COOK CHILDRENS MEDICAL CENTER PROSPER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
26308	VNS GENERATOR DEMIPULSE 104	$119,885	$89,914	—	—	67
27433	DBS GENERATOR ACTIVA RC	$114,251	$85,688	—	—	67
23875	VNS GENERATOR DEMIPULSE 103	$81,063	$60,797	—	—	67
25068	BILAYER MATRIX WOUND DRES 4X5	$69,651	$52,238	—	—	68
14656	PUMP BACLOFEN 20ML	$49,941	$37,456	—	—	67
16451	PUMP SYNCHR BACLOFEN 40ML	$49,941	$37,456	—	—	67
26903	ELECTRODE VNS 304 LEAD	$37,461	$28,096	—	—	67
20753	ASO 18MM	$35,726	$26,795	—	—	67
20755	ASO 20MM	$35,726	$26,795	—	—	67
20757	ASO 22MM	$35,726	$26,795	—	—	67
20759	ASO 26MM	$35,726	$26,795	—	—	67
21939	25mm CRIBRIFORM MULTIFENESTRATED	$35,726	$26,795	—	—	67
20707	ASO 10MM	$34,348	$25,761	—	—	67
20744	ASO 8MM	$34,348	$25,761	—	—	67
20745	ASO 11MM	$34,348	$25,761	—	—	67
20746	ASO 12MM	$34,348	$25,761	—	—	67
20747	ASO 13MM	$34,348	$25,761	—	—	67
20748	ASO 14MM	$34,348	$25,761	—	—	67
20749	ASO 15MM	$34,348	$25,761	—	—	67
20750	ASO 16MM	$34,348	$25,761	—	—	67
20751	ASO 17MM	$34,348	$25,761	—	—	67
20754	ASO 19MM	$34,348	$25,761	—	—	67
20758	ASO 24MM	$34,348	$25,761	—	—	67
20760	DEVICE ASD 28MM	$34,348	$25,761	—	—	67
21938	18MM CRIBRIFORM MULTIFENESTRATED	$34,348	$25,761	—	—	67
20705	DEVICE ASD 6MM	$31,751	$23,813	—	—	67
20763	DEVICE ASD 38MM	$31,751	$23,813	—	—	67
26993	DISTRACTION MICRO OBAID 30MM	$29,731	$22,298	—	—	67
12255	PACEMAKER ENPULSE E1DR01	$25,176	$18,882	—	—	67
19264	BONE GRAFT INFUSE MED	$24,936	$18,702	—	—	67
11353	PACEMAKER MODEL KDR701	$24,363	$18,272	—	—	67
10535	MITRAL VALVE SJ 17M ROTATABLE MSTR HMDN	$23,802	$17,852	—	—	67
13476	PACEMAKER ENPULSE E2DR01	$23,550	$17,663	—	—	67
16406	PACEMAKER ENPULSE E2SR01	$23,550	$17,663	—	—	67
19592	PACEMAKER MODEL E2DR21	$23,550	$17,663	—	—	67
12497	GRAFT BONE INFS MRPHGNTC PRTN 6ML LG KIT SPNL LMBR TPR	$23,306	$17,480	—	—	67
10527	AORTIC VALVE SJ 21M	$22,884	$17,163	—	—	67
10534	AORTIC VALVE SJ 23M	$22,884	$17,163	—	—	67
10536	AORTIC VALVE SJ 17M	$22,884	$17,163	—	—	67
10920	MITRAL VALVE SJ 19M	$22,884	$17,163	—	—	67
13800	MITRAL VALVE SJ 29M	$22,884	$17,163	—	—	67
13865	AORTIC VALVE SJ 19M	$22,884	$17,163	—	—	67
13867	AORTIC VALVE SJ 25M	$22,884	$17,163	—	—	67
13870	AORTIC VALVE SJ 27M	$22,884	$17,163	—	—	67
13873	AORTIC VALVE SJ 29M	$22,884	$17,163	—	—	67
13874	AORTIC VALVE SJ 31M	$22,884	$17,163	—	—	67
13875	MITRAL VALVE SJ 21M	$22,884	$17,163	—	—	67
13876	MITRAL VALVE SJ 23M	$22,884	$17,163	—	—	67
13877	MITRAL VALVE SJ 25M	$22,884	$17,163	—	—	67
13879	MITRAL VALVE SJ 27M	$22,884	$17,163	—	—	67

Showing top 50 of 3,376 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.