ST MICHAEL'S HOSPITAL - CAH — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
5005206	OCREVUS (OCRELIZUMAB) 300MG/10ML SDV	$44,712	$31,298	—	—	27
5005918	TRAVOPROST (iDose TR) 75 mcg EYE IMPLANT	$39,897	$27,928	—	—	27
15020317	MESH PHASIX ST 20X25	$33,079	$23,155	—	—	27
15020011	TOTAL KNEE IMPLANT	$29,174	$20,422	—	—	27
15019888	ARTHRO JOINT DEVICE (IMPLANTABLE)	$28,900	$20,230	—	—	27
5005600	VYEPTI (EPTINEZUMAB)100MG/1ML VIAL	$28,597	$20,018	—	—	27
5005611	CRYSVITA (BUROSUMAB-TWZA) 30MG/ML SDV	$28,597	$20,018	—	—	27
15020328	MESH PHASIX ST 15X20	$28,224	$19,757	—	—	27
15010137	15X30 PHASIX OPS - BARD MESH	$27,474	$19,232	—	—	27
5000458	ALTEPLASE (ACTIVASE) 100MG SDV	$26,437	$18,506	—	—	27
5005573	SKYRIZI (RISANKIZUMAB) 600MG/10ML SDV	$25,878	$18,115	—	—	27
15020009	TOTAL KNEE IMPLANT	$25,068	$17,548	—	—	27
5003455	ENTYVIO (VEDOLIZUMAB) 300MG/NS 250ML	$20,205	$14,144	—	—	27
15010190	MESH-HERNIA-PHASIX OPS 15X30	$19,845	$13,892	—	—	27
5005691	CRYSVITA (BUROSUMAB-TWZA) 20MG/ML SDV	$19,064	$13,345	—	—	27
15019889	ORTHO SURGERY IMPLANTABLE	$16,376	$11,463	—	—	27
5004135	PRIVIGEN (IMMUNE GLOBULI) 10% 40GM/400ML	$15,194	$10,636	—	—	27
15020273	COMP PRIMARY STEM MINI	$13,814	$9,670	—	—	27
15020361	EVENT RECORDER, CARDIAC (IMPLANT)	$13,500	$9,450	—	—	27
15100007	LIPECTOMY, BELT	$12,504	$8,753	—	—	27
15100011	RHYTIDECTOMY, CHEEK AND CHIN	$12,504	$8,753	—	—	27
15100021	THIGH LIFT	$12,504	$8,753	—	—	27
5001119	DARBEPOETIN (ARANESP) 500MCG/1ML PFS*	$12,242	$8,569	—	—	27
15017915	TOE FUSION	$11,904	$8,333	—	—	27
15010158	ACL REPAIR KIT	$10,976	$7,683	—	—	27
15100005	ABDOMINOPLASTY 4 HOUR	$10,589	$7,412	—	—	27
15100009	BREAST REDUCTION	$10,589	$7,412	—	—	27
50021570	DIGIFAB (DIGOXIN IMMUNE FAB) 40MG SDV	$10,410	$7,287	—	—	27
15100028	LIPECTOMY, BELT MINOR	$10,052	$7,036	—	—	27
15100032	RHYTIDECTOMY, CHEEK AND CHIN MINOR	$10,052	$7,036	—	—	27
15100042	THIGH LIFT MINOR	$10,052	$7,036	—	—	27
15100006	LIPECTOMY, ARM	$9,633	$6,743	—	—	27
5005664	CRYSVITA (BUROSUMAB-TWZA) 10MG/ML SDV	$9,532	$6,672	—	—	27
15020371	KNOTLESS AC TIGHTROPE REPAIR SYSTEM	$9,385	$6,570	—	—	27
5005606	CYANOKIT (HYDROXOCOBALAMIN) 5GM	$8,851	$6,196	—	—	27
5005607	CYANOKIT(HYDROXOCOBALAMIN)5GM/250ML NACL	$8,851	$6,196	—	—	27
5004817	LEQVIO (INCLISIRAN) 284MG/1.5ML PFS	$8,728	$6,110	—	—	27
15018522	ARTHROSCOPY	$8,709	$6,096	—	—	27
15010060	MESH-DUAL-LAP 26X34	$8,705	$6,094	—	—	27
15100004	ABDOMINOPLASTY 3 HOUR	$8,675	$6,073	—	—	27
15100013	BREAST REDUCTION FOR GYNECOMASTIA	$8,675	$6,073	—	—	27
15100020	RHINOPLASTY	$8,675	$6,073	—	—	27
15100026	ABDOMINOPLASTY 4 HOUR MINOR	$8,472	$5,930	—	—	27
15100030	BREAST REDUCTION MINOR	$8,472	$5,930	—	—	27
5003290	NUCALA (MEPOLIZUMAB) 100MG SDV	$8,372	$5,860	—	—	27
15010252	MESH-HERNIA-RESTRATA	$8,269	$5,788	—	—	27
15020321	ARTHROCELL PLUS ALLOGRAFT, 5.0CC	$8,086	$5,660	—	—	27
5005032	PuraPly AM 5X5 (25sq cm) EACH	$7,808	$5,466	—	—	27
15100018	MASTOPEXY, BILATERAL	$7,716	$5,401	—	—	27
15100027	LIPECTOMY, ARM MINOR	$7,682	$5,377	—	—	27

Showing top 50 of 5,000 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.