UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
3454581	GENERATOR IMP SENZA OMNIA II PUL	$92,040	$32,214	—	—	19
3452172	PUMP INF PROMETRA II SUTURELESS CNCTN PRGMBL 20ML STRL	$54,720	$19,152	—	—	19
4285229	CCL LEADLESS PM INS/RPL VENTR BCE	$47,401	$16,590	—	—	14
4280037	CCL Ins/Reps Lead Snglch Dfib	$44,690	$15,642	—	—	13
4280064	CCL Ins/Reps Lead Dualch Dfib BCE	$44,690	$15,642	—	—	13
4283439	CCL Rem/Replace CVD Gen Mult Leads	$44,690	$15,642	—	—	13
4283437	CCL Rem/Replace CVD Gen Sgl Lead	$31,923	$11,173	—	—	13
3461767	REMOTE PTNT OMNIA F/SPN GEN	$31,917	$11,171	—	—	19
3462581	CHARGER OMNIA F/SPN GEN NSTRL	$31,917	$11,171	—	—	19
3458384	SYSTEM NEUROMOD STIMROUTER LED INTRO KT	$31,135	$10,897	—	—	19
4283216	CCL Coronary Ather Sgl-BCE	$30,132	$10,546	—	—	14
4284606	CCL Angioplast Fem/Pop W Artherect BCE	$23,093	$8,083	—	—	13
4284607	CCL Angioplast Fem/Pop W Stent BCE	$23,093	$8,083	—	—	13
4284610	CCL Angioplasty Tibia/Peroneal Atherect BCE	$23,093	$8,083	—	—	13
4284611	CCL Angioplast Tibia/Peronel WStent Init BCE	$23,093	$8,083	—	—	13
4289200	CCL Stent Place Maj Art/BR Sgl-BCE	$23,093	$8,083	—	—	14
4289202	CCL Cor athr w/drug stnt sgl BCE	$23,093	$8,083	—	—	14
4289206	CCL Revsc Occl W/ Dru Stnt Sgl-BCE	$23,093	$8,083	—	—	14
4794606	SP Exam	$23,093	$8,083	—	—	13
4794607	SP Exam	$23,093	$8,083	—	—	13
4794610	SP Exam	$23,093	$8,083	—	—	13
4794611	SP Exam	$23,093	$8,083	—	—	13
4796906	SP Exam	$23,093	$8,083	—	—	13
3451912	ALLOGRAFT SFTIS EPILS AMNIOTIC MEM 6X10CM	$23,016	$8,056	—	—	19
4282193	CCL COMP ELECTROPHYS EVAL BCE	$22,983	$8,044	—	—	14
4280066	CCL Inst Lventric Lead W/ Pm BCE	$21,707	$7,597	—	—	13
4283174	CCL PM Insert Perm Dual BCE	$21,707	$7,597	—	—	14
4283436	CCL Rem/Replace PM Gen Mult Leads	$21,707	$7,597	—	—	13
3457643	CCL Gft Stnt Viatorr	$21,136	$7,398	—	—	19
3453623	ALLOGRAFT BN PRO-STIM CORE DECOMP KT DBM 15ML DISC	$20,763	$7,267	—	—	19
4799045	SP Exam	$19,325	$6,764	—	—	13
4799046	SP Exam	$19,325	$6,764	—	—	13
3453275	CEMENT BN HYDROSET XT HA DISP 15CC STRL	$18,405	$6,442	—	—	19
3460635	CCL Ndl Perc Cmnt IVAS BCE	$18,025	$6,309	—	—	10
3453179	ALLOGRAFT AMNION MATRIX CORD 3X6CM	$17,760	$6,216	—	—	19
3457962	CONSTRUCT KNE CFMS TOT STD IDNTTY CR FULL KT 2PC INSRT IPOLY	$17,760	$6,216	—	—	19
4281081	CCL PM Insert Perm Vent	$16,603	$5,811	—	—	13
4283152	CCL Cardiac Evt (ILR) Implant	$16,597	$5,809	—	—	14
4283435	CCL Rem/Replace PM Gen Dual Lead	$16,591	$5,807	—	—	14
3451935	ALLOGRAFT TIS AMNIOFILL 2000MG DISC	$16,531	$5,786	—	—	19
3451077	ALLOGRAFT AMNIOFIX TIS 6X16CM	$16,469	$5,764	—	—	19
3458808	CCL Cath Atherectomy Hawkone LS H1-M BCE	$15,326	$5,364	—	—	10
3456917	CCL Gft Stnt Vbhn w/Hep 10-15 - BCE	$15,303	$5,356	—	—	19
3458957	GRAFT ARTHROFLEX DECELLULARIZED DERM MTRX 4X7CM PER SQ CM	$14,784	$5,174	—	—	19
4283218	CCL Stent Place Coronary Sgl-BCE	$14,099	$4,935	—	—	14
4283222	CCL Revasc W/ Stent Sgl Ves-BCE	$14,099	$4,935	—	—	14
4284602	CCL Revasc Illiac W Stent Init BCE	$14,099	$4,935	—	—	13
4284609	CCL Angioplasty Tibia/Peroneal Initial BCE	$14,099	$4,935	—	—	13
4284696	CCL Percut Plc Stnt 1st Art BCE	$14,099	$4,935	—	—	13
4289204	CCL Revasc Cor W/ Stnt Sgl Ves-BCE	$14,099	$4,935	—	—	14

Showing top 50 of 5,360 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.