JEFFERSON REGIONAL MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
0408T	HC INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD	$121,834	$98,686	—	—	51
0571T	HC INS/RPLCMT ICDS W/SUBSTERNAL ELECTRODE	$121,834	$98,686	—	—	51
0915T	HC INSJ PERM CCM-D SYS PG&DUAL TRANSVNS ELTRDS/LDS	$121,834	$98,686	—	—	37
0614T	HC RMVL & RPLCMT SUBSTERNAL IMPLTBL DEFIBRILLATOR PG	$85,296	$69,090	—	—	73
0916T	HC INSERTION PERM CCM-D SYSTEM PULSE GENERATOR ONLY	$85,296	$69,090	—	—	37
0923T	HC RMVL&RPLCMT PERMANENT CCM-D PULSE GENERATOR ONLY	$85,296	$69,090	—	—	37
278000034	CATHETER,IMPELLA CP CARDIAC ASSIST 0048-0003	$81,250	$15,438	—	—	0
0795T	HC INSJ PERM CCM-D SYS PG&DUAL TRANSVNS ELTRDS/LDS	$72,471	$58,702	—	—	37
0796T	HC INSERTION PERM CCM-D SYSTEM PULSE GENERATOR ONLY	$72,471	$58,702	—	—	37
0797T	HC INSJ PERM CCM-D SYS 1 TRANSVNS LEAD ONLY	$72,471	$58,702	—	—	37
0823T	HC TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL	$72,471	$58,702	—	—	37
0825T	HC TCAT RMVL&RPLCMT PERM 1CHMBR LDLS PM R ATRIAL	$72,471	$58,702	—	—	37
0238T	HC TLPA ILIAC ARTY EA VSSL	$68,236	$55,271	—	—	51
272002398	HC PERF SUPPLY- CARDIOHELP HLS SET ADVANCE	$46,332	$37,529	—	—	0
0234T	HC TLPA RENAL ARTY	$43,094	$34,906	—	—	73
0236T	HC TLPA ABD AORTA	$43,094	$34,906	—	—	73
0237T	HC TLPA BRCP EA VSSL	$43,094	$34,906	—	—	73
272000369	HC PERF SUPPLY- CENTRIMAG PUMP HEAD	$40,950	$33,170	—	—	0
278001692	HC ST JUDE CENTRIMAG BLOOD PUMP	$34,650	$28,067	—	—	0
0410T	HC INSJ/RPLC CARDIAC MODULJ SYS ATRIAL ELECTRODE ONLY	$31,449	$25,474	—	—	51
0411T	HC INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY	$31,449	$25,474	—	—	51
0572T	HC INS SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD	$31,449	$25,474	—	—	51
0917T	HC INSJ PERM CCM-D SYS 1 TRANSVNS LEAD ONLY	$31,449	$25,474	—	—	37
0918T	HC INSJ PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY	$31,449	$25,474	—	—	37
750000157	HC ERCP W >2 PROC	$22,138	$17,932	—	—	0
0644T	HC TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ	$21,666	$17,549	—	—	51
750000156	HC ERCP W 2 PROC	$18,975	$15,370	—	—	0
0235T	HC TLPA VISCERAL ARTY EA VSSL	$18,391	$14,897	—	—	34
750000143	HC ERCP W 1 PROC	$15,813	$12,809	—	—	0
174000001	HC NICU LEVEL 4	$14,666	$11,879	—	—	0
173000005	HC NICU LEVEL 3	$13,985	$11,328	—	—	0
0412T	HC REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY	$13,829	$11,201	—	—	51
0413T	HC REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE	$13,829	$11,201	—	—	51
0573T	HC RMVL SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD	$13,829	$11,201	—	—	51
0580T	HC RMVL SUBSTERNAL IMPLTBL DFB PULSE GENERATOR ONLY	$13,829	$11,201	—	—	51
0861T	HC REMOVAL PG WCS LV PACING BOTH COMPONENTS	$13,829	$11,201	—	—	37
0919T	HC REMOVAL PERM CCM-D SYSTEM PULSE GENERATOR ONLY	$13,829	$11,201	—	—	37
0920T	HC RMVL PERM CCM-D SYS 1 TRANSVNS PACING LEAD ONLY	$13,829	$11,201	—	—	37
0921T	HC RMVL PERM CCM-D SYS 1 TRANSVNS DFB LEAD ONLY	$13,829	$11,201	—	—	37
0922T	HC RMVL PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY	$13,829	$11,201	—	—	37
0037U	HC FOUNDATIONONE CDX	$13,300	$10,773	—	—	85
750000160	HC ERCP DIAGNOSTIC	$12,650	$10,247	—	—	0
0798T	HC TCAT RMVL PERM DUAL CHAMBER LDLS PM COMPL SYS	$11,961	$9,688	—	—	37
0799T	HC TCAT RMVL PERM 2CHMBR LDLS PM R ATR PM COMPNT	$11,961	$9,688	—	—	37
0800T	HC TCAT RMVL PERM 2CHMBR LDLS PM R VENTR PM COMPNT	$11,961	$9,688	—	—	37
0824T	HC TCAT RMVL PERM 1CHMBR LDLS PACEMAKER R ATRIAL	$11,961	$9,688	—	—	37
360000080	HC ROBOTIC SURGERY 1ST 30 MIN	$11,683	$9,463	—	—	0
272002338	HC PERF SUPPLY- IPH PROCEDURE KIT	$11,375	$9,214	—	—	0
172000004	HC NICU LEVEL 2	$11,204	$9,075	—	—	0
750000174	HC EUS W >2 PROC	$11,038	$8,941	—	—	0

Showing top 50 of 2,459 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.