AdventHealth Palm Coast — Hospital Ledger

45 CFR § 180 compliance

A · 100

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

5,349

Insurances with rates

CPT / HCPCS codes

3,404

Source MRF

json-stream ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Q2043	PROVENGE 50MIU INJ 250ML	$189,047	$103,976	$12,909	$170,142	56
33270	Insert Permanent Subcut Defibrillator W/ Program	$108,123	$59,468	$8,538	$97,311	56
33231	Insert Defib Pulse Gen Only, Exist Mult Lead	$98,377	$54,108	$8,538	$88,540	56
33262	Remove & Replace Sgl Lead Defibrillator	$98,377	$54,108	$5,990	$88,540	56
33263	Remove & Replace Dual Lead Defibrillator	$98,377	$54,108	$5,990	$88,540	56
33264	Remove & Replace Multi Lead Defibrillator	$85,474	$47,011	$8,538	$77,171	56
33249	Insert/Replace Perm Imp Defib System	$85,474	$47,011	$8,538	$77,171	112
C1820	NEUROSTIM GEN RESTORE CHG	$81,298	$44,714	$0	$73,169	20
33240	Insert Defib Pulse Gen Only, Exist Sgl Lead	$72,095	$39,652	$5,990	$64,885	56
C9293	GLUCARPIDASE 1000U INJ	$57,595	$31,677	$12,786	$51,836	33
ENDOPROS THOR TAG	ENDOPROS THOR TAG	$53,501	$29,426	$11,877	$48,151	20
37227	Femoral/Popliteal Artery Revasc W/ Ather & Stent	$52,087	$28,648	$4,177	$46,879	56
37229	Tibial/Peroneal Artery Revasc, Initial W/ Ather	$52,087	$28,648	$4,177	$46,879	56
37230	Tibial/Peroneal Artery Revasc, Initial W/ Stent	$52,087	$28,648	$4,177	$46,879	56
37231	Tibial/Peroneal Art Revasc, Initial W/ Ather & Stent	$52,087	$28,648	$4,177	$46,879	56
37235	Tibial/Peroneal Art Revasc, Addl W/ Ather & Stent	$52,087	$28,648	$108	$46,879	56
C1772	IMP PAIN PUMP SYNCHROMED	$51,405	$28,273	$0	$46,265	20
J2350	OCRELIZUMAB 30MG/ML INJ 10ML	$49,171	$27,044	$14.9	$44,254	56
BONE FEMUR PLATE FF	BONE FEMUR PLATE FF	$46,003	$25,302	$10,213	$41,403	20
TENDON PERONEUS LONGUS FROZEN	TENDON PERONEUS LONGUS FROZEN	$46,003	$25,302	$10,213	$41,403	20
36906	Perc Transluminal Mech Thrombectomy W/ Stent	$44,919	$24,706	$4,177	$40,428	56
GFT STNT TALENT BIF	GFT STNT TALENT BIF	$44,254	$24,340	$9,824	$39,828	20
J2507	PEGLOTICASE 8MG/ML INJ	$43,178	$23,748	$721	$38,861	56
C1889	MSH CARTIFORM CARTLG 25MM	$42,568	$23,412	$0	$38,311	20
J9266	PEGASPARGASE 3750U/5ML INJ	$38,283	$21,056	$5,127	$46,336	56
Gft Stnt Zenith Bil	Gft Stnt Zenith Bil	$33,784	$18,581	$7,500	$30,405	20
37221	Iliac Artery Revasc, Perc Initial W/ Stent	$33,778	$18,578	$2,611	$30,401	56
37223	Iliac Artery Revasc, Perc Addl Vessel W/ Stent	$33,778	$18,578	$59.31	$30,401	56
37225	Femoral/Popliteal Artery Revasc W/ Atherctomy	$33,778	$18,578	$2,611	$30,401	56
37226	Femoral/Popliteal Artery Revasc W/ Stent	$33,778	$18,578	$2,611	$30,401	56
37228	Tibial/Peroneal Artery Revasc, Initial	$33,778	$18,578	$2,611	$30,401	56
37232	Tibial/Peroneal Artery Revasc, Addl Vessel W/ Angio	$33,778	$18,578	$55.18	$30,401	56
37238	Perc Placement IV Stent, 1st Vein	$33,778	$18,578	$2,611	$30,401	56
37239	Perc Placement IV Stent, Each Addl Vein	$33,778	$18,578	$42.09	$30,401	56
J9309	POLATUZUMAB VEDOTIN-PIIQ 140MG INJ	$33,759	$18,567	$29.15	$30,383	56
GFT STNT ANEURX BIF	GFT STNT ANEURX BIF	$33,698	$18,534	$7,481	$30,328	20
33207	Insert Permanent Pacemaker W/ Transven Elect	$31,733	$17,453	$2,704	$28,560	56
33214	Upgrade Pacmaker	$31,733	$17,453	$2,704	$28,560	56
33208	Insert/Replace Perm Pacemaker, Atrial & Vent	$31,733	$17,453	$2,704	$28,560	56
33228	Remove & Replace Dual Lead Pacemaker	$31,733	$17,453	$2,704	$28,560	56
33213	Insert Pacemaker Pulse Gen Only, Exist Dual Lead	$31,733	$17,453	$2,704	$28,560	56
33206	Insert/Replace Perm Pacemaker, Atrial	$31,733	$17,453	$2,704	$28,560	56
37236	Perc Placement IV Stent, 1st Artery	$31,621	$17,392	$2,611	$28,459	56
IMP V AORT MEDT PORCINE	IMP V AORT MEDT PORCINE	$31,155	$17,135	$6,916	$28,040	20
74190	Peritoneogram S&I	$31,102	$17,106	$78.12	$27,992	56
61626	Transcath Perm Occlusion/Embol, Non-CNS Perc	$30,708	$16,889	$2,611	$27,637	56
37241	Vascular Embolization/Occlusion Venous	$30,708	$16,889	$2,611	$27,637	56
37242	Vascular Embolization/Occlusion Arterial	$30,708	$16,889	$2,611	$27,637	56
37243	Vascular Embolization/Occlusion Organ Ischemia	$30,708	$16,889	$2,611	$27,637	56
37244	Vascular Embolization/Occlusion Hemorrhage	$30,708	$16,889	$2,611	$27,637	56

Showing top 50 of 5,349 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.