ASCENSION CALUMET HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
36163685	HC INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ&CONNJ	$85,061	$48,485	—	—	55
34302616	HC YTTRIUM-90 MICROSPHERES	$42,616	$24,291	—	—	62
36163664	HC REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUO	$37,314	$21,269	—	—	55
96022514	HC PRO PERQ AGMNTJ CAV UNI/BI CANN LUMBR	$28,958	$16,506	—	—	55
74003225	HC EEG NON-RETURN FEE	$19,282	$10,991	—	—	57
36922514	HC PERCUTANEOUS VERTEBRAL AUGMENT LUMBAR	$19,000	$10,830	—	—	55
96052284	HC PRO CYSTO RX BALO CATH URTL STRX	$11,074	$6,312	—	—	57
36919083	HC BX BREAST 1ST LESION US IMAG	$9,898	$5,642	—	—	55
36936556	HC INSERT NON-TUNNEL CV CATH	$9,415	$5,367	—	—	55
36163688	HC REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD R	$9,321	$5,313	—	—	55
36952001	HC CYSTOSCOPY W/REMOVAL OF CLOTS	$8,975	$5,116	—	—	56
36000060	HC SURGERY 1ST MINUTE LEVEL 10	$8,630	$4,919	—	—	61
96027447	HC PRO TOTAL KNEE ARTHROPLASTY	$8,419	$4,799	—	—	55
34309982	HC FLUTEMETAMOL F18 DIAGNOSTIC	$8,000	$4,560	—	—	59
27400107	HC KAFO FEMORAL CAST CUSTOM	$7,727	$4,404	—	—	60
45000019	HC ER DELIVERY	$7,720	$4,400	—	—	55
96063663	HC PRO REV NS LEAD PERC W/FLUOR	$7,607	$4,336	—	—	55
36963663	HC REVISE SPINE ELTRD PERQ ARAY	$7,493	$4,271	—	—	55
74095811	HC POLYSOMNOGRAPHY WITH CPAP	$7,488	$4,268	—	—	51
96063650	HC PRO PERC IMP NEURO LEAD EPI	$7,298	$4,160	—	—	55
74095810	HC POLYSOMNOGRAM STUDY	$7,116	$4,056	—	—	51
27400137	HC WHFO DYNAMIC FLEX CUSTOM	$7,105	$4,050	—	—	60
96064633	HC PRO DEST FAC NRV CER/THR SGL	$6,150	$3,506	—	—	55
75000052	HC COLONOSCOPY	$6,142	$3,501	—	—	61
96064624	HC PRO DESTRUCT GENICULAR NERVE W/IMG	$6,035	$3,440	—	—	55
96064635	HC PRO DEST FAC NRV LUM/SAC SGL	$6,035	$3,440	—	—	55
61000002	HC MRA W/O FOL W/CONT, LWR EXT	$5,968	$3,402	—	—	44
45026418	HC ER REPAIR/REVISION RECONSTRUCT	$5,964	$3,399	—	—	55
21044	LEUPROLIDE ACETATE 11.25MG SYRINGE KIT 4	$5,656	$3,224	—	—	53
34309570	HC INDIUM IN-111 AUTO WBC DX PER STUDY	$5,640	$3,215	—	—	62
27400134	HC EWHFO RIGID WO JOINTS	$5,624	$3,206	—	—	60
40478816	HC PET/CT IMAGE WHOLE BODY	$5,600	$3,192	—	—	51
40478815	HC PET/CT IMAGE SKULL BASE-THIGH	$5,376	$3,064	—	—	51
36932556	HC INSERT CATH PLEURA W/O IMAGE	$5,343	$3,046	—	—	55
36163661	HC REMOVE SPINE ELTRD PERQ ARAY	$5,289	$3,015	—	—	55
27400311	HC SO AIRPLANE W/WO JOINT CF	$5,185	$2,955	—	—	60
75000055	HC GASTROSCOPY W/ESOPH DIL	$5,135	$2,927	—	—	61
36931623	HC DX BRONCHOSCOPE/BRUSH	$5,106	$2,910	—	—	55
36931624	HC DX BRONCHOSCOPE/LAVAGE	$5,106	$2,910	—	—	55
36931625	HC BRONCHOSCOPY W/BIOPSY(S)	$5,106	$2,910	—	—	55
36931628	HC BRONCHOSCOPY W/LUNG BIOPSY	$5,106	$2,910	—	—	55
36931629	HC BRONCHOSCOPY W/NEEDLE ASPIR	$5,106	$2,910	—	—	55
36931635	HC BRONCHOSCOPY W/FB REMOVAL	$5,106	$2,910	—	—	55
36931645	HC BRONCH W/THER ASPR TRCH 1ST	$5,106	$2,910	—	—	55
45000013	HC ER CNTRL LINE INSERT WO PUMP	$5,015	$2,859	—	—	55
36919084	HC BX BREAST ADD LESION US IMAG	$4,950	$2,822	—	—	55
36120206	HC NEEDLE BIOPSY MUSCLE	$4,744	$2,704	—	—	55
34078452	HC MYOCARDIAL SPECT MULTIPLE STUDIES	$4,648	$2,649	—	—	51
36910140	HC DRAINAGE OF HEMATOMA/FLUID	$4,635	$2,642	—	—	55
36036569	HC INSJ PICC 5 YR+ W/O IMAGING	$4,625	$2,636	—	—	55

Showing top 50 of 3,599 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.