MCLAREN NORTHERN MICHIGAN — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
11795468	PROMADE GLENOID PSI SET 9701.66.0T5	$340,562	$170,281	—	—	16
3	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR	$336,517	$168,259	—	—	11
1624	Cardiac Valve Procedures W/ Ami Or Complex Principal Diagnosis	$305,723	$152,862	—	—	6
4234	Inborn Errors Of Metabolism	$300,802	$150,401	—	—	6
4	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R.	$299,726	$149,863	—	—	11
9504	Extensive Procedure Unrelated To Principal Diagnosis	$274,040	$137,020	—	—	6
1794	Defibrillator Implants	$266,167	$133,083	—	—	6
212	CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES	$253,919	$126,960	—	—	10
53	Tracheostomy W/ Mv > 96 Hrs W/O Extensive Procedure	$237,181	$118,590	—	—	6
11505303	EXPANDABLE INTERBODY 8X28X10-16MM 58-0828-1210	$232,677	$116,339	—	—	16
215	OTHER HEART ASSIST SYSTEM IMPLANT	$228,983	$114,491	—	—	10
447	MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY	$227,394	$113,697	—	—	10
933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	$222,640	$111,320	—	—	10
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$210,829	$105,414	—	—	10
1653	Coronary Bypass W/ Ami Or Complex Principal Diagnosis	$210,594	$105,297	—	—	6
216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$205,161	$102,580	—	—	11
3054	Amputation Of Lower Limb Except Toes	$202,304	$101,152	—	—	6
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$200,129	$100,064	—	—	10
11471171	LINER ACETABULAR RINGLOC 10D 24 36MM ARCOMXL HIP STERILE LATEX FREE XL-105894	$199,451	$99,726	—	—	2
7104	Infectious & Parasitic Diseases Including HIV W/ O.R. Procedure	$198,154	$99,077	—	—	6
219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	$196,724	$98,362	—	—	12
1622	Cardiac Valve Procedures W/ Ami Or Complex Principal Diagnosis	$193,332	$96,666	—	—	6
325	CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE	$184,132	$92,066	—	—	10
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	$183,134	$91,567	—	—	12
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$181,126	$90,563	—	—	10
9124	Musculoskeletal & Other Procedures For Multiple Significant Trauma	$177,489	$88,745	—	—	6
424	Degenerative Nervous System Disorders Exc Mult Sclerosis	$176,898	$88,449	—	—	6
94	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$176,534	$88,267	—	—	10
2054	Cardiomyopathy	$168,607	$84,303	—	—	6
1792	Defibrillator Implants	$166,225	$83,113	—	—	6
1814	Lower Extremity Arterial Procedures	$162,140	$81,070	—	—	6
429	COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC	$162,051	$81,026	—	—	10
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	$158,363	$79,182	—	—	10
9882952	GUIDE PIN ORTHOPEDIC 9IN 1.6MM SMOOTH SHAFT TROCAR TIP	$152,250	$76,125	—	—	16
268	AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC	$148,884	$74,442	—	—	11
9304	Multiple Significant Trauma W/O O.R. Procedure	$148,802	$74,401	—	—	6
870	SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	$148,044	$74,022	—	—	10
1654	Coronary Bypass W/ Ami Or Complex Principal Diagnosis	$148,010	$74,005	—	—	6
457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH	$147,681	$73,841	—	—	10
8904	HIV W/ Multiple Major HIV Related Conditions	$147,558	$73,779	—	—	6
28	SPINAL PROCEDURES WITH MCC	$146,320	$73,160	—	—	11
207	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS	$144,303	$72,151	—	—	10
1651	Coronary Bypass W/ Ami Or Complex Principal Diagnosis	$143,212	$71,606	—	—	6
233	CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	$138,420	$69,210	—	—	10
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	$137,223	$68,612	—	—	10
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	$136,647	$68,324	—	—	10
1652	Coronary Bypass W/ Ami Or Complex Principal Diagnosis	$130,449	$65,224	—	—	6
1434	Other Respiratory Diagnoses Except Signs, Symptoms & Minor Diagnoses	$129,729	$64,864	—	—	6
3042	Dorsal & Lumbar Fusion Proc Except For Curvature Of Back	$127,623	$63,811	—	—	6
11853354	KIT SHEATH 125MM ARTHREX NANO NEEDLE DIAGNOSTIC SHEATH STERILE - AR-3210-0050	$124,959	$62,479	—	—	16

Showing top 50 of 22,367 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.