WHITE ROCK MEDICAL CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
40085201	DFB QUAD ASSUR CD336940Q -- DHF	$145,964	$128,448	—	—	16
145069	DFB INTICA NEO HF-T 429553	$145,075	$127,666	—	—	16
145142	DEFIBRILLATOR IILLIVIA DR-T, DF1 429529	$125,303	$110,266	—	—	16
110263	DFB ASSURA CD3357-40C	$120,371	$105,927	—	—	16
141460	DFB CLARIA MRI QUAD DTMA1Q1	$115,331	$101,492	—	—	16
40084931	DFB CLARIA MRI DTMA1QQ -- DHF	$115,331	$101,492	—	—	16
8476467	PM COBALT XT DTPB2D4	$114,608	$100,855	—	—	16
141478	DFB CLARIA MRI DTMA1D1	$114,127	$100,431	—	—	16
8628563	dfb momentum heartlogic g125	$112,880	$99,334	—	—	16
144867	DFB AMPLIA DTMB1D1	$112,319	$98,841	—	—	16
8428504	IMPL CARD DEFIB ELLIPSE DUAL	$109,163	$96,064	—	—	16
8394467	DUAL CHAMBER IMPL DEFIBRILLATOR ELLIPS	$108,102	$95,130	—	—	16
40001877	DFB ELLIPSE DR CD241136Q -- DHF	$106,546	$93,761	—	—	16
110353	DFB DYNAGEN CRT-D G150	$99,759	$87,788	—	—	16
145409	DEFIBRILLATOR DYNAGEN CRT-D G151	$99,759	$87,788	—	—	16
8414455	IMPL DEFIB ICD VIGILANT D233	$90,434	$79,582	—	—	16
139407	dfb momemtum el icd d121	$90,434	$79,582	—	—	16
145406	GORE EXCLUDER ENDOPROSTHESIS CXT261412	$87,855	$77,313	—	—	16
40082919	DFB DYNAGEN EL DR D153 -- DHF	$82,301	$72,425	—	—	16
40082976	DFB DYNAGEN EL DR D152 -- DHF	$82,301	$72,425	—	—	16
40082984	DFB DYNAGEN EL VR D150 -- DHF	$81,054	$71,328	—	—	16
40083305	DFB EVERA MRI XT DDMB1D4 -- DHF	$78,313	$68,916	—	—	16
40083370	DFB EVERA MRI XT DDMB1D1 -- DHF	$78,313	$68,916	—	—	16
145087	IMP LUMBAR INTERBODY LATERAL	$75,301	$66,265	—	—	16
8392455	GORE EXCLUDER AAA ENDOPROTHESIS 13X12X12	$73,145	$64,367	—	—	16
8398465	TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR	$72,924	$64,173	—	—	26
40084881	DFB VISIA AF MRI DVFB1D4 -- DHF	$71,084	$62,554	—	—	16
8484500	MEDTRONIC ENDURANT II ILIAC GRAFT 28X14	$60,090	$52,880	—	—	16
8532467	GORE EXDLUDER AAA ENDOPROSTHESIS 35X14.5	$54,383	$47,857	—	—	16
2312650	INSRT DUAL CHAMBER AICD GENERATOR	$52,602	$46,290	—	—	30
8420452	IMPL PACEMAKER QUADRA ALLURE MP RMI	$51,415	$45,245	—	—	16
40040891	PM ACCOLADE DR L301 -- DHF	$45,364	$39,920	—	—	16
2350079	REM&RPL ICD GEN/MULTI SYSTEM	$41,664	$36,664	—	—	30
2320568	REMOV & REPLC DEFIBRI W MULTI LEAD	$41,664	$36,664	—	—	30
40004335	PM ASSURITY MRI PM2272	$41,414	$36,444	—	—	16
2300127	INSRT/REPOSTN ELECT SNGL/DUAL AICD	$41,346	$36,384	—	—	30
8568958	CATHETER ASPIRATION LIGHTING CAT12	$40,783	$35,889	—	—	16
2351105	PERQ DIA+CIR THRO+STN+IMG+S&I	$40,051	$35,245	—	—	30
2320543	REVAS TIBPER STNT ATHER	$39,954	$35,160	—	—	30
2351000	INSER/REPLAC DIFIBRILATOR SUB CUT	$38,514	$33,892	—	—	30
2320542	ANGIOPLASTY+STENT TIBIAL/PERONEAL	$37,815	$33,277	—	—	30
2320541	REVASC TIBPER W/ATHER	$37,778	$33,245	—	—	30
2320539	ANGIOPLASTY+ATHRECTOMY+STENT FE/POP	$37,778	$33,245	—	—	30
40040875	PM ACCOLADE DR MRI L311 -- DHF	$36,322	$31,964	—	—	16
8394470	CAGE PEEK VAULT 32MMX8X15MM	$36,145	$31,807	—	—	16
8428492	IMPL CAGE PEEK ALIF	$36,145	$31,807	—	—	16
145335	VAULT ALIF PEEK CAGE 32MM X 08MM X13MM	$36,145	$31,807	—	—	16
8394463	cage vault peek 32mmx15x15mm	$36,145	$31,807	—	—	16
8618507	impl vault peek cage 39x15x15	$36,145	$31,807	—	—	16
8450466	PM MRI ASSURITY 1272	$35,685	$31,403	—	—	16

Showing top 50 of 7,640 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.