132001 prices — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
607	Minor Skin Disorders without MCC	—	—	—	—	19
608	NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION	—	—	—	—	2
609	NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE	—	—	—	—	2
611	NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY	—	—	—	—	2
612	NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY C	—	—	—	—	2
682	Renal Failure with MCC*	—	—	—	—	19
683	Renal Failure with CC*	—	—	—	—	19
684	Renal Failure without CC/MCC*	—	—	—	—	19
686	Kidney and Urinary Tract Neoplasms with MCC	—	—	—	—	19
687	Kidney and Urinary Tract Neoplasms with CC	—	—	—	—	19
688	Kidney and Urinary Tract Neoplasms without CC/MCC	—	—	—	—	19
689	Kidney and Urinary Tract Infections with MCC	—	—	—	—	19
690	Kidney and Urinary Tract Infections without MCC	—	—	—	—	19
693	Urinary Stones with MCC	—	—	—	—	19
694	Urinary Stones without MCC	—	—	—	—	19
695	Kidney and Urinary Tract Signs and Symptoms with MCC	—	—	—	—	19
696	Kidney and Urinary Tract Signs and Symptoms without MCC	—	—	—	—	19
697	Urethral Stricture	—	—	—	—	19
698	Other Kidney and Urinary Tract Diagnoses with MCC	—	—	—	—	19
699	Other Kidney and Urinary Tract Diagnoses with CC	—	—	—	—	19
700	Other Kidney and Urinary Tract Diagnoses without CC/MCC	—	—	—	—	19
613	NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION	—	—	—	—	2
0110	Room & Board - Private (One Bed) - General Classification	—	—	$1,300	$1,825	52
0274	Medical/Surgical Supplies and Devices - Prosthetic/Orthotic Devices	—	—	—	—	2
0275	Medical/Surgical Supplies and Devices - Pacemaker	—	—	—	—	2
0278	Medical/Surgical Supplies and Devices - Other Implants	—	—	—	—	2
0636	Pharmacy - Drugs Requiring Detailed Coding	—	—	—	—	2
0141	Room & Board - Deluxe Private - Medical/Surgical/GYN	—	—	$1,402	$1,688	6
0801	Inpatient Renal Dialysis - Hemodialysis	—	—	$490	$660	15
0802	Inpatient Renal Dialysis - Peritoneal Dialysis (Non-CAPD)	—	—	$490	$660	15
0430	Occupational Therapy - General Classification	—	—	$90	$90	26
97110	Therapeutic exercises	—	—	$90	$90	25
97116	Gait training therapy	—	—	$90	$90	25
97530	Therapeutic activities	—	—	$90	$90	25
97535	Self care mngment training	—	—	$90	$90	25
97537	Community/work reintegration	—	—	$90	$90	21
0434	Occupational Therapy - Evaluation or Reevaluation	—	—	$150	$150	26
97165	Ot eval low complex 30 min	—	—	$150	$150	25
97166	Ot eval mod complex 45 min	—	—	$150	$150	25
97167	Ot eval high complex 60 min	—	—	$150	$150	21
97168	Ot re-eval est plan care	—	—	$150	$150	21
0420	Physical Therapy - General Classification	—	—	$90	$90	26
97032	Appl modality 1+estim ea 15	—	—	$90	$90	21
97112	Neuromuscular reeducation	—	—	$90	$90	25
97113	Aquatic therapy/exercises	—	—	$90	$90	21
97124	Massage therapy	—	—	$90	$90	21
97129	Ther ivntj 1st 15 min	—	—	$90	$90	21
97140	Manual therapy 1/> regions	—	—	$90	$90	21
0424	Physical Therapy - Evaluation or Re-evaluation	—	—	$150	$150	26
97161	Pt eval low complex 20 min	—	—	$150	$150	25

Showing top 50 of 3,189 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.