OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
119469_ERX	USTEKINUMAB, FOR SUBCUTANEOUS INJECTION, 1 MG	$105,280	$52,640	—	—	39
1038088_SUP	HC Generator Neuro Nonrecharge	$85,928	$42,964	—	—	42
1248339_SUP	HC Supply Implant	$85,928	$42,964	—	—	42
1321533_SUP	HC Generator Neuro Nonrecharge	$84,863	$42,431	—	—	42
12519_ERX	INJECTION, PEGASPARGASE, PER SINGLE DOSE VIAL	$83,706	$41,853	—	—	60
1025850_SUP	HC Sterile Supply	$81,250	$40,625	—	—	42
1146529_SUP	HC Supply Implant	$81,250	$40,625	—	—	42
1148071_SUP	HC Sterile Supply	$81,250	$40,625	—	—	42
1148072_SUP	HC Supply Implant	$81,250	$40,625	—	—	42
1148073_SUP	HC Supply Implant	$81,250	$40,625	—	—	42
1420416_SUP	HC Supply Implant	$81,250	$40,625	—	—	42
1025783_SUP	HC Supply Implant	$75,000	$37,500	—	—	42
1295366_SUP	HC Supply Implant	$75,000	$37,500	—	—	42
1295430_SUP	HC Catheter Guiding	$75,000	$37,500	—	—	42
1342124_SUP	HC Supply Implant	$75,000	$37,500	—	—	42
1342125_SUP	HC Supply Implant	$75,000	$37,500	—	—	42
107664_ERX	INJECTION, PEGLOTICASE, 1 MG	$74,705	$37,352	—	—	60
1301562_SUP	HC Acid Dual Chamber	$67,158	$33,579	—	—	42
1038175_SUP	HC Gen, Neuro, Hf Rechg Bat	$65,000	$32,500	—	—	42
1215726_SUP	HC Aidc Other Than Sing/Dual	$63,460	$31,730	—	—	42
1216119_SUP	HC Sterile Supply	$62,500	$31,250	—	—	42
119254_ERX	INJECTION, PRALATREXATE, 1 MG	$61,088	$30,544	—	—	60
1345406_SUP	HC Wireless Pressure Sensor	$60,500	$30,250	—	—	42
1155646_SUP	HC Anchor/Screw Bn/Bn Tis/Bn	$55,059	$27,530	—	—	42
1226135_SUP	HC Anchor/Screw Bn/Bn Tis/Bn	$50,368	$25,184	—	—	42
105644_ERX	INJECTION, CABAZITAXEL, 1 MG	$49,743	$24,872	—	—	60
1214004_SUP	HC Acid Dual Chamber	$49,545	$24,773	—	—	42
1163896_SUP	HC Supply Implant	$48,013	$24,006	—	—	42
1163897_SUP	HC Supply Implant	$48,013	$24,006	—	—	42
1305041_SUP	HC Medical Supplies	$47,900	$23,950	—	—	42
1076741_SUP	HC Stent Coated W/Deliv System	$47,635	$23,818	—	—	42
1076742_SUP	HC Stent Coated W/Deliv System	$47,635	$23,818	—	—	42
1096817_SUP	HC Stent Coated W/Deliv System	$47,635	$23,818	—	—	42
1049622_SUP	HC Aidc Other Than Sing/Dual	$43,750	$21,875	—	—	42
1324750_SUP	Strattice Tm per Sq Cm	$43,055	$21,528	—	—	42
1221387_SUP	HC Supply Implant	$42,500	$21,250	—	—	42
1221388_SUP	HC Supply Implant	$42,500	$21,250	—	—	42
1477415_SUP	HC Generator Neuro Nonrecharge	$42,500	$21,250	—	—	42
1049632_SUP	HC Sub	$40,478	$20,239	—	—	42
1300937_SUP	HC Supply Implant	$40,000	$20,000	—	—	42
1163381_SUP	HC Supply Implant	$39,594	$19,797	—	—	42
1283328_SUP	HC Supply Implant	$39,176	$19,588	—	—	42
1283339_SUP	HC Supply Implant	$39,176	$19,588	—	—	42
1301675_SUP	HC Supply Implant	$38,750	$19,375	—	—	42
1301683_SUP	HC Supply Implant	$38,750	$19,375	—	—	42
1080598_SUP	HC Supply Implant	$37,375	$18,688	—	—	42
1301587_SUP	HC Sterile Supply	$36,250	$18,125	—	—	42
1333156_SUP	HC Aidc Other Than Sing/Dual	$35,803	$17,902	—	—	42
1080602_SUP	HC Supply Implant	$35,506	$17,753	—	—	42
1341248_SUP	HC Supply Implant	$35,506	$17,753	—	—	42

Showing top 50 of 4,779 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.