Does Mount Grant General Hospital publish its standard charges and chargemaster?

Yes. Mount Grant General Hospital publishes a machine-readable file with 5,428 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Mount Grant General Hospital charge for procedures?

Mount Grant General Hospital (Hawthorne, NV) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · NV · CCN 291300

Mount Grant General Hospital

Hawthorne, NV, 89415

11 bedsCritical Access Hospitals9

Compliance grade

100/100

Rates published

5,428

last crawl 2026-05-22

Procedures tracked

170

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All NV hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://roxboroughmemorial.com/wp-content/uploads/2026/04/454246163_RoxboroughMemorialHospital_standardcharges.JSON · JSON

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	16	—	$13,447	$4,842.58	$13,515	1.1×	$24,193
Psychiatric diagnostic evaluation	CPT	90791	15	$782.75	$181	$110.62	$190.53	1.1×	$590
Psychiatric eval with medical services	CPT	90792	15	$700	$181	$110.62	$190.53	1.1×	$590
Psychotherapy 30 minutes	CPT	90832	15	$588.81	$181	$110.62	$190.53	1.3×	$429.16
Psychotherapy 45 minutes	CPT	90834	15	$782.75	$181	$110.62	$190.53	1.2×	$429.16
Psychotherapy 60 minutes	CPT	90837	15	$630.05	$181	$110.62	$190.53	1.0×	$429.16
Crisis psychotherapy 60 minutes	CPT	90839	15	$630.05	$181	$110.62	$190.53	1.2×	$429.16
emergency
ED visit level 1	CPT	99281	16	$630	$86	$30	$96.13	0.69×	$630
ED visit level 2	CPT	99282	17	$988.75	$156	$30	$172.67	0.73×	$886
ED visit level 3	CPT	99283	17	$1,352.16	$279	$17.39	$300	0.74×	$886
ED visit level 4	CPT	99284	17	$2,098.99	$426	$17.39	$441.5	0.66×	$1,008.86
ED visit level 5	CPT	99285	17	$3,043.97	$608	$17.39	$630.13	0.60×	$1,439.89
Critical care, first hour	CPT	99291	15	$7,020	$844	$334	$878.24	0.82×	$1,997.19
imaging
CT head without contrast	CPT	70450	16	$1,654.19	$106	$77.5	$112.21	0.54×	$591.42
CT head with contrast	CPT	70460	16	$2,982.19	$179	$80	$188.28	0.80×	$711.84
CT head with and without contrast	CPT	70470	16	$3,508.18	$179	$100	$188.28	0.71×	$872.41
CT neck with contrast	CPT	70491	16	$3,078.75	$179	$82.5	$188.28	0.69×	$749.31
MRI brain without contrast	CPT	70551	17	$3,808.34	$243	$30	$269	0.67×	$1,271.15
MRI brain with contrast	CPT	70552	16	$4,392.81	$356	$269	$374.48	0.78×	$1,471.86
MRI brain with and without contrast	CPT	70553	17	$5,463.41	$356	$30	$372.7	0.63×	$2,060.6
Chest X-ray single view	CPT	71045	16	$430.61	$88	$8.11	$90.99	0.96×	$210.39
Chest X-ray 2 views	CPT	71046	17	$501.25	$88	$14.85	$89.98	0.92×	$210.39
Chest X-ray 3 views	CPT	71047	16	$1,183.69	$88	$18.9	$93.41	0.98×	$210.39
CT chest without contrast	CPT	71250	17	$3,209.7	$106	$30	$111.68	0.52×	$741.28
CT chest with contrast	CPT	71260	16	$3,209.7	$179	$87.5	$188.28	0.67×	$867.06
CT chest with and without contrast	CPT	71270	16	$3,724.36	$179	$103.5	$188.28	0.65×	$1,059.74
MRI chest without contrast	CPT	71550	16	$3,791.25	$243	$195.14	$269	0.63×	$1,271.15
MRI chest with contrast	CPT	71551	16	$4,150	$801	$312.2	$841.48	1.0×	$1,895.37
MRI chest with and without contrast	CPT	71552	16	$5,211.13	$356	$285.32	$427.98	0.71×	$2,060.6
