SOUTHWESTERN VERMONT MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
36005947	OR OVER 8 HRS (4 STAFF)	$139,058	$97,341	—	—	0
36005878	OR 466-480 MINS 4 STAFF	$130,878	$91,615	—	—	0
36005876	OR 451-465 MINS 4 STAFF	$126,789	$88,752	—	—	0
43033490	OCRELIZUMAB 300 MG/10 ML VIAL	$124,670	$87,269	—	—	11
36005872	OR 436-450 MINS 4 STAFF	$122,702	$85,891	—	—	0
36005870	OR 421-435 MINS 4 STAFF	$118,610	$83,027	—	—	0
43033398	BRENTUXIMAB VEDOTIN 50MG/10ML	$118,185	$82,730	—	—	11
36005868	OR 406-420 MINS 4 STAFF	$114,522	$80,165	—	—	0
36005864	OR 391-405 MINS 4 STAFF	$110,430	$77,301	—	—	0
36005862	OR 376-390 MINS 4 STAFF	$106,339	$74,437	—	—	0
43022520	Ipilimumab 200 MG/40 ML VIAL	$104,425	$73,098	—	—	11
36005718	OR OVER 8 HRS (3 STAFF)	$104,294	$73,006	—	—	0
36005860	OR 361-375 MINS 4 STAFF	$102,252	$71,577	—	—	0
36005671	OR 466-480 MINS 3 STAFF	$98,163	$68,714	—	—	0
36005852	OR 346-360 MINS 4 STAFF	$98,163	$68,714	—	—	0
36005669	OR 451-465 MINS 3 STAFF	$95,094	$66,566	—	—	0
36005849	OR 331-345 MINS 4 STAFF	$94,070	$65,849	—	—	0
36005667	OR 436-450 MINS 3 STAFF	$92,026	$64,418	—	—	0
36005847	OR 316-330 MINS 4 STAFF	$89,982	$62,987	—	—	0
36005665	OR 421-435 MINS 3 STAFF	$88,962	$62,273	—	—	0
43022933	ECULIZUMAB 300 MG/30 ML VIAL	$86,625	$60,638	—	—	11
36005663	OR 406-420 MINS 3 STAFF	$85,893	$60,125	—	—	0
36005845	OR 301-315 MINS 4 STAFF	$85,893	$60,125	—	—	0
36005657	OR 391-405 MINS 3 STAFF	$82,822	$57,975	—	—	0
43022837	USTEKINUMAB 90 MG/ML SYR	$81,844	$57,291	—	—	11
36005842	OR 286-300 MINS 4 STAFF	$81,803	$57,262	—	—	0
36005655	OR 376-390MINS 3 STAFF	$79,757	$55,830	—	—	0
43033522	RAVULIZUMAB-CWVZ 1,100 MG/11ML	$77,958	$54,571	—	—	11
36005840	OR 271-285 MINS 4 STAFF	$77,715	$54,400	—	—	0
36005647	OR 361-375MINS 3 STAFF	$76,690	$53,683	—	—	0
36005643	OR 346-360 MINS 3 STAFF	$73,626	$51,538	—	—	0
36005836	OR 256-270 MINS 4 STAFF	$73,626	$51,538	—	—	0
36005641	OR 331-345 MINS 3 STAFF	$70,553	$49,387	—	—	0
36005467	OR OVER>481MIN 8 HRS (2 STAFF)	$69,531	$48,672	—	—	0
36005834	OR 241-255 MINS 4 STAFF	$69,531	$48,672	—	—	0
36005639	OR 316-330 MINS 3 STAFF	$67,488	$47,242	—	—	0
36005460	OR 466-480 MIN 2 STAFF	$65,440	$45,808	—	—	0
36005830	OR 226-240 MINS 4 STAFF	$65,440	$45,808	—	—	0
36005632	OR 301-315 MIN 3 STAFF	$64,422	$45,096	—	—	0
36005384	OR 451-465 MINS 2 STAFF	$63,399	$44,379	—	—	0
36005382	OR 436-450 MINS 2 STAFF	$61,352	$42,947	—	—	0
36005630	OR 286-300 MIN 3 STAFF	$61,352	$42,947	—	—	0
36005827	OR 211-225 mins 4 staff	$61,352	$42,947	—	—	0
43033330	POLATUZUMAB VEDOTIN-PIIQ 140MG	$59,990	$41,993	—	—	11
36005380	OR 421-435 MINS 2 STAFF	$59,308	$41,516	—	—	0
36005612	OR 271-285 MIN 3 STAFF	$58,285	$40,800	—	—	0
36005376	OR 406-420 MINS 2 STAFF	$57,263	$40,084	—	—	0
36005825	OR 196-210 mins 4 staff	$57,263	$40,084	—	—	0
36005012	BILATERAL ESWL	$55,774	$39,042	—	—	0
36005374	OR 391-405 MINS 2 STAFF	$55,219	$38,653	—	—	0

Showing top 50 of 22,562 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.