MERIT HEALTH WESLEY — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
1410039	AICD DUAL CHAMBER L5	$99,999	$30,000	—	—	3
1410039	AICD DUAL CHAMBER L5	$99,999	$21,000	—	—	7
1411004	AICD OHR THN SGL/DU4	$99,999	$30,000	—	—	3
1411004	AICD OHR THN SGL/DU4	$99,999	$21,000	—	—	7
1411701	IMPELLA DEVICE L2	$99,999	$30,000	—	—	3
1411701	IMPELLA DEVICE L2	$99,999	$21,000	—	—	7
1411702	IMPELLA DEVICE L3	$99,999	$30,000	—	—	3
1411702	IMPELLA DEVICE L3	$99,999	$21,000	—	—	7
1413003	AICD DUAL CHAMBER L1	$99,999	$30,000	—	—	3
1413003	AICD DUAL CHAMBER L1	$99,999	$21,000	—	—	7
1413004	AICD OHR THN SGL/DU1	$99,999	$30,000	—	—	3
1413004	AICD OHR THN SGL/DU1	$99,999	$21,000	—	—	7
1413005	AICD SINGLE CHAMBER1	$99,999	$30,000	—	—	3
1413005	AICD SINGLE CHAMBER1	$99,999	$21,000	—	—	7
1411003	AICD OHR THN SGL/DU3	$98,107	$29,432	—	—	3
1411003	AICD OHR THN SGL/DU3	$98,107	$20,602	—	—	7
1414576	GENRATR NEUROSTM 3	$96,465	$28,940	—	—	3
1414576	GENRATR NEUROSTM 3	$96,465	$20,258	—	—	7
1061618	CC-IMP PRESS SEN ANG	$91,037	$27,311	—	—	2
1061618	CC-IMP PRESS SEN ANG	$91,037	$19,118	—	—	7
1410018	OTH STER SUPP LVL 18	$87,997	$26,399	—	—	2
1410018	OTH STER SUPP LVL 18	$87,997	$18,479	—	—	7
1061570	IC-PRQ DE CR REV AMI	$82,939	$24,882	—	—	2
1061570	IC-PRQ DE CR REV AMI	$82,939	$17,417	—	—	7
8060109	IC-PRQ DE COR STNT B	$82,939	$24,882	—	—	2
8060109	IC-PRQ DE COR STNT B	$82,939	$17,417	—	—	7
8060110	IC-PR DE CR STN AR B	$82,939	$24,882	—	—	2
8060110	IC-PR DE CR STN AR B	$82,939	$17,417	—	—	7
8060111	IC-PR DE CR RV CAB B	$82,939	$24,882	—	—	2
8060111	IC-PR DE CR RV CAB B	$82,939	$17,417	—	—	7
8060112	IC-PR DE CR RV CH EA	$82,939	$24,882	—	—	2
8060112	IC-PR DE CR RV CH EA	$82,939	$17,417	—	—	7
1061564	IC-PRQ DE COR STNT	$81,134	$24,340	—	—	2
1061564	IC-PRQ DE COR STNT	$81,134	$17,038	—	—	7
1061566	IC-PRQ DE CR STNT AR	$81,134	$24,340	—	—	2
1061566	IC-PRQ DE CR STNT AR	$81,134	$17,038	—	—	7
1061568	IC-PRQ DE CR REV CAB	$81,134	$24,340	—	—	2
1061568	IC-PRQ DE CR REV CAB	$81,134	$17,038	—	—	7
1061571	IC-PRQ DE COR REV CH	$81,134	$24,340	—	—	2
1061571	IC-PRQ DE COR REV CH	$81,134	$17,038	—	—	7
1414415	CATH-INFUS PERIF 16	$79,816	$23,945	—	—	3
1414415	CATH-INFUS PERIF 16	$79,816	$16,761	—	—	7
1413007	AICD SINGLE CHAMBER3	$79,377	$23,813	—	—	3
1413007	AICD SINGLE CHAMBER3	$79,377	$16,669	—	—	7
1411002	AICD OHR THN SGL/DU2	$76,306	$22,892	—	—	3
1411002	AICD OHR THN SGL/DU2	$76,306	$16,024	—	—	7
1414905	WATCHMAN ATR APP L2	$76,050	$22,815	—	—	3
1414905	WATCHMAN ATR APP L2	$76,050	$15,971	—	—	7
1061507	CC-R HRT ART-GRF ANG	$75,963	$22,789	—	—	2
1061507	CC-R HRT ART-GRF ANG	$75,963	$15,952	—	—	13

Showing top 50 of 11,821 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.