NORTHERN INYO HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
0	FLUZONE HIGH-DOSE QUAD 2020-21	—	$293	$180	$414	19
04788B	Infusion into a vein for hydration, each additional hour	—	$118	$72.67	$167	19
10	REV - FS-RURAL/CLINIC	—	$140	$140	$421	19
10021	Fine needle aspiration biopsy, first growth	—	$232	$142	$421	19
10046	PHYSOSTIGMINE 1 MG/ML AMPUL	—	$165	$101	$233	19
10060	Simple or single drainage of skin abscess	—	$146	$89.44	$480	19
10061	Complicated or multiple drainage of skin abscess	—	$485	$298	$686	19
1010	LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION	—	$2,257	$1,386	$3,192	19
10120	Removal of foreign body from tissue, accessed beneath the skin, simple	—	$291	$179	$421	19
10140	Drainage of blood or fluid accumulation	—	$485	$421	$686	19
10160	Aspiration of abscess, blood, or cyst	—	$136	$83.42	$421	19
10180	Complex drainage of wound infection after surgery	—	$452	$277	$639	19
10215	SOD POLYSTYREN SULF 15 G/60 ML	—	$13.2	$8.11	$18.67	19
10268	NIFEDIPINE ER 30 MG TABLET	—	$2.2	$1.35	$3.11	19
10271	NIMODIPINE 30MG CAP	—	$4.09	$2.51	$5.78	19
10342	INJECTION, PROCAINAMIDE HCL, UP TO 1 GM	—	$189	$116	$267	19
10375	SILVER SULFADIAZINE 1% CREAM	—	$151	$92.45	$213	19
10382	SODIUM BICARB 4.2% ABBOJECT	—	$158	$96.75	$223	19
10383	SODIUM BICARBONATE 4.2% VIAL	—	$158	$96.75	$223	19
10390	SEVOFLURANE INHALATION LIQUID	—	$280	$172	$396	19
10403	ARTIFICIAL TEARS 15ML	—	$8.89	$5.46	$12.57	19
10469	OINTMENT ALOE VESTA PROTECTIVE	—	$25.2	$15.48	$35.64	19
10535	CALCIUM CHLORIDE 1 GM/10ML SYR	—	$158	$96.75	$223	19
10536	DEXTROSE 50%-WATER SYRINGE	—	$158	$96.75	$223	19
10538	EPINEPHRINE 1 MG/10 ML ABBOJCT	—	$158	$96.75	$223	19
10549	CARBIDOPA-LEVO ER 50-200 TAB	—	$1.04	$0.64	$1.47	19
10555	KLOR-CON M10 TABLET	—	$2.61	$1.6	$3.69	19
10604	ALBUTEROL 5 MG/ML SOLUTION	—	$49.7	$30.53	$70.29	19
10609	PROVENTIL HFA 90 MCG INHALER	—	$103	$63.3	$146	19
10610	ALBUTEROL SUL 2.5 MG/3 ML SOLN	—	$11.16	$6.85	$15.78	19
10611	SILVADENE 1% CREAM	—	$49.7	$30.53	$70.29	19
10622	METOLAZONE 5 MG TABLET	—	$0.95	$0.58	$1.34	19
10636	METHYLPREDNISOLONE 16 MG TAB	—	$2.18	$1.34	$3.08	19
10666	INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG	—	$165	$101	$233	19
10672	TOBRAMYCIN 1.2 GM VIAL	—	$165	$101	$233	19
10673	TOBRADEX EYE DROPS	—	$251	$154	$355	19
10693	METHYLENE BLUE 1% VIAL	—	$165	$101	$233	19
10715	CETACAINE SPRAY	—	$74.54	$45.79	$105	19
10755	AMOXICILLIN 250 MG/5 ML SUSP	—	$31.5	$19.35	$44.55	19
10762	INJECTION, CEFAZOLIN SODIUM, 500 MG	—	$210	$129	$297	19
10769	DEXAMETHASONE INTENSOL 1 MG/ML	—	$15.75	$9.68	$22.28	19
10773	DEXAMETHASONE 4 MG TABLET	—	$2.82	$1.73	$3.99	19
10778	ERY-TAB DR 250 MG TABLET	—	$4.08	$2.51	$5.77	19
10792	FERROUS GLUCONATE 324 MG TAB	—	$3.1	$1.9	$4.39	19
10794	INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG	—	$165	$101	$233	19
10795	ACET SUPP 650MG	—	$1	$0.61	$1.42	19
10796	ACET 325MG TAB	—	$1.65	$1.01	$2.33	19
10814	INJECTION, MEPERIDINE HYDROCHLORIDE, PER 100 MG	—	$119	$73.1	$168	19
10817	NITROGLYCERIN 0.4 MG/HR PATCH	—	$5.06	$3.11	$7.16	19
10818	NTG 0.3MG PATCH	—	$20.95	$12.87	$29.63	19

Showing top 50 of 9,270 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.