JOHN C FREMONT HEALTHCARE DISTRICT

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
4000285	INSERTION SUBQ CARDIAC RHYTHM MONITOR W	$24,284	$12,142	—	—	4
1206025	INSERT NON TUNNEL CV CATH 5+	$9,111	$4,556	—	—	1
1209123	INSERT NON TUNNEL CV CATH 5+	$9,111	$4,556	—	—	1
7109712	RABIES IG HYPERRAB *1500IU/VIAL	$8,483	$4,242	—	—	4
1200064	I & D DEEP THIGH KNEE REG	$8,122	$4,061	—	—	1
7101388	IMMUNEGLOBULINE(RABIES)1500IU/VIAL	$7,400	$3,700	—	—	8
7108867	RABIES IG HYPERRAB *900IU/VIAL	$5,041	$2,521	—	—	4
1203753	CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WH	$4,594	$2,297	—	—	2
1207514	CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WH	$4,594	$2,297	—	—	2
4045380	COLNSCPY FLEX SPLEN BX	$3,373	$1,687	—	—	7
4045385	COLONOSCOPY LESN REMOV SNARE	$3,373	$1,687	—	—	2
6303306	US ECHO COMPLETE	$2,628	$1,314	—	—	12
6303312	US ECHO TRANSESOPHAGEAL	$2,628	$1,314	—	—	4
4045353	COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFR	$2,612	$1,306	—	—	7
4045378	COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFR	$2,612	$1,306	—	—	7
4045331	SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIP	$2,612	$1,306	—	—	1
4045330	SIGMOID FLEX DIAGNOSTIC	$2,612	$1,306	—	—	1
4002153	COLON CA SCRN NOT HI RSK	$2,612	$1,306	—	—	1
4003247	COLON CA SCRN NOT HI RSK	$2,612	$1,306	—	—	1
4043239	EGD FLEXIBLE TRANSORAL W BX SNGL, MULTI	$2,591	$1,296	—	—	2
6404177	CT ABD & PELVIS W CON	$2,565	$1,282	—	—	11
6404178	CT ABD & PELVIS W W OUT	$2,565	$1,282	—	—	5
6404179	CT ANGIO ABD PELVIS W CONTRAST	$2,565	$1,282	—	—	4
6402132	CT LUMB W CONT	$2,565	$1,282	—	—	2
6403201	CT UPPER EXTR W CONT LT	$2,565	$1,282	—	—	1
6413201	CT UPPER EXTR W CONT RT	$2,565	$1,282	—	—	1
1205220	CRITCL CARE 1ST 30 74 MIN W/MOD 25	$2,536	$1,268	—	—	10
1206832	CRITCL CARE 1ST 30 74 MIN	$2,536	$1,268	—	—	10
1219372	CRITCL CARE 1ST 30 74 MIN	$2,536	$1,268	—	—	10
6202157	MRI THORACIC SPINE W WO DYE	$2,199	$1,100	—	—	1
6202158	MRI LUMBAR SPINE W WO DYE	$2,199	$1,100	—	—	2
6204183	MRI ABDOMEN W WO DYE	$2,199	$1,100	—	—	6
6200553	MRI BRAIN W WO DYE	$2,199	$1,100	—	—	9
6200554	MRI PITUITARY W WO DYE	$2,199	$1,100	—	—	9
6203220	MRI UPPER EXT W WO DYE LT	$2,199	$1,100	—	—	1
6213220	MRI UPPER EXT W WO DYE RT	$2,199	$1,100	—	—	1
6202197	MRI PELVIS W WO DYE	$2,199	$1,100	—	—	2
6201552	MRI CHEST W WO DYE	$2,199	$1,100	—	—	1
1200119	I & D ABSCESS EAR SIMPLE	$2,011	$1,006	—	—	1
1206946	I & D ABSCESS EAR SIMPLE	$2,011	$1,006	—	—	1
1200080	I & D PILON CYST SIMP	$2,011	$1,006	—	—	1
4000286	RMVL SUBQ CAR RHYTHM MNTR	$2,011	$1,006	—	—	1
1203121	INJ ANSTH OTH PERIPHERAL NERVE	$1,977	$989	—	—	1
1208470	INJ ANSTH OTH PERIPHERAL NERVE	$1,977	$989	—	—	1
4003243	CARDIOVERSION EXTERNAL	$1,860	$930	—	—	1
602961	CARDIOVERSION EXTERNAL	$1,860	$930	—	—	2
4003244	CARDIOVERSION EXTERNAL	$1,860	$930	—	—	2
1205210	ER VISIT LEVEL 5 W/MOD 25	$1,836	$918	—	—	12
1206815	ER VISIT LEVEL 5	$1,836	$918	—	—	12
1209240	ER VISIT LEVEL 5	$1,836	$918	—	—	12

Showing top 50 of 875 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.