MERCY MEDICAL CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
383663	CATH IMPELLA 2.5	$123,244	$65,721	$92,433	$117,082	7
383663	CATH IMPELLA 2.5	$123,244	$65,721	$80,109	$118,314	11
C1882	AMPLIA QUAD CRT-D SURESCN	$85,399	$45,540	$64,049	$81,129	7
C1882	AMPLIA QUAD CRT-D SURESCN	$85,399	$45,540	$55,509	$81,983	11
J2350	OCRELIZUMAB 300 MG/10 ML ML	$70,467	$37,577	$52,850	$66,944	7
J2350	OCRELIZUMAB 300 MG/10 ML ML	$70,467	$37,577	$50.8	$66,944	21
J3245	TILDRAKIZUMAB-ASMN 100 MG/ML SYRINGE	$61,325	$32,702	$45,994	$58,259	7
J3245	TILDRAKIZUMAB-ASMN 100 MG/ML SYRINGE	$61,325	$32,702	$107	$58,259	21
J9334	EFGARTIGIMOD-HYALURONIDAS-QVFC 1008 MG/5.6 ML VIAL	$54,935	$29,295	$41,201	$52,188	7
J9334	EFGARTIGIMOD-HYALURONIDAS-QVFC 1008 MG/5.6 ML VIAL	$54,935	$29,295	$35,708	$52,738	11
C1721	COBALT DDPA2D1	$51,351	$27,384	$38,513	$48,783	7
C1721	COBALT DDPA2D1	$51,351	$27,384	$33,378	$49,297	11
C1722	COBALT DVPA2D1	$48,021	$25,608	$36,016	$45,620	7
C1722	COBALT DVPA2D1	$48,021	$25,608	$31,214	$46,100	11
36906	THROMBOLYSIS/INF DIAL CIRC	$44,015	$23,472	$33,011	$41,814	7
36906	THROMBOLYSIS/INF DIAL CIRC	$44,015	$23,472	$15,281	$72,951	21
36903	STENT DIALYSIS CIRCUIT	$38,326	$20,438	$28,745	$36,410	7
36903	STENT DIALYSIS CIRCUIT	$38,326	$20,438	$9,651	$45,082	21
J2329	UBLITUXIMAB-XIIY 150 MG/6 ML VIAL	$37,950	$20,237	$28,463	$36,053	7
J2329	UBLITUXIMAB-XIIY 150 MG/6 ML VIAL	$37,950	$20,237	$24,668	$36,432	11
37226	REVASC FEMPOP ART STENT BILAT	$37,421	$19,955	$28,066	$35,550	7
37226	REVASC FEMPOP ART STENT BILAT	$37,421	$19,955	$9,651	$45,082	21
J1640	HEMIN 350 MG/VIAL	$37,372	$19,929	$28,029	$35,503	7
J1640	HEMIN 350 MG/VIAL	$37,372	$19,929	$29.07	$35,877	21
C1813	PROSTHESIS PENILE TITAN ZERO	$36,975	$19,717	$27,731	$35,126	7
C1813	PROSTHESIS PENILE TITAN ZERO	$36,975	$19,717	$24,034	$35,496	11
J2997	ALTEPLASE RECOMBINANT 100 MG/100 ML	$36,075	$19,238	$27,056	$34,271	7
J2997	ALTEPLASE RECOMBINANT 100 MG/100 ML	$36,075	$19,238	$80.12	$34,632	21
36908	STENT CENTRAL DIALYSIS	$35,675	$19,024	$26,756	$33,891	7
36908	STENT CENTRAL DIALYSIS	$35,675	$19,024	$23,189	$34,248	11
310928	SPINOUS ASPEN FXTN ASMBLY	$34,512	$18,404	$25,884	$32,786	7
310928	SPINOUS ASPEN FXTN ASMBLY	$34,512	$18,404	$22,433	$33,132	11
995099	ISPD SPINE ASSMBLY 8-18MM	$34,512	$18,404	$25,884	$32,786	7
995099	ISPD SPINE ASSMBLY 8-18MM	$34,512	$18,404	$22,433	$33,132	11
C2621	CRT-P QUAD MRI SURESCN PRCPTA	$33,436	$17,830	$25,077	$31,764	7
C2621	CRT-P QUAD MRI SURESCN PRCPTA	$33,436	$17,830	$21,733	$32,099	11
C9775	REVASC TIB LITHO STENT ATH	$33,374	$17,797	$25,031	$31,705	7
C9775	REVASC TIB LITHO STENT ATH	$33,374	$17,797	$15,281	$72,951	21
93654	COMP EP EVAL W/ VT ABLATION	$33,327	$17,772	$24,995	$31,661	7
93654	COMP EP EVAL W/ VT ABLATION	$33,327	$17,772	$20,877	$99,722	21
993877	BONE GRWTH STMLTR OSTGN 20-40A	$33,003	$17,599	$24,752	$31,353	7
993877	BONE GRWTH STMLTR OSTGN 20-40A	$33,003	$17,599	$21,452	$31,683	11
C1785	EDORA 8 DR-T	$32,321	$17,236	$24,241	$30,705	7
C1785	EDORA 8 DR-T	$32,321	$17,236	$21,009	$31,028	11
C9767	REVASC LITHO-STENT-ATH LE	$31,840	$16,979	$23,880	$30,248	7
C9767	REVASC LITHO-STENT-ATH LE	$31,840	$16,979	$15,281	$72,951	21
37238	PERQ PLACE STENT VEIN	$31,746	$16,929	$23,810	$30,159	7
37238	PERQ PLACE STENT VEIN	$31,746	$16,929	$9,651	$45,082	21
37239	PERQ PLACE STENT EA ADD VEIN	$30,476	$16,252	$22,857	$28,952	7
37239	PERQ PLACE STENT EA ADD VEIN	$30,476	$16,252	$19,809	$29,257	11

Showing top 50 of 14,774 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.