MERCY HOSPITAL JEFFERSON — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
275	CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC	$154,331	$100,315	—	—	99
259	CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC	$153,667	$99,883	—	—	99
191	CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,MINOR	$81,450	—	—	—	4
260	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC	$80,549	$52,357	—	—	107
277	CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC	$71,444	$46,438	—	—	107
478	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$69,691	$45,299	—	—	107
276	CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR	$66,072	$42,947	—	—	107
283	ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC	$62,952	$40,919	—	—	107
477	BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$62,627	$40,708	—	—	83
397	APPENDIX PROCEDURES WITH MCC	$61,050	$39,683	—	—	107
145	ACUTE BRONCHITIS AND RELATED SYMPTOMS,MAJOR	$60,786	—	—	—	4
296	CARDIAC ARREST, UNEXPLAINED WITH MCC	$60,587	$39,382	—	—	89
226	ANAL AND PERINEAL PROCEDURES,MINOR	$56,633	—	—	—	4
CASE-77295	3-D Radiotx Plan, Includ Dose-Volume Histograms3d	$54,494	$35,421	—	—	63
261	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC	$53,996	$35,097	—	—	107
141	ASTHMA,MODERATE	$52,503	—	—	—	4
280	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	$50,768	$32,999	—	—	107
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$49,931	$32,455	—	—	106
834	ACUTE LEUKEMIA WITH MCC	$47,711	$31,012	—	—	107
949	AFTERCARE WITH CC/MCC	$46,312	$30,103	—	—	106
RX-218713	ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION\|RX AMT DISCARD/NOT ADMIN TO PT	$45,232	$29,401	—	—	132
398	APPENDIX PROCEDURES WITH CC	$42,557	$27,662	—	—	107
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$42,260	$27,469	—	—	106
347	ANAL AND STOMAL PROCEDURES WITH MCC	$42,105	$27,368	—	—	107
282	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	$41,188	$26,772	—	—	107
192	CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,MINOR	$40,952	—	—	—	4
950	AFTERCARE WITHOUT CC/MCC	$40,816	$26,530	—	—	106
553	BONE DISEASES AND ARTHROPATHIES WITH MCC	$40,001	$26,001	—	—	107
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$39,204	$25,483	—	—	107
PX-500001365	Arthrect Brachial Perc or Open Ea Vessel	$39,136	$25,438	—	—	71
PX-500001364	Arthrect Abd Aorta Perc or Open W S&I	$38,696	$25,152	—	—	71
233	APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,MINOR	$38,344	—	—	—	4
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$37,985	$24,690	—	—	107
281	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	$36,334	$23,617	—	—	107
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$35,659	$23,178	—	—	107
CASE-38525	Bx/Exc Lymph Node Open Deep Axillary Node	$35,207	$22,885	—	—	93
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$34,778	$22,606	—	—	107
348	ANAL AND STOMAL PROCEDURES WITH CC	$34,099	$22,164	—	—	107
CASE-31622	Bronchoscopy	$33,715	$21,915	—	—	91
CASE-38232	Bone Marrow Harvest Transplantation Autologous	$33,589	$21,833	—	—	99
CASE-29883	Arthroscopy Kne Surg Meniscus Rpr Medial&Lateral	$33,184	$21,569	—	—	99
CASE-29888	Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj	$33,184	$21,569	—	—	99
RX-79826	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$33,001	$21,451	—	—	132
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$32,270	$20,975	—	—	90
CASE-29898	Arthroscopy Ankle Surgical Debridement Extensive	$31,509	$20,481	—	—	99
CASE-31633	Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe	$31,170	$20,261	—	—	93
CASE-31632	Bronchoscopy W/Transbronchial Lung Bx Each Lobe	$31,170	$20,261	—	—	93
CASE-31629	Bronchoscopy Needle Bx Trachea Main Stem&/Bron	$31,147	$20,245	—	—	93
CASE-31628	Bronchoscopy W/Transbronchial Lung Bx 1 Lobe	$31,147	$20,245	—	—	93
CASE-31627	Bronchoscopy W/Image Navigation and Ion Robot	$30,994	$20,146	—	—	93

Showing top 50 of 1,938 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.