HUTCHINSON REGIONAL MEDICAL CENTER INC

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
668997	CATH IMPELLA 5.5 US PUMP SET OK	$123,750	$92,813	—	—	15
ocrelizumab 300 mg/10 mL Sol JW	ocrelizumab 300 mg/10 mL Sol JW	$87,750	$65,813	—	—	17
5521356	ravulizumab 1100 mg/11 mL Sol JW	$84,533	$63,400	—	—	20
5520705	ustekinumab 90 mg/mL Sol	$83,098	$62,324	—	—	17
2845584	NEUROSTIMULATOR ASPIRE SR SINGLE 106 OK	$81,015	$60,761	—	—	15
5520952	teprotumumab trbw 500 mg Pow JW	$80,460	$60,345	—	—	20
2825107	DEFIB VIVA XT CRT-D QD DTBB1QQ	$73,800	$55,350	—	—	15
813279	CATH IMPELLA CP PUMP SET OK	$68,750	$51,563	—	—	15
816077	DEFIB CLARIA MRI CRT-D BIPHASIC WAVE 35CC DTMA1QQ HPG	$67,774	$50,831	—	—	15
816087	DEFIB CLARIA MRI CRT-D 13MM 51X74 PHYSIOCURVE DTMA1Q1 HP	$67,774	$50,831	—	—	15
816088	DEFIB CLARIA MRI DTMA1D1 HPG	$65,670	$49,253	—	—	15
7308976	AV SHUNT THROMBOLYSIS W/ STENT, BIL	$65,609	$49,207	—	—	15
7309693	STENT FEM-POP BIL/ATHER/INITIAL VESSEL	$65,609	$49,207	—	—	20
7309719	ATHERECTOMY, TIB-PERONEAL BIL PTA/INITIAL VESSEL	$65,609	$49,207	—	—	16
7309727	STENT TIB-PERONEAL BIL PTA, INITIAL VESSEL	$65,609	$49,207	—	—	20
7309735	STENT TIB-PERONEAL BIL/ATHER/PTA VESSEL	$65,609	$49,207	—	—	20
816065	DEFIB AMPLIA MRI DF4 QUAD DTMB1QQ HPG	$65,161	$48,871	—	—	15
9587296	IR AV Fistula/Graft Thromb w Periph BA B	$61,551	$46,163	—	—	19
7308943	AV SHUNT THROMBOLYSIS W/ BALLOON, BIL	$61,551	$46,163	—	—	15
2831477	DEFIB INOGEN MINI DR DF4	$56,430	$42,323	—	—	15
4323002	LINAC RADIOSURGERY,1 SESSION	$56,395	$42,296	—	—	19
812505	DEFIB EVERA DR DDMB1D4 MRI DUAL	$55,289	$41,467	—	—	15
812601	DEFIB AMPLIA MRI CRT-D 35CC BI DTMB1D1	$55,138	$41,354	—	—	15
816060	DEFIB AMPLIA MRI CRT-D 2-POLAR DTMB1D4	$55,138	$41,354	—	—	15
810071	2.5 Impella Catheter/Pump Set	$55,000	$41,250	—	—	15
2839983	2.5 Impella Catheter/Pump Set	$55,000	$41,250	—	—	15
816001	DEFIB EVERA S DR DUAL IS-1/DF4 HPG	$54,244	$40,683	—	—	15
816188	DEFIB EVERA S DUAL IS-1/DF1 DDMC3D1 HPG	$54,244	$40,683	—	—	15
811249	DEFIB INOGEN EL ICD IS-1/DF4-DR	$51,728	$38,796	—	—	15
816075	DEFIB CLARIA MRI CRT-D DTMA1D4 HPG	$50,944	$38,208	—	—	15
2845519	NEUROSTIMULATOR ACTIVA PC OK	$50,848	$38,136	—	—	15
812337	DEFIB EVERA XT S DR SYSTEM HPG	$48,950	$36,713	—	—	15
816528	DEFIB EVERA S DR DDBC3D1 ICDK DUAL HPG	$48,950	$36,713	—	—	15
812529	DEFIB VISIA AF MRI DF4 VR	$48,043	$36,032	—	—	15
816082	DEFIB VISIA AF MRI SINGLE CHAMBER DVFB1D1 HPG	$48,043	$36,032	—	—	15
2845212	MESH PHASIX ST 12X14" HPG	$47,025	$35,269	—	—	15
3022555	GRAFT RELAY THORACIC STENT 36X190X208 OK	$45,375	$34,031	—	—	16
668831	GRAFT RELAY THORACIC STENT 34X100 OK	$45,375	$34,031	—	—	15
4402566	CT Nephrostomy Drain Bilateral	$44,016	$33,012	—	—	16
816070	DEFIB VIGILANT EL ICD DF4 DR SYSTEM OK	$43,175	$32,381	—	—	15
816083	DEFIB MOMENTUM EL IS-1/DF-1 - DR HPG	$43,175	$32,381	—	—	15
816176	DEFIB INOGEN EL ICD IS-1/DF DUAL	$42,350	$31,763	—	—	15
2846186	ADAPTIVESTIM INTELLIS PAIN INS OK	$42,075	$31,556	—	—	15
7308885	AV SHUNT EVAL W/ STENT, BIL	$41,034	$30,776	—	—	15
7309214	STENT ILIAC BIL/INC PTA/INT VESSEL	$41,034	$30,776	—	—	20
7309677	ATHERECTOMY FEM-POP BIL, PTA INITIAL VESSEL	$41,034	$30,776	—	—	16
7309685	STENT FEM-POP BIL/PTA/INITIAL VESSEL	$41,034	$30,776	—	—	20
7309701	PTA TIBIOPERONEAL ART BIL, INITIAL VESSEL	$41,034	$30,776	—	—	16
9587239	IR AV Fistula/Graft Eval w Periph BA Bil	$40,024	$30,018	—	—	15
7308851	AV SHUNT EVAL W/ BALLOON, BIL	$40,024	$30,018	—	—	15

Showing top 50 of 20,043 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.