BANNER PAYSON MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
6883060	LIFILEUCEL TIL/DOSE 7.5B-72B SNIJ	$3,759,504	$2,126,751	—	—	31
6278675	IMP DEV COCHLEAR INT&EXT CMP LVL 10	$219,004	$110,597	—	—	32
6278667	IMP DEV COCHLEAR INT&EXT CMP LVL 09	$197,104	$99,538	—	—	32
6278659	IMP DEV COCHLEAR INT&EXT CMP LVL 08	$175,204	$88,478	—	—	32
6278642	IMP DEV COCHLEAR INT&EXT CMP LVL 07	$153,304	$77,419	—	—	32
6273643	IMP DEV JT KNEE TOTAL LVL 23	$135,784	$68,571	—	—	32
6277123	IMP PLATE CUST LVL 04	$131,404	$66,359	—	—	33
6271431	IMP ICD CHAMBER DUAL LVL 05	$131,404	$63,468	—	—	33
6286322	IMP GENERATOR NEUROSTIM LVL 06	$131,404	$66,359	—	—	32
6278634	IMP DEV COCHLEAR INT&EXT CMP LVL 06	$131,404	$66,359	—	—	32
6273635	IMP DEV JT KNEE TOTAL LVL 22	$122,644	$61,935	—	—	32
6275077	IMP ICD CHAMBER NON SGL/DUAL LVL 06	$122,644	$61,935	—	—	32
6280309	IMP SPINE FUSION LVL 24	$111,694	$56,405	—	—	32
6277115	IMP PLATE CUST LVL 03	$109,504	$55,300	—	—	33
6271423	IMP ICD CHAMBER DUAL LVL 04	$109,504	$52,890	—	—	33
6288914	IMP ICD CHAMBER SGL LVL 04	$109,504	$52,890	—	—	33
6279509	IMP GENERATOR NEUROSTIM LVL 05	$109,504	$55,300	—	—	32
6277016	IMP DEV JT HIP TOTAL LVL 17	$109,504	$55,300	—	—	32
6273627	IMP DEV JT KNEE TOTAL LVL 21	$109,504	$55,300	—	—	32
6274286	IMP PCMKR DUAL RR LVL 07	$109,504	$52,890	—	—	32
6308944	IMP GEN NRSTM HF W BAT RECHG LVL 11	$109,504	$55,300	—	—	32
6274351	IMP ICD CHAMBER NON SGL/DUAL LVL 05	$109,504	$55,300	—	—	32
2774172	IMP DEV COCHLEAR INT&EXT CMP LVL 05	$109,504	$55,300	—	—	32
6271845	IMP DEV JT KNEE TOTAL LVL 20	$96,364	$48,664	—	—	32
2772374	IMP ICD CHAMBER NON SGL/DUAL LVL 04	$96,364	$48,664	—	—	32
6275374	IMP DEV COCHLEAR INT&EXT CMP LVL 04	$96,364	$48,664	—	—	32
6279491	IMP BONE HUMAN/SYNTHETIC LVL 22	$96,364	$48,664	—	—	32
2793784	FIX EXTRNL LW/UP/PELVIC LVL 24	$96,364	$37,871	—	—	25
6277107	IMP PLATE CUST LVL 02	$87,604	$44,240	—	—	33
2778314	IMP ICD CHAMBER DUAL LVL 03	$87,604	$42,313	—	—	33
2778322	IMP ICD CHAMBER SGL LVL 03	$87,604	$42,313	—	—	33
6271407	IMP GENERATOR NEUROSTIM LVL 04	$87,604	$44,240	—	—	32
2774677	IMP DEV JT HIP TOTAL LVL 16	$87,604	$44,240	—	—	32
2771616	IMP DEV JT KNEE TOTAL LVL 19	$87,604	$44,240	—	—	32
6274278	IMP PCMKR DUAL RR LVL 06	$87,604	$42,313	—	—	32
6275804	IMP NRSTM BAT RECHG SYS LVL 07	$87,604	$44,240	—	—	32
6308936	IMP GEN NRSTM HF W BAT RECHG LVL 10	$87,604	$44,240	—	—	32
6279426	IMP BONE HUMAN/SYNTHETIC LVL 21	$87,604	$44,240	—	—	32
6275143	IMP PUMP VALVE BLOOD LVL 06	$87,604	$44,240	—	—	32
2793776	FIX EXTRNL LW/UP/PELVIC LVL 23	$87,604	$34,428	—	—	25
6285670	IMP TISSUE CONNECT NONHUMAN LVL 16	$83,224	$42,028	—	—	32
6280275	IMP SPINE FUSION LVL 23	$83,224	$42,028	—	—	32
6292601	IMP STENT NOS LVL 23	$83,224	$42,028	—	—	32
6288989	IMP STENT NOS LVL 22	$81,034	$40,922	—	—	32
2774859	IMP DEV JT KNEE TOTAL LVL 18	$78,844	$39,816	—	—	32
6279483	IMP FIX SPINE LVL 14	$78,844	$39,816	—	—	32
6280267	IMP SPINE FUSION LVL 22	$78,844	$39,816	—	—	32
6279418	IMP BONE HUMAN/SYNTHETIC LVL 20	$78,844	$39,816	—	—	32
6279475	IMP ORTHOPEDIC CAGE LVL 13	$78,844	$39,816	—	—	32
6282198	IMP PUMP VALVE BLOOD LVL 05	$78,844	$39,816	—	—	32

Showing top 50 of 8,509 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.