DEACONESS ILLINOIS CROSSROADS

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2350	OCRELIZUMAB 300 MG/10ML IV SOLN	$235,307	$44,708	—	—	7
J2329	UBLITUXIMAB-XIIY 150 MG/6ML IV SOLN	$126,654	$24,064	—	—	7
J2327	RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN	$121,205	$23,029	—	—	7
J3380	VEDOLIZUMAB 300 MG IV SOLR	$106,703	$20,274	—	—	7
33249	HC ICD INSERT SINGLE/DUAL W/FLUORO	$102,999	$19,570	—	—	7
J2997	ALTEPLASE 1 MG/ML IVPB	$100,324	$19,062	—	—	7
J3101	TENECTEPLASE 50 MG IV KIT	$94,589	$17,972	—	—	21
C1882	HC OR 278 C1882 IMPLANTS DEFIBRILLATOR	$88,235	$16,765	—	—	6
33221	HC PPM BIVENT INSERT GENERATOR ONLY W/FLUORO	$87,144	$16,557	—	—	7
33230	HC ICD INSERT GENERATOR ONLY DUAL LEADS W/FLUORO	$84,481	$16,051	—	—	7
33264	HC ICD BIVENT GENERATOR CHANGE W/FLUORO	$84,481	$16,051	—	—	7
33231	HC ICD BIVENT INSERT GENERATOR ONLY W/FLUORO	$82,559	$15,686	—	—	7
33208	HC PPM INSERT DUAL W/FLUORO	$80,200	$15,238	—	—	7
93461	HC RHC/LHC W/WO LV ANGIO/CORONARY/SVG/IM ANGIO	$77,894	$14,800	—	—	7
93457	HC RHC/CORONARY/SVG/IM ANGIO	$76,281	$14,493	—	—	7
93459	HC LHC W/WO LV ANGIO/CORONARY/SVG/IM ANGIO	$76,220	$14,482	—	—	7
93460	HC RHC/LHC W/WO LV ANGIO/CORONARY ANGIO	$71,415	$13,569	—	—	7
93456	HC RHC/CORONARY ANGIO	$69,803	$13,263	—	—	7
92972	HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY	$69,269	$13,161	—	—	7
C9606	HC PCI CORONARY DES AMI ACUTE OCCL INITIAL VESSEL LD	$69,166	$13,141	—	—	6
C9601	HC STENT CORONARY DES EACH ADDL BRANCH LD	$69,166	$13,141	—	—	6
C9602	HC ATHERECTOMY CORONARY DES INITIAL VESSEL RC	$69,166	$13,141	—	—	7
J0517	BENRALIZUMAB 30 MG/ML SC SOSY	$66,657	$12,665	—	—	7
33990	HC VAD INSERT ART PERCUTANEOUS W S/I	$66,306	$12,598	—	—	7
J2783	RASBURICASE 7.5 MG IV SOLR	$63,099	$11,989	—	—	7
93458	HC LHC W/WO LV ANGIO/CORONARY ANGIO	$62,136	$11,806	—	—	7
C9600	HC STENT CORONARY DES INITIAL VESSEL LC	$61,623	$11,708	—	—	7
93453	HC RHC/LHC W/WO LV ANGIO	$61,166	$11,622	—	—	7
93452	HC LHC W/WO LV ANGIO	$59,492	$11,304	—	—	7
33262	HC ICD GENERATOR CHANGE SINGLE LEAD W/FLUORO	$56,115	$10,662	—	—	7
33216	HC PPM LEAD INSERT SINGLE	$52,885	$10,048	—	—	7
33274	HC TCAT INSJ/RPL PERM LDLS PM	$52,885	$10,048	—	—	7
33207	HC PPM INSERT SINGLE W/FLUORO	$52,885	$10,048	—	—	7
93455	HC CORONARY/SVG/IM ANGIO	$51,223	$9,732	—	—	7
33263	HC ICD GENERATOR CHANGE DUAL LEAD W/FLUORO	$50,908	$9,672	—	—	7
33228	HC PPM GENERATOR CHANGE DUAL LEAD W/FLUORO	$50,908	$9,672	—	—	7
J1162	DIGOXIN IMMUNE FAB 40 MG IV SOLR	$50,411	$9,578	—	—	14
33229	HC PPM BIVENT GENERATOR CHANGE W/FLUORO	$49,108	$9,331	—	—	7
33285	HC INSERT SUBQ CAR RHYTHM MONITOR W PRGRMG	$46,700	$8,873	—	—	7
33286	HC REMOVE SUBQ CAR RHYTHM MONITOR	$46,700	$8,873	—	—	7
93454	HC CORONARY ANGIO	$44,745	$8,501	—	—	7
J1568	IMMUNE GLOBULIN HUMAN (OCTAGAM) 10% IV SOLN	$44,289	$8,415	—	—	14
37225	PR REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL	$40,625	$14,219	—	—	6
33967	HC IABP INSERTION	$38,898	$7,391	—	—	7
90375	RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN	$38,788	$7,370	—	—	7
92987	HC VALVULOPLASTY MITRAL VALVE	$38,078	$7,235	—	—	7
92986	HC VALVULOPLASTY AORTIC VALVE	$38,078	$7,235	—	—	7
33218	HC LEAD REPAIR SINGLE W/FLUORO	$37,691	$7,161	—	—	7
0505T	PR EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR	$36,634	$12,822	—	—	6
L5969	PR AK/FT POWER ASST INCL MOTORS	$36,329	$12,715	—	—	2

Showing top 50 of 26,533 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.