AURORA LAKELAND MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
C9765	REVASC INTRAVASC LITHO/STNT	$24,840	$12,420	—	—	21
0275T	LUMBAR DECOMPRESSION	$13,740	$6,870	—	—	21
C1874	1233022 - STENT GORE VIABIL 10MM 6CM 200CM NO HOLE ENDOPROSTHESIS ENDO	$13,560	$6,780	—	—	21
58580	RFA UTERINE FIBROID W/US	$12,680	$6,340	—	—	21
22513	KYPHOPLASTY THORACIC WITH IMAGING	$11,950	$5,975	—	—	21
22514	KYPHOPLASTY LUMBAR WITH IMAGING	$11,950	$5,975	—	—	21
74178	CT ABDOMEN & PELVIS W/WO DYE	$9,220	$4,610	—	—	20
A9572	RRX IN111 OCTREOTIDE PER DOSE	$8,330	$4,165	—	—	20
A9569	RRX TC-99M EXAMETAZINE AUTOLOGOUS WBC'S PER DOSE	$8,300	$4,150	—	—	20
78815	NM PET CT SKULL/THIGH	$8,120	$4,060	—	—	21
78492	MYOCRD IMG PET MLT RST&STRS	$8,120	$4,060	—	—	20
78816	NM PET CT WHOLE BODY	$8,120	$4,060	—	—	21
27307	TENOTOMY HAMSTRING > 1 TENDON	$7,570	$3,785	—	—	20
24357	TENOTOMY ELBOW	$7,540	$3,770	—	—	20
23405	TENOTOMY SHOULDER	$7,540	$3,770	—	—	21
78452	NM MYO PERF SPECT MULTIPLE	$7,530	$3,765	—	—	21
95700	EEG CONT REC W/VID EEG MIN 8 CHNLS	$7,280	$3,640	—	—	21
0750	ENDOSCOPY W/STENT	$7,200	$3,600	—	—	21
93355	TEE GUIDANCE GREAT VESSEL REPAIR	$7,160	$3,580	—	—	20
60660	THYROID RF ABLAT SNGL LOBE	$7,100	$3,550	—	—	20
81456	SARCOMA TARGETED GENE PANEL	$7,010	$3,505	—	—	21
62287	DISKECTOMY/PERCUTANEOUS LUMBAR	$7,000	$3,500	—	—	20
0638T	CT BREAST W/3D BI WWO DYE	$6,910	$3,455	—	—	21
37609	TEMPORAL ARTERY LIGATION OR BIOPSY	$6,770	$3,385	—	—	21
95811	POLYSOMNOGRAPHY W CPAP/BIPAP	$6,770	$3,385	—	—	20
95810	POLYSOMNOGRAPHY 4/> PAREMETERS	$6,770	$3,385	—	—	21
22511	VERTEBROPLASTY L/S WITH IMAGING	$6,760	$3,380	—	—	21
72198	MRA PELVIS WWO CONTRAST	$6,530	$3,265	—	—	20
72157	MR T SPINE W/WO DYE	$6,530	$3,265	—	—	21
70543	MR ORBIT/FACE/NECK W/WO DYE	$6,530	$3,265	—	—	20
72197	MR PELVIS W/WO DYE	$6,530	$3,265	—	—	20
73223	MR UPPER EXTREM JOINT W/WO DYE	$6,530	$3,265	—	—	21
73220	MR UPPER EXTREM W/WO DYE	$6,530	$3,265	—	—	20
71552	MR CHEST W/WO DYE	$6,530	$3,265	—	—	20
72158	MR L SPINE W/WO DYE	$6,530	$3,265	—	—	20
70549	MRA NECK W/WO DYE	$6,530	$3,265	—	—	20
73225	MRA UPPER EXTREM W/WO DYE	$6,530	$3,265	—	—	21
73723	MR LOWER EXTREM JOINT W/WO DYE	$6,530	$3,265	—	—	21
73720	MR LOWER EXTREM W/WO DYE	$6,530	$3,265	—	—	20
74183	MR ABDOMEN W/WO DYE	$6,530	$3,265	—	—	21
72156	MR C SPINE W/WO DYE	$6,530	$3,265	—	—	20
70546	MRA HEAD W/WO DYE	$6,530	$3,265	—	—	21
70553	MR BRAIN W/WO DYE	$6,530	$3,265	—	—	20
77049	MR BREAST W/WO W/CAD CONTRAST BILAT	$6,490	$3,245	—	—	21
57410	PELVIC EXAM UNDER ANESTHESIA	$6,470	$3,235	—	—	21
C1776	1028646 - SHELL ACTB HIP 54MM G7 F HMSPHR 4 HOLE CLR CD	$6,448	$3,224	—	—	21
A9570	RRX IN-111 WBC PER STUDY	$6,420	$3,210	—	—	21
C1052	1183475 - CATHETER ENDO L220 CM HMST OD7 FR HEMOSPRAY 2.8 MM MINIMUM	$6,416	$3,208	—	—	20
G0390	TRAUMA W/CRITICAL CARE	$6,370	$3,185	—	—	20
0683	TRAUMA W/O CRITICAL CARE	$6,370	$3,185	—	—	20

Showing top 50 of 11,899 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.