Monument Health Orthopedic and Specialty Hospital — price list

← Hospital overviewVerified from Monument Health Orthopedic and Specialty Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

149 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Cath Airway Exchange 11f 100cm withRapi-Fit for Dbl Tubes Outpatient	2720000005_2 CDM	$388	$310	$97.00 – $372	$441
Catheterization for collection of specimen, single patient, all places of service Outpatient	0961200_3 CDM	$65.00	$52.00	$9.34 – $66.63	$58.50
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) Outpatient	0047100_3 CDM	$54.00	$43.20	$11.34 – $55.35	$51.30
Computed tomography (CT) of brain blood flow, volume, and timing of flow analysis with contrast Outpatient	0042T_2 CDM	$883	$706	$260 – $905	$795
Coronary care unit - general classification Inpatient	2100000100_2 CDM	$6,378	$5,102	$1,556 – $6,123	$6,059
Coronary care unit - general classification Inpatient	2100000200_2 CDM	$8,997	$7,198	$2,195 – $8,637	$8,097
Cryoprecipitate, each unit Outpatient	0901200_3 CDM	$650	$520	$71.95 – $666	$585
Detection of Immunoglobulin paraprotein (M-protein) in blood or urine Outpatient	0077000_3 CDM	$300	$240	$43.43 – $308	$285
Detection of Immunoglobulin paraprotein (M-protein) in blood or urine Outpatient	0077001_3 CDM	$86.00	$68.80	$25.28 – $126	$81.70
Detection of Immunoglobulin paraprotein (M-protein) in blood or urine Outpatient	0077002_3 CDM	$137	$110	$40.28 – $140	$55.80
Detection of Immunoglobulin paraprotein (M-protein) in blood or urine Outpatient	0077003_3 CDM	$113	$90.40	$33.22 – $126	$55.80
Detection of Immunoglobulin paraprotein (M-protein) in blood or urine Outpatient	0077004_3 CDM	$64.00	$51.20	$18.82 – $126	$55.80
Detection of Immunoglobulin paraprotein (M-protein) in blood or urine Outpatient	0077005_3 CDM	$78.00	$62.40	$22.93 – $126	$55.80
Detection of Immunoglobulin paraprotein (M-protein) in blood or urine Outpatient	0077006_3 CDM	$72.00	$57.60	$21.17 – $126	$52.92
Detection of Immunoglobulin paraprotein (M-protein) in blood or urine Outpatient	0077007_3 CDM	$62.00	$49.60	$18.23 – $126	$58.90
DNA analysis of gene sequence for identification and characterization of abnormalites associated with muscular dystrophy Outpatient	0218U_3 CDM	$6,837	$5,470	$135 – $7,008	$5,811
DNA gene analysis (BRCA1, DNA repair associated and BRCA2, DNA repair associated) for detection of mutations associated with breast cancer Outpatient	0172U_3 CDM	$9,090	$7,272	$135 – $9,317	$8,636
DNA gene analysis (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) for detection of mutations associated with breast cancer Outpatient	0177U_3 CDM	$740	$592	$135 – $759	$703
Drug assay, definitive, 100 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (lc-ms/ms) using multiple reaction monitoring (mrm), with drug or metabolite description, comments including sample validation, per date of service Outpatient	0148U_3 CDM	$257	$206	$75.56 – $263	$231
Drug assay, definitive, 120 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (lc-ms/ms) using multiple reaction monitoring (mrm), with drug or metabolite description, comments including sample validation, per date of service Outpatient	0150U_3 CDM	$257	$206	$75.56 – $263	$231
Drug assay, definitive, 60 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (lc-ms/ms) using multiple reaction monitoring (mrm), with drug or metabolite description, comments including sample validation, per date of service Outpatient	0149U_3 CDM	$257	$206	$75.56 – $263	$231
Drug assay, definitive, 65 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (lc-ms/ms) using multiple reaction monitoring (mrm), with drug or metabolite description, comments including sample validation, per date of service Outpatient	0145U_3 CDM	$257	$206	$75.56 – $263	$244
Drug assay, definitive, 80 or more drugs or metabolites, urine, by quantitative liquid chromatography with tandem mass spectrometry (lc-ms/ms) using multiple reaction monitoring (mrm), with drug or metabolite description, comments including sample validation, per date of service Outpatient	0146U_3 CDM	$257	$206	$75.56 – $263	$231
Drug assay, definitive, 85 or more drugs or metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (lc-ms/ms) using multiple reaction monitoring (mrm), with drug or metabolite description, comments including sample validation, per date of service Outpatient	0147U_3 CDM	$257	$206	$75.56 – $263	$231
Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit Outpatient	0901700_3 CDM	$120	$96.00	$35.28 – $445	$114
Fresh frozen plasma between 8-24 hours of collection, each unit Outpatient	0905900_3 CDM	$120	$96.00	$35.28 – $445	$108
Gene analysis (Janus kinase 2) of targeted sequence exons 12-15 Outpatient	0027000_3 CDM	$423	$338	$122 – $434	$402
Gene analysis (Kruppel-like factor 1) targeted sequence analysis Outpatient	0195U_3 CDM	$1,126	$901	$135 – $1,154	$1,070
Gene analysis (nudix hydrolase 15) and tpmt (thiopurine s-methyltransferase) for detection of common variants Outpatient	0169U_3 CDM	$1,399	$1,119	$167 – $1,434	$1,259
Gene analysis (thiopurine S-methyltransferase) for common variants Outpatient	0034000_3 CDM	$534	$427	$157 – $745	$481