MEDICAL ARTS HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Blood Infection with major complications	Blood Infection with major complications	$29,368	$22,026	—	—	4
Disorders of pancreas except malignancy with maj	Disorders of pancreas except malignancy with major complications	$29,295	$21,971	—	—	2
Signs & symptoms with major complications	Signs & symptoms with major complications	$25,697	$19,273	—	—	2
Brain contusion/laceration & complicated skull F	Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma [Minor Severity]	$22,276	$16,707	—	—	3
Kidney failure with major complications	Kidney failure with major complications	$18,497	$13,873	—	—	2
5028663	tenecteplase 50 mg IV Inj [PRM	$18,239	$13,679	—	—	6
Stroke with major complications	Stroke with major complications	$17,992	$13,494	—	—	1
Concussion with complications	Concussion with complications	$17,611	$13,208	—	—	1
CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	CESAREAN SECTION WITHOUT STERILIZATION WITH MCC	$15,027	$11,270	—	—	1
G.I. obstruction with complications	G.I. obstruction with complications	$14,380	$10,785	—	—	2
Other circulatory system diagnoses with major co	Other circulatory system diagnoses with major complications	$14,184	$10,638	—	—	1
Skin ulcers with complications	Skin ulcers with complications	$13,991	$10,493	—	—	2
G.I. hemorrhage with major complications	G.I. hemorrhage with major complications	$13,952	$10,464	—	—	1
Intracranial hemorrhage or cerebral infarction w	Intracranial hemorrhage or cerebral infarction without complications	$13,842	$10,381	—	—	3
Reticuloendothelial & immunity disorders with ma	Reticuloendothelial & immunity disorders with major complications	$12,916	$9,687	—	—	1
Kidney & urinary Infection with major complicati	Kidney & urinary Infection with major complications	$12,055	$9,041	—	—	2
Craniotomy for trauma [Moderate Severity]	Craniotomy for trauma [Moderate Severity]	$11,776	$8,832	—	—	3
Kidney failure with complications	Kidney failure with complications	$11,706	$8,779	—	—	2
5020953	darbepoetin alfa 500 mcg/mL In	$11,610	$8,708	—	—	2
Cesarean delivery [Minor Severity]	Cesarean delivery [Minor Severity]	$10,651	$7,989	—	—	1
Other skin, subcutaneous tissue & related proced	Other skin, subcutaneous tissue & related procedures [Minor Severity]	$10,285	$7,713	—	—	1
Peripheral vascular disorders with complications	Peripheral vascular disorders with complications	$10,247	$7,685	—	—	2
Endocrine disorders with complications	Endocrine disorders with complications	$10,105	$7,578	—	—	1
Disorders of liver except malignancy with compli	Disorders of liver except malignancy with complications	$10,047	$7,535	—	—	1
Blood infection without major complications	Blood infection without major complications	$10,044	$7,533	—	—	2
Chronic Lung Disease with major complications	Chronic Lung Disease with major complications	$9,881	$7,411	—	—	1
Red blood cell disorders with major complication	Red blood cell disorders with major complications	$9,746	$7,309	—	—	1
Pneumonia with major complications	Pneumonia with major complications	$9,718	$7,288	—	—	2
Disorders of pancreas except malignancy without	Disorders of pancreas except malignancy without complications	$9,321	$6,991	—	—	2
Cardiac arrhythmia & conduction disorders with m	Cardiac arrhythmia & conduction disorders with major complications	$9,254	$6,941	—	—	1
Cardiac arrest, unexplained without complication	Cardiac arrest, unexplained without complications	$9,169	$6,877	—	—	1
General symptoms of illness such as fever, pain,	General symptoms of illness such as fever, pain, shortness of breath	$8,895	$6,671	—	—	3
Major esophageal disorders with complications	Major esophageal disorders with complications	$8,885	$6,664	—	—	1
Nutritional or Metabolic Disorders without major	Nutritional or Metabolic Disorders without major complications	$8,743	$6,557	—	—	4
Other injury, poisoning & toxic effect diag with	Other injury, poisoning & toxic effect diag without major complications	$8,395	$6,296	—	—	2
5020951	darbepoetin alfa 300 mcg/mL In	$8,359	$6,269	—	—	2
Stroke with complications	Stroke with complications	$8,316	$6,237	—	—	1
Peripheral vascular disorders with major complic	Peripheral vascular disorders with major complications	$8,273	$6,204	—	—	1
Disorders of liver except malignancy with major	Disorders of liver except malignancy with major complications	$8,270	$6,202	—	—	2
Other digestive system diagnoses with complicati	Other digestive system diagnoses with complications	$8,254	$6,191	—	—	2
Otitis media & URI with major complications	Otitis media & URI with major complications	$8,214	$6,160	—	—	2
Nutritional & misc metabolic disorders with majo	Nutritional & misc metabolic disorders with major complications	$7,734	$5,801	—	—	1
Heart Failure with major complications	Heart Failure with major complications	$7,509	$5,631	—	—	1
Traumatic stupor & coma, coma <1 hr without comp	Traumatic stupor & coma, coma <1 hr without complications	$7,269	$5,452	—	—	1
Kidney & urinary tract infections [Minor Severit	Kidney & urinary tract infections [Minor Severity]	$7,074	$5,305	—	—	1
Uncomplicated peptic ulcer without major complic	Uncomplicated peptic ulcer without major complications	$6,428	$4,821	—	—	1
Pneumonia with complications	Pneumonia with complications	$6,427	$4,820	—	—	2
Vaginal delivery [Minor Severity]	Vaginal delivery [Minor Severity]	$6,252	$4,689	—	—	1
Hypertension with major complications	Hypertension with major complications	$6,132	$4,599	—	—	1
Heart Failure with complications	Heart Failure with complications	$6,129	$4,597	—	—	1

Showing top 50 of 602 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.