ADVOCATE ILLINOIS MASONIC MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
A9543	Y-90 ZEVALIN TX PER TX DOSE UP TO 40MCI	$107,460	$53,730	—	—	13
33270	INS/RPL SUBQ GEN + LEAD W/EVAL	$94,840	$47,420	—	—	12
C1826	3044508 - NEUROSTIMULATOR IMPLANTABLE INCEPTIV	$78,600	$39,300	—	—	15
C1767	3005513 - GENERATOR NRSTM 5 IMPL PULSE PROCLAIM PLUS SPNL CORD STIM	$76,416	$38,208	—	—	15
C2624	1168039 - SYSTEM PULM PRSS DLV SYS PA	$76,217	$38,109	—	—	15
33240	INS ICD GEN ONLY/EXIST SNG LEAD	$72,560	$36,280	—	—	12
33230	INS ICD GEN ONLY/EXIST DUAL LEADS	$72,560	$36,280	—	—	12
33231	INS ICD GEN ONLY/EXIST MULTI LEADS	$72,560	$36,280	—	—	12
33263	REM/RPL ICD GEN/DUAL SYSTEM	$66,630	$33,315	—	—	12
33289	IMPLANT WRLESS PUL ART PRESS SENS	$64,400	$32,200	—	—	12
0408T	INS/RPL CCM GEN + LEAD(S)	$63,880	$31,940	—	—	13
33262	REM/RPL ICD GEN/SINGLE SYSTEM	$62,250	$31,125	—	—	12
33264	REM/RPL ICD GEN/MULT SYSTEM	$62,250	$31,125	—	—	12
33249	INS/RPL ICD SINGLE GEN + LEAD(S)	$58,360	$29,180	—	—	12
C1882	1166767 - DFBR GALLANT HF DF4 IS-4 IS-1 CNCT THK12MM 51X74MM 34CC 76GM	$55,521	$27,761	—	—	15
C1813	1177019 - PROSTHESIS PENL TITAN LOCK-OUT 0D CYL PUMP SET	$53,636	$26,818	—	—	15
37231	ANGIO T/P + STENT/ATHERECTOMY	$52,740	$26,370	—	—	12
C1786	1247627 - PACEMAKER AVEIR LEADLESS DR PM 19.5F 32.2 MM RA CARDIAC	$51,342	$25,671	—	—	15
93656	COMP EVAL W/ABL PULM VEIN AFIB&3D MAP/ICE	$50,600	$25,300	—	—	12
C2616	YTTRIUM 90 SIR SPHERES PER SOURCE	$46,520	$23,260	—	—	15
33903	PULM ART REVASC INITIAL STNT BILATERAL	$45,440	$22,720	—	—	12
36906	DIALYSIS CIRCUIT REMOVE CLOT+STENT	$45,100	$22,550	—	—	12
C1772	3040845 - PUMP INTRATHECAL SNCHR 3 40 ML	$44,576	$22,288	—	—	15
C1721	3002607 - DFBR ILIVIA NEO 7 2 CHMBR STRL LF CARDIAC	$43,482	$21,741	—	—	15
93654	COMP EVAL W/ABLATION VT & 3D MAP/LAS	$42,160	$21,080	—	—	12
C9774	REVASC TIB/PERONEAL INTRAVASC LITHO/ATHER	$40,600	$20,300	—	—	24
C9773	REVASC TIB/PERONEAL INTRAVASC LITHO/STNT	$40,600	$20,300	—	—	24
C9775	REVASC TIB/PERONEAL INTRAVASC LITHO/ATH/STNT	$40,600	$20,300	—	—	24
C9767	REVASC INTRAVASC LITHO/ATH/STNT	$40,600	$20,300	—	—	24
C9797	VASC EMB/OCC W/PRS CATH	$40,480	$20,240	—	—	12
33274	INS/RPL LEADLESS PMKR SNG VENTR	$40,390	$20,195	—	—	12
93653	COMP EVAL W/ABLATION SVT & 3D MAP/LAS	$38,790	$19,395	—	—	12
0795T	INS DUAL LEADLESS PMK COMPLETE W IMG	$38,320	$19,160	—	—	12
0796T	INS DUAL LEADLESS PMK RT ATR COMPONENT W IMG	$38,320	$19,160	—	—	12
C1820	1149276 - NEUROSTIMULATOR INTERSTIM MIC SURESCAN IMPL RECHARGABLE	$38,208	$19,104	—	—	15
36837	AVF UPPER EXTREMITY CRTN SEPERATE ACCESS SITES WITH IMAGING	$38,170	$19,085	—	—	12
C1817	1184881 - OCCLUDER CV L75 CM WKG OD25 MM SEPTAL 10G SOFT WIRE FRM	$37,937	$18,969	—	—	15
37227	ANGIO FEM-POP + STENT/ATHERECTOMY MY	$37,400	$18,700	—	—	12
37229	ANGIO T/P + ATHERECTOMY 1ST	$37,170	$18,585	—	—	12
37230	ANGIO T/P STENT 1ST	$37,170	$18,585	—	—	12
C1722	1170422 - DEFIBRILLATOR VIGILANT 29.5 CC 68.9 GM VNTRC RT D.99 CM	$37,054	$18,527	—	—	15
93591	PERC TRANSCATH CLS AORTIC	$36,840	$18,420	—	—	12
33902	PULM ART REVASC INITIAL STNT UNILATERAL	$36,350	$18,175	—	—	12
0823T	INS SNGL LEADLESS PMK RT ATR W IMG	$35,690	$17,845	—	—	12
93582	CLOSURE PATENT DUCTUS ARTERIOSUS	$35,220	$17,610	—	—	12
36903	DIALYSIS CIRCUIT ANGIO + STENT	$34,800	$17,400	—	—	12
92924	ATHER/PTCA MAJOR ART SINGLE LM	$34,800	$17,400	—	—	12
0237T	ATHERECTOMY BRACHIOCEPH EA + S&I	$34,200	$17,100	—	—	12
0236T	ATHERECTOMY AORTA + S&I	$34,200	$17,100	—	—	12
C1733	3037109 - CATHETER ABLT OTW 20 ELECTRODE FARAWAVE L115 CM L180 CM OD31	$33,631	$16,816	—	—	12

Showing top 50 of 9,322 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.