Hospital 29002E prices — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
C1882	DEFIB AMPLIA MRI QUAD DTMB1QQ	$275,615	—	—	—	9
C1822	IMPLANT IPG KIT NIPG1500	$234,773	—	—	—	9
C2616	THERASPHERE Y-90 VIAL BEAD	$226,793	—	—	—	9
C1825	BAROSTIM NEO IPG MODEL 2104	$207,136	—	—	—	9
275	AICD INVENTRA DX	$203,856	—	—	—	8
C1722	AICD INVENTRA DX	$203,856	—	—	—	9
C1721	AICD IPERIA DR-T DF-4	$196,870	—	—	—	9
33264	REMOVE REPLACE ICD MULTI LEAD	$186,874	—	—	—	17
C1767	GENERATOR PROCLAIM 7 ELITE	$184,128	—	—	—	9
J9266	PEGASPARGASE 750UNIT/ML 5ML VL	$170,796	—	—	—	16
33262	REMOVE REPLACE ICD GEN 1LEAD	$170,280	—	—	—	17
93656	EP ABLATE AFIB VIA PULMVEIN	$167,730	—	—	—	17
93654	ABLATE INTRACARD CATH VT CS	$159,589	—	—	—	17
33249	INSERT REPLCE ICD W/LEADS DR	$147,706	—	—	—	17
33263	REMOVE REPLACE ICD GEN 2LEAD	$139,674	—	—	—	16
C1897	LEAD NEUROSTIM 5-6-5 KIT	$139,407	—	—	—	9
C1826	NEUROSTIM INCEPTIV CLOSD LOOP	$134,504	—	—	—	9
C2624	IMPLANTABLE SENSOR CARDIOMEMS	$131,476	—	—	—	9
33229	REMOVE REPLCE PACER MULTI LEAD	$130,408	—	—	—	17
33274	INSRT/REPL LEADLESS PM VENTRIC	$126,082	—	—	—	16
C2622	PENILE CYL 9.5MMX12CM SPECTRA	$125,960	—	—	—	9
C1776	STEM CORAIL REV STD 11	$121,034	—	—	—	9
278	ALLOGRAFT HERNIA 16X20 CORTIVA	$119,745	—	—	—	9
C1781	ALLOGRAFT HERNIA 16X20 CORTIVA	$119,745	—	—	—	9
C9360	SURGIMEND 25X40CM COLLAGEN	$118,988	—	—	—	9
J3101	TENECTEPLASE 50MG KIT	$115,492	—	—	—	16
33230	INSERT ICD GEN 2LEAD	$112,435	—	—	—	17
33231	INSERT ICD GEN MULTI LEAD	$111,389	—	—	—	17
93653	ABLATE INTRACARD CATH SVT CS	$110,743	—	—	—	17
C1772	PUMP INFUSION 20ML SYNCHROMED2	$110,002	—	—	—	9
C1813	PENILE 22CM PUMP SET TITAN	$109,459	—	—	—	9
33228	REMOVE REPLACE PACER GEN 2LEAD	$108,129	—	—	—	17
C1889	PIPELINE FLEX EMBOL 2.75X10MM	$107,826	—	—	—	9
C9363	BILAYER MESHED MATRIX 4X10IN	$106,981	—	—	—	9
C9602	DES W/ATHREC W/WO PTCA 1ST	$106,523	—	—	—	13
33240	INSERT ICD GEN 1LEAD	$103,918	—	—	—	17
C9604	DES REVASC PERC BYPSS GRFT 1ST	$100,712	—	—	—	13
C9606	DES REVASC PERC BYPSS AMI 1ST	$100,712	—	—	—	12
C9607	DES REVASC PERC CHRNC OCCU 1ST	$100,712	—	—	—	13
92943	REVASC PERC CHRONC OCCUL ANTE	$100,712	—	—	—	13
92941	REVASC PERC BYPASS AMI VES ALL	$100,712	—	—	—	12
93461	RT LT HRT CATH ANGIO/VENT GRFT	$99,867	—	—	—	16
J2997	ALTEPLASE 100MG/100ML VIAL	$98,435	—	—	—	16
C9767	REVASC LITHO STENT/ATHREC	$95,766	—	—	—	12
37275	REVASC FEMPOP STENT/ATH SF INI	$95,610	—	—	—	12
37277	REVASC FEMPOP STNT/ATH CPLX IN	$95,610	—	—	—	12
C2621	CRT P QUADRA ALLURE RF PM3262	$94,996	—	—	—	9
C1877	STENT ENDO PALMAZ BAL 20X4-9MM	$94,623	—	—	—	9
J1290	ECALLANTIDE 30MG/3ML VIAL	$88,240	—	—	—	16
33233	REMOVE PERM PACER GEN CS	$86,384	—	—	—	16

Showing top 50 of 8,599 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.