Lumbosacral spine X-ray	CPT	72100	17	$645.19	$106	$22.5	$106.87	1.0×	$252.75
CT cervical spine without contrast	CPT	72125	16	$3,041.25	$106	$83.1	$112.21	0.56×	$741.28
CT thoracic spine without contrast	CPT	72128	16	$2,897.5	$106	$85.5	$112.21	0.56×	$741.28
CT lumbar spine without contrast	CPT	72131	16	$3,030.4	$106	$85.5	$112.21	0.55×	$741.28
MRI cervical spine without contrast	CPT	72141	17	$3,949.78	$243	$30	$269	0.68×	$1,271.15
MRI thoracic spine without contrast	CPT	72146	16	$3,922.5	$243	$187.2	$256.13	0.69×	$1,271.15
MRI lumbar spine without contrast	CPT	72148	17	$3,950.55	$243	$30	$254.91	0.68×	$1,271.15
MRI lumbar spine with and without contrast	CPT	72149	16	$4,407.5	$356	$269	$374.48	0.82×	$1,471.86
MRI cervical spine with and without contrast	CPT	72156	16	$5,579.96	$356	$269	$374.48	0.69×	$2,060.6
MRI lumbar spine with contrast	CPT	72158	16	$5,552.49	$356	$269	$374.48	0.68×	$2,060.6
CT pelvis without contrast	CPT	72192	16	$2,695.99	$106	$67.5	$112.21	0.56×	$727.9
CT pelvis with contrast	CPT	72193	16	$3,150.08	$179	$86.5	$188.28	0.67×	$832.27
Shoulder X-ray	CPT	73030	17	$588.63	$88	$16.5	$88.96	0.96×	$210.39
Humerus X-ray	CPT	73060	17	$617.75	$88	$11.5	$88.96	0.99×	$210.39
Hand X-ray 3 views	CPT	73130	17	$491.88	$88	$11.5	$88.96	0.96×	$210.39
MRI upper extremity joint without contrast	CPT	73221	17	$5,022.69	$243	$30	$269	0.65×	$1,271.15
MRI upper extremity joint with and without contrast	CPT	73223	16	$3,904.38	$356	$285.32	$427.98	0.70×	$2,060.6
Knee X-ray 1-2 views	CPT	73560	16	$506.13	$88	$16.5	$88.96	0.95×	$210.39
Ankle X-ray 3 views	CPT	73610	16	$499.35	$88	$18.73	$88.96	0.97×	$210.39
MRI lower extremity joint without contrast	CPT	73721	17	$3,737.5	$243	$30	$269	0.58×	$1,271.15
MRI lower extremity joint with and without contrast	CPT	73723	16	$5,122.5	$356	$285.32	$427.98	0.68×	$2,060.6
CT abdomen without contrast	CPT	74150	16	$2,844.31	$106	$77.5	$112.21	0.60×	$719.87
CT abdomen with contrast	CPT	74160	16	$3,382.99	$179	$90	$188.28	0.66×	$848.32
CT abdomen with and without contrast	CPT	74170	16	$3,987.5	$179	$111.5	$188.28	0.56×	$1,027.62
CT abdomen and pelvis without contrast	CPT	74176	16	$1,167.6	$243	$101.07	$256.13	0.70×	$719.87
CT abdomen and pelvis with contrast	CPT	74177	16	$5,817.5	$356	$192.73	$374.48	0.68×	$848.32
CT abdomen and pelvis with and without contrast	CPT	74178	16	$6,828.58	$356	$254.7	$374.48	0.65×	$1,027.62
MRI abdomen without contrast	CPT	74181	16	$3,806.18	$243	$195.14	$269	0.69×	$1,271.15
MRI abdomen with and without contrast	CPT	74183	17	$5,258.75	$356	$30	$415.5	0.73×	$2,060.6
Abdominal ultrasound complete	CPT	76700	17	$1,456.88	$106	$30	$111.68	0.75×	$305.08
Abdominal ultrasound limited	CPT	76705	17	$1,456.88	$106	$30	$111.68	0.76×	$252.75
Retroperitoneal ultrasound complete	CPT	76770	17	$1,091.15	$106	$30	$111.68	0.78×	$297.05
Obstetric ultrasound first trimester	CPT	76801	17	$946.86	$106	$30	$111.68	0.79×	$267.61
Obstetric ultrasound after first trimester	CPT	76805	16	$1,159.44	$106	$46.5	$112.21	0.73×	$267.61
Obstetric ultrasound with fetal anatomy	CPT	76811	16	$2,978	$243	$91.42	$256.13	1.1×	$576.91
Transvaginal ultrasound	CPT	76830	17	$937.5	$106	$30	$111.68	0.76×	$252.75
