BANNER OCOTILLO MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
6883060	LIFILEUCEL TIL/DOSE 7.5B-72B SNIJ	$3,759,504	$1,137,250	—	—	20
6278675	IMP DEV COCHLEAR INT&EXT CMP LVL 10	$219,004	$61,978	—	—	27
6278667	IMP DEV COCHLEAR INT&EXT CMP LVL 09	$197,104	$55,780	—	—	27
6278659	IMP DEV COCHLEAR INT&EXT CMP LVL 08	$175,204	$49,583	—	—	27
6278642	IMP DEV COCHLEAR INT&EXT CMP LVL 07	$153,304	$43,385	—	—	27
2793826	FIX EXTRNL LW/UP/PELVIC LVL 28	$142,354	$30,464	—	—	15
6273643	IMP DEV JT KNEE TOTAL LVL 23	$135,784	$38,427	—	—	27
6277123	IMP PLATE CUST LVL 04	$131,404	$37,187	—	—	28
6271431	IMP ICD CHAMBER DUAL LVL 05	$131,404	$35,348	—	—	28
6286322	IMP GENERATOR NEUROSTIM LVL 06	$131,404	$37,187	—	—	28
6278634	IMP DEV COCHLEAR INT&EXT CMP LVL 06	$131,404	$37,187	—	—	27
2793818	FIX EXTRNL LW/UP/PELVIC LVL 27	$131,404	$28,120	—	—	15
6273635	IMP DEV JT KNEE TOTAL LVL 22	$122,644	$34,708	—	—	27
6275077	IMP ICD CHAMBER NON SGL/DUAL LVL 06	$122,644	$34,708	—	—	27
2793800	FIX EXTRNL LW/UP/PELVIC LVL 26	$116,512	$24,934	—	—	15
6280309	IMP SPINE FUSION LVL 24	$111,694	$31,609	—	—	27
6277115	IMP PLATE CUST LVL 03	$109,504	$30,990	—	—	28
6271423	IMP ICD CHAMBER DUAL LVL 04	$109,504	$29,457	—	—	28
6288914	IMP ICD CHAMBER SGL LVL 04	$109,504	$29,457	—	—	28
6279509	IMP GENERATOR NEUROSTIM LVL 05	$109,504	$30,990	—	—	28
6277016	IMP DEV JT HIP TOTAL LVL 17	$109,504	$30,990	—	—	27
6273627	IMP DEV JT KNEE TOTAL LVL 21	$109,504	$30,990	—	—	27
6274286	IMP PCMKR DUAL RR LVL 07	$109,504	$29,457	—	—	27
6274351	IMP ICD CHAMBER NON SGL/DUAL LVL 05	$109,504	$30,990	—	—	27
2774172	IMP DEV COCHLEAR INT&EXT CMP LVL 05	$109,504	$30,990	—	—	27
6292585	IMP PUMP VALVE BLOOD LVL 08	$109,504	$30,990	—	—	27
6314413	IMP TISSUE CONNECT HUMAN LVL 23	$105,124	$29,750	—	—	28
2793792	FIX EXTRNL LW/UP/PELVIC LVL 25	$105,124	$22,497	—	—	15
6287924	IMP TISSUE CONNECT NONHUMAN LVL 18	$100,744	$28,511	—	—	28
6292577	IMP PUMP VALVE BLOOD LVL 07	$100,744	$28,511	—	—	27
6295729	IMP TISSUE CONNECT HUMAN LVL 22	$96,364	$27,271	—	—	28
6271845	IMP DEV JT KNEE TOTAL LVL 20	$96,364	$27,271	—	—	27
2772374	IMP ICD CHAMBER NON SGL/DUAL LVL 04	$96,364	$27,271	—	—	27
6275374	IMP DEV COCHLEAR INT&EXT CMP LVL 04	$96,364	$27,271	—	—	27
6279491	IMP BONE HUMAN/SYNTHETIC LVL 22	$96,364	$27,271	—	—	27
2793784	FIX EXTRNL LW/UP/PELVIC LVL 24	$96,364	$20,622	—	—	15
6287916	IMP TISSUE CONNECT NONHUMAN LVL 17	$91,984	$26,031	—	—	28
6277107	IMP PLATE CUST LVL 02	$87,604	$24,792	—	—	28
2778314	IMP ICD CHAMBER DUAL LVL 03	$87,604	$23,565	—	—	28
2778322	IMP ICD CHAMBER SGL LVL 03	$87,604	$23,565	—	—	28
6295711	IMP TISSUE CONNECT HUMAN LVL 21	$87,604	$24,792	—	—	28
6271407	IMP GENERATOR NEUROSTIM LVL 04	$87,604	$24,792	—	—	28
2774677	IMP DEV JT HIP TOTAL LVL 16	$87,604	$24,792	—	—	27
2771616	IMP DEV JT KNEE TOTAL LVL 19	$87,604	$24,792	—	—	27
6311922	IMP DEV JT SHDR TOTAL LVL 20	$87,604	$24,792	—	—	27
6274278	IMP PCMKR DUAL RR LVL 06	$87,604	$23,565	—	—	27
6275804	IMP NRSTM BAT RECHG SYS LVL 07	$87,604	$24,792	—	—	27
6279426	IMP BONE HUMAN/SYNTHETIC LVL 21	$87,604	$24,792	—	—	27
6275143	IMP PUMP VALVE BLOOD LVL 06	$87,604	$24,792	—	—	27
2793776	FIX EXTRNL LW/UP/PELVIC LVL 23	$87,604	$18,747	—	—	15

Showing top 50 of 8,665 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.