MOSAIC LIFE CARE AT ST JOSEPH

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J0202	ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION	$81,216	$69,034	—	—	7
C1827	GENERATOR VIVISTIM PAIR VNS	$73,750	$62,688	—	—	7
C1822	KIT IPG HFXD	$67,500	$57,375	—	—	7
C9364	FORTIVA 35 X 35 PD3535	$64,313	$54,666	—	—	7
93582	HC PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS	$62,000	$52,700	—	—	7
93581	HC PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT	$62,000	$52,700	—	—	7
C1826	NEUROSTIMULTR INCEPTIV 977119	$55,000	$46,750	—	—	7
C1722	AURORA DEFIB IMPLANT DVEA3E4	$53,750	$45,688	—	—	7
C1820	BATTERY ACTIVA RC MODEL 37612	$53,625	$45,581	—	—	7
C1882	BIV UNIFY CRTD40 CD325740	$47,500	$40,375	—	—	7
C1767	CONTROLLER PROCLAI PLUS 7 IPG	$47,500	$40,375	—	—	7
C2616	MICROSPHERE SIR Y-90	$41,250	$35,063	—	—	7
0816T	HC OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBQ	$40,000	$34,000	—	—	7
C9797	HC VASC EMOLIZE/OCCLUDE W/ PRESS-GEN CATH ORGAN TUMOR ENFARCT	$33,500	$28,475	—	—	14
36906	HC PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT	$33,000	$28,050	—	—	7
33249	HC EP INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR	$33,000	$28,050	—	—	7
37238	HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST	$33,000	$28,050	—	—	7
0571T	HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE	$32,062	$27,253	—	—	7
93656	HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$32,000	$27,200	—	—	7
33263	HC EP RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD	$32,000	$27,200	—	—	7
93653	HC EP EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA	$32,000	$27,200	—	—	7
C1605	PACEMAKER AVEIR 19.5F 32.2MM	$31,000	$26,350	—	—	7
33270	HC EP INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD	$30,000	$25,500	—	—	7
C9607	HC PERC D-E COR REVASC CHRO SIN	$30,000	$25,500	—	—	7
77371	HC RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT	$29,800	$25,330	—	—	7
33231	HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS	$29,000	$24,650	—	—	7
77372	HC SRS TX BY LINEAR ACCELERATOR RAD ONC	$28,000	$23,800	—	—	7
C1721	BIV ICD ENERGEN E142	$27,403	$23,292	—	—	7
27339	PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>	$27,339	$23,238	—	—	3
33264	HC EP RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD	$27,000	$22,950	—	—	7
C1813	AMS PRECONNECT 72404256	$26,250	$22,313	—	—	7
C9604	HC DES GRAFT	$26,000	$22,100	—	—	7
93654	HC EP EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA	$26,000	$22,100	—	—	7
37227	PR REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL	$25,830	$21,956	—	—	3
C1817	DEVICE OCC SEPTAL AMP 4MMX16MM	$25,640	$21,794	—	—	7
37242	HC VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I	$25,000	$21,250	—	—	7
C8004	HC SIM ANG W/PRS CATH RAD EMB	$25,000	$21,250	—	—	7
37184	HC PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST	$25,000	$21,250	—	—	14
0786T	HC INSJ/RPLCMT PERQ ELTRD RA SAC W/INTEGRATED NSTIM	$25,000	$21,250	—	—	7
0795T	HC TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS	$25,000	$21,250	—	—	7
0784T	HC INSJ/RPLCMT PERQ ELTRD RA SPI W/INTEGRATED NSTIM	$25,000	$21,250	—	—	7
C9600	HC DES INSERTION	$25,000	$21,250	—	—	7
37243	HC VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT	$25,000	$21,250	—	—	14
37241	HC VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I	$25,000	$21,250	—	—	14
31647	HC BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE	$25,000	$21,250	—	—	7
C1772	PUMP INFUS SYNCHROMED II 20ML	$25,000	$21,250	—	—	7
92924	HC CATH PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH	$24,000	$20,400	—	—	7
36224	HC SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART	$24,000	$20,400	—	—	7
31634	HC BRONCHOSCOPY BALLOON OCCLUSION	$24,000	$20,400	—	—	7
0238T	PR TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA	$23,896	$20,312	—	—	3

Showing top 50 of 6,803 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.