MERCY HOSPITAL LINCOLN — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$48,898	$31,784	—	—	58
CASE-29892	Arthrs Aid Rpr Les/Talar Dome Fx/Tibl Plafond Fx	$36,775	$23,904	—	—	8
233	APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,MINOR	$34,760	—	—	—	4
RX-79826	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$33,001	$21,451	—	—	130
399	APPENDIX PROCEDURES WITHOUT CC/MCC	$32,173	$20,912	—	—	58
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$31,562	$20,516	—	—	58
894	ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA	$29,928	$19,453	—	—	58
617	AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	$29,766	$19,348	—	—	58
CASE-29898	Arthroscopy Ankle Surgical Debridement Extensive	$26,997	$17,548	—	—	15
949	AFTERCARE WITH CC/MCC	$25,563	$16,616	—	—	58
603	CELLULITIS WITHOUT MCC	$24,529	$15,944	—	—	58
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$24,320	$15,808	—	—	58
RX-181938	CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT	$24,129	$15,684	—	—	130
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	$23,137	$15,039	—	—	58
554	BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	$23,115	$15,025	—	—	58
308	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	$22,623	$14,705	—	—	58
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$22,495	$14,622	—	—	58
896	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$21,760	$14,144	—	—	58
313	CHEST PAIN	$20,184	$13,120	—	—	58
CASE-29906	Arthroscopy Subtalar Joint With Debridement	$19,163	$12,456	—	—	15
303	ATHEROSCLEROSIS WITHOUT MCC	$18,108	$11,770	—	—	58
602	CELLULITIS WITH MCC	$17,362	$11,285	—	—	58
RX-79456	ALTEPLASE 50 MG INTRAVENOUS SOLUTION	$16,501	$10,725	—	—	130
140	CHRONIC OBSTRUCTIVE PULMONARY DISEASE,MODERATE	$15,870	—	—	—	4
CASE-38525	Bx/Exc Lymph Node Open Deep Axillary Node	$15,755	$10,241	—	—	15
309	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	$14,902	$9,686	—	—	58
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$14,802	$9,621	—	—	52
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$14,482	$9,413	—	—	58
383	CELLULITIS AND OTHER SKIN INFECTIONS,MODERATE	$14,296	—	—	—	4
202	BRONCHITIS AND ASTHMA WITH CC/MCC	$14,146	$9,195	—	—	58
SUP-OSC382293	CAP EMPHASYS OSC382293	$13,645	$8,869	—	—	122
CASE-45390	Colonoscopy Flx W/Endoscopic Mucosal Resection	$13,007	$8,455	—	—	15
RX-80554	CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION	$11,993	$7,795	—	—	129
469	ACUTE KIDNEY INJURY,MODERATE	$11,855	—	—	—	4
SUP-KFTCPC3L	COMP FEM ADVANCE POR LT SZ3 KFTCPC3L	$11,066	$7,193	—	—	122
SUP-KFTCPC4L	COMP FEM ADVANCE POR LT SZ4 KFTCPC4L	$11,066	$7,193	—	—	122
SUP-KFTCPC2L	COMP FEM ADVANCE POR LT SZ2 KFTCPC2L	$11,066	$7,193	—	—	122
SUP-KFTCPC2R	COMP FEM ADVANCE POR RT SZ2 KFTCPC2R	$11,066	$7,193	—	—	122
SUP-KFTCPC3R	COMP FEM ADVANCE POR RT SZ3 KFTCPC3R	$11,066	$7,193	—	—	122
CASE-44388	Colonoscopy Stoma Dx Including Collj Spec Spx	$10,623	$6,905	—	—	15
775	ALCOHOL ABUSE AND DEPENDENCE,MINOR	$9,931	—	—	—	4
PX-350001374	Asp Percut Nucleus Pulp Lumbar	$9,718	$6,317	—	—	121
SUP-98000800209	CMNT KNEE 2 - MERCY CAP 98000800209	$9,641	$6,267	—	—	122
SUP-KTSLFM31	COMP TIB ADVANCE BIOFOAM SZ3 KTSLFM31	$8,854	$5,755	—	—	122
SUP-KTSLFM21	COMP TIB ADVANCE BIOFOAM SZ2+ KTSLFM21	$8,854	$5,755	—	—	122
SUP-KTSLFM41	COMP TIB ADVANCE BIOFOAM SZ4 KTSLFM41	$8,854	$5,755	—	—	122
CASE-45388	Colonoscopy Flx Ablation Tumor Polyp/Other Les	$8,307	$5,400	—	—	15
SUP-98000800208	CMNT KNEE 1 - MERCY CAP 98000800208	$7,920	$5,148	—	—	122
CASE-64636	Bil Destruct Neu Facet W Imag Guid L/S Ea Add	$6,795	$4,417	—	—	15
CASE-64635	Bil Destruct Neu Facet W Imag Guid L/S Sngl	$6,795	$4,417	—	—	15

Showing top 50 of 1,570 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.