MOUNTAIN LAKES MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Neuroses except depressive	Neuroses except depressive	$76,228	$30,491	—	—	1
Tracheostomy w MV 96+ hours w extensive procedur	Tracheostomy w MV 96+ hours w extensive procedure or ECMO [Major Severity]	$54,746	$21,898	—	—	1
Pneumonia with major complications	Pneumonia with major complications	$44,384	$17,753	—	—	2
Disorders of pancreas except malignancy with com	Disorders of pancreas except malignancy with complications	$38,817	$15,527	—	—	1
7403005	ALTEPLASE (ACTIVASE) 100MG VIAL	$35,265	$14,106	—	—	1
Blood Infection with major complications	Blood Infection with major complications	$32,024	$12,810	—	—	1
Mental Illness [MSDRG 885]	Mental Illness [MSDRG 885]	$28,946	$11,578	—	—	3
Syncope & collapse	Syncope & collapse	$28,721	$11,488	—	—	1
Renal failure without complications	Renal failure without complications	$26,441	$10,576	—	—	1
Craniotomy for trauma [Moderate Severity]	Craniotomy for trauma [Moderate Severity]	$26,171	$10,468	—	—	1
Infection of the skin	Infection of the skin	$25,521	$10,208	—	—	1
Tendonitis, myositis & bursitis without major co	Tendonitis, myositis & bursitis without major complications	$23,777	$9,511	—	—	1
4002650	REPAIR ACHILLIS TENDON	$20,836	$8,334	—	—	1
4000691	REVISE LOWER LEG TENDON	$20,836	$8,334	—	—	1
4000690	APPLY BONE FIXATION DEVICE	$20,836	$8,334	—	—	1
Disorders of liver except malignancy with compli	Disorders of liver except malignancy with complications	$20,481	$8,193	—	—	1
4008297	CORRECTION, HALLUX VALGUS ANY METHOD	$20,440	$8,176	—	—	1
4000615	OPEN TX TARSOMETATARSAL JT DISLCO WO ANE	$20,440	$8,176	—	—	1
4000750	ARTHRODESIS GREAT TOE	$20,440	$8,176	—	—	1
4008292	CORRECTION, HALLUX VALGUS	$20,440	$8,176	—	—	1
Respiratory Failure	Respiratory Failure	$20,260	$8,104	—	—	2
4000276	FAC NASAL/SINUS ENDOSCOPY	$19,118	$7,647	—	—	1
Kidney & urinary Infection with major complicati	Kidney & urinary Infection with major complications	$18,116	$7,246	—	—	1
4000410	EXCISE PAROTID GLAND LESION	$16,820	$6,728	—	—	1
4002820	FAC TONSILL AND ADENOIDECTOMY >5	$16,500	$6,600	—	—	4
4002825	REMOVAL OF TONSILS	$16,500	$6,600	—	—	1
4000620	INTRANASAL RECONSTRUCTION	$16,019	$6,408	—	—	1
Chest pain	Chest pain	$14,495	$5,798	—	—	1
Respiratory infections and inflammations with ma	Respiratory infections and inflammations with major complications	$11,004	$4,402	—	—	1
4000256	EXPLORATION MAXILLARY SINUS	$10,501	$4,200	—	—	1
7100765	TESTOSTERONE	$10,482	$4,193	—	—	1
Disorders of pancreas except malignancy without	Disorders of pancreas except malignancy without complications	$10,348	$4,139	—	—	1
7401277	ANDEXXA 200MG VIAL	$10,000	$4,000	—	—	1
4000152	LITHOLAPAXY BLADDER W/ EXC FRAGMENTS	$9,904	$3,962	—	—	1
2306556	ER INSERT NON TUNNEL CV CATH	$9,384	$3,754	—	—	1
4008308	OSTEOTOMY WITH OR WITHOUT LENGTHENING	$9,198	$3,679	—	—	4
4000285	CORRECTION HAMMERTOE	$9,198	$3,679	—	—	2
4000296	BUNIONECTOMY	$9,198	$3,679	—	—	5
4000308	INCISION OF METATARSAL	$9,198	$3,679	—	—	5
4008113	OSTECTOMY, COMPLETE EXCISION, 5TH METATA	$9,198	$3,679	—	—	1
4008120	PARTIAL EXCISION BONE TALUS OR CALANEUS	$9,198	$3,679	—	—	1
Heart Failure with major complications	Heart Failure with major complications	$9,050	$3,620	—	—	1
4000520	SEPTOPLASTY OR SUBMUCOUS RESECTION	$8,792	$3,517	—	—	2
4002821	TONSILLECTOMY AND ADENOIDECTOMY OVER 12	$8,792	$3,517	—	—	3
4000421	MYRINGOTOMY ASP ET	$8,792	$3,517	—	—	3
4002835	REMOVAL OF ADENOIDS	$8,792	$3,517	—	—	1
7401885	FERRIC CARBO/NS 1000MG/250ML IVPB RX MIX	$8,215	$3,286	—	—	3
4000556	EXCISION NECK SOFT TISSUE THORAX	$8,137	$3,255	—	—	1
4000680	REMOVAL OF IMPLANT, DEEP	$7,983	$3,193	—	—	2
4000114	HARDWARE REMOVAL	$7,750	$3,100	—	—	2

Showing top 50 of 969 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.