FORT DUNCAN MEDICAL CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
33240	INSERT ICD GEN 1LEAD	$169,211	$67,684	—	—	11
33264	REMOVE REPLACE ICD MULTI LEAD	$169,211	$67,684	—	—	11
33263	REMOVE REPLACE ICD GEN 2LEAD	$169,211	$67,684	—	—	11
33262	REMOVE REPLACE ICD GEN 1LEAD	$169,211	$67,684	—	—	11
33231	INSERT ICD GEN MULTI LEAD	$169,211	$67,684	—	—	11
33230	INSERT ICD GEN 2LEAD	$169,211	$67,684	—	—	11
33249	INSERT REPLCE ICD W/LEADS DR	$154,375	$61,750	—	—	11
C1777	LEAD PACR 64CM ENDOTK RELIANCE	$144,269	$57,708	—	—	9
C1882	DEFIB PROTECTA XT D314TRG	$129,115	$51,646	—	—	9
64590	INSRT/REPLACE PERPH NEUROSTM	$118,463	$47,385	—	—	11
63685	INSRT/REPLACE NEUROSTIM/RECVR	$118,463	$47,385	—	—	11
62362	IMP/REPLC PROGRMMABLE PUMP	$106,907	$42,763	—	—	11
62361	IMP/REPLC NON-PROGRM PUMP	$106,907	$42,763	—	—	11
33208	INSERT NEW/REPLCE PACER AV	$106,794	$42,718	—	—	11
33228	REMOVE REPLACE PACER GEN 2LEAD	$93,053	$37,221	—	—	11
37229	TIB/PERONEAL ATHERC INI BIL CS	$92,976	$37,190	—	—	11
92933	STENT W/ATHREC W/WO PTCA 1ST	$87,782	$35,113	—	—	11
C1721	DEFIB CURRENT DR 2207 JUDE	$77,634	$31,054	—	—	9
33225	INSERT LT LEAD ADDON CS	$71,614	$28,646	—	—	8
33224	INSERT LT LEAD AND CONNECT CS	$71,614	$28,646	—	—	11
33214	PACER UPGRD SR TO DR CS	$71,614	$28,646	—	—	11
C1767	GENERATOR INTERSTIM II INS	$71,503	$28,601	—	—	9
92928	STENT W/WO PTCA 1ST VES	$70,260	$28,104	—	—	11
Q4196	PURAPLY GRAFT PER SQCM	$69,870	$27,948	—	—	11
33285	IMPLANT LOOP RECORDER	$69,034	$27,614	—	—	11
J1290	ECALLANTIDE PER 1MG	$67,563	$27,025	—	—	11
C1722	DEFIB ATLAS II VR V168	$67,284	$26,914	—	—	9
V2785	GRAFT CORNEAL DONOR PRECUT	$66,051	$26,420	—	—	9
810	GRAFT CORNEAL DONOR PRECUT	$66,051	$26,420	—	—	9
Q4128	GRAFT 23-25CMX34.5-36	$61,890	$24,756	—	—	9
93580	CLOSE CONGEN A-SEPT DEFCT IMPT	$61,382	$24,553	—	—	11
33207	INSERT NEW/REPLCE PACER VENTRC	$60,809	$24,324	—	—	11
Q4107	GRAFTJACKET PER SQCM	$60,387	$24,155	—	—	11
37228	TIB/PERONEAL ANGIO INIT BIL CS	$60,297	$24,119	—	—	11
33206	INSERT NEW/REPLCE PACER ATRIAL	$59,454	$23,782	—	—	11
C1772	PUMP SYNCHOMEDII 20CC	$57,967	$23,187	—	—	9
33213	INSERT PACER GEN W/ 2LEAD	$56,726	$22,690	—	—	11
33229	REMOVE REPLCE PACER MULTI LEAD	$56,726	$22,690	—	—	11
33221	INSERT PACER GEN W/MULTI LEAD	$56,726	$22,690	—	—	11
C1820	NEUROSTIM INTERSTIM X	$53,422	$21,369	—	—	9
J2562	PLERIXAFOR INJ PER 1MG	$53,097	$21,239	—	—	11
C2621	PACER CONSULTA C4TRO1	$52,311	$20,924	—	—	9
C1817	OCCLUDER PFO 25MM AMPLATZER	$51,730	$20,692	—	—	9
J0180	AGALSIDASE BETA PER 1MG	$50,525	$20,210	—	—	11
63655	LAMINECTMY IMP NEURO ELEC EP	$49,881	$19,952	—	—	11
64581	INCISN NEUROSTIM NEUROMUSC	$49,832	$19,933	—	—	11
64580	INCISN NEUROSTIM SACRAL	$49,832	$19,933	—	—	11
64575	INCISN NEUROSTIM PERIPHERAL	$49,832	$19,933	—	—	11
33212	INSERT PACER GEN W/ 1LEAD	$49,734	$19,894	—	—	11
33227	REMOVE REPLACE PACER GEN 1LEAD	$49,734	$19,894	—	—	11

Showing top 50 of 10,989 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.