LAKE MARTIN COMMUNITY HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
922	M Other Injury, Poisoning and Toxic Effect Diagnoses with MCC	$13,969	$10,477	—	—	6
J3101	TNKASE 50MG INJ	$13,745	$10,309	—	—	0
J0795	TPA -ACTIVASE PER ONE MI (ACTIVASE)	$13,372	$10,029	—	—	0
371	M Major Gastrointestinal Disorders and Peritoneal Infections with MCC	$9,390	$7,043	—	—	5
C2614	POSTERIOR DISC DECOMPRESSION W/ H-LASER	$8,580	$6,435	—	—	0
557	M Tendonitis, Myositis and Bursitis with MCC	$7,358	$5,518	—	—	5
J2353	SANDOSTATIN LAR 20MG SYG	$7,078	$5,309	—	—	0
11770	PILONIDAL CYST/SINUS EXCISION	$6,459	$4,844	—	—	0
432	M Cirrhosis and Alcoholic Hepatitis with MCC	$6,163	$4,622	—	—	5
21930	EXCISION TUMOR SOFT TISSUE OF BACK OR FL	$4,861	$3,646	—	—	0
065	M Intracranial Hemorrhage or Cerebral Infarction with CC or tPA in 24 Hours	$4,851	$3,638	—	—	6
361	TRIGGER FINGER REL	$4,832	$3,624	—	—	0
81162	BRCASSURE COMP PANEL (LABC)	$4,562	$3,422	—	—	0
871	M Septicemia or Severe Sepsis without MV >96 Hours with MCC	$4,521	$3,390	—	—	6
637	M Diabetes with MCC	$4,372	$3,279	—	—	5
438	M Disorders of Pancreas Except Malignancy with MCC	$4,354	$3,266	—	—	5
177	M Respiratory Infections and Inflammations with MCC	$4,322	$3,241	—	—	5
091	M Other Disorders of Nervous System with MCC	$4,099	$3,074	—	—	5
071	M Other Cerebrovascular Disorders with CC	$4,089	$3,067	—	—	6
389	M Gastrointestinal Obstruction with CC	$4,029	$3,021	—	—	6
193	M Simple Pneumonia and Pleurisy with MCC	$3,620	$2,715	—	—	6
551	M Medical Back Problems with MCC	$3,607	$2,706	—	—	6
640	M Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC	$3,531	$2,648	—	—	6
C1778	LEAD, NEUROSTIMULATOR (IMPLANTABLE)	$3,471	$2,603	—	—	0
064	M Intracranial Hemorrhage or Cerebral Infarction with MCC	$3,301	$2,476	—	—	6
80101	DRUGS OF ABUSE, SERUM & VOLATILES	$3,300	$2,475	—	—	0
689	M Kidney and Urinary Tract Infections with MCC	$3,173	$2,380	—	—	6
386	M Inflammatory Bowel Disease with CC	$3,147	$2,360	—	—	5
444	M Disorders of the Biliary Tract with MCC	$3,100	$2,325	—	—	5
600	M Non-Malignant Breast Disorders with CC/MCC	$3,098	$2,323	—	—	5
291	M Heart Failure and Shock with MCC	$3,068	$2,301	—	—	6
895	M Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy	$3,060	$2,295	—	—	6
433	M Cirrhosis and Alcoholic Hepatitis with CC	$3,048	$2,286	—	—	5
C1713	PLANTAR PLATE KIT ARTHREX	$3,029	$2,272	—	—	0
194	M Simple Pneumonia and Pleurisy with CC	$2,984	$2,238	—	—	6
072	M Other Cerebrovascular Disorders without CC/MCC	$2,975	$2,231	—	—	5
054	M Nervous System Neoplasms with MCC	$2,971	$2,228	—	—	5
308	M Cardiac Arrhythmia and Conduction Disorders with MCC	$2,966	$2,225	—	—	5
J3487	ZOMETA 4MG VIAL	$2,935	$2,201	—	—	0
917	M Poisoning and Toxic Effects of Drugs with MCC	$2,887	$2,165	—	—	5
580	P Other Skin, Subcutaneous Tissue and Breast Procedures with CC	$2,883	$2,162	—	—	5
811	M Red Blood Cell Disorders with MCC	$2,854	$2,141	—	—	5
189	M Pulmonary Edema and Respiratory Failure	$2,846	$2,134	—	—	6
378	M Gastrointestinal Hemorrhage with CC	$2,814	$2,111	—	—	6
872	M Septicemia or Severe Sepsis without MV >96 Hours without MCC	$2,811	$2,108	—	—	6
388	M Gastrointestinal Obstruction with MCC	$2,777	$2,083	—	—	5
370	M Major Esophageal Disorders without CC/MCC	$2,665	$1,999	—	—	5
682	M Renal Failure with MCC	$2,644	$1,983	—	—	6
565	M Other Musculoskeletal System and Connective Tissue Diagnoses with CC	$2,640	$1,980	—	—	5
C1787	PT PROGRAMMER, NEUROSTIMULATOR REMOTE	$2,551	$1,913	—	—	0

Showing top 50 of 1,624 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.