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Patient Price Information List

Disclaimer: Gonzales Healthcare Systems determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at the Hospital. The chargemaster is similar in concept to the manufacturer’s suggested retail price (“MSRP”) on a particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at the Hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.

Many factors may influence the actual cost of an item or service, including insurance coverage, rates negotiated with payors, and so on. Government payors, such as Medicare and Medicaid for example, do not pay the chargemaster rates, but rather have their own set rates that hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with payors and may or may not reflect the standard charges. The cost of treatment also may be impacted by variables involved in a patient’s actual care, such as specific equipment or supplies required, the length of time spent in surgery or recovery, additional tests, or any changes in care or unexpected conditions or complications that arise. Moreover, the foregoing list of charges for services only includes charges from the Hospital. It does not reflect the charges for physicians, such as the surgeon, anesthesiologist, radiologist, pathologist, or other physician specialists or providers who may be involved in providing particular services to a patient. These charges are billed separately.

Individuals with questions about their out-of-pocket costs of service and other financial information should contact the hospital or consider contacting their insurers for further information.

LOCAL MARKET HOSPITALS

In order to present a meaningful comparison, Gonzales Healthcare Systems has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 3/31/2020. Gonzales Healthcare Systems's charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Central Texas Medical Center

San Marcos

TX

Citizens Medical Center

Victoria

TX

Cuero Community Hospital

Cuero

TX

Detar Hospital Navarro

Victoria

TX

El Campo Memorial Hospital

El Campo

TX

Guadalupe Regional Medical Ctr

Seguin

TX

Lavaca Medical Center

Hallettsville

TX

Saint Mark's Medical Center

La Grange

TX

Seton Edgar B. Davis Hospital

Luling

TX

Seton Medical Center Hays

Kyle

TX

Seton Smithville Regional Hospital

Smithville

TX

Yoakum Community Hospital

Yoakum

TX

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$459
$1,211

62% lower than market

Semi-Private Room

$459
$1,167

61% lower than market

Intensive Care Unit

$660
$1,643

60% lower than market

OUTPATIENT EMERGENCY DEPARTMENT CHARGES

Emergency Department charges are based on the level of emergency care provided to our patients. The levels, with Level 1 representing basic emergency care, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment. The following charges do not include fees for drugs, supplies or additional ancillary procedures that may be required for a particular emergency treatment. They also do not include fees for Emergency Department physicians, who will bill separately for their services.

Description

Our Charge
Market Charge

Variance

Emergency Department Visit - Level 1

$200
$291

31% lower than market

Emergency Department Visit - Level 2

$325
$512

37% lower than market

Emergency Department Visit - Level 3

$425
$868

51% lower than market

Emergency Department Visit - Level 4

$700
$1,651

58% lower than market

Emergency Department Visit - Level 5

$1,000
$2,593

61% lower than market

OUTPATIENT PHYSICAL THERAPY CHARGES

The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Gait Training - 15 Minutes

$82
$124

34% lower than market

PT Evaluation - Moderate Complexity

$260
$329

21% lower than market

PT to Re-Educate Brain to Muscle Function (15 min)

$107
$149

28% lower than market

Physical Therapy 1 or More Regions (15 min)

$159
$155

3% higher than market

Physical Therapy Exercise, 15 Minutes

$66
$142

53% lower than market

Physical Therapy, standard evaluation - 20 minutes

$260
$313

17% lower than market

OUTPATIENT OCCUPATIONAL THERAPY CHARGES

The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Therapeutic Activities Involving Functional Activities (15 min)

$72
$155

53% lower than market

OUTPATIENT PULMONARY THERAPY CHARGES

The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Aerosol Treatment

$63
$295

79% lower than market

Routine EKG - Minimum 12 Leads

$236
$340

31% lower than market

Spirometry - medicated breathing procedure

$530
$816

35% lower than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Speech Therapy

$125
$422

70% lower than market

OUTPATIENT LABORATORY AND PATHOLOGY CHARGES

The following charges reflect our most common laboratory procedures. For all lab specimens collected via blood draw, the venipuncture will be charged separately.

