PROVIDENCE MISSION HOSPITAL

CCN 050567

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
196,289
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

Sx000106524US
$124,323
IMP KIT LVAD HEARTMATE3
Gross
$259,006
Sx00000106015
$100,800
KIT FULL HRTMTE II VAD
Gross
$210,000
Sx000005500US
$93,493
SET HVAD IMP STRL
Gross
$194,777
Sx00000107801
$91,584
KIT PARTIAL HRTMTE II VAD
Gross
$190,800
Px00036100289
$82,336
HC IM/REPL CARTD SINS BAROREFLX ACTIV DEV LEAD ONLY CDM
Gross
$171,534
Px00036100352
$82,336
HC REVISION/RPLCMT BAT MODULATION SYSTEM LEAD ONLY CDM
Gross
$171,534
Sx00000000104
$67,782
DISC - IMP IPG VNS MODEL-104
Gross
$141,212
Sx000PSMT3040
$64,735
MATRIX WND CARE 30X40CM MATRIS
Gross
$134,865
Sx00000001100
$63,360
IMPLANT PULSE GENERATOR PHRENIC NERVE REMEDE EL 1100 14X62.5X71MM
Gross
$132,000
Sx00000001600
$63,360
GENERATOR NEUROSTIMULATOR PHRENIC REMEDE EL X 1600 11X62.5X64.5MM
Gross
$132,000
Sx0000NVRO-23
$62,208
NAVIGATOR WITH RADIOPAQUE MARKERS 23MM
Gross
$129,600
Sx0000NVRO-25
$62,208
VALVE CORONARY AORTIC TRANSCATHETER WITH RADIOPAQUE MARKERS NAVITOR 25MM
Gross
$129,600
Sx0000NVRO-27
$62,208
NAVIGATOR WITH RADIOPAQUE MARKERS 27MM
Gross
$129,600
Sx0000NVRO-29
$62,208
IDE G230146 NAVITOR TAVI W RADIOPAQUE MARKERS 29MM NVRO29
Gross
$129,600
Sx0000NVRO-35
$62,208
NAVIGATOR WITH RADIOPAQUE MARKERS 35MM
Gross
$129,600
Sx0000NVTR-23
$62,208
VALVE CORONARY 23MM AORTIC PORCINE BIOPROSTHESIS NAVITOR
Gross
$129,600
Sx0000NVTR-25
$62,208
VALVE CORONARY 25MM AORTIC PORCINE BIOPROSTHESIS NAVITOR
Gross
$129,600
Sx0000NVTR-27
$62,208
VALVE CORONARY 27MM AORTIC PORCINE BIOPROSTHESIS NAVITOR
Gross
$129,600
Sx0000NVTR-29
$62,208
VALVE CORONARY 29MM AORTIC PORCINE BIOPROSTHESIS NAVITOR
Gross
$129,600
Sx00001194545
$61,102
MESH PHASIX SQ 45X45CM
Gross
$127,296
Sx00000001001
$58,752
GENERATOR NEUROSTIMULATOR PHRENIC NERVE REMEDE 1001 14.6X47.5X80MM
Gross
$122,400
Sx00000PB1016
$58,752
VALVE PULMONARY TRANSCATHETER BOV MELODY PB1016 16MM
Gross
$122,400
Sx00000PB1018
$58,752
VALVE PULMONIC TRANSCATH 18MM
Gross
$122,400
Sx00000000103
$58,670
DISC - IMP IPG VNS MODEL-103
Gross
$122,230
Sx00000CHG026
$58,107
OFF CONTRACT - IMP TMJ CUSTOM MANDIBULAR TOTAL
Gross
$121,056
Px0000421852L
$57,600
HC KIT IMPELLA PUMP CATH 005062
Gross
$120,000
Px0000421877L
$57,600
HC CATH CP IMPELLA 14F 00480003
Gross
$120,000
Px0000595771L
$57,600
HC CATH IMPELLA RP 004334 004334
Gross
$120,000
Sx00000004334
$57,600
DISC - CATH IMPELLA RP
Gross
$120,000
Sx00000005062
$57,600
KIT IMPELLA PUMP CATH 5.0
Gross
$120,000
Sx00000PRT-23
$57,600
VALVE PORTICO 23MM
Gross
$120,000
Sx00000PRT-25
$57,600
VALVE PORTICO 25MM
Gross
$120,000
Sx00000PRT-27
$57,600
VALVE PORTICO 27MM
Gross
$120,000
Sx00000PRT-29
$57,600
VALVE PORTICO 29MM
Gross
$120,000
Sx00001000323
$57,600
KIT CATHETER FLEX WITH SMART ASSIST IMPELLA RP
Gross
$120,000
Sx00004000021
$57,600
KIT IMPELLA CP WITH SMARTASSIST PLUS IMPELLA 7FR LOW PROFILE COMPANION SHEATH
Gross
$120,000
Sx000046-0035
$57,600
KIT IMPELLA RP CATHETER WITH SMART ASSIST
Gross
$120,000
Sx000048-0003
$57,600
CATH CP IMPELLA 14F
Gross
$120,000
Px00036100264
$55,757
HC IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST
Gross
$116,160
Px00036100351
$55,757
HC INITIAL OPEN IMPLANTATION BAT MODULATION SYSTEM CDM
Gross
$116,160
Px0000462532L
$54,696
HC SENSOR HF CARDIOMEMS PA GSM CM2000
Gross
$113,951
Sx0002540002P
$54,552
ALGRFT STRTCE PERF 25X40
Gross
$113,650
Sx002540002ET
$54,552
ALGRFT STRTCE XTHK 25X40
Gross
$113,650
Sx0000CM 2000
$53,428
CARDIOMEMS PA SENSOR W/DEL SYS
Gross
$111,308
Px00048110296
$53,420
HC INSERTION ICD GEN ONLY EXISTING MULT LEADS
Gross
$111,292
Sx00002540002
$52,969
MESH STRTCE FIRM 25X40CM
Gross
$110,352
Sx0099-701217
$52,962
NAIL INTRAMEDULLARY BONE FEMORAL FITBONE 99701217 11X217MM
Gross
$110,338
Sx0099-701237
$52,962
NAIL INTRAMEDULLARY BONE FEMORAL FITBONE 99701237 11X237MM
Gross
$110,338
Sx0099-701257
$52,962
NAIL INTRAMEDULLARY BONE FEMORAL FITBONE 99701257 11X257MM
Gross
$110,338
Sx0099-701277
$52,962
NAIL INTRAMEDULLARY BONE FEMORAL FITBONE 99701277 11X277MM
Gross
$110,338
Showing top 50 of 196,289 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.