PRIMARY CHILDREN'S HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
8121024697	HC LIVING LIVER ACQUISITION	$268,448	$201,336	—	—	38
8121024697	HC LIVING LIVER ACQUISITION	$268,448	$201,336	—	—	33
8123394001	HC HEART TRANSPLANT ACQUISITION	$233,218	$174,913	—	—	38
8123394001	HC HEART TRANSPLANT ACQUISITION	$233,218	$174,913	—	—	33
8121024597	HC LIVING KIDNEY ACQUISITION	$192,872	$144,654	—	—	38
8121024597	HC LIVING KIDNEY ACQUISITION	$192,872	$144,654	—	—	33
8121024497	HC LIVER CADAVERIC ACQUISITION	$179,396	$134,547	—	—	38
8121024497	HC LIVER CADAVERIC ACQUISITION	$179,396	$134,547	—	—	33
2782649771	HC VALVE IMPLANT LVL 71	$140,868	$105,651	—	—	38
2722109771	HC PERCUTANEOUS VENTRICULAR ASSIST DEVICE LVL 71	$140,868	$105,651	—	—	38
2782649771	HC VALVE IMPLANT LVL 71	$140,868	$105,651	—	—	33
2722109771	HC PERCUTANEOUS VENTRICULAR ASSIST DEVICE LVL 71	$140,868	$105,651	—	—	33
2721649601	HC KIT PUMP DEVICE CARDIAC VENTRICULAR SMARTASSIST 5.5 S2	$135,212	$101,409	—	—	38
2721649601	HC KIT PUMP DEVICE CARDIAC VENTRICULAR SMARTASSIST 5.5 S2	$135,212	$101,409	—	—	33
2782649770	HC VALVE IMPLANT LVL 70	$134,160	$100,620	—	—	38
278TRIG470	HC NTAP TRICLIP G4 VLV RPR SYSTM	$134,160	$100,620	—	—	38
2782649770	HC VALVE IMPLANT LVL 70	$134,160	$100,620	—	—	33
278TRIG470	HC NTAP TRICLIP G4 VLV RPR SYSTM	$134,160	$100,620	—	—	33
2721040201	HC BERLIN HEART PUMP REPLACEMENT	$134,124	$100,593	—	—	38
2721649701	HC PUMP BLOOD VAD W/ VALVES	$134,124	$100,593	—	—	38
2721040201	HC BERLIN HEART PUMP REPLACEMENT	$134,124	$100,593	—	—	33
2721649701	HC PUMP BLOOD VAD W/ VALVES	$134,124	$100,593	—	—	33
8121024297	HC KIDNEY CADAVERIC ACQUISITION	$128,892	$96,669	—	—	38
8121024297	HC KIDNEY CADAVERIC ACQUISITION	$128,892	$96,669	—	—	33
275C188267	HC ICD BIV/CRT-D LVL 67	$115,893	$86,919	—	—	38
275C188267	HC ICD BIV/CRT-D LVL 67	$115,893	$86,919	—	—	33
2782649766	HC VALVE IMPLANT LVL 66	$110,374	$82,780	—	—	38
278C182366	HC NEUROSTIM GENERATOR/LEAD LVL 66	$110,374	$82,780	—	—	38
278C188966	HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 66	$110,374	$82,780	—	—	38
2782649766	HC VALVE IMPLANT LVL 66	$110,374	$82,780	—	—	33
278C182366	HC NEUROSTIM GENERATOR/LEAD LVL 66	$110,374	$82,780	—	—	33
278C188966	HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 66	$110,374	$82,780	—	—	33
188242	HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT	$105,338	$79,003	—	—	38
188242	HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT	$105,338	$79,003	—	—	33
2782649765	HC VALVE IMPLANT LVL 65	$105,118	$78,838	—	—	38
2782649765	HC VALVE IMPLANT LVL 65	$105,118	$78,838	—	—	33
2782669764	HC VASCULAR STENT GRAFT IMPLANT LVL 64	$100,112	$75,084	—	—	38
2782649764	HC VALVE IMPLANT LVL 64	$100,112	$75,084	—	—	38
2782669764	HC VASCULAR STENT GRAFT IMPLANT LVL 64	$100,112	$75,084	—	—	33
2782649764	HC VALVE IMPLANT LVL 64	$100,112	$75,084	—	—	33
278C188963	HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 63	$95,345	$71,509	—	—	38
2782649763	HC VALVE IMPLANT LVL 63	$95,345	$71,509	—	—	38
278C188963	HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 63	$95,345	$71,509	—	—	33
2782649763	HC VALVE IMPLANT LVL 63	$95,345	$71,509	—	—	33
4813324901	HC IMPLANT/REPOS DEFIB PULSE GEN W/LEADS SNG/DUAL	$91,332	$68,499	—	—	38
4813324901	HC IMPLANT/REPOS DEFIB PULSE GEN W/LEADS SNG/DUAL	$91,332	$68,499	—	—	33
2782669762	HC VASCULAR STENT GRAFT IMPLANT LVL 62	$90,805	$68,103	—	—	38
278C188962	HC IMPLANTABLE-INSERTABLE DEVICE NOC LVL 62	$90,805	$68,103	—	—	38
278C187462	HC STENT COATED/COVERED IMPLANT LVL 62	$90,805	$68,103	—	—	38
2782669762	HC VASCULAR STENT GRAFT IMPLANT LVL 62	$90,805	$68,103	—	—	33

Showing top 50 of 37,035 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.