Pelvic ultrasound complete	CPT	76856	16	$1,418.13	$106	$46.5	$112.21	0.78×	$252.75
Scrotal ultrasound	CPT	76870	16	$997.08	$106	$44	$112.21	0.86×	$252.75
Diagnostic mammography unilateral	CPT	77065	17	$455.33	$89	$30	$92.9	0.62×	$185.79
Diagnostic mammography bilateral	CPT	77066	17	$624.67	$115	$30	$119.23	0.63×	$238.43
Screening mammography bilateral	CPT	77067	17	$573.88	$94	$30	$98.3	0.62×	$196.58
EKG tracing only	CPT	93005	16	$386.25	$60	$10.46	$63.32	0.54×	$195.01
Transthoracic echocardiogram complete	CPT	93306	17	$2,899.48	$558	$30	$583.75	0.97×	$1,722.55
Transthoracic echocardiogram	CPT	93307	16	$3,327.54	$243	$95	$256.13	1.0×	$975.03
Stress echocardiogram	CPT	93350	16	$1,667.2	$558	$46.5	$586.54	1.2×	$1,321.14
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	—	$18,992	$12,573	$19,555	0.97×	$34,832
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	—	$9,958	$5,579.14	$9,958.91	0.93×	$17,499
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	—	$7,016	$5,589.05	$7,180.38	0.94×	$11,854
Respiratory infections & inflammations w MCC	MS-DRG	177	17	—	$14,945	$8,876.85	$14,945	0.97×	$27,067
COPD w MCC	MS-DRG	190	17	—	$10,838	$7,384.9	$10,838	0.97×	$19,186
COPD w CC	MS-DRG	191	17	—	$8,448	$5,620.81	$8,487.61	0.96×	$48,641
COPD w/o CC/MCC	MS-DRG	192	17	—	$6,634	$3,939.3	$6,634.22	0.95×	$19,389
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	—	$8,113	$5,969.54	$8,113.77	0.96×	$18,236
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	—	$6,512	$4,191.73	$6,512.35	0.97×	$27,060
AMI discharged alive w MCC	MS-DRG	280	17	—	$15,319	$7,409.12	$15,598	1.00×	$27,784
AMI discharged alive w CC	MS-DRG	281	17	—	$9,135	$4,783.06	$9,135.64	0.94×	$15,919
AMI discharged alive w/o CC/MCC	MS-DRG	282	17	—	$7,366	$3,926.43	$7,366.32	0.94×	$12,524
Heart failure & shock w MCC	MS-DRG	291	17	—	$12,427	$5,617.67	$12,428	0.97×	$22,236
Heart failure & shock w CC	MS-DRG	292	17	—	$8,502	$6,154.38	$8,757.91	0.98×	$29,946
Heart failure & shock w/o CC/MCC	MS-DRG	293	17	—	$5,948	$2,932.73	$5,948.16	0.96×	$12,777
Cardiac arrhythmia w MCC	MS-DRG	308	17	—	$11,707	$9,062.26	$11,708	0.97×	$20,854
Cardiac arrhythmia w CC	MS-DRG	309	17	—	$7,480	$4,615.79	$7,480.06	0.96×	$12,743
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	—	$5,949	$3,655.82	$5,949.06	0.96×	$10,085
GI hemorrhage w CC	MS-DRG	378	17	—	$9,691	$6,837.09	$9,691.71	0.97×	$16,986
GI hemorrhage w/o CC/MCC	MS-DRG	379	17	—	$6,529	$3,527.84	$6,529.51	0.95×	$10,919
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	—	$7,876	$5,153.25	$7,876.35	0.98×	$35,257
Fractures of femur w/o MCC	MS-DRG	533	16	—	$14,990	$12,641	$15,342	1.0×	$27,153
Kidney/UTI w MCC	MS-DRG	689	16	—	$11,312	$8,553.54	$11,483	0.99×	$20,097
Kidney/UTI w/o MCC	MS-DRG	690	16	—	$8,146	$4,673.26	$8,146.26	0.98×	$14,021
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	17	—	$18,373	$13,287	$18,889	1.0×	$33,645
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	16	—	$10,076	$6,319.82	$10,076	0.97×	$17,724
lab
Basic metabolic panel (BMP)	CPT	80048	16	$240.39	$8	$6.77	$9.31	0.29×	$36.58
Electrolyte panel	CPT	80051	16	$246.13	$7	$5.61	$7.36	0.31×	$30.33
Comprehensive metabolic panel	CPT	80053	17	$341.06	$10	$8.45	$11.66	0.26×	$45.65
