SAINT ANTHONY HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
0230T	HC INJECT EPIDURAL TRANSFOR LUMB/SACR INITIAL LVL WITH US GUIDANCE	$232,583	$93,033	—	—	4
0812	HC KIDNEY FEE	$147,486	$58,994	—	—	2
C1815	HC IMPLANT GU URINARY SPHNCHTR	$122,951	$49,180	—	—	5
33270	HC INSERT/REPLACE (SICD) SUBCUTANEOUS ICD SYSTEM	$122,053	$48,821	—	—	3
C1722	HC IMPLANT AICD SINGLE	$119,676	$47,870	—	—	4
J9228	IPILIMUMAB 5 MG/ML INJECTION (SO)	$119,455	$47,782	—	—	11
33991	HC INSERT VENTRIC ASSIST DEV LT HEART ART & VEN ACCESS & TRANSSEP PUNC	$116,529	$46,612	—	—	3
C1786	HC FDA IDE G130138	$113,527	$45,411	—	—	10
C1767	HC IMPLANT NEUROSTIM GENERATOR	$109,180	$43,672	—	—	5
J9269	TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION	$108,194	$43,278	—	—	4
0624	HC FDA IDE G190285 AMPLATZ CARDIAC PLUG	$106,218	$42,487	—	—	2
J2507	PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION	$100,211	$40,084	—	—	12
C1882	HC IMPLANT AICD OTHER	$98,241	$39,297	—	—	4
C1820	HC IMPLANT NEUROSTM GEN RECHRG	$98,206	$39,282	—	—	5
J3357	USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE	$97,450	$38,980	—	—	4
33264	HC REPLACE GENERATOR ONLY (ICD) MULTIPLE	$94,570	$37,828	—	—	3
C1721	HC IMPLANT AICD DUAL	$84,714	$33,886	—	—	4
J9281	MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT	$82,845	$33,138	—	—	5
33249	HC INS RPL ICD SYSTEM DUAL	$82,799	$33,120	—	—	3
61886	HC INS/REPL CRANIAL NEUROSTIM PULSE GEN/RECVR	$81,084	$32,434	—	—	3
C2616	YTTRIUM-90 BRACHYTX SRC NON-STRANDED	$79,875	$31,950	—	—	6
62361	HC IMPL REPL EPI PUMP NONPROG	$79,241	$31,696	—	—	3
62362	HC IMPL REPL EPI PUMP W WO PROGR	$79,241	$31,696	—	—	3
0811	HC LIVING DONOR/STAND ACQUISITION	$77,443	$30,977	—	—	2
0431T	HC REPLACE NEUROSTIMULATOR GENERATOR ONLY FOR CENTRAL SLEEP APNEA	$72,075	$28,830	—	—	2
0424T	HC INSERT/REPLACE NEUROSTIMULATOR COMPLETE SYSTEM FOR CENTRAL SLEEP APNEA	$72,075	$28,830	—	—	2
0427T	HC INSERT NEUROSTIMULATOR GENERATOR ONLY FOR CENTRAL SLEEP APNEA	$72,075	$28,830	—	—	2
A9543	Y-90 ZEVALIN	$70,810	$28,324	—	—	1
33231	HC INSERT GENERATOR ONLY (ICD) TO EXISTING MULTIPLE LEADS	$69,379	$27,752	—	—	3
J2350	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$69,000	$27,600	—	—	3
C1813	HC IMPLANT GU PENILE INFL	$68,529	$27,412	—	—	4
33263	HC REPLACE GENERATOR ONLY (ICD) DUAL	$68,153	$27,261	—	—	3
33287	HC RMVL & REPLCMNT PHRENIC NERVE STIM PULSE GEN	$67,856	$27,142	—	—	3
33276	HC INSERT PHRENIC NERVE STIM SYS W/ IMAGING GDNCE	$67,856	$27,142	—	—	3
C2622	HC IMPLANT GU PENILE NON-INFL	$66,984	$26,794	—	—	5
J7311	FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT	$66,588	$26,635	—	—	6
J9266	PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION	$65,105	$26,042	—	—	6
93656	HC COMP EP EVAL W PV ISO ABL	$64,418	$25,767	—	—	3
93653	HC COMP EP EVAL W SVT ABL	$64,089	$25,636	—	—	3
33363	HC TRANSCATHETER REPLACEMENT VALUE AORTIC TAVI AXILLARY OPEN APPROACH	$63,272	$25,309	—	—	3
64568	HC INCIS/IMPLANT CRANIAL NERVE STIM ELECTRODE	$62,447	$24,979	—	—	3
33362	HC TAVR/TAVI AORTIC VALVE OPEN FEMORAL ARTERY APPROACH	$60,736	$24,294	—	—	3
J3245	TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE	$60,331	$24,132	—	—	5
93654	HC COMP EP EVAL W VT ABL WWO 3DMP	$59,238	$23,695	—	—	3
37227	HC REVASC ARTERIAL FEM/POP W ATHERECT & STENT W/WO ANGIOPLAS	$58,885	$23,554	—	—	6
33230	HC INSERT GENERATOR ONLY (ICD) TO EXISTING DUAL LEADS	$57,816	$23,126	—	—	3
33364	HC TAVR/TAVI AORTIC VALVE OPEN ILIAC ARTERY APPROACH	$57,781	$23,113	—	—	3
33361	HC TAVR/TAVI AORTIC VALVE PERC FEMORAL ARTERY APPROACH	$57,781	$23,113	—	—	3
37231	HC REVASC ARTERIAL TIB/PER W ATHERECT & STENT W/WO ANGIOPLAS INITIAL VES	$57,145	$22,858	—	—	3
33340	HC CLOSURE LEFT ATRIAL APPENDAGE WITH IMPLANT INCLUDING IMAGING	$57,143	$22,857	—	—	3

Showing top 50 of 15,881 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.