MEMORIAL HOSPITAL OF GARDENA

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
C1882	CRT-DEFB RIVACOR 7HF-T QP DF4 IS4 PROMRI	$201,101	$201,101	—	—	7
C1722	LUMAX 740 VR-T	$159,919	$159,919	—	—	7
C1822	ITREVIA 7 HF-T	$158,906	$158,906	—	—	7
L8682	IMP FREEDOM 8A STIM/RECEIV KIT	$140,000	$140,000	—	—	8
C1721	ICD-DR EVERA XT IS1/DF1 US	$136,899	$136,899	—	—	7
A9543	Y90 IBRITUMOMAB, RX PER TX DOSE	$130,422	$130,422	—	—	6
C1821	SIDEWINDER CAGE 11x28x9	$108,610	$108,610	—	—	7
C1820	IMP NEUROSTIMULATOR SURESCAN	$106,680	$106,680	—	—	7
C1762	IMP GRAFT OSTEOCHONDRAL FEM CONDL L MOPS	$88,823	$88,823	—	—	7
C1786	PACEMAKER ESSENTIO MRI SR IS-1	$62,069	$62,069	—	—	7
C1785	PACEMAKER ASSURITY	$58,497	$58,497	—	—	7
C9363	MESHED BILAYER WOUND MATRIX 4" x 5"	$51,321	$51,321	—	—	7
36906	AV SHUNT/FISTULA THROMBEC & PTA & STENT	$42,666	$42,666	—	—	6
Q4139	ALLOGRAFT AMNIOMATRIX	$42,377	$42,377	—	—	7
C9356	TENO GLIDE 4X5	$41,525	$41,525	—	—	7
C1764	SYSTEM/LLOP RECORDER	$40,772	$40,772	—	—	7
C1714	CROSSER CATHETER	$39,121	$39,121	—	—	15
Q4130	MESH STRATTICE 10X16	$35,667	$35,667	—	—	7
C1604	STENT GRAFT SYSTEM TORUS TSG-6 7X200	$35,000	$35,000	—	—	7
36254	ANGIO RENAL BIL SELECT 2ND ORDER	$33,995	$33,995	—	—	6
Q4114	IMP MATRIX WOUND INTEGRA FLOWABLE	$33,174	$33,174	—	—	7
Q4116	IMP ALLODERM SELECT TISSUE MATRIX	$32,326	$32,326	—	—	7
47370	LAPARO ABLATE LIVER TUMOR RF	$31,625	$31,625	—	—	6
47371	LAPARO ABLATE LIVER CRYOSURG	$31,625	$31,625	—	—	5
37221	ANGIOPLASTY & STENTING,ILIAC ART,UNI.	$31,546	$31,546	—	—	6
C1779	IMP LEAD PACE 6935M62 ACTIVE SPRINT	$30,709	$30,709	—	—	7
37241	VASCULAR EMBOLIZATION, VENOUS	$29,482	$29,482	—	—	6
36905	AV SHUNT/FISTULA THROMBECTOMY W. PTA	$28,148	$28,148	—	—	5
36903	AV SHUNT/FISTULA STENT, WHOLE	$28,148	$28,148	—	—	6
A9604	SM 153 LEXIDRONAM TX P/STUDY DOSE	$27,351	$27,351	—	—	5
C1724	IMP CATH DIAMONDBACK 360 EXCH SERIES	$27,265	$27,265	—	—	7
37227	PTA W STENT ATHEREC- FEM,POPL ART-S,UNI	$26,864	$26,864	—	—	6
C9399	IMP MATRIX THICK 3X6 CM AMNION	$25,900	$25,900	—	—	7
47540	PLACEMENT OF BILIARY STENT W-EXT DRAIN	$25,448	$25,448	—	—	6
C1777	PLEXA PROMRI DF-1 S DX 65/15	$25,410	$25,410	—	—	7
37244	VASC EMBOLIZE OCCLUDE BLEEDING	$25,137	$25,137	—	—	6
C1895	SHOCK LEAD VOLTA 2CT 65/18 VENT	$25,047	$25,047	—	—	7
V2785	CORNEA RIGHT WHOLE	$25,025	$25,025	—	—	7
47539	PLACEMENT OF BILIARY STENT, NEW ACCESS	$24,466	$24,466	—	—	5
37243	UTERINE FIBROID EMBOLIZATION	$23,940	$23,940	—	—	5
Q4150	ALLOWRAPS 4X4CM	$23,728	$23,728	—	—	7
Q4107	IMP GRAFT JACKET NOW STD 4X8CM	$23,492	$23,492	—	—	7
37191	INSERTION OF IVC FILTER	$23,452	$23,452	—	—	6
75605	THORACIC AORTOGRAM SERIAL	$22,663	$22,663	—	—	6
36253	ANGIO RENAL UNI SELECT 2ND ORDER	$22,663	$22,663	—	—	6
27650	REPAIR ACHILLES TENDON	$22,402	$22,402	—	—	7
C1817	ABDOMINAL OCCLUDER	$21,819	$21,819	—	—	7
50695	INSERT URETERAL TUBE, BILATERAL	$20,795	$20,795	—	—	6
Q4142	IMP BIOLOGIC TISSUE MATRIX 6X12CM	$20,265	$20,265	—	—	7
0191T	INSRTN ANTR SGMNT AQS DRNG DVC W-O INTL	$19,743	$19,743	—	—	4

Showing top 50 of 13,180 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.