CHARLEVOIX AREA HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
43644	BARIATRIC BYPASS LAP SHORT WO COMP	$120,167	$23,350	—	—	16
43645	BARIATRIC BYPASS LAP LONG WO COMP	$120,167	$120,167	—	—	16
43659	REVISION BYPASS LAP WO COMP	$120,167	$120,167	—	—	16
43775	BARIATRIC SLEEVE LAP WO COMP	$120,167	$22,250	—	—	16
43659	REVISION BYPASS LAP	$106,647	$106,647	—	—	3
43774	Lap rmvl gastr adj all parts	$106,647	$106,647	—	—	8
43644	BARIATRIC BYPASS LAP SHORT	$102,430	$23,350	—	—	2
43645	BARIATRIC BYPASS LAP LONG	$102,430	$102,430	—	—	2
43775	BARIATRIC SLEEVE LAP	$102,430	$22,250	—	—	2
11005	DEBRIDE NECROTIC WOUND VAC	$94,375	$94,375	—	—	7
15830\|21620	PANNI VERTICAL WITH XYPHOID REMOVAL	$86,946	$86,946	—	—	7
11005	ABD WND INF	$86,125	$86,125	—	—	1
19318	BREAST REDUCTION BILATERAL	$85,345	$85,345	—	—	8
13105	DEBRIDE WOUND INFECTION	$79,739	$79,739	—	—	8
15830	Pannectulectomy Abdominoplasty	$79,127	$79,127	—	—	8
15730\|21620	PANNI W STERNUM	$79,096	$79,096	—	—	1
15832	Excise excessive skin thigh	$76,589	$6,972	—	—	8
19325	BREAST AUGMENTATION	$76,589	$6,219	—	—	8
10005	ABD WND INFECTION	$68,590	$68,590	—	—	1
99222	MED MALNUTRITION	$66,934	$66,934	—	—	1
47562	Laparoscopic cholecystectomy	$66,132	$66,132	—	—	8
13101\|13102	Cmplx rpr trunk 1.1 2.5 cm	$64,679	$64,679	—	—	8
43770	Lap place gastr adj device	$58,128	$58,128	—	—	8
43773	Lap replace gastr adj device	$58,128	$58,128	—	—	8
43281	LAP REPAIR PARAESOPHAGEAL HERNIA	$58,128	$58,128	—	—	1
43772	Lap rmvl gastr adj device	$49,080	$49,080	—	—	8
19300	REMOVAL BREAST TISSUE MALE	$46,832	$46,832	—	—	8
19328	REMOVAL BREAST IMPLANT UNILATERAL	$46,832	$5,466	—	—	8
19350	BREAST RECONSTRUCTION UNILATERAL	$46,832	$5,466	—	—	8
11042	DEBRIDE SUBQ TISS 1ST 20CM	$46,505	$46,505	—	—	8
11403	EXC BENIGN LESION TRK 2.1 3cm	$44,530	$44,530	—	—	8
15836	Excise excessive skin arm	$44,446	$6,972	—	—	8
11043	DEBRIDE MUSC FAS 1ST 20CM	$44,032	$44,032	—	—	8
21620	REMOVE STERNUM INPT PER MCR	$39,413	$39,413	—	—	3
90001196	PROCLM 7 ELITE PT CNTRLLR	$35,657	—	—	—	0
15835	Excise excessive skin buttck	$34,366	$6,972	—	—	8
14061	Tis trnfr e n e l10.1 30sqcm	$32,872	$32,872	—	—	8
19120	REMOVAL BREAST GROWTH	$32,000	$32,000	—	—	8
15839	Excise excess skin & tissue	$31,747	$31,747	—	—	8
90001163	ACTIVA PC MODEL 37601	$30,741	—	—	—	0
58661	Laparoscopy remove adnexa	$30,298	$30,298	—	—	8
58671	Laparoscopy tubal block	$30,298	$30,298	—	—	8
10140	I&D HEMATOMA SEROMA	$29,981	$29,981	—	—	8
90001154	SURE SCAN SENSOR	$29,164	—	—	—	0
90001238	MED INTLLS SR SCN MRI STM	$24,875	—	—	—	0
4001523	ZICONOTIDE IT PRIALT 500 MCG 20ML	$24,862	—	—	—	0
11406	EXC BENIGN LESION TRK >4cm	$22,265	$22,265	—	—	8
15823	Revision of upper eyelid Blepharoplasty	$21,126	$21,126	—	—	8
8000993	PAIN TEQ SI JOINT FUSION	$17,255	—	—	—	0
90001192	ACTIVA GENERATOR MEDTRONC	$15,391	—	—	—	0

Showing top 50 of 2,841 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.