HUMBOLDT COUNTY MEMORIAL HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
HC LITHOTRIPSY ESWL BILATERAL	HC LITHOTRIPSY ESWL BILATERAL	$7,957	$7,161	—	—	21
HC LITHOTRIPSY ESWL BILATERAL	HC LITHOTRIPSY ESWL BILATERAL	$7,957	$7,161	—	—	21
HC SURGERY LEVEL 6 - INIT 30 MIN	HC SURGERY LEVEL 6 - INIT 30 MIN	$6,570	$5,913	—	—	21
HC SURGERY LEVEL 6 - INIT 30 MIN	HC SURGERY LEVEL 6 - INIT 30 MIN	$6,570	$5,913	—	—	21
70471	HC CTA HEAD & NECK W CONTRAST & NONCONTRAST IMG	$6,396	$5,756	—	—	21
70471	HC CTA HEAD & NECK W CONTRAST & NONCONTRAST IMG	$6,396	$5,756	—	—	21
HC LITHOTRIPSY ESWL UNILATERAL	HC LITHOTRIPSY ESWL UNILATERAL	$6,366	$5,729	—	—	21
HC LITHOTRIPSY ESWL UNILATERAL	HC LITHOTRIPSY ESWL UNILATERAL	$6,366	$5,729	—	—	21
HC SURGERY LEVEL 5 - INIT 30 MIN	HC SURGERY LEVEL 5 - INIT 30 MIN	$5,495	$4,946	—	—	21
HC SURGERY LEVEL 5 - INIT 30 MIN	HC SURGERY LEVEL 5 - INIT 30 MIN	$5,495	$4,946	—	—	21
63688	PR REV OR REM IMPL SPINAL NS PG OR RECEIVER	$5,233	$4,710	—	—	21
62287	PR PERCUTANEOUS DISKECTOMY	$4,879	$4,391	—	—	21
70473	HC CT CEREBRAL PERF ALYS W CONTRAST W/OUT CT/CTA	$4,783	$4,305	—	—	21
70473	HC CT CEREBRAL PERF ALYS W CONTRAST W/OUT CT/CTA	$4,783	$4,305	—	—	21
27134	PR REVISE TOTAL HIP ARTHROPLASTY BOTH COMP	$4,518	$4,066	—	—	21
HC SURGERY LEVEL 4 - INIT 30 MIN	HC SURGERY LEVEL 4 - INIT 30 MIN	$4,420	$3,978	—	—	21
HC SURGERY LEVEL 4 - INIT 30 MIN	HC SURGERY LEVEL 4 - INIT 30 MIN	$4,420	$3,978	—	—	21
64774	HC EXC NEUROMA; CUTANEOUS NRV SURGICALLY	$4,160	$3,744	—	—	21
64774	HC EXC NEUROMA; CUTANEOUS NRV SURGICALLY	$4,160	$3,744	—	—	21
27487	PR REV TOTAL KNEE ARTHROPL FEM & TIB	$4,144	$3,730	—	—	21
78608	HC NM PET BRAIN METABOLIC EVAL	$4,120	$3,708	—	—	21
78608	HC NM PET BRAIN METABOLIC EVAL	$4,120	$3,708	—	—	21
J9217	EPINEPHRINE 1 MG/10ML IJ SOSY	$4,000	$4,000	—	—	21
J9217	EPINEPHRINE 1 MG/10ML IJ SOSY	$4,000	$4,000	—	—	21
78459	HC NM PET CARDIAC METABOL EVAL SGL	$3,914	$3,523	—	—	21
78459	HC NM PET CARDIAC METABOL EVAL SGL	$3,914	$3,523	—	—	21
27091	PR REM HIP PROSTH; COMPLICATED	$3,760	$3,384	—	—	21
27347	HC EXC LESION MENISCUS/CAPSULE	$3,619	$3,257	—	—	21
27347	HC EXC LESION MENISCUS/CAPSULE	$3,619	$3,257	—	—	21
70546	HC MRA HEAD W WO CONTRAST	$3,501	$3,151	—	—	21
70546	HC MRA HEAD W WO CONTRAST	$3,501	$3,151	—	—	21
74178	HC CT ABD & PELVIS W WO CONTR 1+ REG/SEC	$3,500	$3,150	—	—	21
74178	HC CT ABD & PELVIS W WO CONTR 1+ REG/SEC	$3,500	$3,150	—	—	21
27137	PR REVISE TOTAL HIP ARTHROPL; ACETABUL	$3,470	$3,123	—	—	21
23472	PR ARTHROPL GHJ TOT SHLDR REPL	$3,431	$3,088	—	—	21
70549	HC MRA NECK W WO CONTRAST	$3,395	$3,056	—	—	21
71552	HC MRI CHEST W WO CONTRAST	$3,395	$3,056	—	—	21
72157	HC MRI SPINE THORACIC W WO CONTRAST	$3,395	$3,056	—	—	21
72197	HC MRI PELVIS W WO CONTRAST	$3,395	$3,056	—	—	21
73220	HC MRI UP EXTR NOT JOINT W WO CONTR	$3,395	$3,056	—	—	21
73223	HC MRI UP EXTR ANY JOINT W WO CONTR	$3,395	$3,056	—	—	21
73720	HC MRI LOW EXTR NOT JOINT W WO CONTR	$3,395	$3,056	—	—	21
70549	HC MRA NECK W WO CONTRAST	$3,395	$3,056	—	—	21
71552	HC MRI CHEST W WO CONTRAST	$3,395	$3,056	—	—	21
72157	HC MRI SPINE THORACIC W WO CONTRAST	$3,395	$3,056	—	—	21
72197	HC MRI PELVIS W WO CONTRAST	$3,395	$3,056	—	—	21
73220	HC MRI UP EXTR NOT JOINT W WO CONTR	$3,395	$3,056	—	—	21
73223	HC MRI UP EXTR ANY JOINT W WO CONTR	$3,395	$3,056	—	—	21
73720	HC MRI LOW EXTR NOT JOINT W WO CONTR	$3,395	$3,056	—	—	21
64625	PR RF ABLTJ NRV NRVTG SI JT	$3,375	$3,038	—	—	21

Showing top 50 of 2,061 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.