PAGE HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
6883060	LIFILEUCEL TIL/DOSE 7.5B-72B SNIJ	$3,759,504	$2,538,267	—	—	32
6273643	IMP DEV JT KNEE TOTAL LVL 23	$135,784	$74,681	—	—	33
6277123	IMP PLATE CUST LVL 04	$131,404	$72,272	—	—	33
6271431	IMP ICD CHAMBER DUAL LVL 05	$131,404	$88,719	—	—	33
6273635	IMP DEV JT KNEE TOTAL LVL 22	$122,644	$67,454	—	—	33
6275077	IMP ICD CHAMBER NON SGL/DUAL LVL 06	$122,644	$67,454	—	—	33
6277115	IMP PLATE CUST LVL 03	$109,504	$60,227	—	—	33
6271423	IMP ICD CHAMBER DUAL LVL 04	$109,504	$73,933	—	—	33
6288914	IMP ICD CHAMBER SGL LVL 04	$109,504	$73,933	—	—	33
6277016	IMP DEV JT HIP TOTAL LVL 17	$109,504	$60,227	—	—	33
6273627	IMP DEV JT KNEE TOTAL LVL 21	$109,504	$60,227	—	—	33
6274286	IMP PCMKR DUAL RR LVL 07	$109,504	$73,933	—	—	33
6274351	IMP ICD CHAMBER NON SGL/DUAL LVL 05	$109,504	$60,227	—	—	33
2774172	IMP DEV COCHLEAR INT&EXT CMP LVL 05	$109,504	$60,227	—	—	33
6271845	IMP DEV JT KNEE TOTAL LVL 20	$96,364	$53,000	—	—	33
2772374	IMP ICD CHAMBER NON SGL/DUAL LVL 04	$96,364	$53,000	—	—	33
6275374	IMP DEV COCHLEAR INT&EXT CMP LVL 04	$96,364	$53,000	—	—	33
6279491	IMP BONE HUMAN/SYNTHETIC LVL 22	$96,364	$53,000	—	—	33
6277107	IMP PLATE CUST LVL 02	$87,604	$48,182	—	—	33
2778314	IMP ICD CHAMBER DUAL LVL 03	$87,604	$59,147	—	—	33
2778322	IMP ICD CHAMBER SGL LVL 03	$87,604	$59,147	—	—	33
6271407	IMP GENERATOR NEUROSTIM LVL 04	$87,604	$48,182	—	—	33
2774677	IMP DEV JT HIP TOTAL LVL 16	$87,604	$48,182	—	—	33
2771616	IMP DEV JT KNEE TOTAL LVL 19	$87,604	$48,182	—	—	33
6274278	IMP PCMKR DUAL RR LVL 06	$87,604	$59,147	—	—	33
6275804	IMP NRSTM BAT RECHG SYS LVL 07	$87,604	$48,182	—	—	33
6279426	IMP BONE HUMAN/SYNTHETIC LVL 21	$87,604	$48,182	—	—	33
6275143	IMP PUMP VALVE BLOOD LVL 06	$87,604	$48,182	—	—	33
6285670	IMP TISSUE CONNECT NONHUMAN LVL 16	$83,224	$45,773	—	—	33
2774859	IMP DEV JT KNEE TOTAL LVL 18	$78,844	$43,364	—	—	33
6279483	IMP FIX SPINE LVL 14	$78,844	$43,364	—	—	33
6279418	IMP BONE HUMAN/SYNTHETIC LVL 20	$78,844	$43,364	—	—	33
6279475	IMP ORTHOPEDIC CAGE LVL 13	$78,844	$43,364	—	—	33
6282198	IMP PUMP VALVE BLOOD LVL 05	$78,844	$43,364	—	—	33
6278238	IMP ICD CHAMBER NON SGL/DUAL LVL 03	$78,840	$43,362	—	—	33
6281810	IMP DEV COCHLEAR INT&EXT CMP LVL 03	$76,650	$42,158	—	—	33
6285662	IMP TISSUE CONNECT NONHUMAN LVL 15	$74,464	$40,955	—	—	33
2774842	IMP DEV JT KNEE TOTAL LVL 17	$70,084	$38,546	—	—	33
6279400	IMP BONE HUMAN/SYNTHETIC LVL 19	$70,084	$38,546	—	—	33
6283998	IMP VALVE LVL 13	$70,084	$38,546	—	—	33
6286538	IMP ICD CHAMBER NON SGL/DUAL LVL 02	$70,080	$38,544	—	—	33
6277099	IMP PLATE CUST LVL 01	$65,704	$36,137	—	—	33
2772382	IMP ICD CHAMBER DUAL LVL 02	$65,704	$44,361	—	—	33
2772390	IMP ICD CHAMBER SGL LVL 02	$65,704	$44,361	—	—	33
6285654	IMP TISSUE CONNECT NONHUMAN LVL 14	$65,704	$36,137	—	—	33
6271399	IMP GENERATOR NEUROSTIM LVL 03	$65,704	$36,137	—	—	33
6272801	IMP DEV JT ELBOW TOTAL LVL 15	$65,704	$36,137	—	—	33
2774669	IMP DEV JT HIP TOTAL LVL 15	$65,704	$36,137	—	—	33
6274260	IMP PCMKR DUAL RR LVL 05	$65,704	$44,361	—	—	33
6275796	IMP NRSTM BAT RECHG SYS LVL 06	$65,704	$36,137	—	—	33

Showing top 50 of 8,143 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.