross
$1,693
72156
$1,120
MRI CERV.SPINE W/O FOLL W/CONT
Gross
$1,600
72157
$1,120
MRI THORACIC WO/FOLL W/CONTRAS
Gross
$1,600
72158
$1,120
MRI LUMBAR WO/FOLL W/CONTRAST
Gross
$1,600
66984
$1,000
Removal of cataract with insertion of lens
Gross
$1,500
70553
$980
MRI scan of brain before and after contrast
Gross
$1,400
70543
$910
MRI ORB/FCE&NCK WO/DYE FL B DY
Gross
$1,300
70546
$910
MRA HEAD WO/DYE FOLLOWD BY DYE
Gross
$1,300
70549
$910
MRA NECK WO/DYE FOLLOWD BY DYE
Gross
$1,300
29826
$1,000
Shaving of shoulder bone using an endoscope
Gross
$1,200
29881
$1,000
Removal of one knee cartilage using an endoscope
Gross
$1,200
55700
$1,000
Biopsy of prostate gland
Gross
$1,117
49505
$1,000
Repair of groin hernia patient age 5 years or older
Gross
$1,089
72130
$753
CT THORACI SPINE WO/CM F BY CM
Gross
$1,075
71275
$683
CT ANGIOGRAPHY/CHEST W/CM
Gross
$975
72142
$683
MRI CERVICAL SPINE W/CONTRAST
Gross
$975
72147
$665
MRI SPIN CANL&CONT/THOR W/CONT
Gross
$950
72149
$665
MRI SPIN CANL&CONT LUMB W/CONT
Gross
$950
72148
$630
MRI scan of lower spinal canal
Gross
$900
72146
$630
MRI SPIN CANL&CONT/THOR WO/CON
Gross
$900
71550
$595
MRI CHE WO/CONT(EVAL.HIL&M LYM
Gross
$850
72141
$595
MRI CERVICAL SPINE W/O CONTRAS
Gross
$850
72196
$595
MRI PELVIS W/CONTRAST
Gross
$850
70542
$560
MRI ORBIT/FACE & NECK W/CONTRA
Gross
$800
70545
$560
MRA HEAD W/CONTRAST
Gross
$800
70548
$560
MRA NECK W/CONTRAST
Gross
$800
72195
$560
MRI PELVIS WO/CONTRAST
Gross
$800
64483
$650
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging gui
Gross
$800
70498
$543
CT ANGIOGRAPHY NECK W/CM
Gross
$775
73721
$525
MRI scan of leg joint
Gross
$750
70492
$525
CT SFT TISS NECK W/OCONT.MAT&F
Gross
$750
70540
$525
MRI ORBIT/FACE & NECK WO/CONTR
Gross
$750
70544
$525
MRA HEAD WO/CONTRAST
Gross
$750
70547
$525
MRA NECK WO/CONTRAST
Gross
$750
70488
$508
CT MAXIL.W/OCONT.MAT.FL/CNT.MA
Gross
$725
70487
$420
CT MAXILLOFACIAL W/CONT. MAT
Gross
$600
45378
$378
Diagnostic examination of large bowel using an endoscope
Gross
$540
45380
$378
Biopsy of large bowel using an endoscope
Gross
$540
45385
$378
Removal of polyps or growths of large bowel using an endoscope
Gross
$540
45391
$378
Ultrasound examination of lower large bowel using an endoscope
Gross
$540
43235
$357
Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope
Gross
$510
Showing top 50 of 285 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.