MERCY ST FRANCIS HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
157	DENTAL AND ORAL DISEASES WITH MCC	$118,158	$76,802	—	—	53
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$90,187	$58,621	—	—	35
950	AFTERCARE WITHOUT CC/MCC	$36,310	$23,601	—	—	46
303	ATHEROSCLEROSIS WITHOUT MCC	$31,620	$20,553	—	—	57
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$31,312	$20,353	—	—	55
391	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$27,237	$17,704	—	—	57
RX-79826	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$26,489	$17,218	—	—	113
949	AFTERCARE WITH CC/MCC	$26,116	$16,975	—	—	55
603	CELLULITIS WITHOUT MCC	$25,892	$16,830	—	—	46
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$25,227	$16,398	—	—	57
637	DIABETES WITH MCC	$21,075	$13,699	—	—	57
440	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	$20,420	$13,273	—	—	57
RX-224155	BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE\|RX AMT DISCARD/NOT ADMIN TO PT	$19,588	$12,732	—	—	113
074	CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	$19,270	$12,525	—	—	57
638	DIABETES WITH CC	$18,737	$12,179	—	—	57
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$17,258	$11,218	—	—	57
439	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	$16,256	$10,566	—	—	56
191	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	$14,577	$9,475	—	—	57
RX-80908	DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION	$14,397	$9,358	—	—	113
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$13,264	$8,621	—	—	57
RX-79456	ALTEPLASE 50 MG INTRAVENOUS SOLUTION	$13,245	$8,609	—	—	113
RX-192651	DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION\|RX AMT DISCARD/NOT ADMIN TO PT	$11,557	$7,512	—	—	113
896	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC	$11,258	$7,318	—	—	56
CASE-64642	Chemodenerv 1 Extr 1-4 Pf	$11,042	$7,177	—	—	11
378	GASTROINTESTINAL HEMORRHAGE WITH CC	$10,958	$7,123	—	—	57
CASE-45381	GI Colo W/Submucosal Inject Pf	$10,498	$6,823	—	—	12
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$10,209	$6,636	—	—	56
547	CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	$9,771	$6,351	—	—	57
RX-80554	CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION	$9,626	$6,257	—	—	113
SUP-98000800209	CMNT KNEE 2 - MERCY CAP 98000800209	$8,570	$5,571	—	—	106
CASE-64643	Chemodenerv 1 Extr 1-4 Ea Addl Pf	$8,034	$5,222	—	—	9
SUP-98000800208	CMNT KNEE 1 - MERCY CAP 98000800208	$7,040	$4,576	—	—	106
CASE-45385	GI Colo Biopsy Snare Pf	$6,584	$4,280	—	—	12
CASE-45380	GI Colo Biopsy Cold Pf	$6,534	$4,247	—	—	12
RX-190284	DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE	$6,295	$4,092	—	—	113
CASE-99285	ED Visit Care Level 5	$6,075	$3,949	—	—	13
CASE-43239	GI Egd W/Biopsy Pf	$6,070	$3,945	—	—	12
PX-700001393	CT Abd Pelvis WO Cont Then W Cont	$6,023	$3,915	—	—	112
CASE-42975	Dise Dyn Eval Sleep Disordered Breathing Flx Dx	$5,898	$3,833	—	—	10
CASE-45378	GI Colonoscopy	$5,855	$3,805	—	—	12
PX-500001458	Exc Ben Les Sc/Nk/Hds 1.1to 2	$5,836	$3,793	—	—	106
CASE-64616	Chemodenerv Musc(S) Neck	$5,668	$3,684	—	—	11
CASE-43235	GI Upper Endoscopy Complex	$5,406	$3,514	—	—	12
CASE-64615	Chemodenerv of Musc(S) Innrv Fac Nrv Bil	$5,311	$3,452	—	—	11
PX-500002405	Biopsy Lymph Node Open, Inguinofemoral	$5,240	$3,406	—	—	107
PX-500001426	Exc Ben Les Tru <.5cm	$5,125	$3,331	—	—	106
PX-700001412	Cta Abd Pelvis Wwo Contrast	$5,031	$3,270	—	—	113
PX-700001392	CT Abd Pelvis With Contrast	$4,733	$3,076	—	—	113
RX-129884	DARBEPOETIN ALFA 200 MCG/ML IN POLYSORBATE INJECTION	$4,659	$3,029	—	—	112
PX-350005167	Exc Shldr Tumor Deep 5cm/> Pf	$4,211	$2,737	—	—	108

Showing top 50 of 1,788 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.