Description

Our Charge
Market Charge

Variance

Ammonia level

$145
$180

19% lower than market

Amylase (enzyme) level

$80
$169

53% lower than market

Bacterial Blood Culture

$106
$293

64% lower than market

Bacterial Culture, Any Source Blood

$144
$318

55% lower than market

Bacterial Culture, Any Source Except Urine, Blood, or Stool

$122
$229

47% lower than market

Bacterial urine culture; quantitative colony count

$109
$127

14% lower than market

Bilirubin level (Direct)

$68
$104

34% lower than market

Bleeding time

$66
$257

74% lower than market

Blood Glucose Scan

$10
$51

80% lower than market

Blood Typing, ABO

$60
$157

62% lower than market

Blood Typing, Rh (D)

$67
$100

33% lower than market

Blood Unit Compatibility Test; Antiglobulin Technique

$106
$281

62% lower than market

Blood Unit Compatibility Test; Immediate Spin Technique

$72
$204

65% lower than market

Blood creatinine level

$39
$79

51% lower than market

Blood gases measurement

$140
$370

62% lower than market

Blood glucose (sugar) level

$48
$74

35% lower than market

Blood test, basic group of blood chemicals

$93
$319

71% lower than market

Blood test, clotting time

$52
$120

57% lower than market

Blood test, comprehensive group of blood chemicals

$157
$424

63% lower than market

Blood test, lipids (cholesterol and triglycerides)

$161
$192

16% lower than market

Blood test, thyroid stimulating hormone (TSH)

$135
$157

14% lower than market

Calcium level

$36
$86

58% lower than market

Complete blood cell count - automated differential WBC count

$56
$127

56% lower than market

Complete blood cell count - automated test with out Differential

$47
$173

73% lower than market

Creatine kinase Level (cardiac enzyme) - Total

$96
$149

35% lower than market

Creatine kinase level (cardiac enzyme) - Muscle/Brain

$158
$204

23% lower than market

Detection test for cryptosporidium (parasite); immunoassay technique

$52
$253

79% lower than market

Detection test for giardia; immunoassay technique

$134
$191

30% lower than market

Digoxin level

$93
$136

31% lower than market

Ferritin (blood protein) level

$105
$106

1% lower than market

Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker

$43
$102

58% lower than market

Glutamyltransferase (liver enzyme) level

$48
$136

65% lower than market

Hemoglobin A1C level

$96
$108

11% lower than market

Hemoglobin Measurement

$34
$59

42% lower than market

Iron Binding Capacity

$71
$80

11% lower than market

Iron level

$57
$78

27% lower than market

Kidney Function Blood Test Panel

$93
$346

73% lower than market

Lactate dehydrogenase (enzyme) level

$47
$167

72% lower than market

Lactic acid level

$74
$164

55% lower than market

Lipase (fat enzyme) level

$105
$136

23% lower than market

Liver function blood test panel

$98
$314

69% lower than market

Magnesium Level

$65
$137

53% lower than market

Manual urinalysis test with examination using microscope

$25
$37

32% lower than market

Measurement of Complement (Immune System Proteins)

$108
$116

7% lower than market

Natriuretic peptide (heart and blood vessel protein) level

$200
$272

26% lower than market

PSA (prostate specific antigen) measurement

$156
$154

1% higher than market

PSA Measurement; Free

$69
$221

69% lower than market

Coagulation assessment blood test

$71
$143

50% lower than market

Phenytoin level

$109
$243

55% lower than market

Phosphate level

$33
$68

52% lower than market

Prostate Cancer Screening Test

$156
$168

7% lower than market

Red blood cell sedimentation rate, to detect inflammation

$52
$102

49% lower than market

Red blood count, automated test

$53
$147

64% lower than market

Screening Test for Red Blood Cell Antibodies

$92
$197

53% lower than market

Screening test for Pathogenic Organisms

$66
$200

67% lower than market

Special Stain for Microorganism; Gram or Glemsa Stain

$50
$93

46% lower than market

Special stained specimen slides to identify organisms including interpretation and report

