AHMC SETON MEDICAL CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
8519115	IR RENDEVOUZ ACC SM BWL VIA BILI 47541	$955,000	$573,000	—	—	4
8519115	IR RENDEVOUZ ACC SM BWL VIA BILI 47541	$955,000	$955,000	—	—	29
5600202	CL LEADLESS RT VENT PM OP 33274	$135,000	$81,000	—	—	4
5600202	CL LEADLESS RT VENT PM OP 33274	$135,000	$135,000	—	—	29
5600203	CL LEADLESS RT ATR PM OP 0823T	$135,000	$81,000	—	—	4
5600203	CL LEADLESS RT ATR PM OP 0823T	$135,000	$135,000	—	—	31
5600204	CL LEADLESS DUAL CHAM PM OP 0795T	$135,000	$81,000	—	—	4
5600204	CL LEADLESS DUAL CHAM PM OP 0795T	$135,000	$135,000	—	—	31
27023222	AICD DUAL CHAMBER (26001-28000)	$134,750	$80,850	—	—	21
27023222	AICD DUAL CHAMBER (26001-28000)	$134,750	$134,750	—	—	27
5623297	AICD SINGLE CHAMBER (26001-28000)	$134,750	$80,850	—	—	21
5623297	AICD SINGLE CHAMBER (26001-28000)	$134,750	$134,750	—	—	27
5623296	AICD SINGLE CHAMBER (24001-26000)	$125,100	$75,060	—	—	21
5623296	AICD SINGLE CHAMBER (24001-26000)	$125,100	$125,100	—	—	27
5604438	TRANSMURAL TRANS ART BYPASS GRAFT C1604	$125,000	$75,000	—	—	4
5604438	TRANSMURAL TRANS ART BYPASS GRAFT C1604	$125,000	$125,000	—	—	30
5623295	AICD SINGLE CHAMBER (22001-24000)	$113,500	$68,100	—	—	21
5623295	AICD SINGLE CHAMBER (22001-24000)	$113,500	$113,500	—	—	27
2700181	GENERATOR NEUROSTIMULATOR C1767 $22-24K	$113,495	$68,097	—	—	21
2700181	GENERATOR NEUROSTIMULATOR C1767 $22-24K	$113,495	$113,495	—	—	27
5623302	CATH EXCLUDER AAA ENDO TRNK IPSI C1874	$111,495	$66,897	—	—	21
5623302	CATH EXCLUDER AAA ENDO TRNK IPSI C1874	$111,495	$111,495	—	—	27
2856831	SIPULEUCEL-T 50M/250 ML INJ	$105,172	$63,103	—	—	4
2856831	SIPULEUCEL-T 50M/250 ML INJ	$105,172	$105,172	—	—	25
1304018	TENON S1 IMPLANTS BILATERAL	$105,000	$63,000	—	—	21
1304018	TENON S1 IMPLANTS BILATERAL	$105,000	$105,000	—	—	27
5623294	AICD SINGLE CHAMBER (20001-22000)	$103,500	$62,100	—	—	21
5623294	AICD SINGLE CHAMBER (20001-22000)	$103,500	$103,500	—	—	27
5603834	EPHYS EVAL TRNSPTL TX ART FIB PULM	$96,707	$58,024	—	—	4
5603834	EPHYS EVAL TRNSPTL TX ART FIB PULM	$96,707	$96,707	—	—	30
1613247	DISPOSABLE SUPPLY (24001-26000)	$95,266	$57,160	—	—	4
1613247	DISPOSABLE SUPPLY (24001-26000)	$95,266	$95,266	—	—	28
5623293	AICD SINGLE CHAMBER (18001-20000)	$90,250	$54,150	—	—	21
5623293	AICD SINGLE CHAMBER (18001-20000)	$90,250	$90,250	—	—	27
5604440	REV ENDO PTA IVL (LE) EXPT TIB W/ STENT	$89,785	$53,871	—	—	4
5604440	REV ENDO PTA IVL (LE) EXPT TIB W/ STENT	$89,785	$89,785	—	—	31
5604441	REV ENDO PTA IVL (LE) EXPT TIBIAL W/ ATH	$89,785	$53,871	—	—	4
5604441	REV ENDO PTA IVL (LE) EXPT TIBIAL W/ ATH	$89,785	$89,785	—	—	31
5604442	REV ENDO PTA IVL (LE) EXPT TIB W/ATH/STE	$89,785	$53,871	—	—	4
5604442	REV ENDO PTA IVL (LE) EXPT TIB W/ATH/STE	$89,785	$89,785	—	—	31
5604445	REV TIBIAL IVL PTA ATHERECTOMY	$89,785	$53,871	—	—	4
5604445	REV TIBIAL IVL PTA ATHERECTOMY	$89,785	$89,785	—	—	31
5604446	REV TIBIAL IVL PTA ATHE/STENT	$89,785	$53,871	—	—	4
5604446	REV TIBIAL IVL PTA ATHE/STENT	$89,785	$89,785	—	—	31
5604432	REVASC INTRAVASC LITHOTRIP & STENT C9765	$89,784	$53,870	—	—	4
5604432	REVASC INTRAVASC LITHOTRIP & STENT C9765	$89,784	$89,784	—	—	31
5604433	REVASC INTRA LITHOTR-ATHER & ANGIO C9766	$89,784	$53,870	—	—	4
5604433	REVASC INTRA LITHOTR-ATHER & ANGIO C9766	$89,784	$89,784	—	—	31
5604434	REVASC LITHOTRIPSY-STENT & ATHERE C9767	$89,784	$53,870	—	—	4
5604434	REVASC LITHOTRIPSY-STENT & ATHERE C9767	$89,784	$89,784	—	—	31

Showing top 50 of 16,404 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.