BANNER WYOMING MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
6883060	LIFILEUCEL TIL/DOSE 7.5B-72B SNIJ	$3,759,504	$1,578,992	—	—	27
2793875	DEVICE HEART ARTIFICIAL 70CC	$744,600	$312,732	—	—	27
6278675	IMP DEV COCHLEAR INT&EXT CMP LVL 10	$219,004	$91,982	—	—	27
6278667	IMP DEV COCHLEAR INT&EXT CMP LVL 09	$197,104	$82,784	—	—	27
6309959	IMP PUMP VALVE BLOOD LVL 16	$179,584	$75,425	—	—	27
6278659	IMP DEV COCHLEAR INT&EXT CMP LVL 08	$175,204	$73,586	—	—	27
6309942	IMP PUMP VALVE BLOOD LVL 15	$170,824	$71,746	—	—	27
6309934	IMP PUMP VALVE BLOOD LVL 14	$162,064	$68,067	—	—	27
6289839	IMP VALVE LVL 19	$157,684	$66,227	—	—	27
6302822	IMP GENERATOR NEUROSTIM LVL 07	$153,304	$64,388	—	—	27
6278642	IMP DEV COCHLEAR INT&EXT CMP LVL 07	$153,304	$64,388	—	—	27
6294466	IMP PUMP VALVE BLOOD LVL 13	$153,304	$64,388	—	—	27
6294458	IMP PUMP VALVE BLOOD LVL 12	$144,544	$60,708	—	—	27
6289409	IMP VALVE LVL 18	$140,164	$58,869	—	—	27
6273643	IMP DEV JT KNEE TOTAL LVL 23	$135,784	$57,029	—	—	27
6294441	IMP PUMP VALVE BLOOD LVL 11	$135,784	$57,029	—	—	27
6277123	IMP PLATE CUST LVL 04	$131,404	$55,190	—	—	27
6271431	IMP ICD CHAMBER DUAL LVL 05	$131,404	$55,190	—	—	27
6278634	IMP DEV COCHLEAR INT&EXT CMP LVL 06	$131,404	$55,190	—	—	27
6294433	IMP PUMP VALVE BLOOD LVL 10	$127,024	$53,350	—	—	27
6273635	IMP DEV JT KNEE TOTAL LVL 22	$122,644	$51,510	—	—	27
6275077	IMP ICD CHAMBER NON SGL/DUAL LVL 06	$122,644	$51,510	—	—	27
6288286	IMP VALVE LVL 17	$122,644	$51,510	—	—	27
6294425	IMP PUMP VALVE BLOOD LVL 09	$118,264	$49,671	—	—	27
6280309	IMP SPINE FUSION LVL 24	$111,694	$46,911	—	—	27
6295893	IMP CLIP/S 1-4 REPAIR MITRAL KIT	$109,800	$46,116	—	—	27
6277115	IMP PLATE CUST LVL 03	$109,504	$45,992	—	—	27
6271423	IMP ICD CHAMBER DUAL LVL 04	$109,504	$45,992	—	—	27
6288914	IMP ICD CHAMBER SGL LVL 04	$109,504	$45,992	—	—	27
6279509	IMP GENERATOR NEUROSTIM LVL 05	$109,504	$45,992	—	—	27
6277016	IMP DEV JT HIP TOTAL LVL 17	$109,504	$45,992	—	—	27
6273627	IMP DEV JT KNEE TOTAL LVL 21	$109,504	$45,992	—	—	27
6274286	IMP PCMKR DUAL RR LVL 07	$109,504	$45,992	—	—	27
6274351	IMP ICD CHAMBER NON SGL/DUAL LVL 05	$109,504	$45,992	—	—	27
2774172	IMP DEV COCHLEAR INT&EXT CMP LVL 05	$109,504	$45,992	—	—	27
6292585	IMP PUMP VALVE BLOOD LVL 08	$109,504	$45,992	—	—	27
6286702	IMP VALVE LVL 16	$109,504	$45,992	—	—	27
6292577	IMP PUMP VALVE BLOOD LVL 07	$100,744	$42,312	—	—	27
6271845	IMP DEV JT KNEE TOTAL LVL 20	$96,364	$40,473	—	—	27
2772374	IMP ICD CHAMBER NON SGL/DUAL LVL 04	$96,364	$40,473	—	—	27
6275374	IMP DEV COCHLEAR INT&EXT CMP LVL 04	$96,364	$40,473	—	—	27
6279491	IMP BONE HUMAN/SYNTHETIC LVL 22	$96,364	$40,473	—	—	27
6286694	IMP VALVE LVL 15	$96,364	$40,473	—	—	27
2793784	FIX EXTRNL LW/UP/PELVIC LVL 24	$96,364	$40,473	—	—	27
6310940	IMP FIX SPINE LVL 15	$91,984	$38,633	—	—	27
6295877	IMP ORTHOPEDIC CAGE LVL 14	$91,984	$38,633	—	—	27
6277107	IMP PLATE CUST LVL 02	$87,604	$36,794	—	—	27
2778314	IMP ICD CHAMBER DUAL LVL 03	$87,604	$36,794	—	—	27
2778322	IMP ICD CHAMBER SGL LVL 03	$87,604	$36,794	—	—	27
6271407	IMP GENERATOR NEUROSTIM LVL 04	$87,604	$36,794	—	—	27

Showing top 50 of 7,573 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.