$163
$213

23% lower than market

Stool Analysis for Blood

$38
$61

38% lower than market

Stool culture - salmonella and shigella species

$91
$273

67% lower than market

Stool analysis for blood to screen for colon tumors

$49
$80

39% lower than market

Strep Test

$56
$90

38% lower than market

Test for Influenza Virus

$53
$130

59% lower than market

Thyroxine (thyroid chemical) measurement - Total

$75
$153

51% lower than market

Total Protein Level, Urine

$117
$127

8% lower than market

Troponin (protein) analysis

$185
$242

23% lower than market

Urea nitrogen level to assess kidney function

$39
$80

51% lower than market

Uric acid level, blood

$40
$89

55% lower than market

Urinalysis with Examination, using Microscope

$45
$159

72% lower than market

Urinalysis, Automated Test

$38
$81

53% lower than market

Urinalysis, Manual Test

$36
$18

106% higher than market

Urine Volume Measurement

$16
$22

27% lower than market

Urine chloride level

$71
$125

43% lower than market

Urine microalbumin (protein) level

$93
$88

6% higher than market

Urine potassium level

$45
$64

30% lower than market

Urine sodium level

$45
$73

38% lower than market

Valproic acid level

$138
$134

3% higher than market

Vancomycin (antibiotic) level

$141
$183

23% lower than market

Vitamin D-3 Level

$240
$236

2% higher than market

White blood cell measure, stool specimen

$50
$141

65% lower than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Fluoroscopic and video recorded motion evaluation of swallowing function

$165
$594

72% lower than market

Hydration Infusion into a Vein

$115
$209

45% lower than market

Hydration Infusion into a Vein - 31 Minutes to 1 Hour

$325
$532

39% lower than market

Infusion into a Vein for Therapy, Diagnosis, or Prevention

$125
$205

39% lower than market

Infusion of Drug or Substance into Vein for Therapy or Diagnosis

$500
$593

16% lower than market

Infusion of chemotherapy into a vein

$125
$424

71% lower than market

Injection Beneath the Skin for Therapy, Diagnosis, or Prevention

$150
$241

38% lower than market

Injection of Same Drug into Vein for Therapy or Diagnosis

$70
$253

72% lower than market

Irrigation of implanted venous access drug delivery device

$175
$219

20% lower than market

Sleep Monitoring with CPAP

$2,917
$4,298

32% lower than market

Sleep monitoring of patient (6 years or older) in sleep lab

$2,867
$3,833

25% lower than market

Therapeutic procedures in a group setting

$47
$143

67% lower than market

Vaccine for influenza for injection into muscle; preservative free, enhanced immunogenicity via increased antigen content

$144
$167

14% lower than market

Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes

$90
$120

25% lower than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES

Description

Our Charge
Market Charge

Variance

Administration of 1 Vaccine

$40
$127

69% lower than market

Administration of Influenza Virus Vaccine

$50
$131

62% lower than market

Chemotherapy Infustion - Up to 1 Hour

$825
$980

16% lower than market

Injection of Drug or Substance into Vein for Therapy or Diagnosis

$275
$352

22% lower than market

Injection of New Drug into Vein for Therapy or Diagnosis

$125
$205

39% lower than market

Injection, Ketorolac Tromethamine, per 15 mg

$18
$23

19% lower than market

Injection, ertapenem sodium, 500 mg

$232
$310

25% lower than market

Injection, insulin, per 5 units

$4
$15

73% lower than market

Injection, pantoprazole sodium, per vial

$45
$68

34% lower than market

Injection, propofol, 10 mg

$1
$5

77% lower than market

Tetanus Vaccine

$129
$328

61% lower than market

OUTPATIENT RESPIRATORY THERAPY CHARGES

The following charges reflect the most common services offered by our Respiratory Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Arterial Puncture

$60
$217

72% lower than market

Nebulizer Treatment

$64
$297

78% lower than market

OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES

The following charges reflect our most common x-ray and radiological procedures. For all exams requiring contrast, the contrast will be charged separately.