Lipid panel	CPT	80061	17	$277.88	$13	$10.71	$14.4	0.38×	$59.41
Renal function panel	CPT	80069	16	$262.5	$8	$6.94	$9.55	0.35×	$37.52
Hepatic function panel	CPT	80076	17	$253.75	$8	$6.54	$9.01	0.34×	$35.33
Urinalysis non-automated	CPT	81002	16	$52.38	$3	$2.78	$3.65	0.52×	$15.63
Urinalysis automated	CPT	81003	16	$103	$2	$1.8	$2.48	0.18×	$10.63
Glucose quantitative	CPT	82947	16	$90.5	$3	$3.14	$4.13	0.23×	$8.13
Hemoglobin A1c	CPT	83036	17	$311.25	$9	$7	$10.15	0.38×	$46.28
Thyroid stimulating hormone (TSH)	CPT	84443	16	$527.5	$16	$13.44	$18.48	0.39×	$81.92
Complete blood count with automated differential	CPT	85025	16	$311.25	$7	$6	$8.08	0.30×	$34.39
Complete blood count without differential	CPT	85027	16	$398.75	$6	$5.18	$7.12	0.33×	$31.27
Urine culture bacterial	CPT	87086	17	$300	$8	$6.46	$8.49	0.36×	$40.65
Urine culture identification	CPT	87088	16	$26	$8	$6.47	$8.49	0.38×	$26
Tissue exam by pathologist level IV	CPT	88305	16	$1,321.25	$53	$9	$55.93	0.55×	$187.6
maternity
Fetal non-stress test	CPT	59025	5	$842.44	—	$4.72	$200	1.1×	$842.44
Vaginal delivery only	CPT	59409	15	$10,336	$3,309	$1,582	$3,425.22	1.5×	$7,826.85
office
Office visit, new patient, 15-29 min	CPT	99202	3	$626.45	—	$40	$42.4	0.49×	$45.2
Office visit, new patient, 30-44 minutes	CPT	99203	3	$689	—	$54.25	$57.5	0.47×	$61.3
Office visit, new patient, 45-59 min	CPT	99204	3	$912.94	—	$90.37	$95.8	0.55×	$102.12
Office visit, new patient, 60-74 min	CPT	99205	3	$1,249.13	—	$117.54	$124.6	0.56×	$132.82
Office visit, established patient, 5 min	CPT	99211	3	$403.38	—	$40	$42.4	0.66×	$45.2
Office visit, established patient, 10-19 min	CPT	99212	4	$626.45	—	$40	$43.8	0.55×	$59.04
Office visit, established patient, 20-29 minutes	CPT	99213	4	$626.45	—	$30	$41.2	0.36×	$45.2
Office visit, established patient, 30-39 minutes	CPT	99214	3	$689	—	$54.42	$57.7	0.38×	$61.49
Office visit, established patient, 40-54 min	CPT	99215	3	$912.94	—	$78.05	$82.7	0.44×	$88.2
preventive
Upper GI endoscopy diagnostic	CPT	43235	16	$6,843	$927	$132.7	$1,047.77	1.1×	$3,634
Upper GI endoscopy with biopsy	CPT	43239	16	$6,843	$927	$157.5	$1,047.77	1.1×	$3,634
Sigmoidoscopy diagnostic	CPT	45330	16	$2,637.09	$950	$56.3	$1,060.05	1.3×	$2,637.09
Sigmoidoscopy with biopsy	CPT	45331	16	$2,637.09	$950	$67.5	$1,060.05	1.2×	$2,637.09
Colonoscopy diagnostic	CPT	45378	16	$6,853.15	$950	$191.3	$1,107.59	1.3×	$3,634
Colonoscopy with biopsy	CPT	45380	16	$6,843	$1,223	$238.9	$1,425.22	1.2×	$3,634
Colonoscopy with polyp removal	CPT	45385	16	$6,843	$1,223	$284.2	$1,425.22	1.2×	$3,634
surgery
Total shoulder arthroplasty	CPT	23472	15	$16,893	$17,925	$1,582	$16,893	4.1×	$16,893
Total hip replacement	CPT	27130	15	$21,513	$13,125	$1,582	$13,782	3.2×	$21,513
Total knee replacement	CPT	27447	15	$13,113	$13,125	$1,582	$13,113	3.1×	$13,113
Shoulder arthroscopy with decompression	CPT	29826	5	$5,317.96	—	$1,582	$3,634	11.1×	$4,816.9
Shoulder arthroscopy with rotator cuff repair	CPT	29827	16	$4,028.95	$7,418	$776	$4,028.95	1.2×	$4,028.95
Knee arthroscopy with meniscectomy	CPT	29881	16	$7,863	$3,345	$932	$3,512.3	1.7×	$7,863
ACL reconstruction	CPT	29888	16	$7,886.5	$7,418	$776	$7,418.21	2.2×	$7,886.5
