ASCENSION ST JOHN MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
683039002	ACQUISITION COST LIVE DONOR39002	$192,721	$71,307	—	—	43
683039003	ACQUISITION COST CDVR DONOR39003	$192,721	$71,307	—	—	43
634037227	STENT/ATHR FEM/POP 1ST BIL 37227	$125,139	$46,301	—	—	29
636021789	SIR-SPHERES MICROSPHERES 21789	$81,832	$30,278	—	—	46
634055855	SYSTEM EMBOLC 17 SL 6X4.6MM 55855	$78,480	$29,038	—	—	46
634037226	STENT FEM/POPLIT BILAT 37226	$77,029	$28,501	—	—	29
636137226	STENT FEM/POPLIT BILAT 37226	$77,029	$28,501	—	—	29
634043300	COIL EMBOL NEURO 5X25MM 43300	$73,248	$27,102	—	—	46
634043301	COIL EMBOL NEURO 5X35MM 43301	$73,248	$27,102	—	—	46
634043283	COIL EMBOL NEURO 4X12MM 43283	$71,155	$26,327	—	—	46
634043284	COIL EMBOL NEURO 4X14MM 43284	$71,155	$26,327	—	—	46
634043285	COIL EMBOL NEURO 4X16MM 43285	$71,155	$26,327	—	—	46
634043286	COIL EMBOL NEURO 4X18MM 43286	$71,155	$26,327	—	—	46
634043287	COIL EMBOL NEURO 4X20MM 43287	$71,155	$26,327	—	—	46
634043288	COIL EMBOL NEURO 4.25X12MM 43288	$71,155	$26,327	—	—	46
634043289	COIL EMBOL NEURO 4.25X14MM 43289	$71,155	$26,327	—	—	46
634043290	COIL EMBOL NEURO 4.25X16MM 43290	$71,155	$26,327	—	—	46
634043291	COIL EMBOL NEURO 4.25X20MM 43291	$71,155	$26,327	—	—	46
634043292	COIL EMBOL NEURO 4.5X14MM 43292	$71,155	$26,327	—	—	46
634043293	COIL EMBOL NEURO 4.5X16MM 43293	$71,155	$26,327	—	—	46
634043294	COIL EMBOL NEURO 4.5X18MM 43294	$71,155	$26,327	—	—	46
634043295	COIL EMBOL NEURO 4.5X20MM 43295	$71,155	$26,327	—	—	46
634043296	COIL EMBOL NEURO 4.75X16MM 43296	$71,155	$26,327	—	—	46
634043297	COIL EMBOL NEURO 5X16MM 43297	$71,155	$26,327	—	—	46
634043298	COIL EMBOL NEURO 5X18MM 43298	$71,155	$26,327	—	—	46
634043299	COIL EMBOL NEURO 5X20MM 43299	$71,155	$26,327	—	—	46
634043302	COIL EMBOL NEURO 2.5X10MM 43302	$71,155	$26,327	—	—	46
634043303	COIL EMBOL NEURO 3.5 X12MM 43303	$71,155	$26,327	—	—	46
634043304	COIL EMBOL NEURO 3.5X14MM 43304	$71,155	$26,327	—	—	46
634043305	COIL EMBOL NEURO 3.5X16MM 43305	$71,155	$26,327	—	—	46
634043306	COIL EMBOL NEURO 3.75X14MM 43306	$71,155	$26,327	—	—	46
634043307	COIL EMBOL NEURO 3.75X16MM 43307	$71,155	$26,327	—	—	46
634010523	PIPELINE EMB DEV 4.5X25 10523	$70,109	$25,940	—	—	46
634010524	PIPELINE EMB DEV 4.75X30 10524	$70,109	$25,940	—	—	46
634000492	STENT/ATHR FEM/POP 1ST LT 492	$62,569	$23,151	—	—	29
634000504	STENT/ATHR FEM/POP 1ST RT 504	$62,569	$23,151	—	—	29
634036906	SP HD FISTULA DECLOT+STENT36906	$57,506	$21,277	—	—	42
636136906	SP HD FISTULA DECLOT+STENT36906	$57,506	$21,277	—	—	42
634037231	STENT ATHRECT TIB/PERONEAL 37231	$53,406	$19,760	—	—	42
636071442	QUADRAMET SM153 LEXI 71442	$42,422	$15,696	—	—	46
634037241	EMBOLIZATION VENOUS 37241	$41,045	$15,187	—	—	42
634037244	EMBOLIZATION HEMOR 37244	$41,045	$15,187	—	—	42
636137241	EMBOLIZATION VENOUS 37241	$41,045	$15,187	—	—	42
634046113	CATH MICRO TRINAV INF SYS 46113	$40,548	$15,003	—	—	46
636001129	SM-153 LEXIDRONAM/TDOSE 1129	$40,482	$14,978	—	—	46
634037236	STENT ARTERIAL 1ST 37236	$39,582	$14,645	—	—	42
636137236	STENT ARTERIAL 1ST 37236	$39,582	$14,645	—	—	42
634037242	EMBOLIZATION ARTERIAL 37242	$39,090	$14,463	—	—	42
636137242	EMBOLIZATION ARTERIAL 37242	$39,090	$14,463	—	—	42
634037228	SP PTA TIB/PERONEAL BILAT 37228	$38,714	$14,324	—	—	43

Showing top 50 of 7,321 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.