STORMONT VAIL HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
62991289303	ISOPROPYL ALCOHOL 70 % SOLN	$133,888	—	—	—	4
71336100101	GIVLAARI 189 MG/ML SC SOLN	$109,748	—	—	—	10
33264	HC REMOVE/REPLACE MULT LEAD DEFIB	$77,872	—	—	—	8
33249	HC INSERT/REPOSITION ANY DEFIB SY	$77,564	—	—	—	8
75987008010	KRYSTEXXA 8 MG/ML IV SOLN	$76,870	—	—	—	12
15054106004	SOMATULINE DEPOT 60 MG/0.2ML SC SOLN	$76,113	—	—	—	12
57894006003	STELARA 45 MG/0.5ML SC SOSY	$72,892	—	—	—	12
57894006103	STELARA 90 MG/ML SC SOSY	$72,892	—	—	—	12
79952011001	ZYNLONTA 10 MG IV SOLR	$70,817	—	—	—	10
0571T	HC INSJ/RPLCMT ICDS SS ELTRD EVICD	$70,553	—	—	—	3
33995	HC NSJ PERQ VAD R HRT VENOUS	$70,356	—	—	—	0
C9602	HC PERC D-E COR STENT ATHER S	$69,035	—	—	—	8
92933	HC PRQ CARD STENT/ATH/ANGIO	$69,035	—	—	—	8
85043004504	VABRINTY 45 MG SC KIT	$69,013	—	—	—	12
36906	HC THRMBC/NFS DIALYSIS CIRCUIT WITH PTA AND STENT PERIPHERAL SEGMENT	$68,571	—	—	—	6
15054109004	SOMATULINE DEPOT 90 MG/0.3ML SC SOLN	$67,580	—	—	—	12
C9775	HC REVASC LITHOTRIP-STEN-ATH-PTA TIB/PER	$65,478	—	—	—	3
92937	HC PRQ REVASC BYP GRAFT 1 VSL	$65,287	—	—	—	8
C9604	HC PERC D-E COR REVASC T CABG S	$65,287	—	—	—	8
74357501	LUPRON DEPOT-PED (6-MONTH) 45 MG IM KIT	$65,001	—	—	—	12
C2616	HC BRACHYTX NON-STR YTTRIUM-90	$64,407	—	—	—	3
93654	HC EP & ABLATE VENTRIC TACHY	$62,556	—	—	—	8
93656	HC TX ATRIAL FIB PULM VEIN ISOL	$62,171	—	—	—	8
36000152	HC HYBRID PERQ CLSR TCAT L ATR APNDGE	$62,004	—	—	—	0
58468020001	LEMTRADA 12 MG/1.2ML IV SOLN	$61,980	—	—	—	12
8010001	BESPONSA 0.9 MG IV SOLR	$59,803	—	—	—	12
37226	HC STENT/PTA/REVASC FEM/POP	$57,205	—	—	—	8
92941	HC PRQ CARD REVASC MI 1 VSL	$55,820	—	—	—	5
C9606	HC PERC D-E COR REVASC W AMI S	$55,820	—	—	—	5
36903	HC INTRO CATH DIALYSIS CIRCUIT,PTA, STENT, FLUORO, S&I	$55,806	—	—	—	8
24338015020	TRIPTODUR 22.5 MG IM SRER	$55,757	—	—	—	4
37227	HC STENT/ATHERECTOMY/PTA/REVAS FE	$55,389	—	—	—	8
33262	HC REMOVE/REPLACE SINGLE LEAD DEF	$55,177	—	—	—	8
33263	HC REMOVE/REPLACE DUAL LEAD DEFIB	$55,177	—	—	—	8
92943	HC PRQ CARD REVASC CHRONIC 1VSL	$53,161	—	—	—	8
C9607	HC PERC D-E COR REVASC CHRO SIN	$53,161	—	—	—	8
C2622	HC NOT INFLATE PENILE PROSTH	$52,556	—	—	—	0
33990	HC INSERT VAD ARTERY ACCESS	$51,608	—	—	—	0
36905	HC THRMBC/NFS DIALYSIS CIRCUIT WITH PTA PERIPHERAL SEGMENT	$51,057	—	—	—	6
33270	HC INS/REP SUBQ DEFIBRILLATOR	$49,942	—	—	—	6
C1882	HC INSYNC DEFIBRILLATOR	$49,910	—	—	—	0
92924	HC PRQ CARD ANGIO/ATHRECT 1 ART	$49,350	—	—	—	8
37231	HC STENT/ATHERECTOMY/PTA/REVA T-P	$49,071	—	—	—	8
37230	HC STENT/PTA/REVAS TIB/PERONEAL I	$48,089	—	—	—	8
15054112004	SOMATULINE DEPOT 120 MG/0.5ML SC SOLN	$47,823	—	—	—	12
C1813	HC INFLATABLE PENILE PROSTHESIS	$47,553	—	—	—	0
50242010501	POLIVY 140 MG IV SOLR	$46,541	—	—	—	12
33975	HC IMPLANT VENTRICULAR DEVICE - DIRECT	$46,213	—	—	—	0
37236	HC OPEN/PERQ PLACE STENT 1ST ARTE	$46,158	—	—	—	8
C9767	HC REVASC LITHOTRIP-STENT-ATHER-PTA ILIAC/FEM/POP	$45,956	—	—	—	8

Showing top 50 of 12,732 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.