SAN GORGONIO MEMORIAL HOSPITAL

CCN 050054

45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
8,859
Insurances with rates
29
CPT / HCPCS codes
1,331
Source MRF

Most expensive procedures (gross)

69853-0102-01
$22,625
Andexxa
Gross
$113,123
66621-0790-02
$13,223
Anavip
Gross
$66,116
54092070202
$11,464
Firazyr
Gross
$57,319
54092-0702-02
$11,169
Firazyr
Gross
$55,846
93306634
$10,891
Icatibant
Gross
$54,457
69097066434
$10,891
Icatibant
Gross
$54,457
49406
$9,161
IMAGE CATH FLUID PERI/RETRO
Gross
$45,804
50242008527
$9,053
Activase
Gross
$45,264
50242012001
$8,243
TNKase
Gross
$41,213
58553
$7,575
REMOVAL OF UTERUS THROUGH VAGINA USING AN ENDOSCOPE; MORE THAN 250.0
Gross
$37,874
13533-0318-05
$7,207
HyperRAB
Gross
$36,034
37191
$7,165
INS ENDOVAS VENA CAVA FILTR
Gross
$35,824
58571
$6,947
REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS
Gross
$34,734
24515175
$6,852
Elitek
Gross
$34,262
36830
$6,796
CREATION OF ARTERY-VEIN CONNECTION USING TUBE GRAFT FOR HEMODIALYSIS
Gross
$33,979
49281-0190-20
$6,657
Imogam Rabies-HT
Gross
$33,286
58140
$6,493
REMOVAL OF GROWTH OF UTERUS THROUGH ABDOMEN; 1-4 GROWTHS
Gross
$32,463
597019705
$6,380
Praxbind
Gross
$31,900
24201020701
$6,232
Icatibant
Gross
$31,159
50633012011
$6,098
DigiFab
Gross
$30,490
49329
$6,094
OTHER PROCEDURE ON ABDOMEN USING AN ENDOSCOPE
Gross
$30,468
J3010
$5,789
FENTANYL CITRATE INJECTION
Gross
$28,943
50242005121
$5,760
Rituxan
Gross
$28,798
50242005306
$5,760
Rituxan
Gross
$28,798
27447
$5,750
REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE
Gross
$28,752
44206043820
$5,635
Privigen
Gross
$28,174
49592
$5,475
REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN);
Gross
$27,377
6302500
$5,418
Zinplava
Gross
$27,090
50242004413
$5,396
Activase
Gross
$26,978
47563
$5,027
REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE
Gross
$25,137
49418
$4,815
INSERT TUN IP CATH PERC
Gross
$24,074
50242-0120-01
$4,796
TNKase
Gross
$23,981
47531
$4,780
INJECTION FOR CHOLANGIOGRAM
Gross
$23,901
47536
$4,780
EXCHANGE BILIARY DRG CATH
Gross
$23,901
32550
$4,780
INSERT PLEURAL CATH
Gross
$23,901
42367054032
$4,727
Ryanodex
Gross
$23,634
50633011012
$4,561
Crofab
Gross
$22,806
72078003802
$4,467
Miacalcin Novaplus
Gross
$22,337
67457067502
$4,467
Miacalcin
Gross
$22,337
49596
$4,388
REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN);
Gross
$21,938
49422
$4,301
REMOVE TUNNELED IP CATH
Gross
$21,505
37193
$4,301
REM ENDOVAS VENA CAVA FILTER
Gross
$21,505
75825
$4,301
VEIN X-RAY TRUNK
Gross
$21,505
36581
$4,301
REPLACE TUNNELED CV CATH
Gross
$21,505
20250
$4,255
BIOPSY VRT BDY OPEN THORACIC
Gross
$21,275
63833-0387-02
$4,244
Kcentra
Gross
$21,219
49591
$4,239
REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN);
Gross
$21,196
27236
$3,868
TREATMENT OF UPPER END OF BROKEN THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE OR PROSTHETIC REPLA
Gross
$19,339
49507
$3,787
REPAIR OF TRAPPED GROIN HERNIA (5 YEARS OR OLDER)
Gross
$18,937
49650
$3,748
REPAIR OF GROIN HERNIA USING AN ENDOSCOPE
Gross
$18,739
Showing top 50 of 8,859 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.