BANNER GOLDFIELD MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
6883060	LIFILEUCEL TIL/DOSE 7.5B-72B SNIJ	$3,759,504	$801,451	—	—	24
6278675	IMP DEV COCHLEAR INT&EXT CMP LVL 10	$219,004	$46,687	—	—	33
6278667	IMP DEV COCHLEAR INT&EXT CMP LVL 09	$197,104	$42,019	—	—	33
6278659	IMP DEV COCHLEAR INT&EXT CMP LVL 08	$175,204	$37,350	—	—	33
6278642	IMP DEV COCHLEAR INT&EXT CMP LVL 07	$153,304	$32,681	—	—	33
6273643	IMP DEV JT KNEE TOTAL LVL 23	$135,784	$28,946	—	—	33
6277123	IMP PLATE CUST LVL 04	$131,404	$28,013	—	—	33
6271431	IMP ICD CHAMBER DUAL LVL 05	$131,404	$28,013	—	—	33
6286322	IMP GENERATOR NEUROSTIM LVL 06	$131,404	$28,013	—	—	33
6278634	IMP DEV COCHLEAR INT&EXT CMP LVL 06	$131,404	$28,013	—	—	33
6273635	IMP DEV JT KNEE TOTAL LVL 22	$122,644	$26,145	—	—	33
6275077	IMP ICD CHAMBER NON SGL/DUAL LVL 06	$122,644	$26,145	—	—	33
6280309	IMP SPINE FUSION LVL 24	$111,694	$23,811	—	—	33
6277115	IMP PLATE CUST LVL 03	$109,504	$23,344	—	—	33
6271423	IMP ICD CHAMBER DUAL LVL 04	$109,504	$23,344	—	—	33
6288914	IMP ICD CHAMBER SGL LVL 04	$109,504	$23,344	—	—	33
6279509	IMP GENERATOR NEUROSTIM LVL 05	$109,504	$23,344	—	—	33
6277016	IMP DEV JT HIP TOTAL LVL 17	$109,504	$23,344	—	—	33
6273627	IMP DEV JT KNEE TOTAL LVL 21	$109,504	$23,344	—	—	33
6274286	IMP PCMKR DUAL RR LVL 07	$109,504	$23,344	—	—	33
6274351	IMP ICD CHAMBER NON SGL/DUAL LVL 05	$109,504	$23,344	—	—	33
2774172	IMP DEV COCHLEAR INT&EXT CMP LVL 05	$109,504	$23,344	—	—	33
6271845	IMP DEV JT KNEE TOTAL LVL 20	$96,364	$20,543	—	—	33
2772374	IMP ICD CHAMBER NON SGL/DUAL LVL 04	$96,364	$20,543	—	—	33
6275374	IMP DEV COCHLEAR INT&EXT CMP LVL 04	$96,364	$20,543	—	—	33
6279491	IMP BONE HUMAN/SYNTHETIC LVL 22	$96,364	$20,543	—	—	33
2793784	FIX EXTRNL LW/UP/PELVIC LVL 24	$96,364	$20,543	—	—	20
6277107	IMP PLATE CUST LVL 02	$87,604	$18,675	—	—	33
2778314	IMP ICD CHAMBER DUAL LVL 03	$87,604	$18,675	—	—	33
2778322	IMP ICD CHAMBER SGL LVL 03	$87,604	$18,675	—	—	33
6271407	IMP GENERATOR NEUROSTIM LVL 04	$87,604	$18,675	—	—	33
2774677	IMP DEV JT HIP TOTAL LVL 16	$87,604	$18,675	—	—	33
2771616	IMP DEV JT KNEE TOTAL LVL 19	$87,604	$18,675	—	—	33
6274278	IMP PCMKR DUAL RR LVL 06	$87,604	$18,675	—	—	33
6279426	IMP BONE HUMAN/SYNTHETIC LVL 21	$87,604	$18,675	—	—	33
6275143	IMP PUMP VALVE BLOOD LVL 06	$87,604	$18,675	—	—	33
2793776	FIX EXTRNL LW/UP/PELVIC LVL 23	$87,604	$18,675	—	—	20
6285670	IMP TISSUE CONNECT NONHUMAN LVL 16	$83,224	$17,742	—	—	33
6280275	IMP SPINE FUSION LVL 23	$83,224	$17,742	—	—	33
6292601	IMP STENT NOS LVL 23	$83,224	$17,742	—	—	33
6288989	IMP STENT NOS LVL 22	$81,034	$17,275	—	—	33
2774859	IMP DEV JT KNEE TOTAL LVL 18	$78,844	$16,808	—	—	33
6279483	IMP FIX SPINE LVL 14	$78,844	$16,808	—	—	33
6280267	IMP SPINE FUSION LVL 22	$78,844	$16,808	—	—	33
6279418	IMP BONE HUMAN/SYNTHETIC LVL 20	$78,844	$16,808	—	—	33
6279475	IMP ORTHOPEDIC CAGE LVL 13	$78,844	$16,808	—	—	33
6282198	IMP PUMP VALVE BLOOD LVL 05	$78,844	$16,808	—	—	33
2793768	FIX EXTRNL LW/UP/PELVIC LVL 22	$78,844	$16,808	—	—	20
6278238	IMP ICD CHAMBER NON SGL/DUAL LVL 03	$78,840	$16,807	—	—	33
6288237	IMP STENT NOS LVL 21	$76,654	$16,341	—	—	33

Showing top 50 of 7,056 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.