The Bill
Lumbar Spinal Fusion, 2-Level - Mercy General Hospital
Date
Code
Description
Qty
Unit Price
Charges
03/12
0278
Implant - Titanium Pedicle Screw System
1
$16,238.90
$16,238.90
03/12
0960
Neurosurgeon - Lumbar Fusion 2-Level
1
$8,110.44
$8,110.44
03/12
0360
OR Services - Lumbar Fusion 218 Min
1
$13,904.75
$13,904.75
03/12
0370
Anesthesia - General w/Neuromonitoring
1
$4,862.30
$4,862.30
03/12
0120
Room & Board - Semi-Private 2 Bed
2
$2,845.08
$5,690.16
03/12
0270
Sterile Supply Pack - Spine Major
1
$3,374.60
$3,374.60
Total Due$52,181.15
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