SWEETWATER HOSPITAL ASSOCIATION

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
33224	INSERT LT LEAD AND CONNECT CS - 529	$167,932	$67,173	—	—	5
C1722	DEFIBRILLATOR CARDIAC SINGLE CHAMBER IMPLANTABLE 6.17X7.45X0.99IN TELIGEN 100	$142,740	$57,096	—	—	2
C1882	DEFIBRILLATOR CARDIAC STANDARD CARDIOVERTER DF-1 CONCERTO II D274TRK	$125,316	$50,126	—	—	2
C1820	NEUROSTIMULATOR RESTORE SENSOR 37714	$123,707	$49,483	—	—	2
33240	INSERT ICD GEN 1LEAD - 529	$122,090	$48,836	—	—	5
33270	INSERT/REPLACE SUBQ DEFIB ELCT - 059	$120,199	$48,080	—	—	2
33289	IMPLNT PRESSURE SENSOR W/ANGIO - 529	$114,829	$45,932	—	—	5
33230	INSERT ICD GEN 2LEAD - 529	$109,690	$43,876	—	—	5
33231	INSERT ICD GEN MULTI LEAD - 529	$109,690	$43,876	—	—	5
64568	INCISION FOR CRAN NRV IMPLANT - 059	$107,774	$43,110	—	—	5
33249	INSERT REPLCE ICD W/LEADS DR - 529	$106,218	$42,487	—	—	5
33264	REMOVE REPLACE ICD MULTI LEAD - 529	$99,718	$39,887	—	—	5
33263	REMOVE REPLACE ICD GEN 2LEAD - 529	$95,730	$38,292	—	—	5
33262	REMOVE REPLACE ICD GEN 1LEAD - 529	$92,738	$37,095	—	—	5
93654	ABLATE INTRACARD CATH VT CS - 529	$85,708	$34,283	—	—	5
93799	LAA-CLOSURE W/TRNSEPTAL PUN - 529	$82,066	$32,826	—	—	2
33340	LAA CLOSURE W/IMPLANT - 529	$82,066	$32,826	—	—	2
93653	ABLATE INTRACARD CATH SVT CS - 529	$71,423	$28,569	—	—	5
93656	EP Ablate Afib Via PulmVein 529	$71,423	$28,569	—	—	5
C1822	IMPLANT IPG KIT NIPG1500	$71,256	$28,502	—	—	2
37227	IR Atherectomy Fem/Pop w/ Stent Bilat	$67,318	$26,927	—	—	5
C2621	CARDIOVERTER, DEFIBRILLATOR, IS-1 BIPOLAR 51MM X 59MM X 7MM X 16CC INSYNC III CRT-P	$65,163	$26,065	—	—	2
J9281	72493-0103-03 - mitoMYcin 40 mg Powder-Rec	$58,328	$23,331	—	—	5
37225	IR Atherectomy Fem/pop Left	$56,098	$22,439	—	—	5
360	IR Atherectomy Fem/pop Left	$56,098	$22,439	—	—	4
C9354	GRAFT SOFT TISSUE MATRIX ABDOMINAL WALL 12X25CM VERITAS COLLAGEN RM-1225	$55,729	$22,292	—	—	2
50080	REMOVE RENAL STONE <2CM LT - 435	$55,052	$22,021	—	—	2
50081	REMOVE RENAL STONE >2CM LT - 435	$55,052	$22,021	—	—	2
J9144	57894-0503-01 - daratumumab-hyaluronidase 1800 mg-30,000 units/15 mL Solution	$54,712	$21,885	—	—	5
C9765	REVASC INTRAVSC LITHO W/STENT - 529	$54,571	$21,828	—	—	2
92924	Athrec w/wo PTCA 1st Ves 529	$53,273	$21,309	—	—	5
92925	Athrec w/wo PTCA Ea Add Ves 529	$53,273	$21,309	—	—	5
92990	VALVULOPLASTY PULM - 74 - 529	$53,240	$21,296	—	—	5
92987	VALVULOPLASTY MITRAL CS -74 - 529	$53,240	$21,296	—	—	5
93580	CLOSE CONGEN A-SEPT DEFCT IMPT - 529	$52,385	$20,954	—	—	2
33214	PACER UPGRD SR TO DR CS - 529	$50,430	$20,172	—	—	5
J9228	00003-2327-11 - ipilimumab 5 mg/mL Solution	$50,191	$20,076	—	—	5
93650	ABLATE AV NODE W/WO TEMP PACER - 529	$49,282	$19,713	—	—	5
37226	IR Angioplasty Fem/Pop w/ Stent Bilat	$48,781	$19,512	—	—	5
33225	INSERT LT LEAD ADDON CS - 529	$48,038	$19,215	—	—	5
C9047	58468-0225-01 - caplacizumab 11 mg Kit	$47,550	$19,020	—	—	2
C9600	DES w/wo PTCA 1st Ves	$46,730	$18,692	—	—	2
C9601	DES w/wo PTCA Ea Add Ves	$46,730	$18,692	—	—	2
C9602	DES w/Athrec w/wo PTCA 1st 529	$46,730	$18,692	—	—	2
C9603	DES w/Athrec w/wo PTCA Addl 529	$46,730	$18,692	—	—	2
C9604	DES Revasc Perc Bypss Grft 1st 529	$46,730	$18,692	—	—	2
C9605	DES Revasc Perc Bypss Grft Add 529	$46,730	$18,692	—	—	2
C9606	DES Revasc Perc Bypss AMI 1st 529	$46,730	$18,692	—	—	2
C9607	DES Revasc Perc Chrnc Occu 1st 529	$46,730	$18,692	—	—	2
C9608	DES Revasc Perc Chrnc Occu Add 529	$46,730	$18,692	—	—	2

Showing top 50 of 8,729 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.