Major small/large bowel procedures w MCC	MS-DRG	329	17	—	$42,331	$4,724.7	$42,332	0.98×	$79,614
Major small/large bowel procedures w CC	MS-DRG	330	17	—	$22,478	$3,196.41	$23,153	1.00×	$41,521
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	—	$16,030	$10,948	$16,365	1.00×	$29,149
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	—	$16,109	$10,601	$16,449	1.00×	$29,299
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	—	$13,168	$10,232	$13,281	0.98×	$23,656
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	17	—	$31,595	$7,011.63	$32,543	1.0×	$60,496
Open appendectomy	CPT	44950	16	$7,743	$6,618	$776	$6,618.35	5.8×	$7,743
Laparoscopic appendectomy	CPT	44970	16	$7,274.25	$6,180	$776	$6,180.5	4.0×	$7,274.25
Spinal fusion (non-cervical) w MCC	MS-DRG	459	3	—	—	$19,316	$39,614	0.80×	$77,400
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	3	—	—	$11,036	$28,013	0.83×	$49,101
Major joint replacement w MCC	MS-DRG	469	16	—	$28,219	$23,674	$29,281	0.99×	$52,537
Major joint replacement w/o MCC	MS-DRG	470	16	—	$18,251	$15,361	$18,778	0.99×	$33,410
Laparoscopic cholecystectomy	CPT	47562	16	$27,345	$6,180	$776	$6,489.53	3.7×	$14,617
Hip & femur procedures except major joint w MCC	MS-DRG	480	17	—	$27,128	$22,764	$28,485	1.0×	$201,035
Hip & femur procedures except major joint w CC	MS-DRG	481	17	—	$19,746	$16,607	$20,733	1.0×	$168,548
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	17	—	$15,562	$13,118	$16,029	1.0×	$40,442
Lap inguinal hernia repair	CPT	49650	16	$10,626	$6,180	$776.99	$6,180.5	5.5×	$10,626
Lap salpingo-oophorectomy	CPT	58661	16	$8,493	$6,180	$776	$6,180.5	3.0×	$8,493
OR procedure for obesity w MCC	MS-DRG	619	16	—	$26,903	$22,577	$27,894	1.0×	$50,011
OR procedure for obesity w CC	MS-DRG	620	16	—	$15,284	$12,887	$15,652	0.97×	$27,718
OR procedure for obesity w/o CC/MCC	MS-DRG	621	16	—	$14,455	$12,195	$14,778	0.97×	$26,126
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	16	—	$12,038	$9,515.06	$12,232	1.00×	$21,490
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	16	—	$19,336	$16,105	$19,626	1.0×	$35,491
PCI single major coronary artery	CPT	92920	15	$27,087	$5,818	$1,582	$6,109.56	1.1×	$13,761
PCI with drug-eluting stent	CPT	92928	15	$52,136	$11,801	$1,582	$11,802	1.2×	$27,912
PCI bypass graft	CPT	92937	15	$48,762	$11,801	$1,582	$12,274	1.1×	$27,912
Left heart catheterization	CPT	93452	15	$17,129	$3,314	$1,582	$3,500	1.1×	$7,838.49
Coronary angiography with cath	CPT	93455	15	$12,272	$3,314	$1,582	$3,500	1.1×	$7,838.49
Coronary angiography with bypass cath	CPT	93458	15	$15,952	$3,314	$1,582	$3,500	1.1×	$7,838.49

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 19)

Payer	Codes covered	Median rate
UnitedHealthcare	168	$356.65
health partners plan	168	$334
keystone	168	$253.69
Blue Cross Blue Shield	162	$886
Humana	159	$285.32
pa health & wellness	158	$535.25
naphcare	157	$552.81
spartan	157	$374.48
providers partner health plan	157	$367.35
Cigna	157	$843.49
employer direct healthcare	157	$499.31
Auto Insurance	157	$392.32
TRICARE	157	$356.65
Medicare	157	$374.48
worker compensation	146	$403.01
Medicaid	96	$84.8
ubh	43	$11,531
luminary	43	$13,214
keenan	35	$30

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