Description

Our Charge
Market Charge

Variance

3 Phase Bone Scan

$1,500
$1,955

23% lower than market

Bone Density Scan (DEXA Scan)

$425
$484

12% lower than market

Breast Ultrasound - Complete

$685
$628

9% higher than market

Breast Ultrasound - Limited

$685
$730

6% lower than market

CT Abdomen & Pelvis with Contrast

$1,800
$5,350

66% lower than market

CT Abdomen & Pelvis with and without Contrast

$2,200
$5,616

61% lower than market

CT Abdomen & Pelvis without Contrast

$1,500
$4,339

65% lower than market

CT Abdomen with Contrast

$1,850
$2,996

38% lower than market

CT Abdomen with and without Contrast

$2,500
$3,417

27% lower than market

CT Abdomen without Contrast

$1,421
$2,403

41% lower than market

CT Angiogram Abdomen & Pelvis with and without Contrast

$3,200
$5,754

44% lower than market

CT Angiogram Abdomen with and without Contrast

$2,153
$3,749

43% lower than market

CT Angiogram Chest with and without Contrast

$1,491
$2,806

47% lower than market

CT Angiogram Head with and without Contrast

$1,491
$3,404

56% lower than market

CT Angiogram Neck with and without Contrast

$1,412
$2,856

51% lower than market

CT Arm with Contrast

$2,054
$3,262

37% lower than market

CT Arm without Contrast

$2,007
$2,784

28% lower than market

CT Chest with Contrast

$1,600
$3,535

55% lower than market

CT Chest with and without Contrast

$2,300
$3,931

41% lower than market

CT Chest without Contrast

$1,300
$2,445

47% lower than market

CT Cranial Cavity with Contrast

$1,875
$3,876

52% lower than market

CT Cranial Cavity without Contrast

$1,600
$2,653

40% lower than market

CT Face with Contrast

$1,038
$3,404

70% lower than market

CT Face without Contrast

$1,363
$2,643

48% lower than market

CT Head Brain with Contrast

$1,500
$3,369

55% lower than market

CT Head Brain with and without Contrast

$2,000
$3,652

45% lower than market

CT Head Brain without Contrast

$1,200
$2,505

52% lower than market

CT Leg with Contrast

$1,400
$3,307

58% lower than market

CT Leg without Contrast

$1,410
$2,534

44% lower than market

CT Neck with Contrast

$1,136
$2,999

62% lower than market

CT Neck with and without Contrast

$1,290
$3,588

64% lower than market

CT Neck without Contrast

$857
$2,517

66% lower than market

CT Pelvis with Contrast

$1,500
$3,279

54% lower than market

CT Pelvis without Contrast

$1,101
$2,827

61% lower than market

CT Scan of Abdominal Aorta and Both Leg Arteries with Contrast

$2,326
$4,056

43% lower than market

CT Spine Cervical with Contrast

$1,742
$4,949

65% lower than market

CT Spine Cervical without Contrast

$1,514
$3,160

52% lower than market

CT Spine Lumbar with Contrast

$1,250
$3,369

63% lower than market

CT Spine Lumbar without Contrast

$1,742
$2,589

33% lower than market

CT Spine Thoracic with Contrast

$1,742
$4,940

65% lower than market

CT Spine Thoracic without Contrast

$1,917
$2,571

25% lower than market

CT scan of arm before and after contrast

$2,352
$2,863

18% lower than market

CT scan of arm blood vessels with contrast

$2,918
$5,874

50% lower than market

CT scan of cranial cavity before and after contrast

$2,400
$2,617

8% lower than market

CT scan of face before and after contrast

$1,872
$6,174

70% lower than market

CT scan of heart blood vessels and grafts with contrast dye

$2,077
$10,231

80% lower than market

CT scan of leg before and after contrast injection

$1,800
$1,812

1% lower than market

CT scan of lower leg blood vessels with contrast

$1,917
$4,084

53% lower than market

CT scan of lower spine before and after contrast

$1,322
$4,264

69% lower than market

CT scan of middle spine before and after contrast

$1,329
$5,935

78% lower than market

CT scan of pelvis before and after contrast

$1,800
$3,672

51% lower than market

CT scan of upper spine before and after contrast

$1,322
$6,020

78% lower than market

Chest X-Ray; 2 Views

$329
$432

24% lower than market

Chest X-Ray; Single View

$145
$363

60% lower than market

Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels

$1,278
$1,232

4% higher than market

Diagnostic mammography, bilateral

$590
$483

22% higher than market

Diagnostic mammography, unilateral

$515
$375

37% higher than market

Fluoroscopic guidance for insertion, replacement or removal of central venous access device

