ST MARY'S REGIONAL MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J0223	GIVOSIRAN PER 0.5MG	$222,960	$89,184	—	—	4
C1882	DEFIB CONCERTO C154DWK	$204,022	$81,609	—	—	4
33952	ECMO ECLS INSERT PERQ >=6YR IP	$163,964	$65,586	—	—	4
360	ECMO ECLS INSERT PERQ >=6YR IP	$163,964	$65,586	—	—	4
33262	REMOVE/REPLACE SUBQ DEFIB ONLY	$142,414	$56,966	—	—	4
33240	INSERT SUBQ DEFIB EXSIST ELCTR	$142,414	$56,966	—	—	4
33270	INSERT/REPLACE SUBQ DEFIB ELCT	$142,414	$56,966	—	—	4
C1721	DEFIB ENTRUST D153ATG MEDTRNC	$138,853	$55,541	—	—	4
J9359	LONCASTUXIMAB TESRNE-LPYL.075	$138,336	$55,334	—	—	4
J1303	RAVULIZUMAB-CWVZ PER 10MG	$136,658	$54,663	—	—	4
C1722	DEFIB ENTRUST D153VRC MEDTNC	$117,827	$47,131	—	—	4
36906	PMT W/STENT PERIPH DIALYS BIL	$114,627	$45,851	—	—	4
33249	INSERT REPLCE ICD W/LEADS SR	$112,510	$45,004	—	—	4
37231	TIB/PERONL STENT W/ATHRECT RT	$100,198	$40,079	—	—	4
C1820	IPG ETERNA 222ETCTRSY33	$91,747	$36,699	—	—	4
27279	ARTHRODESIS SI JOINT PERC	$91,117	$36,447	—	—	4
J9309	POLATUZUM VED-PIIQ PER 1MG	$90,790	$36,316	—	—	4
J9266	PEGASPARGASE PER SGLE DOSE VL	$89,757	$35,903	—	—	4
C1767	IPG ETERNA GENERATOR	$84,951	$33,980	—	—	4
C1822	SENZA OMNIA IPG NIPG2500	$84,754	$33,902	—	—	4
0795T	TCAT INS 2CHAMBR LDLS PM COMP	$83,904	$33,562	—	—	3
481	TCAT INS 2CHAMBR LDLS PM COMP	$83,904	$33,562	—	—	4
C1772	PUMP SYNCHROMED 8637-40	$83,567	$33,427	—	—	4
33264	REMOVE REPLACE ICD MULTI LEAD	$80,922	$32,369	—	—	4
33263	REMOVE REPLACE ICD GEN 2LEAD	$80,922	$32,369	—	—	4
33946	ECMO ECLS INTIATION VENOUS IP	$80,101	$32,040	—	—	4
62361	IMP/REPLC NON-PROGRM PUMP	$79,165	$31,666	—	—	4
Q4130	STRATTICE GRAFT PER 1 SQCM	$76,231	$30,492	—	—	4
36905	PMT W/PLASTY PERIPH DIALYS BIL	$75,625	$30,250	—	—	4
36903	STENT PERIPH DIALYSIS SEG BIL	$75,625	$30,250	—	—	4
37230	TIB/PERON STENT INIT UNI AD CS	$73,611	$29,444	—	—	4
37227	FEM/POP STENT W/ATHRECT U ADDL	$73,611	$29,444	—	—	4
37229	TIB/PERONEAL ATHERC INI BIL CS	$73,611	$29,444	—	—	4
33227	REMOVE REPLACE PACER GEN 1LEAD	$67,628	$27,051	—	—	4
J9043	CABAZITAXEL PER 1MG	$65,868	$26,347	—	—	4
93654	ABLATE INTRACARD CATH VT CS	$63,856	$25,542	—	—	4
93653	ABLATE INTRACARD CATH SVT CS	$63,856	$25,542	—	—	4
C2621	DEFIB INSYNC3 8042 MEDTRNC	$62,360	$24,944	—	—	4
J9022	ATEZOLIZUMAB PER 10MG	$60,076	$24,030	—	—	4
C9604	DES REVASC PERC BYPS GRFT 1 LD	$59,273	$23,709	—	—	4
33207	INSERT NEW/REPLCE PACER VENTRC	$58,172	$23,269	—	—	4
J9272	DOSTARLIMAB-GXLY PER 10MG	$57,637	$23,055	—	—	3
33228	REMOVE REPLACE PACER GEN 2LEAD	$57,518	$23,007	—	—	4
33212	INSERT PACER GEN W/ 1LEAD	$56,357	$22,543	—	—	4
J1930	LANREOTIDE PER 1MG	$55,649	$22,260	—	—	4
J2562	PLERIXAFOR INJ PER 1MG	$55,421	$22,168	—	—	4
33213	INSERT PACER GEN W/ 2LEAD	$53,947	$21,579	—	—	4
J0180	AGALSIDASE BETA PER 1MG	$52,733	$21,093	—	—	4
J9119	CEMIPLIMAB-RWLC PER 1MG	$51,998	$20,799	—	—	4
33229	REMOVE REPLCE PACER MULTI LEAD	$51,233	$20,493	—	—	4

Showing top 50 of 8,121 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.