GRAND LAKE HEALTH SYSTEM — Hospital Ledger

45 CFR § 180 compliance

B · 85

This hospital published most of what § 180 requires.

●Machine-readable file published

●Gross / standard charges

●Discounted cash price

●Payer-specific negotiated rates

○Min / max negotiated charges

●Free, public, no login required

Procedures listed

22,523

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
1362800	OR-WM TOT ANKLE REVISION INBONE*	$37,474	$33,727	—	—	10
1362800	OR-WM TOT ANKLE REVISION INBONE*	$37,474	$33,727	—	—	0
1362800	OR-WM TOT ANKLE REVISION INBONE*	$37,474	$33,727	—	—	2
1328180	OR-S-N TOT KN REVISION*	$33,791	$30,412	—	—	10
1328180	OR-S-N TOT KN REVISION*	$33,791	$30,412	—	—	0
1328180	OR-S-N TOT KN REVISION*	$33,791	$30,412	—	—	2
1366730	OR-WM TOT ANKLE REV W/ 4 WEB*	$32,436	$29,192	—	—	10
1366730	OR-WM TOT ANKLE REV W/ 4 WEB*	$32,436	$29,192	—	—	0
1366730	OR-WM TOT ANKLE REV W/ 4 WEB*	$32,436	$29,192	—	—	2
1364170	OR-STR EX FIX ANKLE	$32,421	$29,179	—	—	10
1364170	OR-STR EX FIX ANKLE	$32,421	$29,179	—	—	0
1364170	OR-STR EX FIX ANKLE	$32,421	$29,179	—	—	2
2006390	nf alteplase 100 mg Powder for Injection	$31,288	$28,159	—	—	10
2006390	nf alteplase 100 mg Powder for Injection	$31,288	$28,159	—	—	0
2006390	nf alteplase 100 mg Powder for Injection	$31,288	$28,159	—	—	9
1361300	OR-Z BIO TOT KNEE REVISION*	$31,005	$27,905	—	—	10
1361300	OR-Z BIO TOT KNEE REVISION*	$31,005	$27,905	—	—	0
1361300	OR-Z BIO TOT KNEE REVISION*	$31,005	$27,905	—	—	2
1359970	OR-ZIMMER TOT KN REVISION*	$29,619	$26,657	—	—	10
1359970	OR-ZIMMER TOT KN REVISION*	$29,619	$26,657	—	—	0
1359970	OR-ZIMMER TOT KN REVISION*	$29,619	$26,657	—	—	2
2071380	tenecteplase 50 mg Powder for Injection	$29,555	$26,600	—	—	10
2071380	tenecteplase 50 mg Powder for Injection	$29,555	$26,600	—	—	0
2071380	tenecteplase 50 mg Powder for Injection	$29,555	$26,600	—	—	9
1365210	OR-STR EX FIX	$29,516	$26,564	—	—	10
1365210	OR-STR EX FIX	$29,516	$26,564	—	—	0
1365210	OR-STR EX FIX	$29,516	$26,564	—	—	2
1355020	OR-Z BIO TOT SHOULDER VRS*	$29,403	$26,463	—	—	10
1355020	OR-Z BIO TOT SHOULDER VRS*	$29,403	$26,463	—	—	0
1355020	OR-Z BIO TOT SHOULDER VRS*	$29,403	$26,463	—	—	2
1361470	OR-Z BIO TOT SHOULDER REV*	$29,128	$26,215	—	—	10
1361470	OR-Z BIO TOT SHOULDER REV*	$29,128	$26,215	—	—	0
1361470	OR-Z BIO TOT SHOULDER REV*	$29,128	$26,215	—	—	2
1340610	OR-S-N TOT HIP REVISION*	$29,015	$26,114	—	—	10
1340610	OR-S-N TOT HIP REVISION*	$29,015	$26,114	—	—	0
1340610	OR-S-N TOT HIP REVISION*	$29,015	$26,114	—	—	2
2260682	NF natalizumab 300 mg/15 mL CONC	$28,042	$25,238	—	—	10
2260682	NF natalizumab 300 mg/15 mL CONC	$28,042	$25,238	—	—	0
2260682	NF natalizumab 300 mg/15 mL CONC	$28,042	$25,238	—	—	9
1355410	OR-STR TOT SHOULDER PRESS FIT*	$26,604	$23,944	—	—	10
1355410	OR-STR TOT SHOULDER PRESS FIT*	$26,604	$23,944	—	—	0
1355410	OR-STR TOT SHOULDER PRESS FIT*	$26,604	$23,944	—	—	2
2041100	digoxin immune FAB 40 mg Powder for Injection	$26,130	$23,517	—	—	10
2041100	digoxin immune FAB 40 mg Powder for Injection	$26,130	$23,517	—	—	0
2041100	digoxin immune FAB 40 mg Powder for Injection	$26,130	$23,517	—	—	9
1361140	OR-D/SYN TOT SHOULDER REV REVISION*	$24,955	$22,460	—	—	10
1361140	OR-D/SYN TOT SHOULDER REV REVISION*	$24,955	$22,460	—	—	0
1361140	OR-D/SYN TOT SHOULDER REV REVISION*	$24,955	$22,460	—	—	2
1333590	OR-W-M TOT KN STEMMED TIB/FIB*	$23,506	$21,155	—	—	10
1333590	OR-W-M TOT KN STEMMED TIB/FIB*	$23,506	$21,155	—	—	0

Showing top 50 of 22,523 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.