PROVIDENCE ST MARY MEDICAL CENTER

CCN 050300

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
193,777
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

Rx71336100301
$366,766
VUTRISIRAN SODIUM SOLN PREFILLED SYRINGE 25 MG/0.5ML
Gross
$523,951
Rx30237890006
$228,767
SIPULEUCEL-T IV SUSP 50,000,000 CELLS
Gross
$326,810
Rx00310453530
$178,722
TREMELIMUMAB-ACTL SOLN FOR IV INFUSION 300 MG/15ML
Gross
$255,317
Sx000106524US
$172,994
IMP KIT LVAD HEARTMATE3
Gross
$247,135
Rx00003232822
$156,404
IPILIMUMAB SOLN FOR IV INFUSION 200 MG/40ML (5 MG/ML)
Gross
$223,434
Sx00000106015
$140,263
KIT FULL HRTMTE II VAD
Gross
$200,375
Rx00003712511
$133,193
NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML
Gross
$190,276
Sx000005500US
$130,095
SET HVAD IMP STRL
Gross
$185,850
Sx00000107801
$127,439
KIT PARTIAL HRTMTE II VAD
Gross
$182,055
Rx71336100101
$119,847
GIVOSIRAN SODIUM SUBCUTANEOUS SOLN 189 MG/ML
Gross
$171,210
Rx57894006103
$82,111
USTEKINUMAB SOLN PREFILLED SYRINGE 90 MG/ML
Gross
$117,302
Rx50242010501
$80,370
POLATUZUMAB VEDOTIN-PIIQ FOR IV SOLUTION 140 MG
Gross
$114,814
Rx00944381001
$80,326
PEGASPARGASE INJ 750 UNIT/ML
Gross
$114,752
Rx50419020801
$73,090
RADIUM RA 223 DICHLORIDE INJ 30 MICROCURIE/ML (1100 KBQ/ML)
Gross
$104,414
Sx00001000100
$65,723
KIT VENTRICULAR ASSIST DEVICE PUMP IMPELLA 5.5 SMARTASSIST 1000100
Gross
$93,890
Rx00078073461
$65,386
CANAKINUMAB SUBCUTANEOUS INJ 150 MG/ML
Gross
$93,408
Rx58468020001
$65,358
ALEMTUZUMAB IV INJ 12 MG/1.2ML (10 MG/ML)
Gross
$93,369
Rx00024582411
$62,935
CABAZITAXEL INJ 60 MG/1.5ML (FOR IV INFUSION)
Gross
$89,908
Rx00024582315
$62,005
CABAZITAXEL INJ 60 MG/1.5ML (FOR IV INFUSION)
Gross
$88,579
Sx00000001000
$60,458
GENRTR VIPG VNS SENTIVA
Gross
$86,369
Sx0000001000D
$60,458
GENERATOR NEUROSTIMULATOR EPILEPSY VAGUS NERVE SENTIVA DUO 1000D
Gross
$86,369
Sx000TCG40100
$57,708
KIT TRICLIP G4 SYSTEM TCG40100
Gross
$82,440
Sx000TCG50100
$57,708
KIT TRICLIP G5 SYSTEM TCG50100
Gross
$82,440
Sx00000ETF-25
$56,105
IDE G190117 J VALVE TF BIOPROSTHESIS 25MM ETF25
Gross
$80,150
Sx00000ETF-28
$56,105
IDE G190117 J VALVE TF BIOPROSTHESIS 28MM ETF28
Gross
$80,150
Sx00000ETF-31
$56,105
IDE G190117 J VALVE TF BIOPROSTHESIS 31MM ETF31
Gross
$80,150
Sx00000ETF-34
$56,105
IDE G190117 J VALVE TF BIOPROSTHESIS 34MM ETF34
Gross
$80,150
Sx000550-0008
$56,105
KIT CATH ACCESS IMPELLA 5.5
Gross
$80,150
Sx00000000106
$53,738
GENERATOR NERVE STIM 14CC VNS 106
Gross
$76,768
Sx00001195050
$52,482
MESH PHASIX SQ 50X50CM
Gross
$74,975
Rx00173089803
$51,950
DOSTARLIMAB-GXLY IV SOLN 500 MG/10ML (50 MG/ML)
Gross
$74,215
Px00048110298
$51,777
HC RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD
Gross
$73,967
Sx00001163045
$51,416
XGRFT XENMTRX RECT 30X45CM
Gross
$73,452
Sx000CP562009
$51,410
IMP HUM EXP CUST SRS 16CM RT
Gross
$73,443
Rx00000001729
$51,366
Y-90 SIRSPHERES
Gross
$73,380
Rx50242091701
$50,046
ATEZOLIZUMAB IV SOLN 1200 MG/20ML
Gross
$71,495
Sx00000PAS2MA
$49,052
KIT VLV CORONARY AORTIC PASCAL PRECISION PAS2MA
Gross
$70,074
Rx61755000801
$48,946
CEMIPLIMAB-RWLC IV SOLN 350 MG/7ML (50 MG/ML)
Gross
$69,923
Sx000CP562286
$48,848
IMP HUM EXP CMPR SRS 174MM LT
Gross
$69,784
Sx0000MBR0101
$48,090
KIT MTRACLP 1/SGC 1/NTR
Gross
$68,700
Sx0000MBR0102
$48,090
KIT MTRACLP 1/SGC 2/NTR
Gross
$68,700
Sx0000MBR0103
$48,090
KIT MTRACLP 1/SGC 3/NTR
Gross
$68,700
Sx0000MBR0201
$48,090
KIT MTRACLP 1/SGC 1/XTR
Gross
$68,700
Sx0000MBR0202
$48,090
KIT MTRACLP 1/SGC 2/XTR
Gross
$68,700
Sx0000MBR0203
$48,090
KIT MTRACLP 1/SGC X/XTR
Gross
$68,700
Sx0000MBR0301
$48,090
KIT MTRACLP 1/SGC 1/NTR 1/XTR
Gross
$68,700
Sx0000MBR0302
$48,090
KIT MTRACLP 1/SGC 2/NTR 1/XTR
Gross
$68,700
Sx0000MBR0303
$48,090
KIT MTRACLP 1/SGC 1/NTR 2/XTR
Gross
$68,700
Sx0000MSK0100
$48,090
KIT MITRACLIP 1/GDE 0/CLIP
Gross
$68,700
Sx0000MSK0101
$48,090
KIT MTRACLP CATH GDE 1 MITRAKIT
Gross
$68,700
Showing top 50 of 193,777 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.