$184
$919

80% lower than market

Follow-up or limited ultrasound examination of heart

$500
$1,009

50% lower than market

Imaging for Evaluation of Swalling Function

$620
$816

24% lower than market

Imaging for abscess or abnormal drainage tract procedure

$800
$1,420

44% lower than market

Imaging of 2 or more joints, single view

$225
$469

52% lower than market

Imaging of Abdomen and Chest

$269
$656

59% lower than market

Imaging of Abdomen; 2 Views

$383
$463

17% lower than market

Imaging of Abdomen; Single View

$297
$423

30% lower than market

Imaging of Liver and Bile Duct System with Use of Drugs

$1,500
$1,884

20% lower than market

Imaging of Liver and Bile Duct System without Use of Drugs

$1,500
$1,687

11% lower than market

Imaging of liver and spleen

$1,250
$4,976

75% lower than market

Imaging of lymphatic tissue and lymph node

$500
$1,649

70% lower than market

Imaging of surgical specimen

$290
$883

67% lower than market

Kidney imaging with assessment of blood flow and function; single study with pharmacological intervention

$1,300
$1,502

13% lower than market

Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries

$533
$522

2% higher than market

MRA Head without Contrast

$1,313
$2,129

38% lower than market

MRA Neck with and without Contrast

$2,918
$2,967

2% lower than market

MRA Neck without Contrast

$1,729
$2,255

23% lower than market

MRA scan of head blood vessels before and after contrast

$3,177
$6,404

50% lower than market

MRI Abdomen with and without Contrast

$2,000
$3,773

47% lower than market

MRI Abdomen without Contrast

$1,200
$2,878

58% lower than market

MRI Arm Join with and without Contrast

$2,926
$3,277

11% lower than market

MRI Arm Joint without Contrast

$2,206
$2,501

12% lower than market

MRI Arm with and without Contrast

$3,268
$3,720

12% lower than market

MRI Arm without Contrast

$2,351
$2,663

12% lower than market

MRI Brain with Contrast

$2,650
$4,191

37% lower than market

MRI Brain with and without Conrast

$3,566
$4,496

21% lower than market

MRI Brain without Contrast

$2,500
$2,989

16% lower than market

MRI Leg Joint with and without Contrast

$2,594
$3,482

26% lower than market

MRI Leg Joint without Contrast

$2,318
$2,609

11% lower than market

MRI Leg with and without Contrast

$3,200
$3,586

11% lower than market

MRI Leg without Contrast

$2,450
$2,443

Approximately equal to market

MRI Orbit, Face, Neck with and without Contrast

$2,500
$4,782

48% lower than market

MRI Orbit, Face, Neck without Contrast

$1,662
$2,906

43% lower than market

MRI Pelvis with and without Contrast

$1,900
$3,897

51% lower than market

MRI Pelvis without Contrast

$1,172
$2,586

55% lower than market

MRI Spine Cervical with and without Contrast

$3,653
$4,204

13% lower than market

MRI Spine Cervical without Contrast

$2,500
$3,158

21% lower than market

MRI Spine Lumbar with and without Contrast

$3,000
$4,337

31% lower than market

MRI Spine Lumbar without Contrast

$2,923
$2,842

3% higher than market

MRI Spine Thoracic with and without Contrast

$2,042
$4,617

56% lower than market

MRI Spine Thoracic without Contrast

$1,917
$2,821

32% lower than market

MRI scan bones of the eye, face, and/or neck with contrast

$2,342
$6,683

65% lower than market

MRI scan of abdomen with contrast

$1,500
$7,458

80% lower than market

MRI scan of both breasts with contrast

$2,923
$3,952

26% lower than market

MRI scan of chest

$1,729
$3,485

50% lower than market

MRI scan of leg joint with contrast

$2,310
$4,110

44% lower than market

MRI scan of leg with contrast

$2,900
$6,736

57% lower than market

MRI scan of one breast with contrast

$2,923
$2,995

2% lower than market

MRI scan of pelvis with contrast

$2,200
$5,234

58% lower than market

MRI scan of upper spinal canal with contrast

$2,699
$5,580

52% lower than market

Myocardial Perfusion, Tomographic

$2,500
$5,546

55% lower than market

Nuclear Medicine Study of Heart Wall Motion at Rest or with Stress

$1,500
$2,915

49% lower than market

Nuclear Medicine Study of Lung Ventilation and Blood Circulation in the Lungs

$1,500
$3,010

50% lower than market

Nuclear medicine imaging of thyroid

$460
$1,334

66% lower than market

Nuclear medicine study of blood circulation in the lungs

$1,500
$3,400

56% lower than market

Nuclear medicine study of radioactive material distribution

$2,000
$5,194

61% lower than market

Parathyroid Planar Imaging

$1,500
$1,859

19% lower than market

Radiologic exam, spine, entire thoracic and lumbar, including skull, cervical and sacral spine; 2 or 3 views

