Hospital 183026 prices — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
L5701	REPLACE SOCKET ABOVE KNEE	$7,445	$5,584	—	—	7
L5060	SYMES MET FR LEATH SOCKET AR	$6,487	$4,865	—	—	7
L5220	NO KNEE JOINT WITH ARTIC ALI	$6,478	$4,858	—	—	7
L5301	BK MOLD SOCKET SACH FT ENDO	$6,460	$4,845	—	—	7
L6200	ELBOW MOLD OUTSID LOCK HINGE	$6,407	$4,805	—	—	7
L5649	ISCH CONTAINMT/NARROW M-I SO	$6,317	$4,738	—	—	7
L8046	PARTIAL FACIAL PROSTHESIS	$6,220	$4,665	—	—	7
L6055	WRST MOLD SOCK W/EXP INTERFA	$6,218	$4,663	—	—	7
81408	MOPATH PROCEDURE LEVEL 9	$6,180	$4,635	—	—	7
L6130	ELBOW STUMP ACTIVATED LOCK H	$6,080	$4,560	—	—	7
L8045	AURICULAR PROSTHESIS	$6,037	$4,528	—	—	7
L6384	POSTOP DSG CAST CHG SHLDER/T	$5,970	$4,478	—	—	7
L6638	ELEC LOCK ON MANUAL PW ELBOW	$5,939	$4,454	—	—	7
L0810	HALO CERVICAL INTO JCKT VEST	$5,918	$4,438	—	—	7
L5613	AK 4 BAR LING W/HYDRAUL SWIG	$5,916	$4,437	—	—	7
L2036	KAFO PLAS DOUB FREE KNEE MOL	$5,885	$4,414	—	—	7
L0486	TLSO RIGID LINED CUST FAB TWO	$5,846	$4,385	—	—	7
L8040	NASAL PROSTHESIS	$5,741	$4,305	—	—	7
L5210	NO KNEE/ANKLE JOINTS W/FT B	$5,699	$4,274	—	—	7
L5100	MOLDED SOCKET SHIN SACH FOOT	$5,652	$4,239	—	—	7
L5590	PREP AK ISCHIAL LAMINATED	$5,646	$4,234	—	—	7
L5050	ANK SYMES MOLD SCKT SACH FT	$5,639	$4,229	—	—	7
L5728	KNEE-SHIN FLUID SWG & STANCE	$5,588	$4,191	—	—	7
L6120	ELBOW MOLD DOUB SPLT SOC STE	$5,587	$4,190	—	—	7
L6721	HOOK/HAND, HVY DTY, VOL OPEN	$5,586	$4,189	—	—	7
L6584	ELBOW FAIR LEAD CABLE MOLDED	$5,574	$4,181	—	—	7
L0710	CTLSO A-P-L CONTROL W/INTER	$5,571	$4,178	—	—	7
L5580	PREP AK ISCHIAL THERMO MOLD	$5,540	$4,155	—	—	7
L6884	REPLC SOCKT ABOVE ELBOW DISA	$5,531	$4,148	—	—	7
L0484	TLSO RIGID PLASTIC CUST FAB	$5,495	$4,121	—	—	7
L6400	BELOW ELBOW PROSTH TISS SHAP	$5,449	$4,087	—	—	7
L6621	FLEX/EXT WRIST W/WO FRICTION	$5,432	$4,074	—	—	7
L5979	MULTI-AXIAL ANKLE/FT PROSTH	$5,359	$4,019	—	—	7
L8631	MCP JOINT REPL 2 PC OR MORE	$5,310	$3,982	—	—	7
L5703	SYMES ANKLE W/O (SACH) FOOT	$5,291	$3,968	—	—	7
L6586	ELBOW FAIR LEAD CABLE DIR FO	$5,217	$3,912	—	—	7
L0700	CTLSO A-P-L CONTROL MOLDED	$5,103	$3,827	—	—	7
L5020	TIBIAL TUBERCLE HGT W/TOE F	$5,098	$3,823	—	—	7
L6370	THORACIC PASSIVE RESTOR CAP	$4,950	$3,713	—	—	7
L2034	KAFO PLA SIN UP W/WO K/A CUS	$4,867	$3,650	—	—	7
L5610	ABOVE KNEE HYDRACADENCE	$4,862	$3,647	—	—	7
L6722	HOOK/HAND, HVY DTY, VOL CLOS	$4,815	$3,611	—	—	7
L6110	ELBOW MOLD SOCK SUSPENSION T	$4,794	$3,596	—	—	7
L0820	HALO CERVICAL INTO BODY JACK	$4,787	$3,591	—	—	7
L5570	PREP AK ISCHIAL DIRECT FORM	$4,745	$3,559	—	—	7
L5988	VERTICAL SHOCK REDUCING PYLO	$4,744	$3,558	—	—	7
49440	G TUBE INSERTION W/GUIDANCE	$4,673	$3,505	—	—	7
L4631	AFO, WALKING BOOT, CUSTOM	$4,669	$3,502	—	—	7
L7260	ELECTRON WRIST ROTATOR OTTO	$4,622	$3,466	—	—	7
L1690	COMBINATION BILATERAL HO	$4,584	$3,438	—	—	7

Showing top 50 of 2,040 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.