MERCY HOSPITAL - CASSVILLE — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-400028378	Dev Hf Protecta Crt-D	$36,260	$23,569	—	—	111
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$27,363	$17,786	—	—	51
949	AFTERCARE WITH CC/MCC	$26,671	$17,336	—	—	48
RX-79826	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$26,489	$17,218	—	—	122
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$22,835	$14,842	—	—	52
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$21,385	$13,900	—	—	47
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$19,846	$12,900	—	—	52
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$19,030	$12,370	—	—	52
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$16,856	$10,956	—	—	52
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$16,703	$10,857	—	—	52
603	CELLULITIS WITHOUT MCC	$16,481	$10,713	—	—	52
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$16,034	$10,422	—	—	49
639	DIABETES WITHOUT CC/MCC	$15,033	$9,772	—	—	52
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$14,030	$9,120	—	—	52
644	ENDOCRINE DISORDERS WITH CC	$13,805	$8,974	—	—	52
638	DIABETES WITH CC	$13,683	$8,894	—	—	52
RX-79456	ALTEPLASE 50 MG INTRAVENOUS SOLUTION	$13,245	$8,609	—	—	122
442	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$12,223	$7,945	—	—	52
RX-129357	DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE	$11,649	$7,572	—	—	123
RX-192651	DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION	$11,569	$7,520	—	—	122
392	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$11,331	$7,365	—	—	52
RX-253475	DENOSUMAB-BNHT 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION\|RX AMT DISCARD/NOT ADMIN TO PT	$11,210	$7,286	—	—	113
RX-253474	DENOSUMAB-BNHT 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SYRINGE\|RX AMT DISCARD/NOT ADMIN TO PT	$11,210	$7,286	—	—	113
RX-253472	DENOSUMAB-BMWO 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION\|RX AMT DISCARD/NOT ADMIN TO PT	$10,979	$7,136	—	—	118
RX-253078	DENOSUMAB-BBDZ 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION	$10,760	$6,994	—	—	117
SUP-98000800209	CMNT KNEE 2 - MERCY CAP 98000800209	$8,570	$5,571	—	—	111
PX-400036767	Cath Brchtx Contura Flx 4 5cm Multilumen Balln	$7,648	$4,971	—	—	112
SUP-98000800208	CMNT KNEE 1 - MERCY CAP 98000800208	$7,040	$4,576	—	—	111
RX-190284	DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE	$6,295	$4,092	—	—	122
RX-253476	DENOSUMAB-BNHT 60 MG/ML SUBCUTANEOUS SYRINGE	$6,106	$3,969	—	—	113
PX-700001393	CT Abd Pelvis WO Cont Then W Cont	$6,010	$3,907	—	—	123
RX-253466	DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE\|RX AMT DISCARD/NOT ADMIN TO PT	$5,969	$3,880	—	—	118
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$5,765	$3,747	—	—	52
CASE-99285	ED Visit Care Level 5	$5,689	$3,698	—	—	16
RX-254775	DENOSUMAB-NXXP 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION	$5,667	$3,683	—	—	117
433	CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC	$5,477	$3,560	—	—	52
RX-253077	DENOSUMAB-BBDZ 60 MG/ML SUBCUTANEOUS SYRINGE	$5,386	$3,501	—	—	117
RX-209792	DALBAVANCIN 500 MG INTRAVENOUS SOLUTION	$5,355	$3,481	—	—	123
PX-700001412	Cta Abd Pelvis Wwo Contrast	$5,019	$3,262	—	—	122
PX-700001392	CT Abd Pelvis With Contrast	$4,723	$3,070	—	—	123
RX-95440	ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION	$4,556	$2,962	—	—	122
PX-100001758	App Skn Sub Hd/Nk/Hnd/Ft Ead 100sqcm Twsa>=100 Sqcm	$4,292	$2,790	—	—	113
PX-100001757	App Skn Sub Hd/Nk/Hnd/Ft 1st 100sqcm< Twsa>=100 Sqcm	$4,288	$2,787	—	—	113
PX-700000668	Cta Abd Aorta Bi Iliofem W/WO	$4,170	$2,711	—	—	122
PX-700000933	Cta Extremity Lower W/WO Cont Bi	$4,125	$2,681	—	—	123
PX-700002250	Cta Head&Neck +Cont W/Noncontrast Img	$4,109	$2,671	—	—	110
PX-700001391	CT Abd Pelvis Without Contrast	$3,961	$2,575	—	—	123
PX-700000656	CT Abdomen W/WO Cont	$3,657	$2,377	—	—	123
PX-700000621	Cta Chest W and/or WO Cont	$3,617	$2,351	—	—	123
PX-700000646	CT Extremity Lower W Cont Bi	$3,458	$2,248	—	—	122

Showing top 50 of 1,672 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.