SALINA SURGICAL HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Total Knee or Hip Revision	Total Knee or Hip Revision	$101,800	$71,260	—	—	1
Nonspecific CVA & precerebral occlusion w/o infa	Nonspecific CVA & precerebral occlusion w/o infarct [Moderate Severity]	$53,780	$37,646	—	—	1
Peripheral, cranial & autonomic nerve disorders	Peripheral, cranial & autonomic nerve disorders [Moderate Severity]	$39,334	$27,534	—	—	1
Kidney & ureter procedures for non-neoplasm with	Kidney & ureter procedures for non-neoplasm without complications	$36,306	$25,414	—	—	2
Total Knee or Hip Replacement	Total Knee or Hip Replacement	$32,331	$22,632	—	—	2
6022046	Shoulder Primary Reverse with Revision Stem	$29,997	$20,998	—	—	6
6443814	Knee Distal Femoral XT Component Size C	$29,910	$20,937	—	—	6
Major small & large bowel procedures with compli	Major small & large bowel procedures with complications	$29,371	$20,560	—	—	1
6338440	Knee Rotating Hinge Femoral Componet SZ E Left	$28,686	$20,080	—	—	6
5375501	Shoulder Reverse Total Biomet	$28,500	$19,950	—	—	6
6423062	ANKLE TM W/INS ZIMMER	$27,750	$19,425	—	—	6
6179827	Arthrex Anatomic Reverse Total Shoulder	$26,400	$18,480	—	—	6
5374194	Knee Lcck Revision	$26,400	$18,480	—	—	6
6445441	Knee Persona Revison Femur Cemented Standard LEFT Size 5	$25,275	$17,693	—	—	6
6170769	Elbow Total DJO Surgical	$24,000	$16,800	—	—	6
5374785	Shoulder 3 Tm Reverse	$24,000	$16,800	—	—	6
6170355	Shoulder Reverse Total Arthrex	$24,000	$16,800	—	—	6
5375437	Shoulder Total Reverse Djo Surgical	$23,550	$16,485	—	—	6
5375525	Shoulder Total Bio-Met	$23,400	$16,380	—	—	6
5393944	Graft Allomax Processed Human Dermal Collagen 6.3 X 7.9	$22,745	$15,922	—	—	4
6396208	Hip Arcos Modular Revison System Standard Cone Body Size C 70MM	$22,556	$15,789	—	—	6
6391040	Hip Revision System Standard Cone Prox Body Porous Plasma Uncemented Size B 60mm	$22,556	$15,789	—	—	6
6329428	Hip Standard Cone Prox Body	$22,556	$15,789	—	—	6
5412087	Hip Revison #3 Complete (DJO)	$22,200	$15,540	—	—	6
6317579	Hip, Wagner SL Revision Hip Stern, Uncemented, 18/190, Taper 12/14	$21,021	$14,715	—	—	6
5366108	OR 64590 INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR	$20,663	$14,464	—	—	6
6386708	Total Anatomic Shoulder	$20,400	$14,280	—	—	6
5964261	Sling Male Virtue	$20,346	$14,242	—	—	2
5373846	Biomet Shouldet Total	$20,220	$14,154	—	—	6
5546693	Shoulder Biomet Comperhensive Hemi	$20,220	$14,154	—	—	6
5375458	Hip Bio Met Dual Mobility	$20,100	$14,070	—	—	6
6103733	Hip P3 G7 Dual Mobility	$19,200	$13,440	—	—	6
4648733	OR 27130 TOTAL HIP ARTHROPLASTY Charge	$18,000	$12,600	—	—	7
6186974	Arthrex Total Shoulder Replacement	$18,000	$12,600	—	—	6
5375480	Shoulder Hemi Biomet	$18,000	$12,600	—	—	6
6445443	Knee Persona Revison Trabecular Metal Tibial Central Cone Size Fixed Tibia	$17,835	$12,485	—	—	6
5366289	OR 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER	$17,720	$12,404	—	—	8
6424694	OR 27702 ARTHROPLASTY ANKLE W/IMPLANT	$17,720	$12,404	—	—	1
5550094	Knee Tibial tray Fixed Bearing Modular Plus Size 3 Cemented	$17,616	$12,331	—	—	6
5374787	Shoulder 5 Tm Standard Head Tm Gleniod	$17,400	$12,180	—	—	6
5479374	Knee Total Expert Replacement DJO	$17,100	$11,970	—	—	6
5695586	Hip Stem uncemented 16/265, taper 12/14	$16,794	$11,756	—	—	6
5374132	Hip Wagner Si Revision Stem Uncemented	$16,794	$11,756	—	—	6
5374133	Hip Wagner Sl Revision Stem Uncemented Taper12/14	$16,794	$11,756	—	—	6
6203545	Knee, Revision Femur, Non Porous, Size 6 Right	$16,500	$11,550	—	—	6
5374788	Shoulder 6 Total Cemented Tm Gleniod	$15,900	$11,130	—	—	6
6250135	ARTHREX HEMI TOTAL SHOULDER	$15,732	$11,012	—	—	6
5373969	Hip H1 Porous And Tm With Large Metal Head 38mm+	$15,600	$10,920	—	—	6
6170964	Radial Head w/ 22mm HD, 6.5mm STM, 10(+0)mm HD HT Sterile	$15,375	$10,763	—	—	6
6456823	Aequalis Long Humeral Nail 7mm X 250mm	$15,309	$10,716	—	—	7

Showing top 50 of 3,878 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.