HIGHLANDS CASHIERS HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
516430	KIT IMPLNT HRTMT 3 KIT	$404,995	$404,995	$132,838	$364,496	38
456896	DEVICE VNTRC ASST HRTMT	$352,537	$352,537	$115,632	$317,283	38
494847	SYST IMP HRTMT2 LFT VENT	$332,293	$332,293	$108,992	$299,063	38
83818	GLUCARPIDASE 1000 U INJ	$307,704	$307,704	$100,927	$276,934	29
87501	CARMUSTINE WAFERS 8/BOX	$305,385	$305,385	$100,166	$274,847	29
76289	IPILIMUMAB 200 MG INJ	$277,596	$277,596	$91,051	$249,836	29
119658	TREMELIM-ACTL 300 MG INJ	$246,135	$246,135	$80,732	$221,522	29
118648	TAGRAXF-ERZS 1000MCG INJ	$245,329	$245,329	$80,468	$220,796	29
81464	USTEKINUMAB 90 MG SQ	$213,550	$213,550	$42,710	$192,195	30
115569	RAVULIZ-CWVZ 1100MG INJ	$201,033	$201,033	$65,939	$180,929	29
111322	INOTUZUMAB OZ 0.9 MG INJ	$178,193	$178,193	$58,447	$160,373	29
88009	ALEMTUZUMAB 12 MG INJ	$172,421	$172,421	$56,554	$155,179	29
118517	CALASPARG 3750 UNITS INJ	$157,988	$157,988	$51,820	$142,189	29
492416	GEN NRSTM 45X32X6.9MM	$156,543	$156,543	$51,346	$140,889	38
551981	PUMP HEART 21FR 85MM	$155,120	$155,120	$31,024	$139,608	39
519302	GRAFT PRCN 17.7X11.8IN	$151,316	$151,316	$49,632	$136,185	38
80649	OCRELIZUMAB 300 MG INJ	$150,337	$150,337	$49,310	$135,303	29
78016	Y90 IBRITUM TIU TX 40MCI	$144,381	$144,381	$28,876	$129,943	30
116946	CANAKINUMAB 150 MG INJ	$143,168	$143,168	$46,959	$128,851	29
96619	TRASTUZUMAB 10 MG INJJW	$141,965	$141,965	$46,565	$127,769	29
469282	GEN NRSTM 52X52X6.9MM	$139,140	$139,140	$45,638	$125,226	38
114152	TEPROTMMB-TRBW 500MG INJ	$137,847	$137,847	$45,214	$124,062	29
485943	VALVE HEART W/CERT 29A	$137,215	$137,215	$45,007	$123,494	38
457579	VALVE HRT SAPIEN 26MM AS	$137,215	$137,215	$45,007	$123,494	38
441862	VALVE PULM 26MM SAPIEN R	$137,215	$137,215	$45,007	$123,494	38
469504	VALVE 23MM THV	$137,215	$137,215	$45,007	$123,494	38
463210	VALVE 26MM SAPIEN XT TRN	$137,215	$137,215	$45,007	$123,494	38
463214	VALVE XT SAPIEN 26MM TA	$137,215	$137,215	$45,007	$123,494	38
441861	VALVE PULM 23MM SAPIEN R	$137,215	$137,215	$45,007	$123,494	38
463212	VALVE 29MM SAPIEN XT TRN	$137,215	$137,215	$45,007	$123,494	38
496433	VALVE AO 9000TFX 23MM	$137,215	$137,215	$45,007	$123,494	38
451502	VALVE HEART SAPIEN TRANS	$137,215	$137,215	$45,007	$123,494	38
469507	VALVE 29MM THV	$137,215	$137,215	$45,007	$123,494	38
463209	VALVE 23MM SAPIEN XT TRN	$137,215	$137,215	$45,007	$123,494	38
463211	VALVE 29MM SAPIEN XT TRN	$137,215	$137,215	$45,007	$123,494	38
469508	VALVE AOR 20MM EDWRD SAP	$137,215	$137,215	$45,007	$123,494	38
451503	VALVE HEART SAPIEN TRANS	$137,215	$137,215	$45,007	$123,494	38
485939	VALVE HRT W/CERT SYS 20A	$137,215	$137,215	$45,007	$123,494	38
485942	VALVE HRT W/CERT SYS 23A	$137,215	$137,215	$45,007	$123,494	38
463213	VALVE XT SAPIEN 23MM TA	$137,215	$137,215	$45,007	$123,494	38
457578	VALVE HRT SAPIEN 23MM AS	$137,215	$137,215	$45,007	$123,494	38
485646	VALVE HRT W CERT SYS 26A	$137,215	$137,215	$45,007	$123,494	38
544809	VALVE TAVR 25MM	$132,993	$132,993	$43,622	$119,694	38
113556	TILDRAKIZUMAB 100 MG INJ	$128,734	$128,734	$42,225	$115,861	29
555075	KIT CATH GUIDE CANN	$128,528	$128,528	$25,706	$115,675	39
418722	GEN NRSTM 45X39X6.9MM	$128,285	$128,285	$42,078	$115,457	38
547223	VALVE MITRAL 36.5X52.5MM	$126,660	$126,660	$41,544	$113,994	38
547229	VALVE MITRAL 46.5X39.5MM	$126,660	$126,660	$41,544	$113,994	38
487218	VALVE TAVR 34MM	$126,660	$126,660	$41,544	$113,994	38
547215	VALVE MITRAL 29M	$126,660	$126,660	$41,544	$113,994	38

Showing top 50 of 57,535 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.