AD HOSPITAL EAST, LLC — Hospital Ledger

45 CFR § 180 compliance

A · 100

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

1,115

Insurances with rates

CPT / HCPCS codes

874

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
673	Other kidney & urinary tract procedures with major complications	$1,406,596	$1,406,596	$94,242	$154,444	2
519	Back and neck procedure except spinal fusion with complications	$601,904	$601,904	$82,762	$82,762	1
870	Septicemia or severe sepsis w MV 96+ hours	$559,881	$559,881	$54,588	$54,588	2
459	Spinal fusion except cervical with major complications	$405,123	$405,123	$44,442	$44,442	1
856	Postoperative or post-traumatic infections w O.R. proc with major complications	$404,399	$404,399	$27,095	$55,605	2
177	Respiratory infections and inflammations with major complications	$357,038	$357,038	$39,167	$39,167	1
949	Aftercare with major complications	$356,621	$356,621	$32,773	$32,773	1
314	Other circulatory system diagnoses with major complications	$353,433	$353,433	$32,481	$32,481	1
460	Spinal fusion other than the neck without major complications	$328,276	$328,276	$32,007	$36,045	3
7202	Septicemia & disseminated infections [Moderate Severity]	$321,418	$321,418	$21,535	$21,535	2
455	Combined anterior/posterior spinal fusion without complications	$297,984	$297,984	$19,965	$32,719	2
207	Respiratory system diagnosis w ventilator support 96+ hours	$297,829	$297,829	$32,702	$32,702	1
22612	Lower spinal bones fusion on backside or on back and side of spine [HCPCS 22612]	$297,752	$297,752	$22,153	$22,153	3
580	Other skin, subcutaneous tissue & breast procedure with complications	$289,804	$289,804	$31,821	$31,821	1
457	Spinal fusion except cervical with spinal curv/malig/infec or 9+ fus with complications	$280,892	$280,892	$18,820	$18,820	1
454	Combined anterior/posterior spinal fusion with complications	$280,305	$280,305	$30,777	$38,542	3
481	Hip & femur procedures except major joint with complications	$277,353	$277,353	$30,426	$30,426	1
21330	Broken nasal bone treatment and/or hardware insertion (open treatment) [HCPCS 21330]	$273,560	$273,560	$28,040	$28,040	1
552	Medical back problems without major complications	$265,659	$265,659	$17,799	$24,414	4
863	Postoperative & post-traumatic infections without major complications	$263,719	$263,719	$19,937	$24,236	2
303	Atherosclerosis without major complications	$261,209	$261,209	$17,501	$24,005	2
516	Other musculoskelet system & connective tissue O.R. procedure with complications	$253,997	$253,997	$27,889	$27,889	1
598	Malignant breast disorders with complications	$247,217	$247,217	$22,719	$22,719	1
617	Amputation of lower limb for endocrine, nutritional, & metabolic disorder with complications	$244,680	$244,680	$33,644	$33,644	1
546	Connective tissue disorders with complications	$240,395	$240,395	$26,371	$26,371	1
22558	Lower spinal bones fusion on frontside of spine with vertebral disc removal of disc [HCPCS 22558]	$237,879	$237,879	$15,795	$17,698	2
618	Amputation of lower limb for endocrine, nutritional, & metabolic disorder without complications	$237,454	$237,454	$23,152	$23,152	1
315	Other circulatory system diagnoses with complications	$229,569	$229,569	$21,097	$21,097	2
862	Postoperative & post-traumatic infections with major complications	$221,546	$221,546	$24,326	$30,463	2
304	Hypertension with major complications	$211,641	$211,641	$14,180	$14,180	1
475	Amputation for musculoskeletal system & connective tissue with complications	$208,922	$208,922	$28,727	$28,727	1
896	Alcohol/drug abuse or dependence without rehabilitation therapy with major complications	$207,396	$207,396	$19,060	$28,517	5
19318	Breast size reduction by removing breast tissue through incision made from nipple to beneath the bre	$204,949	$204,949	$15,248	$25,762	4
27422	Dislocated knee cap repair with realignment [HCPCS 27422]	$197,118	$197,118	$6,426	$6,426	1
19350	Nipple and/or areola reconstruction [HCPCS 19350]	$192,280	$192,280	$24,170	$24,170	1
098	Non-bacterial infect of nervous sys exc viral meningitis with complications	$191,070	$191,070	$12,802	$12,802	1
291	Heart Failure with major complications	$190,455	$190,455	$20,912	$26,188	2
7204	Septicemia & disseminated infections [Catastrophic Severity]	$185,025	$185,025	$12,397	$12,397	1
28420	Broken heel bone treatment with graft (open treatment) [HCPCS 28420]	$183,434	$183,434	$18,802	$18,802	1
470	Total Knee or Hip Replacement	$177,452	$177,452	$11,889	$24,400	4
42425	Total salivary gland lesion or salivary gland and facial nerve removal [HCPCS 42425]	$173,295	$173,295	$5,649	$5,649	1
357	Other digestive system O.R. procedures with complications	$169,387	$169,387	$11,349	$11,349	1
30130	Nasal air passage removal [HCPCS 30130]	$166,600	$166,600	$12,395	$12,395	1
24342	Torn biceps or triceps tendon re-insertion at elbow [HCPCS 24342]	$165,968	$165,968	$11,020	$11,020	1
872	Blood infection without major complications	$158,876	$158,876	$10,645	$15,490	2
202	Bronchitis & asthma with major complications	$156,042	$156,042	$10,455	$17,118	4
698	Other kidney & urinary tract diagnoses with major complications	$151,047	$151,047	$14,727	$14,727	1
280	Acute myocardial infarction, discharged alive with major complications	$150,592	$150,592	$13,839	$16,535	2
159	Dental & oral diseases without complications	$141,753	$141,753	$13,027	$13,027	2
27486	Total knee joint prosthesis correction of one component of shin bone [HCPCS 27486]	$139,745	$139,745	$10,397	$10,397	1

Showing top 50 of 1,115 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.