MERCY HOSPITAL WATONGA, INC — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
501	SOFT TISSUE PROCEDURES WITH CC	$118,992	$77,345	—	—	28
949	AFTERCARE WITH CC/MCC	$58,807	$38,224	—	—	26
166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	$47,114	$30,624	—	—	27
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$42,045	$27,329	—	—	26
RX-79826	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$39,602	$25,741	—	—	61
101	SEIZURES WITHOUT MCC	$39,174	$25,463	—	—	28
948	SIGNS AND SYMPTOMS WITHOUT MCC	$39,127	$25,433	—	—	28
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$37,712	$24,513	—	—	25
RX-1002134	TENECTEPLASE INJECTION KIT FOR ACUTE ISCHEMIC STROKE (KIT)	$37,338	$24,269	—	—	71
RX-225219	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION	$37,338	$24,269	—	—	60
947	SIGNS AND SYMPTOMS WITH MCC	$33,206	$21,584	—	—	26
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$26,496	$17,222	—	—	28
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$26,286	$17,086	—	—	27
177	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$26,062	$16,940	—	—	27
593	SKIN ULCERS WITH CC	$25,634	$16,662	—	—	27
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	$25,541	$16,602	—	—	27
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$25,381	$16,498	—	—	27
193	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$25,096	$16,312	—	—	27
683	RENAL FAILURE WITH CC	$24,655	$16,026	—	—	27
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$22,901	$14,886	—	—	28
535	FRACTURES OF HIP AND PELVIS WITH MCC	$21,653	$14,074	—	—	27
RX-80908	DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION	$21,524	$13,990	—	—	54
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$21,513	$13,984	—	—	28
563	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	$21,462	$13,950	—	—	27
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$21,447	$13,940	—	—	27
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$19,235	$12,503	—	—	27
442	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	$19,147	$12,446	—	—	27
392	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	$19,084	$12,405	—	—	27
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$18,732	$12,176	—	—	27
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	$18,104	$11,768	—	—	27
372	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	$17,328	$11,263	—	—	27
640	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	$16,969	$11,030	—	—	27
552	MEDICAL BACK PROBLEMS WITHOUT MCC	$15,524	$10,091	—	—	26
RX-225520	RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION	$15,311	$9,952	—	—	61
389	GASTROINTESTINAL OBSTRUCTION WITH CC	$14,997	$9,748	—	—	27
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$14,993	$9,745	—	—	27
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$14,487	$9,417	—	—	26
RX-80554	CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION	$14,391	$9,354	—	—	59
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$14,182	$9,218	—	—	25
RX-245937	HUMAN PROTHROMBIN CMPX(PCC)-LANS 1,000 UNIT (800-1,280 UNIT) IV SOLUTION	$14,175	$9,214	—	—	45
092	OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	$13,099	$8,515	—	—	27
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	$11,963	$7,776	—	—	26
390	GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	$10,388	$6,752	—	—	27
RX-226258	PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE	$9,394	$6,106	—	—	49
RX-190284	DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE\|RX AMT DISCARD/NOT ADMIN TO PT	$9,377	$6,095	—	—	68
RX-245938	HUMAN PROTHROMBIN CPLX(PCC)-LANS 500 UNIT (400-640 UNIT) IV SOLUTION	$7,088	$4,607	—	—	45
RX-196284	HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION	$6,717	$4,366	—	—	63
PX-100001753	App Skn Sub Trk/Arm/Leg 1st 100sqcm Twsa >=100 Sqcm	$6,189	$4,023	—	—	57
RX-77749	GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT	$5,312	$3,453	—	—	54
PX-100001757	App Skn Sub Hd/Nk/Hnd/Ft 1st 100sqcm< Twsa>=100 Sqcm	$5,311	$3,452	—	—	56

Showing top 50 of 3,340 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.