ST VINCENT'S CHILTON — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
78021750	ALLOGRAFT TISSUE CRYOARTERY R010	$47,500	—	—	—	12
78017838	GRAFT ENDOVASC 200M VNMC4640C200TU	$44,600	—	—	—	12
78017839	GRAFT ENDOVASC 200M VNMC4337C200TU	$44,600	—	—	—	12
78022659	STENT GRFT 40X40 TGMR404010	$44,383	—	—	—	12
78024412	GRAFT ENDOVASC 174M 37M VNMF3737C174TU	$42,708	—	—	—	12
78024661	GRAFT NAVION 37X37X182 VNMC3737C182TU	$42,708	—	—	—	12
78028193	MESH PHASX 14X14IN 35X35CM 1193535	$39,950	—	—	—	12
70209995	GRAFT STENT THORA VALIANT VAMF3434C150TU	$39,748	—	—	—	12
78024640	GRAFT VALIANT 34X34X90 VNMC3434C90TU	$38,715	—	—	—	12
78024660	GRAFT NAVION 37X37X90 VNMC3737C90TU	$38,715	—	—	—	12
78024753	GFT ENDOVAS VALIANT 28MM VNMC2828C90TU	$38,715	—	—	—	12
78021054	COCHLEAR NUCLEUS SLIM MOD CI632 P783831	$37,500	—	—	—	12
78028060	IMPL COCHLEAR SLIM 20 CI624 P1431676	$37,500	—	—	—	12
78021321	IMP COCHLEAR MODEL CI612 P774600	$36,250	—	—	—	12
71811848	MCT ECG 24HRS UP TO 30 DAYS TECH SUPPORT	$34,228	—	—	—	18
71482152	BRACHYTHERAPY NON-STRND YTTRIUM-90	$33,436	—	—	—	21
70209942	MESH XENMATRIX #1161928	$29,495	—	—	—	12
78021494	PENILE PROSTHE TAC 9.5X14X23 720080-01	$27,863	—	—	—	12
78021598	PENILE PROS TACTRA 11X16X25 720081-01	$27,863	—	—	—	12
78022481	PHASIX ST MESH W/ OPEN POSITION 1222530	$27,200	—	—	—	12
78021028	GFT BIFR AFX2 25X16X135 BEA25-80/I16-55	$25,938	—	—	—	12
78021846	GFT ENDOVASC 20X40X120 BEA28-80/I20-40	$25,938	—	—	—	12
78021883	GFT AFX2 BIFR 28X16X140 BEA28-100/I16-40	$25,938	—	—	—	12
78028780	GRAFT STENT ENDOVS 20X40 BEA25-80/I20-40	$25,938	—	—	—	12
78024690	GENERATOR INTERSTIM NEURO MRI RCHG 97810	$25,550	—	—	—	13
78022404	NEUROSTIMULATOR SNM 1101	$25,468	—	—	—	12
78022621	GFT VASC TRUNK 18F 16X35X14.5 RLT351416	$24,988	—	—	—	12
78022506	PROCESSOR SINGLE NUCLEUS 7 SINGLN7	$23,750	—	—	—	12
70609995	ONCOTYPE BREAST TISSUE RT-PCR 21 GENES	$23,238	—	—	—	18
70649995	ONCOTYPE BREAST TISSUE RT-PCR 21 GENES	$23,238	—	—	—	18
78022937	PRCSR SGL CP1150 SINGLK2	$22,500	—	—	—	12
70205065	GRAFT ENDURANT 28X14X102 ETUF2814C102E	$22,020	—	—	—	12
78022471	GRAFT SYS ILIAC PMA 23MM TV-AB2380-N	$22,000	—	—	—	12
78024734	GRAFT ALTO OVATION AAA 26MM TV-AB2680-N	$22,000	—	—	—	12
78021248	PROST PENILE AMS 700 16CM 72404268	$21,248	—	—	—	12
78021508	FEMORAL CMPNT ROT W/HINGE 00588001602	$21,213	—	—	—	12
78022691	FEM COMPONENT SZ F 66X76MM 00588001601	$21,213	—	—	—	12
78024549	IMPL FEM COMP CMTED 00-5880-015-02	$21,213	—	—	—	12
78024611	IMPL FEMORAL COMP ROTATE LT 00588001401	$21,213	—	—	—	12
78021427	FEMORAL SEGMNT RESURF 143CML 150356	$19,950	—	—	—	12
78024195	IMPL FEMORAL SEGMENT 8.5CML 150496	$19,950	—	—	—	12
78019562	PUMP INF SYNCHROMED II 40ML 893740	$19,600	—	—	—	12
78019997	GRAFT OVA 14F 80X29 TV-AB2980-J	$19,500	—	—	—	12
78022627	ALGRFT VEIN SAPHENOUS 70-79 V010-70-79	$19,250	—	—	—	12
71724599	ECALLANTIDE INJ 30 MG/3 ML	$19,080	—	—	—	19
78021055	PROCESSOR SOUND NECLEUS CP1000	$18,050	—	—	—	12
78017722	PROCESSOR SOUND KANSO CP950	$18,000	—	—	—	12
78021200	VALVE AORTIC INSPIRIS 27M 11500A27	$17,688	—	—	—	12
78028787	VALVE AORTIC INSPIRIS RES 29MM 11500A29	$17,688	—	—	—	12
78024327	IMPL FEM KNEE RESURFACING 3CM 150350	$17,375	—	—	—	12

Showing top 50 of 11,533 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.