$205
$204

Approximately equal to market

Radiologic examination, abdomen; 3 or more views

$483
$645

25% lower than market

Radiologic examination, chest; 3 views

$370
$507

27% lower than market

Radiologic examination, chest; 4 or more views

$425
$461

8% lower than market

Radiologic examination, femur; 1 view

$238
$264

10% lower than market

Radiological supervision and interpretation X-ray of bile and/or pancreatic ducts during surgery

$321
$790

59% lower than market

Radiological supervision and interpretation X-ray of urinary bladder and urethra, voiding

$364
$922

61% lower than market

Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views

$286
$1,097

74% lower than market

Radiological supervision and interpretation of CT guidance for needle insertion

$1,056
$4,180

75% lower than market

Radiological supervision and interpretation of imaging of previous placed shunt

$450
$551

18% lower than market

Screening Mammography, Bilateral, with CAD

$380
$369

3% higher than market

Screening digital breast tomosynthesis, bilateral

$75
$119

37% lower than market

Stomach emptying study

$1,500
$1,404

7% higher than market

Thyroid Update and Scan

$1,500
$1,797

17% lower than market

Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography

$700
$2,953

76% lower than market

Ultrasound Abdomen - Complete

$1,106
$981

13% higher than market

Ultrasound Abdomen - Limited

$706
$707

Approximately equal to market

Ultrasound Behind Abdominal Cavity - Complete

$733
$913

20% lower than market

Ultrasound Behind Abdominal Cavity - Limited

$361
$880

59% lower than market

Ultrasound Blood Flow Outside the Brain

$968
$1,309

26% lower than market

Ultrasound Guidance for Insertion of Needle

$1,100
$1,121

2% lower than market

Ultrasound Head Neck

$633
$850

26% lower than market

Ultrasound Heart

$800
$3,036

74% lower than market

Ultrasound Joint Soft Tissue - Complete

$612
$1,021

40% lower than market

Ultrasound Pelvis NonOB

$815
$982

17% lower than market

Ultrasound Pelvis through Vagina

$839
$734

14% higher than market

Ultrasound Pleural Effusion Chest

$277
$565

51% lower than market

Ultrasound Pregnant Uterus < 14 Weeks Pregnant

$928
$934

1% lower than market

Ultrasound Pregnant Uterus > 14 Weeks Pregnant

$693
$516

34% higher than market

Ultrasound Veins of Both Arms or Legs

$1,460
$1,494

2% lower than market

Ultrasound guidance for accessing into blood vessel

$267
$923

71% lower than market

Ultrasound of Arteries of Both Legs

$391
$1,405

72% lower than market

Ultrasound of Arteries of One Leg

$637
$898

29% lower than market

Ultrasound of pelvis

$332
$600

45% lower than market

Ultrasound of pregnant uterus, 1 or more fetus(es)

