TEXOMA MEDICAL CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
C1822	IMPLANT IPG KIT NIPG1500	$336,597	$252,448	—	—	10
278	IMPLANT IPG KIT NIPG1500	$336,597	$252,448	—	—	14
C1882	DEFIB COGNIS HE N119 BOSTON SC	$197,972	$148,479	—	—	10
275	DEFIB COGNIS HE N119 BOSTON SC	$197,972	$148,479	—	—	14
C1889	SYSTEM OBALON 30BALLOON KIT	$169,104	$126,828	—	—	10
C1781	GRAFT XENMATRIX 30X40CM	$135,825	$101,869	—	—	10
C1721	DEFIB CURRENT DR 2207 JUDE	$131,956	$98,967	—	—	10
33946	ECMO ECLS INTIATION VENOUS IP	$128,976	$96,732	—	—	14
33947	ECMO ECLS INTIATION ARTERY IP	$126,256	$94,692	—	—	14
C1767	GENERATOR ASPIRE SR 106	$117,908	$88,431	—	—	10
C1820	GENERATOR PRECISN SPECTRA 1132	$115,751	$86,813	—	—	10
J7330	MACI MEMBRANE PORCINE COLLAGEN	$109,729	$82,297	—	—	9
636	MACI MEMBRANE PORCINE COLLAGEN	$109,729	$82,297	—	—	11
360	THROMBOENDARTERECTOMY CMN FEM	$109,086	$81,815	—	—	10
35371	THROMBOENDARTERECTOMY CMN FEM	$109,086	$81,815	—	—	14
34705	EVAR AO-BI ILIAC ENDOGRFT	$106,900	$80,175	—	—	14
272	IMPELLA 5.5 1000100	$99,225	$74,419	—	—	11
C1722	DEFIB SGL DF-1 VIRTUOSO II VR	$99,213	$74,410	—	—	10
C1763	TISSUE MATRIX 20X30CM DD-XCM	$97,189	$72,892	—	—	10
Q4130	GRAFT STRATTICE PER SQCM	$96,501	$72,376	—	—	10
C1713	GRAFT CANC 5CC OPTECURE	$91,307	$68,480	—	—	10
C1772	PUMP SYNCHROMED 8637-40	$86,528	$64,896	—	—	10
0795T	TCAT INS 2CHAMBR LDLS PM COMP	$83,904	$62,928	—	—	9
481	TCAT INS 2CHAMBR LDLS PM COMP	$83,904	$62,928	—	—	10
361	REPAIR TAA W/ SUBCLAV IP	$79,006	$59,255	—	—	10
33881	REPAIR TAA W/ SUBCLAV IP	$79,006	$59,255	—	—	14
34701	EVAR AORTO-AORTC TUBE ENDOGRFT	$79,006	$59,255	—	—	14
93580	CLOSE CONGEN A-SEPT DEFCT IMPT	$78,910	$59,183	—	—	14
33264	REMOVE REPLACE ICD MULTI LEAD	$76,733	$57,550	—	—	14
34845	REPR VISC INFRARENAL AORTA IP	$72,482	$54,362	—	—	13
33263	REMOVE REPLACE ICD GEN 2LEAD	$68,176	$51,132	—	—	14
93654	ABLATE INTRACARD CATH VT CS	$67,991	$50,993	—	—	14
93653	ABLATE INTRACARD CATH SVT CS	$67,991	$50,993	—	—	14
36906	PMT W/STENT PERIPH DIALYS LT	$65,691	$49,268	—	—	14
37242	VASC EMBOL/OCCLUDE ARTERIAL	$64,859	$48,644	—	—	14
37238	PLACE STENT VEIN INITIAL	$64,859	$48,644	—	—	14
37236	PLACE STENT ARTERY INITIAL BIL	$64,859	$48,644	—	—	14
37241	VASC EMBOL/OCCLUDE VENOUS	$64,859	$48,644	—	—	14
33883	INSERT ENDOVASC PROSTH TAA IP	$63,785	$47,839	—	—	14
C9765	REVASC INTRAVSC LITHO W/STENT	$61,458	$46,094	—	—	13
C9766	REVASC INTRAVSC LITHO ATHREC	$61,458	$46,094	—	—	13
C9767	REVASC LITHO STENT/ATHREC	$61,458	$46,094	—	—	13
37243	VASC EMBOL/OCCL TUMOR/INFARCT	$60,593	$45,445	—	—	14
C1874	GRAFT IPSILAT 28.5X14.5EXCLUDR	$60,015	$45,011	—	—	10
93581	CLOSR CONG VENT SEPT DEF W/IMP	$59,517	$44,638	—	—	14
93582	CLOSURE PERQ TRANSCATH PDA	$59,517	$44,638	—	—	14
C1813	PROSTH PENILE W/PUMP 18CMX14MM	$57,825	$43,369	—	—	10
36905	PMT W/PLASTY PERIPH DIALYS LT	$57,244	$42,933	—	—	14
0075T	CAROTID STENT PLCMT INTL-IP	$57,244	$42,933	—	—	14
37215	CAROTID STENT W/PROTECTON IP	$57,244	$42,933	—	—	14

Showing top 50 of 10,845 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.