SETON MEDICAL CENTER HARKER HEIGHTS

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
SUP-136973	KIT CATHETER IMPELLA CP 4.7 MM X 75 MM OD 14FR VENTRICULAR ASSIST IV SOLN GW INTRO CONN CBL STERILE	$93,000	$9,300	—	—	70
PX-36033249	Insertion of implantable defibrillator system	$91,251	$9,125	—	—	42
PX-36033262	Removal and replacement of single lead defibrillator	$84,676	$8,468	—	—	46
PX-36033264	Removal and replacement of multiple lead defibrillator	$74,460	$7,446	—	—	46
SUP-127987	SET BLOOD PUMP IMPELLA 2.5 NONROLLER AUTOMATE CONTROLLER STERILE LATEX FREE DISPOSABLE CARDIOPULMONA	$74,400	$7,440	—	—	70
PX-36033263	Removal and replacement of dual lead defibrillator	$71,772	$7,177	—	—	46
PX-36033229	Removal and replacement of multiple lead permanent pacemaker	$65,453	$6,545	—	—	42
SUP-166708	DEVICE EMBOLIZATION PIPELINE FLEX L12 MM OD3.75 MM	$57,660	$5,766	—	—	70
PX-36037275	Stent placement in artery in thigh/behind knee with removal of plaque, straightforward lesion in ini	$56,187	$5,619	—	—	52
PX-36033214	Insertion of 2 chamber pacemaker system	$38,223	$3,822	—	—	42
PX-36033224	Insertion of left lower heart electrode and attachment to pacemaker or defibrillator	$38,223	$3,822	—	—	42
PX-36037244	Occlusion of artery or vein bleeding with review by radiologist	$36,909	$3,691	—	—	44
PX-36037242	Occlusion of artery with review by radiologist	$35,943	$3,594	—	—	42
PX-36037280	Balloon dilation of artery in lower leg, straightforward lesion in initial vessel	$35,383	$3,538	—	—	52
PX-36037184	Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance	$35,320	$3,532	—	—	46
PX-36037187	Removal and dissolving of blood clot from vein using fluoroscopic guidance, initial treatment	$35,320	$3,532	—	—	42
PX-36033208	Insertion of pacemaker and upper and lower heart chamber electrode	$29,715	$2,972	—	—	46
PX-36033225	Insertion of left lower heart electrode for pacemaker or defibrillator	$29,715	$2,972	—	—	52
PX-36033233	Removal of permanent pacemaker pulse generator	$28,673	$2,867	—	—	42
PX-36033285	HC Insertion Subq Cardiac Rhythm Monitor W/Prgrmg	$28,215	$2,822	—	—	48
PX-32375743	Review by radiologist of arteries of both lungs image	$27,252	$2,725	—	—	42
PX-36037237	Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by r	$25,584	$2,558	—	—	44
PX-36036225	Insertion of tube into chest artery for diagnosis or treatment with review by radiologist\|BILATERAL	$24,518	$2,452	—	—	52
PX-36033206	Insertion of pacemaker and upper heart chamber electrode	$23,147	$2,315	—	—	42
PX-36033207	Insertion of pacemaker and lower heart chamber electrode	$23,147	$2,315	—	—	42
PX-36033228	Removal and replacement of dual lead permanent pacemaker	$22,181	$2,218	—	—	46
PX-36002380	Catheter removal of plaque from groin artery, accessed through the skin or open procedure including	$21,764	$2,176	—	—	48
PX-36033227	Removal and replacement of single lead permanent pacemaker	$19,507	$1,951	—	—	42
SUP-839335	GRAFT SOFT TISSUE ACTISHIELD AMNIOTIC BARRIER MEMBRANE L4 CM X W8 CM ALLOGRAFT	$18,931	$1,893	—	—	70
PX-36036226	Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	$17,532	$1,753	—	—	44
PX-36037263	Balloon dilation of artery in thigh/behind knee, straightforward lesion in initial vessel	$17,445	$1,745	—	—	52
PX-36037252	Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	$17,145	$1,715	—	—	52
PX-36037253	Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	$17,145	$1,715	—	—	52
PX-36037236	Insertion of stent in artery (except lower extremity, chest, heart, neck and brain) with review by r	$17,046	$1,705	—	—	46
PX-36043274	Insertion of stent into pancreatic or bile duct using a flexible endoscope	$16,828	$1,683	—	—	42
PX-36037211	Insertion of tube into artery for drug infusion for blood clot with review by radiologist, initial t	$16,777	$1,678	—	—	42
PX-36037238	Insertion of stent in vein with review by radiologist, initial vein	$16,431	$1,643	—	—	42
PX-36036221	Insertion of tube into chest aorta for diagnosis or treatment with review by radiologist	$16,345	$1,635	—	—	44
PX-36036223	Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist	$15,414	$1,541	—	—	44
PX-36036224	Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	$15,414	$1,541	—	—	44
SUP-854705	GRAFT SOFT TISSUE ACTISHIELD CF AMNIOTIC BARRIER MEMBRANE L8 CM X W4 CM ALLOGRAFT	$15,350	$1,535	—	—	70
PX-32375746	Review by radiologist of lung artery image with contrast	$14,795	$1,480	—	—	42
PX-36015273	Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a	$14,699	$1,470	—	—	46
SUP-109613	MATRIX TISSUE VIAFLOW PLACENTAL 2 CC ALLOGRAFT FLOWABLE	$14,609	$1,461	—	—	70
PX-36037246	Balloon dilation of artery with review by radiologist, initial artery	$13,663	$1,366	—	—	46
PX-36037248	Balloon dilation of vein with review by radiologist, initial vein	$13,663	$1,366	—	—	42
PX-36047533	HC Place Biliary Cath External	$12,998	$1,300	—	—	42
PX-36037247	Balloon dilation of artery with review by radiologist, each additional artery	$12,800	$1,280	—	—	44
PX-36033218	Repair of electrode for permanent pacemaker or defibrillator	$12,645	$1,265	—	—	42
PX-36033220	Repair of 2 electrodes for permanent pacemaker or defibrillator	$12,645	$1,265	—	—	42

Showing top 50 of 4,689 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.