WELLINGTON REGIONAL MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
33249	INSERT REPLCE ICD W/LEADS SR	$325,080	$243,810	—	—	13
33264	REMOVE REPLACE ICD MULTI LEAD	$249,148	$186,861	—	—	13
33263	REMOVE REPLACE ICD GEN 2LEAD	$237,738	$178,304	—	—	13
C1882	DEFIB PROMOTE RF 3207 JUDE	$230,903	$173,177	—	—	10
33230	INSERT ICD GEN 2LEAD	$209,719	$157,289	—	—	13
C1721	DEFIB INTRINSIC 7288 MEDTRNC	$201,769	$151,327	—	—	10
33231	INSERT ICD GEN MULTI LEAD	$190,654	$142,991	—	—	13
33240	INSERT SUBQ DEFIB EXSIST ELCTR	$178,616	$133,962	—	—	13
33262	REMOVE/REPLACE SUBQ DEFIB ONLY	$178,616	$133,962	—	—	13
33270	INSERT/REPLACE SUBQ DEFIB ELCT	$178,616	$133,962	—	—	13
C1722	DEFIB ATLAS II VR V168	$157,534	$118,151	—	—	10
37227	FEM/POP STENT W/ATHRECT BIL CS	$122,002	$91,502	—	—	13
37231	TIB/PERONL STENT W/ATHRECT BIL	$121,958	$91,469	—	—	13
C1822	SYSTEM NEVRO OMINA IPG HF10E	$114,134	$85,601	—	—	10
33208	INSERT NEW/REPLCE PACER AV	$111,142	$83,357	—	—	13
C9775	REVASC LITH-STEN-ATH TIB-PER	$101,005	$75,754	—	—	12
C9774	REVASC LITHOTR-ATHER TIB-PER	$101,005	$75,754	—	—	12
C9773	REVASC LITHOTR-STENT TIB-PER	$101,005	$75,754	—	—	12
37244	VASC EMBOL/OCC AV HEMORAGE ADD	$96,798	$72,599	—	—	13
Q4130	STRATTICE GRAFT PER 1 SQCM	$96,663	$72,497	—	—	10
37238	PLACE STENT VEIN INITIAL	$93,525	$70,144	—	—	12
36906	PMT W/STENT PERIPH DIALYS BIL	$93,238	$69,929	—	—	13
C2616	BRACH Y-90 NONSTRAND PER SRCE	$90,239	$67,679	—	—	10
61626	OCCLUDE TRANSCATH NON CNS	$89,861	$67,396	—	—	13
37241	VASC EMBOL/OCCLUDE VENOUS	$87,998	$65,999	—	—	13
C9601	DES W/WO PTCA EA ADD VES LD	$87,511	$65,633	—	—	11
33228	REMOVE REPLACE PACER GEN 2LEAD	$83,950	$62,963	—	—	13
93460	RT LT HEART CATH ANGIO/VENTRIC	$82,517	$61,888	—	—	13
C9600	DES W/WO PTCA 1ST VES	$82,260	$61,695	—	—	11
C9606	DES REVASC PERC BYPSS AMI 1 LM	$81,985	$61,489	—	—	11
93580	CLOSE CONGEN A-SEPT DEFCT IMPT	$81,943	$61,457	—	—	13
92933	STENT W/ATHREC W/WO PTCA 1 LM	$81,943	$61,457	—	—	12
C9607	DES REVASC PERC CHRNC OCC 1 RI	$81,943	$61,457	—	—	11
C9602	DES W/ATHREC W/WO PTCA 1ST RI	$81,943	$61,457	—	—	11
33207	INSERT NEW/REPLCE PACER VENTRC	$81,868	$61,401	—	—	13
J3101	TENECTEPLASE PER 1MG	$81,831	$61,373	—	—	13
33206	INSERT NEW/REPLCE PACER ATRIAL	$79,011	$59,258	—	—	13
A9606	RADIUM RA-223 XOFIGO PER MCI	$78,565	$58,924	—	—	12
37242	VASC EMBOL/OCCL ARTERIAL ADD	$77,438	$58,079	—	—	13
C1813	PUMP PENILE CX 18CM PS IZ	$75,465	$56,599	—	—	10
C9360	SURGIMEND GRAFT PER 0.5 SQCM	$74,907	$56,180	—	—	10
C1772	PUMP MORPHINE SYNCHROMED	$74,887	$56,165	—	—	10
93461	RT LT HRT CATH ANGIO/VENT GRFT	$73,355	$55,016	—	—	13
C9604	DES REVASC PERC BYPS GRFT 1 LD	$71,991	$53,993	—	—	11
33213	INSERT PACER GEN W/ 2LEAD	$71,872	$53,904	—	—	13
C9766	REVASC INTRAVSC LITHO ATHREC	$71,541	$53,656	—	—	12
92928	STENT W/WO PTCA 1ST VES LM	$71,292	$53,469	—	—	12
61623	OCCL ENDOVAS BAL TEMP EA ADDL	$71,198	$53,399	—	—	13
37233	TIB/PERON ATHERECT ADD VES BIL	$70,421	$52,816	—	—	13
37225	FEM/POP ATHRECTOMY BIL CS	$70,421	$52,816	—	—	13

Showing top 50 of 11,922 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.