MERCY HOSPITAL LEBANON — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
397	APPENDIX PROCEDURES WITH MCC	$57,679	$37,491	—	—	59
094	BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC	$48,505	$31,528	—	—	44
348	ANAL AND STOMAL PROCEDURES WITH CC	$42,320	$27,508	—	—	59
RX-195988	BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION	$40,882	$26,573	—	—	116
RX-191027	CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION\|RX AMT DISCARD/NOT ADMIN TO PT	$37,980	$24,687	—	—	116
RX-218713	ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION\|RX AMT DISCARD/NOT ADMIN TO PT	$37,694	$24,501	—	—	116
896	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$36,635	$23,813	—	—	59
RX-227274	CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION\|RX AMT DISCARD/NOT ADMIN TO PT	$35,533	$23,096	—	—	116
398	APPENDIX PROCEDURES WITH CC	$34,197	$22,228	—	—	59
281	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	$32,153	$20,900	—	—	59
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$29,091	$18,909	—	—	65
303	ATHEROSCLEROSIS WITHOUT MCC	$28,925	$18,801	—	—	65
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$27,174	$17,663	—	—	65
302	ATHEROSCLEROSIS WITH MCC	$27,022	$17,564	—	—	65
RX-79826	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$26,489	$17,218	—	—	116
RX-229308	ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION	$26,398	$17,158	—	—	116
SUP-CAP1117	CAP SHOULDER SYSTEM REV ASCEND FLX BASEPLATE CAP1117	$26,100	$16,965	—	—	79
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$22,874	$14,868	—	—	65
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$21,822	$14,185	—	—	65
RX-204465	ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION	$21,396	$13,908	—	—	116
603	CELLULITIS WITHOUT MCC	$20,504	$13,328	—	—	65
SUP-PS41002	ALLOGRAFT CARTIFORM CHONDRAL 20MM PS41002	$19,125	$12,431	—	—	79
SUP-ABS-1101-20	ALLOGRAFT CARTIFORM DISC 20MM ABS-1101-20	$19,125	$12,431	—	—	79
602	CELLULITIS WITH MCC	$18,996	$12,347	—	—	65
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$17,978	$11,686	—	—	64
SUP-150443	AUGMENT TIB OSS 20X79/83 150443	$15,566	$10,118	—	—	79
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$15,500	$10,075	—	—	65
894	ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA	$14,736	$9,579	—	—	65
SUP-ABS-1102-19	ALLOGRAFT CARTIFORM 19X12MM ABS-1102-19	$14,063	$9,141	—	—	79
RX-204464	ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION	$13,377	$8,695	—	—	116
RX-79456	ALTEPLASE 50 MG INTRAVENOUS SOLUTION	$13,245	$8,609	—	—	116
PX-100000019	Bone Marrow Bx Ndl/Trocar	$11,106	$7,219	—	—	73
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$10,939	$7,111	—	—	65
RX-89931	BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION	$10,691	$6,949	—	—	232
SUP-211229	AUGMENT CMPRHNSV SRS MOD RGNRX LG 211229	$10,418	$6,772	—	—	79
SUP-211228	AUGMENT CMPRHNSV SRS MOD RGNRX SM 211228	$10,418	$6,772	—	—	79
CASE-38500	Bx/Exc Lymph Node Open Superficial	$10,160	$6,604	—	—	55
RX-178388	BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION	$9,968	$6,479	—	—	116
SUP-ABS-4200-038	ALLOGRAFT AMINION 3X8CM THICK ABS-4200-038	$9,900	$6,435	—	—	79
CASE-56605	Biopsy of Perineum	$9,886	$6,426	—	—	52
CASE-56606	Biopsy Vulva/Perineum Each Addl Lesion	$9,886	$6,426	—	—	52
RX-241472	BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLUTION	$9,641	$6,267	—	—	232
RX-230292	BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION	$9,362	$6,085	—	—	232
SUP-6276-3-005	BODY BROACHED #5 6276-3-005	$9,171	$5,961	—	—	79
RX-243685	BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION	$9,089	$5,908	—	—	232
SUP-1506-60-004	BASEPLATE TIB ATTUNE REV SZ4 1506-60-004	$8,688	$5,647	—	—	79
SUP-1506-60-005	BASEPLATE TIB ATTUNE REV SZ5 1506-60-005	$8,688	$5,647	—	—	79
SUP-1506-60-006	BASEPLATE TIB ATTUNE REV SZ6 1506-60-006	$8,688	$5,647	—	—	79
SUP-1506-60-008	BASEPLATE TIB ATTUNE REV SZ8 1506-60-008	$8,688	$5,647	—	—	79
SUP-4920-9-810	ANKLE KT HOFFMAN II 4920-9-810	$8,401	$5,461	—	—	79

Showing top 50 of 2,240 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.