WELLSPAN CHAMBERSBURG HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
33264	Removal and Replacement of Multiple Lead Defibrillator	$141,260	$113,008	—	—	42
33249	Insertion of Implantable Defibrillator System	$134,841	$107,873	—	—	42
33270	Insertion or Replacement of Defibrillator With Electrode	$134,841	$107,873	—	—	42
33263	Removal and Replacement of Dual Lead Defibrillator	$94,209	$75,367	—	—	42
33262	Removal and Replacement of Single Lead Defibrillator	$92,360	$73,888	—	—	42
33229	Removal and Replacement of Multiple Lead Permanent Pacemaker	$73,393	$58,714	—	—	42
93656	Insert Catheters for Recording, Pacing, and Destruct Tissue	$71,835	$57,468	—	—	44
93653	Insert Catheters for Recording and Pacing of Right Heart Chambers Rhythm	$65,654	$52,523	—	—	44
33274	Insertion of Permanent Leadless Pacemaker Using Imaging Guidance	$62,355	$49,884	—	—	42
36905	Remove/Disolve Bloodclot Hemodialysis Circuit/Balloon Tube W Radiology Revw	$59,194	$47,355	—	—	45
J2350	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$58,859	$47,087	—	—	47
C2616	Brachytherapy Source, Non-Stranded, Yttrium-90, per Source	$49,059	$39,247	—	—	44
J7189	COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION	$47,305	$37,844	—	—	47
92943	Remove Plaque/Insert Stent/Balloon Dilation Coronary Artery, /Bypass Graft	$44,562	$35,650	—	—	44
C9607	Percutaneous Transluminal Revascularization	$44,562	$35,650	—	—	44
C1751	KIT CATHETER OD 9FR IMPELLA CP VENTRICULAR ASSIST IV SOLN GW INTRO CONN CBL STERILE LATEX	$44,550	$35,640	—	—	18
33228	Removal and Replacement of Dual Lead Permanent Pacemaker	$44,517	$35,614	—	—	42
36906	Remove/Dissole Bloodclot Hemodialysis Circuit/Balloon Stent, Radiology Revw	$41,459	$33,167	—	—	45
C1822	KIT NEUROMUSCULAR SENZA IPG IPG3000 STERILE LATEX FREE DISPOSABLE	$41,036	$32,828	—	—	18
33208	Insertion of Pacemaker and Upper and Lower Heart Chamber Electrode	$40,105	$32,084	—	—	45
92972	Coronary Lithotripsy	$39,635	$31,708	—	—	20
C1767	PROCLAIM PLUS 5 IPG	$39,600	$31,680	—	—	18
33207	Insertion of Pacemaker and Lower Heart Chamber Electrode	$37,864	$30,291	—	—	45
36909	Permanent Blockage of Hemodialysis Circuit With Review by Radiologist	$37,214	$29,771	—	—	17
37242	Occlusion of Artery With Review by Radiologist	$37,041	$29,633	—	—	45
20982	Destruction of Growths and Adjacent Soft Tissue	$34,829	$27,863	—	—	42
22514	Treatment of Broken Lower Spine Bone With Placement of Stabilizing Device	$34,829	$27,863	—	—	41
C1722	DEFIBRILLATOR CARDIAC EMBLEM MRI S-ICD 83.1X69.1MM 12.7MM 130GM	$34,650	$27,720	—	—	18
22513	Treat Broken Middle Spine With Place Stabilizing Device Using Image Guide	$33,818	$27,054	—	—	41
J3101	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION	$33,314	$26,651	—	—	47
33227	Removal and Replacement of Single Lead Permanent Pacemaker	$32,457	$25,966	—	—	42
33285	Insertion of Heart Rhythm Monitor Under Skin	$31,650	$25,320	—	—	42
C1820	NEUROSTIMULATOR IMPLANTABLE 47.2X57.1MM INTELLIS ADAPTIVESTIM SNAPSHOT SMALL SPINAL CORD	$31,416	$25,133	—	—	18
92941	Remove Plaque/Blood Clot, Insert Stent and/or Balloon Dilation, One Vessel	$28,808	$23,046	—	—	39
C9604	Percutaneous Transluminal Revascularization	$28,808	$23,046	—	—	44
C9606	Percutaneous Transluminal Revascularization	$28,808	$23,046	—	—	25
J0222	PATISIRAN (LIPID COMPLEX) 2 MG/ML INTRAVENOUS SOLUTION	$28,500	$22,800	—	—	47
37238	Insertion of Stent in Vein With Review by Radiologist, Initial Vein	$28,060	$22,448	—	—	46
37239	Insertion of Stent in Vein With Review by Radiologist, Each Additional Vein	$28,060	$22,448	—	—	17
J3380	VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION	$27,973	$22,379	—	—	47
47382	Destruction of Growth of Liver Through Skin Using Radiofrequency	$27,885	$22,308	—	—	45
36903	Insert Needle/Tube Into Hemodialysis Circuit/Stent With Radiology Review	$27,202	$21,762	—	—	45
37241	Occlusion of Vein With Review by Radiologist	$26,220	$20,976	—	—	45
J2323	NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION	$24,628	$19,703	—	—	47
C9764	Revascularization, Endovascular, Open or Percutaneous	$24,356	$19,485	—	—	44
C9600	Percutaneous Transcatheter	$24,235	$19,388	—	—	44
36482	Chemical Destruct First Incompetent Vein of Arm or Leg Using Image Guidance	$23,731	$18,985	—	—	41
36837	Upper Extremity Arteriy Vein Creation Other Access Site	$23,664	$18,931	—	—	41
C1882	DEFIBRILLATOR CARDIAC MOMENTUM HEARTLOGIC 5.37X8.08CM .99CM RIGHT ATRIUM RIGHT VENTRICLE	$23,222	$18,578	—	—	18
22515	Treat Broken Spine Bone With Stabilizing Device, Each Additional Segment	$23,079	$18,463	—	—	16

Showing top 50 of 3,999 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.