$461
$564

18% lower than market

Ultrasound of rectum

$247
$929

73% lower than market

Ultrasound of transplanted kidney

$767
$1,527

50% lower than market

Ultrasound re-evaluation of pregnant uterus, per fetus

$666
$1,516

56% lower than market

Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow

$758
$810

6% lower than market

Ultrasound scan of vena cava or groin graft or vessel blood flow

$513
$509

1% higher than market

Ultrasound study of arteries and arterial grafts of both arms

$466
$1,563

70% lower than market

Ultrasound study of arteries and arterial grafts of one arm or limited

$370
$841

56% lower than market

Vaginal Ultrasound of Pregnant Uterus

$689
$858

20% lower than market

Whole Body Bone Scan

$1,500
$1,777

16% lower than market

X-Ray Ankle, 2 Views

$263
$358

27% lower than market

X-Ray Ankle, 3 Views

$341
$463

26% lower than market

X-Ray Both Hips and Pelvis, 2 Views

$259
$708

63% lower than market

X-Ray Collar Bone

$297
$426

30% lower than market

X-Ray Colon with Air Contrast and High Density Barium

$749
$1,536

51% lower than market

X-Ray Elbow, 2 Views

$379
$367

3% higher than market

X-Ray Elbow, 3 Views

$355
$484

27% lower than market

X-Ray Esophagus

$360
$757

52% lower than market

X-Ray Femus, 2 Views

$321
$394

19% lower than market

X-Ray Fingers, 2 Views

$301
$326

8% lower than market

X-Ray Foot, 2 Views

$346
$388

11% lower than market

X-Ray Foot, 3 Views

$395
$457

14% lower than market

X-Ray Forearm, 2 Views

$331
$372

11% lower than market

X-Ray Hand, 2 Views

$329
$394

17% lower than market

X-Ray Hand, 3 Views

$404
$448

10% lower than market

X-Ray Heel, 2 Views

$337
$358

6% lower than market

X-Ray Hip and Pelvis, 1 View

$296
$321

8% lower than market

X-Ray Hip and Pelvis, 2 Views

$334
$351

5% lower than market

X-Ray Knee, 1-2 Views

$325
$409

21% lower than market

X-Ray Knee, 3 Views

$389
$500

22% lower than market

X-Ray Knee, 4 or More Views

$322
$603

47% lower than market

X-Ray Lower Leg, 2 Views

$386
$411

6% lower than market

X-Ray Lower Sacral Spine, 2-3 Views

$380
$579

34% lower than market

X-Ray Lower Sacral Spine, 4 or More Views

$568
$753

25% lower than market

X-Ray Middle Spine, 3 Views

$328
$338

3% lower than market

X-Ray Neck Soft Tissue

$250
$395

37% lower than market

X-Ray Neck Spine, 2-3 Views

$346
$536

35% lower than market

X-Ray Pelvis, 1-2 Views

$288
$429

33% lower than market

X-Ray Pelvis, 2 Views

$323
$374

14% lower than market

X-Ray Ribs One Side, 2 Views

$229
$488

53% lower than market

X-Ray Sacroiliac Joints, 3 or More Views

$274
$574

52% lower than market

X-Ray Shoulder Blade

$294
$370

21% lower than market

X-Ray Shoulder, 1 View

$286
$338

15% lower than market

X-Ray Shoulder, 2 Views

$433
$450

4% lower than market

X-Ray Small Intestine without Contrast

$435
$839

48% lower than market

X-Ray Toes, 2 Views

$290
$337

14% lower than market

X-Ray Upper Arm, 2 Views

$384
$361

6% higher than market

X-Ray Upper Spine, 4-5 Views

$389
$801

51% lower than market

X-Ray Wrist, 2 Views

$326
$335

3% lower than market

X-Ray Wrist, 3 Views

$353
$435

19% lower than market

X-Ray of Both Sides of Ribs, Including Chest, Minimum of 4 Views

$263
$558

53% lower than market

X-ray of bones of face, minimum of 3 views

$325
$603

46% lower than market

X-ray of bones of nose, minimum of 3 views

$215
$261

18% lower than market

X-ray of eye bones, minimum of 4 views

$181
$610

70% lower than market

X-ray of mandible, less than 4 views

$190
$206

8% lower than market

X-ray of paranasal sinus, complete, minimum of 3 views

$305
$529

42% lower than market

X-ray of skull, complete, minimum of 4 views

$492
$728

32% lower than market

X-ray of skull, less than 4 views

$336
$337

Approximately equal to market

X-ray of spine, 1 view

$174
$487

64% lower than market

X-ray of upper digestive tract with contrast

$776
$1,022

24% lower than market

X-ray of upper spine, 6 or more views

$445
$756

41% lower than market

X-ray survey of forearm or wrist bone density

$515
$968

47% lower than market

INPATIENT CARDIOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Heart Failure with major complications

$8,948
$30,993

71% lower than market

INPATIENT GYNECOLOGY CHARGES

Description

Our Charge
Market Charge