COAST PLAZA HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
C1882	PACEMAKER VIGILANT X4 CRT-D IS-1 DF4 IS4	$173,250	$173,250	—	—	5
C1722	LUMAX 740 VR-T	$159,919	$159,919	—	—	5
C1822	ITREVIA 7 HF-T	$158,906	$158,906	—	—	5
L8682	IMP FREEDOM 8A STIM/RECEIV KIT	$140,000	$140,000	—	—	6
A9543	Y90 IBRITUMOMAB, RX PER TX DOSE	$130,422	$130,422	—	—	5
C1820	IMP NEUROSTIMULATOR SURESCAN	$106,680	$106,680	—	—	5
C1785	ESSENTIO MRI EL DR IS-1 (EL) PACEMAKER	$74,844	$74,844	—	—	5
C9363	MESHED BILAYER WOUND MATRIX 4" x 5"	$51,321	$51,321	—	—	6
C1786	EDORA 8 DR-T	$49,357	$49,357	—	—	5
C1721	PULSE GENERATOR REPLY DR	$43,638	$43,638	—	—	5
36906	AV SHUNT/FISTULA THROMBEC & PTA & STENT	$42,666	$42,666	—	—	5
Q4139	ALLOGRAFT AMNIOMATRIX	$42,377	$42,377	—	—	5
C9356	TENO GLIDE 4X5	$41,525	$41,525	—	—	5
C1714	CROSSER CATHETER	$39,121	$39,121	—	—	9
C1764	IMP LOOP RECORDOER ICM LNQ22 LINQ11	$37,065	$37,065	—	—	5
C1777	RELIANCE 4 FRNT S ACTIVE FIX SINGLE COIL	$34,650	$34,650	—	—	5
36254	ANGIO RENAL BIL SELECT 2ND ORDER	$33,995	$33,995	—	—	4
Q4114	IMP MATRIX WOUND INTEGRA FLOWABLE	$33,174	$33,174	—	—	5
C1874	ELUVIA US, 6X150, 130 CM STENT	$32,200	$32,200	—	—	5
47371	LAPARO ABLATE LIVER CRYOSURG	$31,625	$31,625	—	—	5
47370	LAPARO ABLATE LIVER TUMOR RF	$31,625	$31,625	—	—	5
37221	ANGIOPLASTY & STENTING,ILIAC ART,UNI.	$31,546	$31,546	—	—	4
C1779	IMP LEAD PACE 6935M62 ACTIVE SPRINT	$30,709	$30,709	—	—	5
37241	VASCULAR EMBOLIZATION, VENOUS	$29,482	$29,482	—	—	4
36905	AV SHUNT/FISTULA THROMBECTOMY W. PTA	$28,148	$28,148	—	—	5
36903	AV SHUNT/FISTULA STENT, PERIPHERAL	$28,148	$28,148	—	—	5
A9604	SM 153 LEXIDRONAM TX P/STUDY DOSE	$27,351	$27,351	—	—	5
C1724	IMP CATH DIAMONDBACK 360 EXCH SERIES	$27,265	$27,265	—	—	5
37227	PTA W STENT ATHEREC- FEM,POPL ART-S,UNI	$26,864	$26,864	—	—	5
Q4107	IMP GRAFTJACKET NOW MATRIX 4X4CM	$26,565	$26,565	—	—	6
47540	PLACEMENT OF BILIARY STENT W-EXT DRAIN	$25,448	$25,448	—	—	5
37244	VASC EMBOLIZE OCCLUDE BLEEDING	$25,137	$25,137	—	—	5
C1895	SHOCK LEAD VOLTA 2CT 65/18 VENT	$25,047	$25,047	—	—	5
V2785	CORNEA RIGHT WHOLE	$25,025	$25,025	—	—	5
C1604	TORUS STENT GRAFT SYSTEM	$25,000	$25,000	—	—	5
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	—	—	5
37191	IVC FILTER PLACEMENT	$23,452	$23,452	—	—	5
50437	PERC NPHSTMY INC CT US FLR IMG W/CAT BIL	$23,049	$23,049	—	—	4
75605	THORACIC AORTOGRAM SERIAL	$22,663	$22,663	—	—	5
36253	ANGIO RENAL UNI SELECT 2ND ORDER	$22,663	$22,663	—	—	5
27650	REPAIR ACHILLES TENDON	$22,402	$22,402	—	—	6
C1817	ABDOMINAL OCCLUDER	$21,819	$21,819	—	—	5
28545	TX FOOT DISLOC W/ANESTH BIL	$20,831	$20,831	—	—	5
27532	TREAT KNEE FRAC BILAT	$20,831	$20,831	—	—	5
26706	KNUCKLE DSLCTN W/MNPLTN W/SKLTL FXTN BIL	$20,831	$20,831	—	—	5
C1783	iSTENT	$20,803	$20,803	—	—	5
L8699	NOVABONE IRM MACROPOR 5.0CC	$20,650	$20,650	—	—	5
V2790	CLONIX 4X3	$20,265	$20,265	—	—	5

Showing top 50 of 15,839 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.