MAURY REGIONAL HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
31249	SPACER SPACEOAR VUE HYDRGL BDL[M006SV16SB]	$148,378	$60,835	—	—	5
31249	SPACER SPACEOAR VUE HYDRGL BDL[M006SV16SB]	$148,378	$60,835	—	—	9
405811353	sipuleucel-T 250 mL IV Susp	$102,300	$41,943	—	—	5
405811353	sipuleucel-T 250 mL IV Susp	$102,300	$41,943	—	—	9
405810920	pegloticase 8 mg/mL Inj	$94,485	$38,739	—	—	5
405810920	pegloticase 8 mg/mL Inj	$94,485	$38,739	—	—	9
406903441	ICD ENERGEN IS-1/DF4-DR	$94,024	$38,550	—	—	5
406903441	ICD ENERGEN IS-1/DF4-DR	$94,024	$38,550	—	—	9
30791	SYSTEM EVOKE STIMLTOR G4 60CM[PERMSYS-60-2-G4]	$88,836	$36,423	—	—	5
30793	SYSTEM EVOKE STIMLTOR G4 90CM[PERMSYS-90-2-G4]	$88,836	$36,423	—	—	5
30791	SYSTEM EVOKE STIMLTOR G4 60CM[PERMSYS-60-2-G4]	$88,836	$36,423	—	—	9
30793	SYSTEM EVOKE STIMLTOR G4 90CM[PERMSYS-90-2-G4]	$88,836	$36,423	—	—	9
30794	STIMULATOR/CHRGNG SYS CL G4[CLS-CHG-G4]	$80,568	$33,033	—	—	5
30794	STIMULATOR/CHRGNG SYS CL G4[CLS-CHG-G4]	$80,568	$33,033	—	—	9
30786	STIMULATOR EVOKE CLOSED LOOP[3042]	$77,989	$31,975	—	—	5
30786	STIMULATOR EVOKE CLOSED LOOP[3042]	$77,989	$31,975	—	—	9
19130	GENERATOR PROTEGE MRI [3771ANS]	$74,691	$30,623	—	—	5
19130	GENERATOR PROTEGE MRI [3771ANS]	$74,691	$30,623	—	—	9
10151	CATH VENT ASST DEV IMPELLA CP4 [0048-0003]	$72,128	$29,572	—	—	5
10151	CATH VENT ASST DEV IMPELLA CP4 [0048-0003]	$72,128	$29,572	—	—	9
405810763	ocrelizumab 300 mg/10 mL Inj Soln	$65,058	$26,674	—	—	5
405810763	ocrelizumab 300 mg/10 mL Inj Soln	$65,058	$26,674	—	—	9
406907441	CATH IMPELLA PUMP	$64,400	$26,404	—	—	5
10150	CATH VENT ASST DEV IMPELLA 2.5 [5042]	$64,400	$26,404	—	—	5
406907441	CATH IMPELLA PUMP	$64,400	$26,404	—	—	9
10150	CATH VENT ASST DEV IMPELLA 2.5 [5042]	$64,400	$26,404	—	—	9
406907395	ICD BOSTON INCEPTA N-164 Bi-V	$61,824	$25,348	—	—	5
406907395	ICD BOSTON INCEPTA N-164 Bi-V	$61,824	$25,348	—	—	9
406907361	ICD BI-V VIVA XT CRTD	$60,678	$24,878	—	—	5
406907361	ICD BI-V VIVA XT CRTD	$60,678	$24,878	—	—	9
406907292	ICD ST JUDE FORTIFT DR	$60,286	$24,717	—	—	5
406907292	ICD ST JUDE FORTIFT DR	$60,286	$24,717	—	—	9
406907362	ICD BI-V VIVA S CRTD	$59,390	$24,350	—	—	5
406907362	ICD BI-V VIVA S CRTD	$59,390	$24,350	—	—	9
26420	GENERATOR PULSE KIT IPG SENZA [NIPG2000]	$57,960	$23,764	—	—	5
31476	KIT GENERATOR PULSE IPG 3000{NIPG3000]	$57,960	$23,764	—	—	5
31476	KIT GENERATOR PULSE IPG 3000{NIPG3000]	$57,960	$23,764	—	—	9
405811243	polatuzumab vedotin 140 mg Inj	$57,893	$23,736	—	—	5
405811243	polatuzumab vedotin 140 mg Inj	$57,893	$23,736	—	—	9
406907364	ICD BI-V ASSURA QUADRA	$56,672	$23,236	—	—	5
406907397	ICD BI-V UNI ASSURA CD3357-40C	$56,672	$23,236	—	—	5
406907364	ICD BI-V ASSURA QUADRA	$56,672	$23,236	—	—	9
406907397	ICD BI-V UNI ASSURA CD3357-40C	$56,672	$23,236	—	—	9
406907597	IMPL TRANSCATH WIRELESS PULM ART PRESS SENSOR	$56,263	$23,068	—	—	5
406907597	IMPL TRANSCATH WIRELESS PULM ART PRESS SENSOR	$56,263	$23,068	—	—	9
406907556	AICD INTICA NEO 7 HF-T DF-1 IS-1 PROMRI	$55,384	$22,707	—	—	5
406907566	ICD ACTICOR 7 HF-T QP	$55,384	$22,707	—	—	5
31407	KIT IMPLANT BATTERY RECHHARGER[9771CLR]	$55,384	$22,707	—	—	5
406907556	AICD INTICA NEO 7 HF-T DF-1 IS-1 PROMRI	$55,384	$22,707	—	—	9
406907566	ICD ACTICOR 7 HF-T QP	$55,384	$22,707	—	—	9

Showing top 50 of 51,677 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.