Northshore Extended Care Hospital prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
110	SubAcute (per diem)	—	$950	$900	$1,000	1
272	Stryker Interpulse Tip&tubing	—	$24.23	—	—	0
351	Amc Ct Head/Brain W/O Co	—	$534	—	—	0
250	Ampicillin 2 G/100 Ml Ns (read	—	$38.38	—	—	0
636	Fluconazole In Nacl (iso-Osm)	—	$15.12	—	—	0
510	Lgmc Off/Outpt Visit Lev5 Est	—	$122	—	—	0
255	Iohexol350mg Iodine/Ml(100ml)	—	$136	—	—	0
270	Omni Flex Connector for Trach	—	$1	—	—	0
257	Miconazole Nitrate 2 % Top Pow	—	$5.54	—	—	0
761	Lg Catherization Ua	—	$32.8	—	—	0
920	Lg Executive Physical Lgmc	—	$203	—	—	0
771	Flu Vaccine Given	—	$16.8	—	—	0
260	Lg Iv Infusion Concurrently Ot	—	$62.4	—	—	0
760	Lg Ob/Gyn Treatment/Pelvic Exa	—	$84	—	—	0
460	Lg Pulse Oximeter Single Measu	—	$5.2	—	—	0
762	Lg Outpatient Observation -Ini	—	$26	—	—	0
331	Lg Chemo Intralesional, 1-7	—	$32.8	—	—	0
335	Lg Chemo Iv Add'l Drug	—	$32.8	—	—	0
942	Lg Diabetes Self Mgmt Training	—	$162	—	—	0
360	Lg Abdominal Paracentesis	—	$324	—	—	0
230	Telemetry	—	$159	—	—	0
391	Lg Blood Volume Infused:	—	$253	—	—	0
300	Collect Blood From Implante	—	$58.8	—	—	0
361	Lg Pre Operative Care	—	$73.2	—	—	0
720	Lg Removal/Revision of Cerclag	—	$1,340	—	—	0
402	Lg Transvaginal Ultrasound - O	—	$62.4	—	—	0
710	Lg Monitoring - Pacu	—	$70	—	—	0
722	Lg Vaginal Delivery and Recove	—	$486	—	—	0
480	Lg Echo Ob Detailed Fetal Exam	—	$124	—	—	0
721	Lg Labor-High Risk Care Per 1	—	$122	—	—	0
370	Lgmc General Lma/Minute	—	$14.17	—	—	0
940	Lg Bariatric Surgery Cancellat	—	$270	—	—	0
750	Lg Balloon Dilation Gastrointe	—	$86.4	—	—	0
450	Lg Administration Immunization	—	$31.2	—	—	0
801	Lg Crrt Cartridge Change	—	$132	—	—	0
804	Lgmc Peritoneal Dialysis Ccpd	—	$237	—	—	0
413	Lg Hyperbaric Oxygen Treatment	—	$75.6	—	—	0
918	Lg Neuropsychological Testing-	—	$367	—	—	0
921	Lg Non Invasive Vascular Study	—	$91.2	—	—	0
420	Non-Selective Debridement	—	$331	—	—	0
306	Mrsa by Naa	—	$52.46	—	—	0
302	Histoplasma Gal'mannan Ag Ur	—	$138	—	—	0
200	Omc Icu Room	—	$2,526	—	—	0
271	Gs Clipper Toe Nail	—	$2	—	—	0
258	Gs Sodium Chl 0.9 500cc	—	$2	—	—	0
206	High Acuity Priv Room&board	—	$720	—	—	0
481	Lg Insertion/Change Pacemaker	—	$2,626	—	—	0
309	Lg Aspergillus Fumigatus Igg A	—	$43.2	—	—	0
301	Protein 24 Hour Urine	—	$14.4	—	—	0
307	Lg Glucose Urine	—	$12	—	—	0

Showing top 50 of 144 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.