WEST ALLIS MEMORIAL HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
C1813	3044358 - PROSTHESIS PENILE 24CM AMS 700 CX TENACIO INHIBIZONE PENOSCROTAL PRECONNECT	$73,561	$36,780	—	—	7
C1767	3000817 - NRSTM IMPL AXONICS SNM SYS STRL LF	$63,461	$31,731	—	—	13
C1767	1244908 - NEUROSTIMULATOR L2 IN X H1.7 IN INTERSTIM X IMPL THK.3 IN	$62,745	$31,373	—	—	11
C2622	1126517 - PROSTHESIS PENL TACTRA 11MM 16-25CM MALLEABLE STRL LF	$57,833	$28,917	—	—	29
37221	ANGIO ILIAC + STENT 1ST BILAT	$54,780	$27,390	—	—	6
C1757	3009469 - DVT PRICE PER PROCEDURE	$52,110	$26,055	—	—	33
33903	PULM ART REVASC INITIAL STNT BILATERAL	$51,650	$25,825	—	—	26
34701	ENDO RPR AORTA GRAFT+S&I	$51,240	$25,620	—	—	33
37246	PTA ARTERY 1ST W/S&I	$49,820	$24,910	—	—	34
37227	ANGIO FEM-POP + STENT/ATHERECTOMY MY	$43,840	$21,920	—	—	26
37235	ANGIO T/P + STENT/THERECTOMY ADDL	$43,840	$21,920	—	—	4
36906	DIALYSIS CIRCUIT REMOVE CLOT+STENT	$42,580	$21,290	—	—	8
33902	PULM ART REVASC INITIAL STNT UNILATERAL	$41,320	$20,660	—	—	26
34841	GRAFT AORTA VISCERAL 1 ARTERY	$39,500	$19,750	—	—	7
37231	ANGIO T/P + STENT/ATHERECTOMY	$38,820	$19,410	—	—	26
34703	ENDO RPR AORTO-ILIAC GRAFT +S&I	$37,840	$18,920	—	—	7
34704	ENDO RPR AORTO-ILIAC RUPTURED+S&I	$37,840	$18,920	—	—	4
34706	ENDO RPR A-BI-ILIAC RUPTURED+S&I	$37,570	$18,785	—	—	7
34705	ENDO RPR A-BI-ILIAC GRAFT+S&I	$37,570	$18,785	—	—	13
36909	DIALYSIS CIRCUIT EMBOLIZATION	$34,430	$17,215	—	—	7
C1815	1127803 - CUFF URTH AMS 800 OCL URN CNTRL SYS INHBZN SIL-EL 4CM SPHNCR	$33,274	$16,637	—	—	33
37244	VASCULAR EMBOLIZATION HEMORRHAGE	$32,800	$16,400	—	—	28
37242	VASCULAR EMBOLIZATION ARTERIAL	$32,800	$16,400	—	—	10
37241	VASCULAR EMBOLIZATION VENOUS	$32,800	$16,400	—	—	4
37243	VASCULAR EMBOLIZATION TUMOR, ETC	$32,800	$16,400	—	—	3
36905	DIALYSIS CIRCUIT REMOVE CLOT + PTA	$32,280	$16,140	—	—	8
37236	STENT INTRAVASCULAR 1ST ARTERY	$32,010	$16,005	—	—	8
37238	STENT INTRAVASCULAR 1ST VEIN	$32,010	$16,005	—	—	6
36224	SELECT INT CAROTID/INTRACRANL BIL	$31,580	$15,790	—	—	8
33901	PUL ART REVASC INITIAL STNT BILATERAL	$31,310	$15,655	—	—	8
C1781	1031902 - MESH PHASIX 8X6IN RECT POLY-4-HYDROXYBUTERATE MONO SCAFFOLD	$28,422	$14,211	—	—	33
C9772	REVASC TIB/PERONEAL INTRAVASC LITHOTRIPSY	$28,340	$14,170	—	—	34
C1762	1164207 - GRAFT BN CELLULAR DEMINERALIZE FBR 15CC ALLOGRAFT FRZN	$27,885	$13,942	—	—	33
C1781	3041169 - MESH GALAFLEX LITE 2D SCAFFOLD 22 ROUND	$27,618	$13,809	—	—	33
37221	ANGIO ILIAC + STENT 1ST	$27,390	$13,695	—	—	8
37223	ANGIO ILIAC + STENT ADDL	$27,390	$13,695	—	—	7
37233	ANGIO T/P + ATHERECTOMY ADDL	$26,880	$13,440	—	—	33
36836	AVF UPPER EXTREMITY CRTN SINGLE ACCESS WITH IMAGING	$26,700	$13,350	—	—	8
37234	ANGIO T/P + STENT ADDL	$26,520	$13,260	—	—	13
37230	ANGIO T/P STENT 1ST	$26,520	$13,260	—	—	30
37229	ANGIO T/P + ATHERECTOMY 1ST	$26,310	$13,155	—	—	30
C1776	1022978 - STEM FEM 4 STD OFFSET COLLAR DUOFIX ACTIS HIP	$25,586	$12,793	—	—	34
33900	PULM ART REVASC INITIAL STNT UNILATERAL	$25,040	$12,520	—	—	8
37247	PTA ARTERY ADDL W/S&I	$24,910	$12,455	—	—	33
C9766	REVASC INTRAVASC LITHO/ATHER	$24,840	$12,420	—	—	8
C9765	REVASC INTRAVASC LITHO/STNT	$24,840	$12,420	—	—	24
C1778	1149306 - LEAD NRSTM L28 CM INTERSTIM	$24,522	$12,261	—	—	8
77301	RADIOTHERAPY DOSE PLAN IMRT	$24,310	$12,155	—	—	8
36902	DIALYSIS CIRCUIT ANGIO W/PTA	$22,530	$11,265	—	—	8
37182	INSERT TIPS SHUNT	$22,110	$11,055	—	—	7

Showing top 50 of 6,742 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.