FRANCISCAN HEALTH MICHIGAN CITY

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PX-48000322	Transcatheter Impl Wrls Pulm Arty Pressure Sensor	$123,332	$25,653	—	—	27
PX-27009379	Pacemaker Adapta Sr (Mdl Adsro6)	$107,604	$22,382	—	—	21
PX-48000194	Ins/Rep Subq Defibrillator Includes Dft at Implant	$102,087	$21,234	—	—	25
PX-48000305	Rmvl&Rplcmt Pg Wrls Cardiac Stim New Eltrd	$92,431	$19,226	—	—	17
PX-48000161	Remv & Rplc Cvd Gen Singl Ld	$85,533	$17,791	—	—	25
PX-48000329	Rmvl&Rplcmt Ss Impl Dfb Pg	$85,533	$17,791	—	—	17
PX-48000455	Prq Tcat Plmt Ntrac St 2+Les	$85,532	$17,791	—	—	25
PX-36001386	Insrt/Redo Spine N Generator	$84,152	$17,504	—	—	17
PX-48000452	Prq Trl Rvs Ch Occ Ant&Rtrgr	$83,040	$17,272	—	—	27
PX-27026001	Pacemaker Crt D Viva Xt Is1 Df4 (Mdl Dtba1d4)	$77,255	$16,069	—	—	21
PX-27026002	Pacemaker Crt D Viva Xt Is1 Df1 (Dtba1d1)	$77,255	$16,069	—	—	21
PX-36000070	Insrt Pulse Gen W/Singl Lead	$75,875	$15,782	—	—	25
PX-36000065	Insert Pacing Lead & Connect	$74,497	$15,495	—	—	25
PX-27038082	Set Pump US Aic Impella 2.5	$73,116	$15,208	—	—	16
PX-27038048	Defibrillator Icd Dynagen El Df4 Dr	$71,738	$14,922	—	—	21
PX-48000163	Remv & Rplc Cvd Gen Mult Ld	$70,358	$14,634	—	—	25
PX-27027513	Cath Impella Cp 4.0l	$68,978	$14,347	—	—	16
PX-36000073	Insert Pace-Defib W/Lead	$68,978	$14,347	—	—	25
PX-27028579	Defibrillator Cardiac Viva Quad Xt Resynch Therapy/Dtba1qq	$67,599	$14,061	—	—	21
PX-48000223	Comp Ep Eval Tx Atrial Fib Pulm Vein Isol	$67,599	$14,061	—	—	25
PX-36001639	Bilateral Lithotripsy Scode	$67,286	$13,995	—	—	11
PX-48000446	Rvsc Evsc Tpvt St Athr Cpx 1	$66,995	$13,935	—	—	17
PX-27030545	Defibrillator Quadra Assura Mp Crtd Df4 Conn	$66,684	$13,870	—	—	21
PX-27038327	Sys Cardiomems Pulmonary Artery Sensor and Deliver	$66,219	$13,774	—	—	21
PX-48000385	Insj Perm Ccm-D Sys Pg&Eltrd	$66,048	$13,738	—	—	17
PX-48000160	Insrt Pulse Gen W/Mult Leads	$64,841	$13,487	—	—	25
PX-48000168	Insrt Pulse Gen W/Dual Lds	$64,841	$13,487	—	—	17
PX-48000318	Transcatheter Insj/Rpl Perm Ldls Pacemaker	$64,563	$13,429	—	—	25
PX-27045892	Branch Thoracic Tag Tbe Aortic 31mm X 15cm 8mm	$64,000	$13,312	—	—	21
PX-48000442	Revsc Evsc Tpvt Athrc Cplx 1	$63,804	$13,271	—	—	17
PX-48000444	Rvsc Evsc Tpvt St Athrc Sf 1	$63,804	$13,271	—	—	17
PX-27038365	Defib Cardiac Claria MRI Crtd US Quad Df4/Dtma1qq	$62,091	$12,915	—	—	21
PX-48000450	Revsc Evsc Imvt Angio Cplx 1	$61,188	$12,727	—	—	17
PX-27025998	Pacemaker Icd Evera Xt Dr Is1 Df1 (Mdl Ddbb1d1)	$60,699	$12,625	—	—	21
PX-27038331	Defib Cardiac Claria MRI Crtd US Df1/Dtma1d1	$60,425	$12,568	—	—	21
PX-27044717	Device Procedure Watchman Flx Pro	$60,362	$12,555	—	—	16
RX-9002	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$60,211	$12,524	—	—	27
PX-48000379	Tcat S&Ivc Prstc Vl Impl Opn	$59,272	$12,329	—	—	17
PX-48000380	Tcat S&Ivc Prstc Vl Impl Prq	$59,272	$12,329	—	—	17
PX-27027158	Icd Unify Assura Parylene Coating Crt D 40/Cd3357-40c	$57,942	$12,052	—	—	21
PX-48000404	Evasc Rpr Ta Dplmt Mltpc Sys	$56,313	$11,713	—	—	17
PX-48000350	Perq Pulm Art Revasc Stent Initial; Abnormal Nativ	$56,312	$11,713	—	—	17
PX-48000403	Endovasc Taa Repr Incl Subcl	$56,312	$11,713	—	—	17
RX-601800	TENECTEPLASE 50 MG INTRAVENOUS SOLN FOR MI OR PE	$55,886	$11,624	—	—	26
PX-48000448	Revsc Evasc Imvt Angio Sf 1	$55,625	$11,570	—	—	25
PX-27045556	Kit Cath Sheath Impella Cp Companion 7fr	$55,620	$11,569	—	—	16
RX-601799	TENECTEPLASE 25 MG INTRAVENOUS SOLUTION FOR ACUTE ISCHEMIC STROKE (AI)	$55,206	$11,483	—	—	26
PX-48000266	Endovasc Repair Visc & Infraren Abd 4+ Prosth	$55,181	$11,478	—	—	11
PX-27029810	Defibrillator Cardiac Evera MRI Xt Dr Df4	$53,802	$11,191	—	—	21
PX-36001364	Upgrade of Pacemaker System	$53,802	$11,191	—	—	25

Showing top 50 of 9,032 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.