FRANKLIN MEDICAL CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
2550317	alteplase 100 mg IV Inj [FMC]	$34,321	$20,593	—	—	11
3900220	INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIA	$19,760	$11,856	—	—	7
3900221	INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR	$19,760	$11,856	—	—	7
3900222	INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIALVENT	$19,760	$11,856	—	—	7
3900121	INSERT/REPLACE TEMP SIN CHAMB CARD	$18,408	$11,045	—	—	7
2555928	digoxin immune FAB 40 mg REC [FMC]	$17,246	$10,347	—	—	7
4202367	REFLUX MANAGEMENT SYSTEM LXMC13	$16,500	$9,900	—	—	7
4202368	REFLUX MANAGEMENT SYSTEM LXMC14	$16,500	$9,900	—	—	7
4202369	REFLUX MANAGEMENT SYSTEM LXMC15	$16,500	$9,900	—	—	7
4202370	REFLUX MANAGEMENT SYSTEM LXMC16	$16,500	$9,900	—	—	7
4202371	REFLUX MANAGEMENT SYSTEM LXMC17	$16,500	$9,900	—	—	7
3900223	INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX	$14,810	$8,886	—	—	7
2567758	tenecteplase 50 mg IV Inj [FMC]	$13,631	$8,179	—	—	11
2584951	rabies immune globulin, human 300 intl units/mL Sol 5ml [FMC]	$13,270	$7,962	—	—	7
2586105	inclisiran 284 mg/1.5 mL Sol [FMC]	$12,675	$7,605	—	—	9
2570885	antivenin (Crotalidae) polyvalent Inj Sol [FMC]	$12,472	$7,483	—	—	8
2585891	dantrolene 250 mg IV Inj [FMC}	$11,408	$6,845	—	—	7
4100108	MRA LE w/ Contrast Left	$10,306	$6,184	—	—	7
4100109	MRA LE w/ Contrast Right	$10,306	$6,184	—	—	7
4400950	NAIL INTRAMEDULLARY 10MM DIA 740MML T2	$10,158	$6,095	—	—	9
4030004	BRCA2 GENE FULL SEQUENCE	$10,000	$6,000	—	—	6
4400792	TRIATHLON TS FEMUR #6 RIGHT	$9,092	$5,455	—	—	9
4100250	FMC RETAVASE HALF KIT (1 VIAL)	$8,610	$5,166	—	—	7
3900431	REPAIR BLOOD VESSEL DIRECT NECK	$8,200	$4,920	—	—	7
4100203	FMC NM CROFAB	$8,059	$4,835	—	—	8
3900224	CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ	$7,870	$4,722	—	—	7
9642075	44207 PROF LAP SURGICAL COLECTOM	$7,531	$4,519	—	—	2
4401028	OMNIFIT CEMENTED LONG STEM RIGHT	$7,525	$4,515	—	—	9
2581932	calcitonin 200 intl units/mL Inj Sol [FMC]	$7,177	$4,306	—	—	8
3900391	RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP	$7,000	$4,200	—	—	7
4400477	15CC HYDROSET	$6,918	$4,151	—	—	9
3900402	67715 INCISION OF EYELID FOLD	$6,800	$4,080	—	—	7
9646266	44626 PROF CLOSURE ENTEROSTOMY HAR	$6,670	$4,002	—	—	2
3900395	52005 CYSTOSCOPY URETER CATHETER	$6,576	$3,946	—	—	9
2584555	dalbavancin 500 mg REC [FMC]	$6,540	$3,924	—	—	9
2586204	leuprolide 45 mg/6 months Kit [FMC]	$6,500	$3,900	—	—	12
3500036	RMVL FB MUSCLE/TENDON SHEATH DEEP/COMP	$6,500	$3,900	—	—	7
2586121	denosumab 60 mg/mL Sol [FMC]	$6,336	$3,801	—	—	8
9696576	44204 PROF COLECTOMY PART W ANAST	$6,318	$3,791	—	—	2
4202798	TENDON TIBIALIS GRAFT	$6,300	$3,780	—	—	7
4202824	DRILL D2.8	$6,250	$3,750	—	—	7
4401109	TRIATHLON TIBIAL ASYMMETRIC CONE AUGMENT SZ B	$6,205	$3,723	—	—	9
5000184	V-FORM 6 - 8 ABDOMEN 2 TX AREAS	$6,120	$3,672	—	—	0
4401038	RESTORATION MODULAR HIP SYSTEM 19/+10/V40	$5,975	$3,585	—	—	9
4401151	SYSTEM RESTORATION MODULAR HIP V40 23MM/+30MM	$5,974	$3,584	—	—	9
4400307	GAMMA 3 S NAIL RIGHT 10x360mm x 125	$5,815	$3,489	—	—	9
4202774	PROXIMAL LATERAL HUMERUS PLATE FOR RIGHT HUMERUS 3 HOLE / L8	$5,805	$3,483	—	—	7
9699877	43848 PROF REVISION OPN GAST BYPAS	$5,805	$3,483	—	—	2
4400793	TRIATHLON TIBIAL CONE AUGMENT SZ C	$5,800	$3,480	—	—	9
4202803	MDI IMPLANT SIZE 2	$5,700	$3,420	—	—	7

Showing top 50 of 7,965 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.