ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
45701132	SINGLE LEAD ICD GEN CHG 33262	$75,394	$30,158	—	—	17
45704540	INSERT SNG ICD GENERATOR 33240	$72,333	$28,933	—	—	17
45704538	INSERT ICD SNG & LEAD 33249	$72,153	$28,861	—	—	17
45704539	INSERT ICD DUAL AND LEAD 33249	$72,153	$28,861	—	—	17
45701130	DUAL LEAD ICD GEN CHANGE 33263	$58,976	$23,590	—	—	17
45701140	MULTI LEAD ICD GEN CHNG 33264	$58,976	$23,590	—	—	17
27972	CARDIOMEMS,DELIV SYS AND SENSO	$56,250	$22,500	—	—	17
33697	NEUROSTIM,INCEPTIV 977119	$55,000	$22,000	—	—	17
40893205	IMPLT SPN INFU PUMP NONPGM	$51,284	$20,514	—	—	17
28007	CRT-D,COBALT XT HF QUAD MRI	$50,875	$20,350	—	—	17
RX46580	OCRELIZUMAB VL 300MG	$50,857	$20,343	—	—	17
33485	KIT,IMPLANT PULSE GEN HFX IQ	$50,585	$20,234	—	—	17
28039	CRT-D COBALT XT HF MRI DTPA2D4	$48,772	$19,509	—	—	17
28042	CRT-D,COBALT XT HF MRI IS1 DF1	$48,772	$19,509	—	—	17
33406	GENERATOR,PULSE INSPIRE 3028	$47,840	$19,136	—	—	17
27858	DEFIB,CLARIA MRI QUAD CRT-D	$46,250	$18,500	—	—	17
27906	DEFIB,CLARIA MRI CRT-D DTMA1D4	$44,338	$17,735	—	—	17
27933	DEFIB,CLARIA MRI CRT-D DTMA1D1	$44,338	$17,735	—	—	17
27079	ICD HV GENERATOR	$44,125	$17,650	—	—	17
27087	DEFIB,CARDIAC RESYNC VIVA XT	$44,125	$17,650	—	—	17
27103	ICD,QUADRA ASSURA PR	$44,125	$17,650	—	—	17
27129	ICD,UNIFY ASSURA PR	$44,125	$17,650	—	—	17
27138	DEFIB,CRT-D VIVA XT US ISI/DF1	$44,125	$17,650	—	—	17
27220	DEFIB VIVA S CRT-S	$44,125	$17,650	—	—	17
27223	DEFIB VIVA QUAD S US 1S4/DF4	$44,125	$17,650	—	—	17
27282	DEFIB VIVA QUAD S CRT-D	$44,125	$17,650	—	—	17
27428	DEFIB,COMPIA MRI QUAD SURESCAN	$44,125	$17,650	—	—	17
27585	DEFIB,COMPIA CRT-D SURESCAN	$44,125	$17,650	—	—	17
27608	DEFIBRILLATOR,VIVA S CRT-D DF4	$44,125	$17,650	—	—	17
27662	DEFIB,QUADRA ASSURA MULTIPOINT	$44,125	$17,650	—	—	17
27688	DEFIB,CARDIAC VIVA QUAD XT DF1	$44,125	$17,650	—	—	17
27721	DEFIB,VIVA QUAD XT CRT-D	$44,125	$17,650	—	—	17
27788	DEFIB,AMPLIA MRI QUAD CRT-D US	$44,125	$17,650	—	—	17
27800	DEFIB,CARDIAC QUADRA ASSURA	$44,125	$17,650	—	—	17
27845	DEFIB,AMPLIA MRI CRT-D DTMB1D4	$44,125	$17,650	—	—	17
27847	DEFIB,AMPLIA MRI CRT-D DTMB1D1	$44,125	$17,650	—	—	17
28019	ICD,CROME HF CRT-D MRI DTPC2D4	$42,803	$17,121	—	—	17
32088	KIT,SPECTRA WAVEWRITER IPG	$42,500	$17,000	—	—	17
31946	IMPLANT,PRECISION MONTAGE MRI	$40,750	$16,300	—	—	17
28058	DEFIBRILLATOR,CRT-D GALLANT HF	$39,040	$15,616	—	—	17
33682	SYSTEM,VANTA SCS 977006	$38,128	$15,251	—	—	17
45708442	PERQ TRLUML CORONRY LITHOTRP	$37,747	$15,099	—	—	17
33527	ADAPTIVESTIM,INTELLIS 97715	$37,345	$14,938	—	—	17
45707160	KYPHOPLASTY LUMBAR W/IMG 22514	$36,875	$14,750	—	—	18
28069	DEVICE,ICD GALLANT DUAL-CHMBR	$36,425	$14,570	—	—	17
26962	ICD,EVERA XT DF4 VR	$32,875	$13,150	—	—	17
28018	ICD,COBALT XT DR MRI DF4	$31,213	$12,485	—	—	17
33321	CONDYLE,MEDIAL FEMORAL RIGHT	$30,750	$12,300	—	—	17
27949	TPS,MICRA AV MC1AVR1 US H3	$30,625	$12,250	—	—	17
28045	SYS,PCMAKER LEADLESS MICRA AV2	$30,625	$12,250	—	—	17

Showing top 50 of 11,054 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.