HENRY COUNTY HOSPITAL, INC — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
37227F	FEM/POPL REVASC STNT&ATHER-FAC	$104,865	$78,649	—	—	8
62362F	PM-IMPLANT SPINE INF PUMP NP	$103,215	$77,411	—	—	7
36903F	FISTULAGRAM W/ IV STENT-FAC	$66,230	$49,673	—	—	7
37187F	PERC MECHAN THROMBECT VN-FAC	$66,230	$49,673	—	—	7
37221F	ILIAC STENT ARTERY-FAC	$66,230	$49,673	—	—	8
37226F	STENT PLMT W ANG FEM/POPL-FAC	$66,230	$49,673	—	—	7
37238F	VEN STNT PL W/WO ANGIO-1ST-FAC	$66,230	$49,673	—	—	8
3813040	URO INTERSTIM NEUROSTIM 97800	$54,626	$40,970	—	—	7
3803963	URO INTERSTIM NEUROSTIM 3058	$52,585	$39,439	—	—	7
3813310	SN REDAPT STEM 250MM SZ 17	$50,250	$37,688	—	—	7
63650F50	BIL-IMPLT NEUROELECT-EPIDURAL	$47,910	$35,933	—	—	8
3804554	HSN LGN HK FEM ASS SZ 3 RT	$45,302	$33,977	—	—	7
3804555	HSN LGN HK FEM ASS SZ 4 RT	$45,302	$33,977	—	—	7
3804556	HSN LGN HK FEM ASS SZ 5 RT	$45,302	$33,977	—	—	7
3804557	HSN LGN HK FEM ASS SZ 7 RT	$45,302	$33,977	—	—	7
3804558	HSN LGN HK FEM ASS SZ 3 LT	$45,302	$33,977	—	—	7
3804559	HSN LGN HK FEM ASS SZ 4 LT	$45,302	$33,977	—	—	7
3804560	HSN LGN HK FEM ASS SZ 5 LT	$45,302	$33,977	—	—	7
3804561	HSN LGN HK FEM ASS SZ 7 LT	$45,302	$33,977	—	—	7
22513F	KYPHOPLASTY T-SPINE W/IM	$41,720	$31,290	—	—	7
22514F	KYPHOPLASTY L-SP W/IMAGE	$41,720	$31,290	—	—	7
3812879	ZM PSN REV FEM CCR SZ 5 RT	$41,200	$30,900	—	—	7
3804452	HSN LGN OX CNSTR FEM 2 LT	$40,800	$30,600	—	—	7
3804453	HSN LGN OX CNSTR FEM 3 LT	$40,800	$30,600	—	—	7
3804454	HSN LGN OX CNSTR FEM 4 LT	$40,800	$30,600	—	—	7
3804455	HSN LGN OX CNSTR FEM 5 LT	$40,800	$30,600	—	—	7
3804456	HSN LGN OX CNSTR FEM 6 LT	$40,800	$30,600	—	—	7
3804457	HSN LGN OX CNSTR FEM 7 LT	$40,800	$30,600	—	—	7
3804458	HSN LGN OX CNSTR FEM 8 LT	$40,800	$30,600	—	—	7
3804459	HSN LGN OX CNSTR FEM 2 RT	$40,800	$30,600	—	—	7
3804460	HSN LGN OX CNSTR FEM 3 RT	$40,800	$30,600	—	—	7
3804461	HSN LGN OX CNSTR FEM 4 RT	$40,800	$30,600	—	—	7
3804462	HSN LGN OX CNSTR FEM 5 RT	$40,800	$30,600	—	—	7
3804463	HSN LGN OX CNSTR FEM 6 RT	$40,800	$30,600	—	—	7
3804464	HSN LGN OX CNSTR FEM 7 RT	$40,800	$30,600	—	—	7
3804465	HSN LGN OX CNSTR FEM 8 RT	$40,800	$30,600	—	—	7
3801815	HSN RDPT SLVLS MN STM 300 12SO	$38,515	$28,886	—	—	7
3801816	HSN RDPT SLVLS MN STM 300 13SO	$38,515	$28,886	—	—	7
3801817	HSN RDPT SLVLS MN STM 300 14SO	$38,515	$28,886	—	—	7
3801818	HSN RDPT SLVLS MN STM 300 15SO	$38,515	$28,886	—	—	7
3801819	HSN RDPT SLVLS MN STM 300 16SO	$38,515	$28,886	—	—	7
3801820	HSN RDPT SLVLS MN STM 300 17SO	$38,515	$28,886	—	—	7
3801821	HSN RDPT SLVLS MN STM 300 18SO	$38,515	$28,886	—	—	7
3801822	HSN RDPT SLVLS MN STM 300 19SO	$38,515	$28,886	—	—	7
3801823	HSN RDPT SLVLS MN STM 300 20SO	$38,515	$28,886	—	—	7
3801824	HSN RDPT SLVLS MN STM 300 21SO	$38,515	$28,886	—	—	7
3801825	HSN RDPT SLVLS MN STM 300 22SO	$38,515	$28,886	—	—	7
3801826	HSN RDPT SLVLS MN STM 300 23SO	$38,515	$28,886	—	—	7
3801827	HSN RDPT SLVLS MN STM 300 24SO	$38,515	$28,886	—	—	7
3801828	HSN RDPT SLVLS MN STM 300 25SO	$38,515	$28,886	—	—	7

Showing top 50 of 18,415 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.