LOGAN HEALTH - CHESTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
H1016	Room & Board -WCE Studio level 1	—	$102	—	—	2
H1017	Room & Board -WCE Studio level 2	—	$126	—	—	2
H1018	Room & Board- WCE Studio level 3	—	$143	—	—	2
H1019	Room & Board - WCE 1 Bedroom level 1	—	$121	—	—	2
H1020	Room & Board - WCE 1 Bedroom level 2	—	$145	—	—	2
H1021	Room & Board - WCE 1 Bedroom level 3	—	$162	—	—	2
H1023	R & B studio-Cat B level 4	—	$132	—	—	2
H1024	R & B- 1 Bedroom Cat B level 4	—	$147	—	—	2
H1026	Assisted Living Medicaid	—	$111	—	—	2
H1013	Swing Bed Medicaid	—	$242	—	—	2
H1014	Swing Bed Skilled Medicare	—	$242	—	—	2
H1015	Swing Bed Self Pay	—	$242	—	—	2
H1029	Swing Bed other ins	—	$242	—	—	2
H1002	Room & Board - LMC Inpatient	—	$1,710	—	—	2
H1003	Room & Board-LMC Elective Stay Inpatient	—	$363	—	—	2
H1022	Swing Bed Skilled - Medicaid	—	$242	—	—	2
H1027	Swing Bed Skilled BC/BS	—	$242	—	—	2
H1028	Swing Bed Self Pay Semi-Private	—	$242	—	—	2
90471	Vaccine Admin	—	$27	—	—	2
90472	Immunization each additional	—	$25	—	—	2
H10051	Room & Board-LMC High Intensity Inpatient	—	$2,600	—	—	2
A6235	DuoDerm dressing	—	$31	—	—	2
J3301	Kenalog 10mg/cc 0.25ccx4=1cc	—	$12	—	—	2
H2500222	Adacel (dip/per/tetanus) per dose	—	$282	—	—	2
MRI contr	MRI Contrast	—	$113	—	—	2
H250110	Hydralazine 20mg/ml IV	—	$74	—	—	2
25000019c	Zosyn 3.375g-IV	—	$79	—	—	2
25000113a	Gaviscon Chewable-po	—	$4	—	—	2
H2000107c	Naprosyn (Naproxen) 500 mg po	—	$4	—	—	2
H24011c	Zithromax Oral Susp 200mg/5ml btl	—	$35	—	—	2
H249b	Benadryl (Diphenhydramine) 25 mg-po	—	$4	—	—	2
H250000	Pharmacy-Misc.	—	$4	—	—	2
H25000015	Zemuron (Rocuronium) 50mg/5ml IV	—	$31	—	—	2
H2500002	Kenalog (Triamcinolone) cream 1%	—	$16	—	—	2
H25000025	Duoneb (Albuterol/Atrovent)	—	$6	—	—	2
H25000026	Mucomyst 20% (acetylcysteine)per dose	—	$9	—	—	2
H250001	Dulcolax supp	—	$6	—	—	2
H25000107	Advair 250/50-puff (diskus)	—	$352	—	—	2
H25000113	Gaviscon oral susp	—	$4	—	—	2
H25000118	Aldactone (Spironolactone) 25mg-po	—	$6	—	—	2
H2500012	Marcaine 0.5% w/Epi (per 20 ml) inj	—	$15	—	—	2
H25000126	Zovirax (Acyclovir) 1000mg IV	—	$69	—	—	2
H25000198	Medrol Dose Pack 4 mg (21 tab) po	—	$59	—	—	2
H250001a	Dulcolax 5mg-po	—	$4	—	—	2
H250002	Colace 100mg-po	—	$6	—	—	2
H2500024	Cardizem (Diltiazem) 50mg/10ml IV	—	$30	—	—	2
H2500024a	Cardizem CD (diltiazem) 120mg po	—	$6	—	—	2
H250003	Metamucil oral 1 Tbsp	—	$4	—	—	2
h2500035a	Aquaphor oint dual pak per 1 of 2	—	$11	—	—	2
H25000535	Cortef 5mg po	—	$6	—	—	2

Showing top 50 of 2,333 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.