SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer
INS ICD LEAD/GENERATOR	INS ICD LEAD/GENERATOR	$215,826	$215,826	—	—
REM/REPLACE ICD GEN MULT	REM/REPLACE ICD GEN MULT	$201,693	$201,693	—	—
REM/REPLACE ICD GEN DUAL	REM/REPLACE ICD GEN DUAL	$201,693	$201,693	—	—
REM/REPLACE ICD GEN SGL	REM/REPLACE ICD GEN SGL	$201,693	$201,693	—	—
INS ICD GEN ONLY MULT LD	INS ICD GEN ONLY MULT LD	$201,689	$201,689	—	—
INS ICD GEN ONLY DUAL LD	INS ICD GEN ONLY DUAL LD	$201,689	$201,689	—	—
0C1721	ICD ENTRST D154ATG	$200,000	$200,000	—	—
0C1882	CRTD CNTK RNW3 RFHE H219	$200,000	$200,000	—	—
0C1824	GEN PLS CARD SMART MINI	$200,000	$200,000	—	—
KIT ATSBWL CARTICEL 1000	KIT ATSBWL CARTICEL 1000	$200,000	$200,000	—	—
GRAFT ST TIS 25X40CM XCM	GRAFT ST TIS 25X40CM XCM	$200,000	$200,000	—	—
SET VNTRC 17.4X13.8IN	SET VNTRC 17.4X13.8IN	$200,000	$200,000	—	—
KIT IMPL CRNL CSTM LG	KIT IMPL CRNL CSTM LG	$200,000	$200,000	—	—
0C2624	SYSTEM MNTR 2X15MM 4.5CM	$200,000	$200,000	—	—
STENT THOR ACT CNTRL 40X	STENT THOR ACT CNTRL 40X	$199,408	$199,408	—	—
STENT THOR 20F 26X21X10	STENT THOR 20F 26X21X10	$199,408	$199,408	—	—
STENT THOR 40X40MM 20CM	STENT THOR 40X40MM 20CM	$199,408	$199,408	—	—
STENT GRAFT 20CM 34X20MM	STENT GRAFT 20CM 34X20MM	$199,408	$199,408	—	—
STENT GRAFT 15CM 31X31MM	STENT GRAFT 15CM 31X31MM	$199,408	$199,408	—	—
STENT GRAFT 15CN 28X28MM	STENT GRAFT 15CN 28X28MM	$199,408	$199,408	—	—
GRAFT EVAS 45X45X15CM	GRAFT EVAS 45X45X15CM	$199,408	$199,408	—	—
STENT 34MMX34MMX15CM	STENT 34MMX34MMX15CM	$199,408	$199,408	—	—
0C1722	ICD VNTK PRZM VR HE 1852	$188,708	$188,708	—	—
0C1822	PULSE GEN IMP	$176,670	$176,670	—	—
INS/REPL SQ ICD W/ ELEC	INS/REPL SQ ICD W/ ELEC	$176,000	$176,000	—	—
EVAS RPR VISC AO 4+ GFT	EVAS RPR VISC AO 4+ GFT	$174,764	$174,764	—	—
EVAS RPR AO&INFR 4+ GFT	EVAS RPR AO&INFR 4+ GFT	$174,764	$174,764	—	—
GRAFT FEM BICOMP LT	GRAFT FEM BICOMP LT	$170,045	$170,045	—	—
INS LV LD W EXST PPM/ICD	INS LV LD W EXST PPM/ICD	$155,964	$155,964	—	—
SYSTEM MECH THRMB	SYSTEM MECH THRMB	$150,624	$150,624	—	—
STN ATH IL FEM POP W/IVL	STN ATH IL FEM POP W/IVL	$144,554	$144,554	—	—
STNT ATH TIBPERONL W/IVL	STNT ATH TIBPERONL W/IVL	$144,550	$144,550	—	—
DEFIB CARD MRI DVFB1D4	DEFIB CARD MRI DVFB1D4	$144,198	$144,198	—	—
DEVICE EMBL 4MM 25MM	DEVICE EMBL 4MM 25MM	$141,189	$141,189	—	—
DEVICE EMBL 5MM 12MM	DEVICE EMBL 5MM 12MM	$141,189	$141,189	—	—
DEVICE EMBL 5MM 18MM	DEVICE EMBL 5MM 18MM	$141,189	$141,189	—	—
DEVICE EMBL 5MM 20MM	DEVICE EMBL 5MM 20MM	$141,189	$141,189	—	—
DEVICE EMBL 5MM 35MM	DEVICE EMBL 5MM 35MM	$141,189	$141,189	—	—
DEVICE EMBL 4MM 20MM	DEVICE EMBL 4MM 20MM	$141,189	$141,189	—	—
DEVICE EMBL 4MM 12MM	DEVICE EMBL 4MM 12MM	$141,189	$141,189	—	—
DEVICE EMBL 10MM 2.5MM	DEVICE EMBL 10MM 2.5MM	$141,189	$141,189	—	—
DEVICE EMBL 3MM 12MM	DEVICE EMBL 3MM 12MM	$141,189	$141,189	—	—
DEVICE EMBL 3.5MM 14MM	DEVICE EMBL 3.5MM 14MM	$141,189	$141,189	—	—
DEVICE EMBL 3.75MM 14MM	DEVICE EMBL 3.75MM 14MM	$141,189	$141,189	—	—
DEVICE EMBL 4MM 16MM	DEVICE EMBL 4MM 16MM	$141,189	$141,189	—	—
DEVICE EMBL 4.25MM 12MM	DEVICE EMBL 4.25MM 12MM	$141,189	$141,189	—	—
DEVICE EMB 4.25MM 16MM	DEVICE EMB 4.25MM 16MM	$141,189	$141,189	—	—
DEVICE EMBL 4.25MM 20MM	DEVICE EMBL 4.25MM 20MM	$141,189	$141,189	—	—
DEVICE EMBL 4.5MM 12MM	DEVICE EMBL 4.5MM 12MM	$141,189	$141,189	—	—
DEVICE EMBL 4.5MM 16MM	DEVICE EMBL 4.5MM 16MM	$141,189	$141,189	—	—

Showing top 50 of 15,498 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.