CHINO VALLEY MEDICAL CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
33249	Hc Insert/Rplacmnt Aicd W Lead Sing/Dual	$184,039	$40,173	$1,284	$184,039	43
33263	Hc Rem Pac Cvdfb Plse Gen &Repl Plse Gen Dual Lead	$131,859	$28,468	$313	$131,859	43
93654	Hc Ephys Eval W Ablation Ventricular Tachycardia	$127,852	$33,452	$880	$127,852	43
93656	Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein	$127,852	$33,452	$880	$127,852	43
33264	Hc Rem Pac Cvdfb Pls Gen &Repl Plse Gen Multi Lead	$116,108	$40,173	$325	$116,108	43
37184	Hc Prim Perc Mech Thrombectomy, Arterial	$98,092	$23,462	$2,027	$98,092	43
37227	Hc Revasc Fem/Pop Art Angiopl/Stnt/Atherectomy	$95,689	$22,494	$664	$95,689	37
37229	Hc Revasc Tibial/Peron Art Angiopl/Atherect Init	$95,689	$22,494	$644	$95,689	37
37225	Hc Revasc Fem/Pop Art Angiopl/Atherectomy	$89,784	$22,494	$550	$89,784	37
33274	Hc Tcat Ins/Rpl Perm Ldls Pm W/Ig	$85,888	$24,652	$418	$85,888	43
33208	Hc Insert Art & Ventr Pm W Transvenous Electrod	$77,439	$13,377	$1,068	$77,439	43
37252	Hc Intrvasc Us During Dx Eval/Interven W Img Init Vssl	$75,945	—	$1,301	$75,945	7
33225	Hc Insert Lv Pacing Elect To New Pm/Defib	$70,830	—	$258	$70,830	7
33213	Hc Insert Pulse Gener Dual Chmbr	$61,951	$13,377	$511	$61,951	43
37187	Hc Perq Mechan Thrombectomy Venous	$61,541	$14,775	$2,566	$61,541	43
37238	Hc Open/Perq Placement Intravascular Stnt Same 1St	$61,541	$14,775	$275	$61,541	43
92928	Hc Perc Drug-El Cor Stent Sing - 92928 - 48100192	$59,846	$14,775	$483	$59,846	43
33228	Hc Remvl Perm Pm Pls Gen W/Repl Plse Gen 2 Ld Sys	$59,735	$13,377	$290	$59,735	43
37236	Hc Open/Perq Placement Intravascular Stent Initial	$56,703	$14,775	$392	$56,703	43
37228	Hc Revasc Tibial/Peron Art Angiopl Init	$56,703	$14,206	$499	$56,703	37
37243	Hc Vascular Embolize/Occlude Organ Tumor Infarct	$56,703	$14,775	$510	$56,703	43
52648	Laser Surgery Of Prostate	$43,385	$6,862	$839	$43,385	43
24342	Repair Of Ruptured Tendon	$42,250	$9,286	$900	$42,250	43
33211	Hc Insert Temp Pm/Electrode Dual Chmbr	$41,380	$10,591	$252	$41,380	43
58552	LAPAROVAG HYST INCL TO	$41,193	$13,604	$617	$41,193	43
27726	Repair fibula nonunion	$37,813	$9,286	$670	$37,813	43
23395	MUSCLE TRANSFER SHOULDERARM	$37,500	$9,286	$1,355	$37,500	43
37246	Hc Trlml Blln Angiop Open/Perq Img S&I Init Art	$37,246	$7,284	$1,961	$37,246	43
92924	Hc Prq Trluml Coronry Angio/Atherect One Art/Brnch	$36,925	$14,775	$517	$36,925	43
92937	Hc Prq Drug Eluting Cor Revasc T Cabg S - 92937 - 48100196	$36,925	$14,775	$482	$36,925	43
C9604	Hc Prq Drug Eluting Cor Revasc T Cabg S - C9604 - 48100196	$36,925	$14,775	$4,132	$36,925	36
37221	Hc Revasc Iliac Art Angiopl/Stnt Init Vssl	$36,925	$14,206	$453	$36,925	37
93620	Hc Electrophys Ev,R A-V Pace/Rec,W/O Induct	$36,216	$9,982	$271	$36,216	43
51050	Removal Of Bladder Stone	$35,888	$6,862	$774	$35,888	43
33224	Hc Insert Lv Pacing Elect To Existing Pm/Defib	$35,841	$13,377	$280	$35,841	43
36832	Av Fistula Revision Open	$35,750	$7,121	$886	$35,750	43
36557	Hc Insert Tunneled Cv Cath W/O Subq Port/Pmp Age < 5Yr	$35,515	$7,121	$139	$35,515	43
36821	Av Fusion Direct Any Site	$34,767	$4,041	$623	$34,767	43
36831	Open thrombect av fistula	$34,375	$7,121	$506	$34,375	43
36819	Av Fuse Uppr Arm Basilic	$34,125	$7,121	$780	$34,125	43
52276	Cystoscopy And Treatment - 52276 - OR36052276	$33,883	$2,675	$547	$33,883	43
93619	Hc Electrophys Ev,R A-V Pace/Rec,W/ Induct	$33,664	$9,982	$257	$33,664	43
27447	Total Knee Arthroplasty	$33,450	$16,431	$2,136	$33,450	43
31661	Hc Bronchoscopy Thermoplasty =>2 Lobes	$32,606	$9,032	$197	$32,606	43
31660	Hc Bronchoscopy Thermoplasty One Lobe	$32,606	$9,032	$187	$32,606	43
23462	Repair Shoulder Capsule - 23462 - OR36023462	$32,500	$9,286	$1,210	$32,500	43
58661	Laparoscopy Remove Adnexa	$32,399	$7,737	$701	$32,399	43
37248	Hc Trlml Blln Angiop Open/Perq W/Img S&I Init Vein	$31,974	$7,284	$1,352	$31,974	43
23472	RECONSTRUCT SHOULDER JOINT	$31,500	$22,440	$1,304	$31,500	37
53600	Dilate Urethra Stricture	$31,098	$319	$125	$31,098	43

Showing top 50 of 3,615 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.