Code: C1721

Description:
Description: Cardioverter-defibrillator, dual chamber (implantable)
HCPCS Category: Temporary hospital OPPS
Other Descriptions:
ICD MXMO DR 7278
DEFIB CRD 15X64X51MM 2CH
ICD QUADRA ASSURA NG DF4
ICD UNIFY ASSURA NG CRT
ICD UNIFY ASSURA NG DF4
ICD ENERGEN DR E143
AUTOGENX4 FD-1 G130222
AUTOGENX4 DF-4 G130222
ICD INTRNSC 7288
Related codes:
Code: C1720
CALIBRA SEED PD103PST202
Code: C1722
DEFIB CARD 30J 50X76MM
Code: C1723
THERMACHOICE BAL CATH
Code: C1724
CATH PRDTR DMDBCK 1.25
Code: C1725
CATHETER BLNDIL 1.5MM 15
Code: C1726
BALLN CERV RIPN 40CM 18F
Code: C1727
DISSECTOR BLN SPCMKR + B
Code: C1728
DEVICE BRCHYTP IRR APL S
Code: C1729
TRAY DRN BND FLX 10FR
Wisconsin
Hospital Address Code Price Last Updated
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy C1721 $18,640 [source] 3 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington C1721 $18,640 [source] 3 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette C1721 $25,080 [source] 3 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay C1721 $25,080 [source] 3 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh C1721 $26,448 [source] 3 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton C1721 $33,013 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids C1721 $41,300 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, C1721 $41,300 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau C1721 $41,300 [source] 3 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc C1721 $48,007 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus C1721 $49,632 [source] 3 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown C1721 $49,930 [source] 3 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee C1721 $60,098 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.