PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO

CCN 050078

45 CFR § 180 compliance
D · 65
This hospital published part 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
194,107
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

Rx51552005508
$183,161
ACETIC ACID SOLN 5%
Gross
$523,317
Sx000106524US
$154,864
IMP KIT LVAD HEARTMATE3
Gross
$442,468
Sx00000106015
$125,563
KIT FULL HRTMTE II VAD
Gross
$358,750
Sx000005500US
$116,460
SET HVAD IMP STRL
Gross
$332,744
Sx00000107801
$114,083
KIT PARTIAL HRTMTE II VAD
Gross
$325,950
Sx00001000100
$58,835
KIT VENTRICULAR ASSIST DEVICE PUMP IMPELLA 5.5 SMARTASSIST 1000100
Gross
$168,100
Sx00000001000
$54,122
GENRTR VIPG VNS SENTIVA
Gross
$154,634
Sx0000001000D
$54,122
GENERATOR NEUROSTIMULATOR EPILEPSY VAGUS NERVE SENTIVA DUO 1000D
Gross
$154,634
Sx000TCG40100
$51,660
KIT TRICLIP G4 SYSTEM TCG40100
Gross
$147,600
Sx000TCG50100
$51,660
KIT TRICLIP G5 SYSTEM TCG50100
Gross
$147,600
Sx000550-0008
$50,225
KIT CATH ACCESS IMPELLA 5.5
Gross
$143,500
Sx00000000106
$48,106
GENERATOR NERVE STIM 14CC VNS 106
Gross
$137,445
Sx00001195050
$46,982
MESH PHASIX SQ 50X50CM
Gross
$134,234
Sx00001163045
$46,028
XGRFT XENMTRX RECT 30X45CM
Gross
$131,508
Sx000CP562009
$46,022
IMP HUM EXP CUST SRS 16CM RT
Gross
$131,491
Sx00000PAS2MA
$43,911
KIT VLV CORONARY AORTIC PASCAL PRECISION PAS2MA
Gross
$125,460
Sx000CP562286
$43,188
IMP HUM EXP CMPR SRS 174MM LT
Gross
$123,394
Sx0000MBR0101
$43,050
KIT MTRACLP 1/SGC 1/NTR
Gross
$123,000
Sx0000MBR0102
$43,050
KIT MTRACLP 1/SGC 2/NTR
Gross
$123,000
Sx0000MBR0103
$43,050
KIT MTRACLP 1/SGC 3/NTR
Gross
$123,000
Sx0000MBR0201
$43,050
KIT MTRACLP 1/SGC 1/XTR
Gross
$123,000
Sx0000MBR0202
$43,050
KIT MTRACLP 1/SGC 2/XTR
Gross
$123,000
Sx0000MBR0203
$43,050
KIT MTRACLP 1/SGC X/XTR
Gross
$123,000
Sx0000MBR0301
$43,050
KIT MTRACLP 1/SGC 1/NTR 1/XTR
Gross
$123,000
Sx0000MBR0302
$43,050
KIT MTRACLP 1/SGC 2/NTR 1/XTR
Gross
$123,000
Sx0000MBR0303
$43,050
KIT MTRACLP 1/SGC 1/NTR 2/XTR
Gross
$123,000
Sx0000MSK0100
$43,050
KIT MITRACLIP 1/GDE 0/CLIP
Gross
$123,000
Sx0000MSK0101
$43,050
KIT MTRACLP CATH GDE 1 MITRAKIT
Gross
$123,000
Sx0000MSK0102
$43,050
KIT MTRACLP CATH GDE 2 MITRAKIT
Gross
$123,000
Sx0000MSK0103
$43,050
KIT MTRACLP CATH GDE 3 MITRAKIT
Gross
$123,000
Sx0000MSK0104
$43,050
KIT MITRACLP CATH GDE 4 MITRAKIT
Gross
$123,000
Sx0000MSK0105
$43,050
KIT MTRACLP CATH GDE 5 MITRAKIT
Gross
$123,000
Sx000MCG40100
$43,050
KIT MITRACLP CATH GDE G4
Gross
$123,000
Sx000MCG50100
$43,050
KIT MITRACLIP G5 SYSTEM MCG50100
Gross
$123,000
Sx00000000104
$42,422
DISC - IMP IPG VNS MODEL-104
Gross
$121,207
Sx000PSMT3040
$40,516
MATRIX WND CARE 30X40CM MATRIS
Gross
$115,759
Sx00000001100
$39,655
IMPLANT PULSE GENERATOR PHRENIC NERVE REMEDE EL 1100 14X62.5X71MM
Gross
$113,300
Sx00000001600
$39,655
GENERATOR NEUROSTIMULATOR PHRENIC REMEDE EL X 1600 11X62.5X64.5MM
Gross
$113,300
Sx0000NVTR-23
$38,934
VALVE CORONARY 23MM AORTIC PORCINE BIOPROSTHESIS NAVITOR
Gross
$111,240
Sx0000NVTR-25
$38,934
VALVE CORONARY 25MM AORTIC PORCINE BIOPROSTHESIS NAVITOR
Gross
$111,240
Sx0000NVTR-27
$38,934
VALVE CORONARY 27MM AORTIC PORCINE BIOPROSTHESIS NAVITOR
Gross
$111,240
Sx0000NVTR-29
$38,934
VALVE CORONARY 29MM AORTIC PORCINE BIOPROSTHESIS NAVITOR
Gross
$111,240
Sx00001194545
$38,242
MESH PHASIX SQ 45X45CM
Gross
$109,262
Sx000100-1018
$37,489
KIT EXTR FIX MOD RING ST 1-2
Gross
$107,111
Sx00000PB1016
$36,771
VALVE PULMONARY TRANSCATHETER BOV MELODY PB1016 16MM
Gross
$105,060
Sx00000PB1018
$36,771
VALVE PULMONIC TRANSCATH 18MM
Gross
$105,060
Sx00000000103
$36,720
DISC - IMP IPG VNS MODEL-103
Gross
$104,914
Sx00000CHG026
$36,254
OFF CONTRACT - IMP TMJ CUSTOM MANDIBULAR TOTAL
Gross
$103,584
Sx00000004334
$36,050
DISC - CATH IMPELLA RP
Gross
$103,000
Sx00000005062
$36,050
KIT IMPELLA PUMP CATH 5.0
Gross
$103,000
Showing top 50 of 194,107 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.