NORTON-KING'S DAUGHTERS' HEALTH

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Q2054	Box	$3,825,723	$841,659	—	—	6
Q2055	Flex Cont	$3,803,850	$836,847	—	—	18
Q2053	Flex Cont	$2,398,000	$527,560	—	—	6
Q2041	Package	$2,398,000	$527,560	—	—	6
J2326	Vial	$1,053,353	$231,738	—	—	7
A9513	Vial	$482,719	$106,198	—	—	1
Q2043	Flex Cont	$450,738	$99,162	—	—	7
J9043	Vial	$423,932	$93,265	—	—	7
J9226	Box	$361,308	$79,488	—	—	6
J0223	Vial	$316,037	$69,528	—	—	7
J1823	Vial	$314,400	$69,168	—	—	14
C9293	Vial	$311,278	$68,481	—	—	4
J9359	Vial	$278,686	$61,311	—	—	7
J0567	Box	$258,293	$56,824	—	—	5
J9269	Vial	$243,048	$53,471	—	—	7
J9229	Vial	$234,185	$51,521	—	—	7
J2507	Vial	$221,350	$48,697	—	—	7
J2327	Syringe	$214,882	$47,274	—	—	7
J0202	Vial	$214,159	$47,115	—	—	7
J9266	Vial	$197,896	$43,537	—	—	7
J9281	Box	$183,204	$40,305	—	—	7
J9600	Vial	$167,926	$36,944	—	—	6
J0638	Vial	$153,967	$33,873	—	—	7
J1246	Vial	$150,717	$33,158	—	—	4
J9309	Vial	$142,042	$31,249	—	—	7
J3241	Vial	$129,736	$28,542	—	—	7
J3245	Syringe	$129,322	$28,451	—	—	7
J7205	Vial	$120,600	$26,532	—	—	6
J9272	Vial	$117,800	$25,916	—	—	7
J3357	Syringe	$110,193	$24,242	—	—	14
C1882	HB ICD UNIFY CRT-D 40 CD323140Q	$103,017	$22,664	—	—	4
90288	Vial	$102,600	$22,572	—	—	4
J2562	Vial	$95,693	$21,053	—	—	7
J9022	Vial	$85,947	$18,908	—	—	14
J9037	Vial	$84,734	$18,642	—	—	7
J1640	Vial	$82,276	$18,101	—	—	14
J9119	Vial	$81,609	$17,954	—	—	7
J9153	Vial	$79,056	$17,392	—	—	14
J9144	Vial	$76,117	$16,746	—	—	7
J9203	Vial	$75,611	$16,634	—	—	6
J3380	Vial	$72,783	$16,012	—	—	7
J0222	Vial	$70,452	$15,499	—	—	7
J9316	Vial	$69,803	$15,357	—	—	14
C1721	HB ICD EVERA MRI XT DF1 DDMB1D1	$69,752	$15,345	—	—	4
J9301	Vial	$68,042	$14,969	—	—	7
Q4130	HB GRAFT STRATTICE 20X20 2020002	$67,541	$14,859	—	—	5
L8619	HB KIT PROCESSOR SONNET 2 S2200	$67,465	$14,842	—	—	7
J9228	Vial	$66,498	$14,630	—	—	14
J9042	Vial	$64,286	$14,143	—	—	7
C9047	Box	$64,185	$14,121	—	—	6

Showing top 50 of 14,066 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.