RIO GRANDE HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
111641	Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator p	$456,065	$456,065	$2,176	$23,943	14
111639	Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator p	$232,916	$232,916	$5,055	$108,436	16
111827	Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration,	$180,473	$180,473	$5,256	$24,615	10
111631	Insertion of implantable defibrillator pulse generator only; with existing dual leads	$176,506	$176,506	$5,055	$108,436	13
111632	Insertion of implantable defibrillator pulse generator only; with existing multiple leads	$176,506	$176,506	$5,055	$108,436	13
111649	Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac	$170,855	$170,855	$948	$20,701	19
111642	Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including	$139,190	$139,190	$3,675	$41,922	14
746167	Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c	$112,729	$112,729	$7,223	$21,754	10
746169	Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the prim	$112,729	$112,729	$7,818	$7,818	5
111647	Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including	$95,685	$95,685	$948	$12,635	19
746170	Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and reposit	$91,493	$91,493	$7,223	$21,754	10
746168	Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode c	$91,493	$91,493	$7,818	$7,818	5
111795	Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition t	$88,721	$88,721	$11,077	$21,754	6
111820	Left heart catheterization by transseptal puncture through intact septum or by transapical puncture	$71,702	$71,702	$2,796	$12,375	13
111875	Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis,	$67,951	$67,951	$7,223	$13,607	8
746117	Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for cr	$53,950	$53,950	$7,818	$7,818	5
112015	Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascul	$53,410	$53,410	$2,692	$9,480	12
701004	Permanent implantable contraceptive intratubal occlusion device(s) and delivery system	$49,270	$49,270	$1,386	$1,540	8
111793	Cardioassist-method of circulatory assist; internal	$44,468	$44,468	$5,841	$5,841	1
746171	Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment	$43,788	$43,788	$1,422	$21,754	15
0238T	Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and in	$42,374	$42,374	$5,055	$41,922	15
111876	Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis,	$37,805	$37,805	$948	$26,059	20
746044	Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-ti	$36,968	$36,968	$2,893	$3,969	5
112066	Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr	$35,480	$35,480	$769	$31,500	17
112747	Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannul	$35,098	$35,098	$3,061	$5,765	8
111622	Insertion of pacemaker pulse generator only; with existing multiple leads	$34,919	$34,919	$5,055	$48,164	14
110854	Injection, atezolizumab, 10 mg	$32,109	$32,109	$89.39	$1,048	11
111638	Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), si	$31,308	$31,308	$7,223	$24,038	17
112065	Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascul	$29,350	$29,350	$2,692	$5,225	12
722265	Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricula	$28,859	$28,859	$7,223	$34,314	17
111859	Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/pe	$28,227	$28,227	$5,055	$26,059	9
111860	Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/pe	$28,227	$28,227	$5,055	$26,059	9
111857	Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/pe	$28,227	$28,227	$3,061	$5,765	6
746030	Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation thr	$27,405	$27,405	$225	$708	7
258476	Fecal microbiota, live - jslm, 1 ml	$26,454	$26,454	$63.93	$168	9
111627	Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including	$25,986	$25,986	$1,107	$24,035	17
111690	Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel	$25,569	$25,569	$948	$15,581	20
112427	Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electr	$25,561	$25,561	$519	$31,500	17
111626	Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insert	$25,446	$25,446	$2,692	$24,035	11
111727	Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive	$23,673	$23,673	$2,176	$5,505	14
111625	Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment t	$23,132	$23,132	$2,176	$24,035	17
111728	Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive	$19,509	$19,509	$1,422	$2,678	8
112748	Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at	$19,293	$19,293	$3,061	$5,765	8
350177	Injection, oxaliplatin, 0.5 mg	$19,160	$19,160	$0.05	$2.32	11
110498	Injection, edetate calcium disodium, up to 1000 mg	$19,090	$19,090	$6,291	$76,252	11
30007	Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or wit	$18,803	$18,803	$155	$464	19
732006	Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization d	$18,766	$18,766	$177	$2,476	11
111729	Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracra	$18,665	$18,665	$2,468	$15,581	12
722261	Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to re	$18,530	$18,530	$1,241	$31,500	17
360113	Injection, benralizumab, 1 mg	$18,513	$18,513	$271	$271	1

Showing top 50 of 16,419 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.