WILLIAMSON MEMORIAL INC — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
47531	INJ PROC CHOLANGIOGRAM	$13,185	$6,593	—	—	1
50633-0110-12	ANTIVENIN CROTALIDAE POLYVLNT 1GM	$7,800	$3,900	—	—	1
36573	INSERT PICC W IMAGING >/=5	$6,104	$3,052	—	—	1
36569	INSERT PICC WO IMAGING >/=5	$6,104	$3,052	—	—	1
75827	SUPERIOR VENACAVAGRAM	$6,104	$3,052	—	—	1
78000010	ER PROCEDURE LEVEL 8	$5,688	$2,844	—	—	1
51600	INJ PROC CYSTOGRAPHY	$5,533	$2,767	—	—	1
78000009	ER PROCEDURE LEVEL 7	$4,923	$2,462	—	—	1
32557	CT GUIDE INS PLEURA CTH RT	$3,813	$1,907	—	—	1
74178	CT ABD+PELVIS W+WO CONTRAST	$2,930	$1,465	—	—	1
67457-0177-50	DIMETHYL SULFOXIDE 50%	$2,723	$1,362	—	—	1
81292	MLH1 GENE ANALYSIS	$2,702	$1,351	—	—	1
10030	IMAGE GUIDED FLUID COLLECTION	$2,681	$1,341	—	—	1
62321	INJ DX OR TX SUBS W/IMAGING	$2,636	$1,318	—	—	1
62323	INJ LUMBAR/SACRAL W/IMAGING	$2,636	$1,318	—	—	1
62270	SPINAL PUNCTURE DIAGNOSTIC	$2,636	$1,318	—	—	1
74177	CT ABD+PELVIS W/CONTRAST	$2,499	$1,250	—	—	1
99465	NEWBORN RESUSCITATION	$2,480	$1,240	—	—	1
G0379	OBS DIRECT ADMIT	$2,448	$1,224	—	—	1
74174	CT ANG ABD+PLVS W OR WO CNTRS	$2,390	$1,195	—	—	1
65000003	PRIVATE ROOM & BOARD	$2,300	$1,150	—	—	1
78000008	ER PROCEDURE LEVEL 6	$2,199	$1,100	—	—	1
74170	CT ABD W/WO CONTRAST	$2,178	$1,089	—	—	1
74176	CT ABD+PELVIS WO CONTRAST	$2,113	$1,057	—	—	1
71270	CT CHEST W/WO CONTRAST	$1,968	$984	—	—	1
70498	CT ANG NECK W OR WO CONTR	$1,956	$978	—	—	1
74175	CT ANG ABD W OR WO CONTR	$1,950	$975	—	—	1
72194	CT PELVIS W/WO CONTRAST	$1,950	$975	—	—	1
49281-0190-20	RABIES IMMUNE GLOBULIN 150U/ML	$1,919	$959	—	—	1
00597-0024-02	Ipratropium/Albuterol 20mg/100mcg Inhaler	$1,912	$956	—	—	1
70496	CT ANG HEAD W OR WO CONTR	$1,892	$946	—	—	1
71275	CT ANG CHST W OR WO CONTR	$1,884	$942	—	—	1
73706	CT ANG L EXT W OR WO CONTR BIL	$1,883	$942	—	—	1
70470	CT HEAD W/WO CONTRAST	$1,869	$935	—	—	1
75635	CT ANGIO ABD W/BIL RUNOFF	$1,830	$915	—	—	1
65000001	SEMI PRIVATE ROOM & BOARD	$1,818	$909	—	—	1
65000002	SEMI PRIVATE OVERFLOW	$1,818	$909	—	—	1
73206	CT ANG U EXT W OR WO CON BIL	$1,800	$900	—	—	1
72126	CT C-SPINE P/MYELOGM	$1,800	$900	—	—	1
70482	CT ORBITS W/WO CONTRAST	$1,800	$900	—	—	1
72129	CT THORACIC SPINE W/ CONTRAST	$1,800	$900	—	—	1
70492	CT SFT TISSUE NECK W/WO CNTRST	$1,792	$896	—	—	1
70488	CT FACIAL W/WO CONTRAST	$1,770	$885	—	—	1
72132	CT LUMBAR SPINE W/CONTRAST	$1,750	$875	—	—	1
74160	CT ABD W/CONTRAST	$1,714	$857	—	—	1
72193	CT PELVIS W/CONTRAST	$1,705	$853	—	—	1
23350	INJ ARTHROGRPHY SHOULDER	$1,697	$849	—	—	1
73201	CT UP EXTREMITY W/CON BIL	$1,676	$838	—	—	1
71260	CT CHEST W/CONTRAST	$1,649	$825	—	—	1
73702	CT LOW EXTREMITY W/WO CON LT	$1,617	$809	—	—	1

Showing top 50 of 2,262 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.