Hospital 272001 prices — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
0430	Occupational Therapy - General Classification	—	—	$90	$90	30
86431	Rheumatoid factor quant	—	—	—	—	2
86480	Tb test cell immun measure	—	—	—	—	2
86592	Syphilis test non-trep qual	—	—	—	—	2
86694	Herpes simplex nes antbdy	—	—	—	—	2
86695	Herpes simplex type 1 test	—	—	—	—	2
86696	Herpes simplex type 2 test	—	—	—	—	2
86705	Hep b core antibody igm	—	—	—	—	2
86706	Hep b surface antibody	—	—	—	—	2
86727	Lymph choriomeningitis ab	—	—	—	—	2
86735	Mumps antibody	—	—	—	—	2
0100	All Inclusive Rate - Room and Board Plus Ancillary	—	—	$1,500	$1,545	4
0101	All Inclusive Rate - Room and Board	—	—	$1,500	$1,545	4
0110	Room & Board - Private (One Bed) - General Classification	—	—	$1,159	$1,900	41
0111	Room & Board - Private (One Bed) - Medical/Surgical/GYN	—	—	$1,500	$1,800	39
0120	Room & Board - Semi-private (Two Beds) - General Classification	—	—	$1,545	$1,900	39
0121	Room & Board - Semi-private (Two Beds) - Medical/Surgical/GYN	—	—	$1,545	$1,900	4
0130	Room & Board - Three and Four Beds - General Classification	—	—	$1,545	$1,900	4
0131	Room & Board - Three and Four Beds - Medical/Surgical/GYN	—	—	$1,545	$1,900	4
0140	Room & Board - Deluxe Private - General Classification	—	—	$1,545	$1,900	4
0141	Room & Board - Deluxe Private - Medical/Surgical/GYN	—	—	$1,545	$1,900	4
0150	Room & Board - Ward - General Classification	—	—	$1,545	$1,900	4
0151	Room & Board - Ward - Medical/Surgical/GYN	—	—	$1,545	$1,900	4
0206	Intensive Care Unit - Intermediate ICU	—	—	$1,546	$2,200	41
0214	Coronary Care Unit - Intermediate CCU	—	—	$1,854	$2,200	10
0219	Coronary Care Unit - Other	—	—	$2,060	$2,350	4
37253	Intrvasc us noncoronary addl	—	—	—	—	2
37766	Phleb veins - extrem 20+	—	—	—	—	2
38222	Dx bone marrow bx & aspir	—	—	—	—	2
38500	Biopsy/removal lymph nodes	—	—	—	—	2
38505	Needle biopsy lymph nodes	—	—	—	—	2
38525	Biopsy/removal lymph nodes	—	—	—	—	2
38531	Open bx/exc inguinofem nodes	—	—	—	—	2
38570	Laparoscopy lymph node biop	—	—	—	—	2
38571	Laparoscopy lymphadenectomy	—	—	—	—	2
38900	Io map of sent lymph node	—	—	—	—	2
42821	Remove tonsils and adenoids	—	—	—	—	2
42826	Removal of tonsils	—	—	—	—	2
43235	Egd diagnostic brush wash	—	—	—	—	2
43239	Egd biopsy single/multiple	—	—	—	—	2
43244	Egd varices ligation	—	—	—	—	2
43246	Egd place gastrostomy tube	—	—	—	—	2
43280	Laparoscopy fundoplasty	—	—	—	—	2
43761	Reposition gastrostomy tube	—	—	—	—	2
43762	Rplc gtube no revj trc	—	—	—	—	2
44970	Laparoscopy appendectomy	—	—	—	—	2
45300	Proctosigmoidoscopy dx	—	—	—	—	2
45378	Diagnostic colonoscopy	—	—	—	—	2
45380	Colonoscopy and biopsy	—	—	—	—	2
45381	Colonoscopy submucous njx	—	—	—	—	2

Showing top 50 of 3,232 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.