GREAT FALLS CLINIC HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
75987-0130-15	Tepezza	$180,172	$180,172	—	—	5
25682-0028-01	Ultomiris	$176,110	$176,110	—	—	5
71904-0200-01	Pombiliti	$172,163	$172,163	—	—	5
33249	INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM	$149,093	$149,093	—	—	5
L8681	PT PRGRM FOR IMPLT NEUROSTIM	$124,193	$124,193	—	—	5
33262	REMOVAL AND REPLACEMENT OF SINGLE LEAD DEFIBRILLATOR	$116,036	$116,036	—	—	5
33264	REMOVAL AND REPLACEMENT OF MULTIPLE LEAD DEFIBRILLATOR	$116,036	$116,036	—	—	5
C1825	GEN, NEURO, CAROT SINUS BARO	$110,386	$110,386	—	—	0
10122-0160-02	Elfabrio	$98,806	$98,806	—	—	5
73150-0150-06	Briumvi	$96,231	$96,231	—	—	5
65597-0406-01	Enhertu	$92,691	$92,691	—	—	5
25682-0001-01	Soliris	$90,400	$90,400	—	—	0
253950ORINV	CATH AXIAL-PUMP IMPELLA 5.5 S2	$90,000	$90,000	—	—	0
256403ORINV	VALVE PUL HUMAN HEART 28MM 4CM	$86,250	$86,250	—	—	0
33263	REMOVAL AND REPLACEMENT OF DUAL LEAD DEFIBRILLATOR	$83,984	$83,984	—	—	5
27386	SECONDARY SUTURE OF RUPTURED MUSCLE OF THIGH	$83,429	$83,429	—	—	5
51144-0003-01	Tivdak	$80,129	$80,129	—	—	5
C1882	AICD, OTHER THAN SING/DUAL	$75,900	$75,900	—	—	0
72903-0853-01	Elahere	$75,073	$75,073	—	—	5
50242-0087-01	Kadcyla	$72,933	$72,933	—	—	5
00003-7125-11	Opdualag	$72,226	$72,226	—	—	5
55866	SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE	$69,292	$69,292	—	—	5
38571	REMOVAL OF LYMPH NODES OF BOTH SIDES OF PELVIS USING AN ENDOSCOPE	$69,292	$69,292	—	—	5
57894-0350-01	Simponi Aria	$64,381	$64,381	—	—	5
00310-4611-50	Imfinzi	$61,562	$61,562	—	—	5
60220	REMOVAL OF THYROID LOBE ON SIDE OF NECK	$59,183	$59,183	—	—	5
60240	REMOVAL OF THYROID	$58,720	$58,720	—	—	5
257149ORINV	PULM ARTERY CRY-PRESERVE VALVE	$58,647	$58,647	—	—	0
50242-0103-01	Polivy	$56,829	$56,829	—	—	5
73475-3041-05	Vyvgart	$56,693	$56,693	—	—	5
255895ORINV	PUMP SMART ASSIST IMPEL RP FLX	$56,000	$56,000	—	—	0
257308ORINV	KIT SHTH IMPELLA CP CMP 7F BDL	$56,000	$56,000	—	—	0
60500	REMOVAL OR EXPLORATION OF PARATHYROID GLANDS	$55,354	$55,354	—	—	5
C1721	CARDIOVERTER-DEFIBRILLATOR; DUAL CHAMBER (IMPLANTABLE)	$55,200	$55,200	—	—	0
256978ORINV	VALVE AORTIC CONDUIT 25X25MM	$55,200	$55,200	—	—	0
255330ORINV	VALVE AORTIC CONDUIT 27X27MM	$55,200	$55,200	—	—	0
257326ORINV	VALVE AORTIC CONDUIT 29X29MM	$55,200	$55,200	—	—	0
259134ORINV	VALVE AORTIC CONDUIT 23X23MM	$55,200	$55,200	—	—	0
24430	REPAIR OF NONHEALED BROKEN UPPER ARM BONE	$54,465	$54,465	—	—	5
00078-0734-61	Ilaris	$53,935	$53,935	—	—	5
57894-0030-01	Remicade	$52,967	$52,967	—	—	5
27422	REPAIR OF DISLOCATING KNEECAP WITH REALIGNMENT	$52,603	$52,603	—	—	5
63707	REPAIR OF CEREBROSPINAL FLUID LEAK	$51,120	$51,120	—	—	5
29888	REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$50,918	$50,918	—	—	5
23474	REVISION OF TOTAL SHOULDER REPAIR; TOTAL SHOULDER	$50,339	$50,339	—	—	5
219869ORINV	PUMP SET IMPELLA CP US	$50,000	$50,000	—	—	0
33208	INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE	$49,320	$49,320	—	—	5
C1820	GENERATOR NEURO RECHG BAT SY	$49,269	$49,269	—	—	0
93656	COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL	$49,065	$49,065	—	—	5
93654	COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY OF LOWER CHAMBE	$49,065	$49,065	—	—	5

Showing top 50 of 5,992 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.