OGALLALA COMMUNITY HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
6883060	LIFILEUCEL TIL/DOSE 7.5B-72B SNIJ	$3,759,504	$2,619,961	—	—	30
6278675	IMP DEV COCHLEAR INT&EXT CMP LVL 10	$219,004	$145,638	—	—	30
6278667	IMP DEV COCHLEAR INT&EXT CMP LVL 09	$197,104	$131,074	—	—	30
6278659	IMP DEV COCHLEAR INT&EXT CMP LVL 08	$175,204	$116,511	—	—	30
6278642	IMP DEV COCHLEAR INT&EXT CMP LVL 07	$153,304	$101,947	—	—	30
6273643	IMP DEV JT KNEE TOTAL LVL 23	$135,784	$90,296	—	—	30
6277123	IMP PLATE CUST LVL 04	$131,404	$87,384	—	—	30
6271431	IMP ICD CHAMBER DUAL LVL 05	$131,404	$75,426	—	—	30
6278634	IMP DEV COCHLEAR INT&EXT CMP LVL 06	$131,404	$87,384	—	—	30
6273635	IMP DEV JT KNEE TOTAL LVL 22	$122,644	$81,558	—	—	30
6275077	IMP ICD CHAMBER NON SGL/DUAL LVL 06	$122,644	$81,558	—	—	30
6280309	IMP SPINE FUSION LVL 24	$111,694	$74,277	—	—	30
6277115	IMP PLATE CUST LVL 03	$109,504	$72,820	—	—	30
6271423	IMP ICD CHAMBER DUAL LVL 04	$109,504	$62,855	—	—	30
6279509	IMP GENERATOR NEUROSTIM LVL 05	$109,504	$72,820	—	—	30
6277016	IMP DEV JT HIP TOTAL LVL 17	$109,504	$72,820	—	—	30
6273627	IMP DEV JT KNEE TOTAL LVL 21	$109,504	$72,820	—	—	30
6274286	IMP PCMKR DUAL RR LVL 07	$109,504	$62,855	—	—	30
6291678	IMP NRSTM BAT RECHG SYS LVL 08	$109,504	$72,820	—	—	30
6274351	IMP ICD CHAMBER NON SGL/DUAL LVL 05	$109,504	$72,820	—	—	30
6282495	IMP NEURO LVL 10	$109,504	$72,820	—	—	30
2774172	IMP DEV COCHLEAR INT&EXT CMP LVL 05	$109,504	$72,820	—	—	30
6271845	IMP DEV JT KNEE TOTAL LVL 20	$96,364	$64,082	—	—	30
2772374	IMP ICD CHAMBER NON SGL/DUAL LVL 04	$96,364	$64,082	—	—	30
6275374	IMP DEV COCHLEAR INT&EXT CMP LVL 04	$96,364	$64,082	—	—	30
6279491	IMP BONE HUMAN/SYNTHETIC LVL 22	$96,364	$64,082	—	—	30
2793784	FIX EXTRNL LW/UP/PELVIC LVL 24	$96,364	$46,929	—	—	30
6277107	IMP PLATE CUST LVL 02	$87,604	$58,257	—	—	30
2778314	IMP ICD CHAMBER DUAL LVL 03	$87,604	$50,285	—	—	30
2778322	IMP ICD CHAMBER SGL LVL 03	$87,604	$50,285	—	—	30
6271407	IMP GENERATOR NEUROSTIM LVL 04	$87,604	$58,257	—	—	30
2774677	IMP DEV JT HIP TOTAL LVL 16	$87,604	$58,257	—	—	30
2771616	IMP DEV JT KNEE TOTAL LVL 19	$87,604	$58,257	—	—	30
6274278	IMP PCMKR DUAL RR LVL 06	$87,604	$50,285	—	—	30
6275804	IMP NRSTM BAT RECHG SYS LVL 07	$87,604	$58,257	—	—	30
6282487	IMP NEURO LVL 09	$87,604	$58,257	—	—	30
6279426	IMP BONE HUMAN/SYNTHETIC LVL 21	$87,604	$58,257	—	—	30
6275143	IMP PUMP VALVE BLOOD LVL 06	$87,604	$58,257	—	—	30
2793776	FIX EXTRNL LW/UP/PELVIC LVL 23	$87,604	$42,663	—	—	30
6280275	IMP SPINE FUSION LVL 23	$83,224	$55,344	—	—	30
2774859	IMP DEV JT KNEE TOTAL LVL 18	$78,844	$52,431	—	—	30
6279483	IMP FIX SPINE LVL 14	$78,844	$52,431	—	—	30
6280267	IMP SPINE FUSION LVL 22	$78,844	$52,431	—	—	30
6279418	IMP BONE HUMAN/SYNTHETIC LVL 20	$78,844	$52,431	—	—	30
6279475	IMP ORTHOPEDIC CAGE LVL 13	$78,844	$52,431	—	—	30
6282198	IMP PUMP VALVE BLOOD LVL 05	$78,844	$52,431	—	—	30
2793768	FIX EXTRNL LW/UP/PELVIC LVL 22	$78,844	$38,397	—	—	30
6278238	IMP ICD CHAMBER NON SGL/DUAL LVL 03	$78,840	$52,429	—	—	30
6281810	IMP DEV COCHLEAR INT&EXT CMP LVL 03	$76,650	$50,972	—	—	30
6280259	IMP SPINE FUSION LVL 21	$74,464	$49,519	—	—	30

Showing top 50 of 5,809 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.