ARCHBOLD BROOKS — Hospital Ledger

45 CFR § 180 compliance

F · 50

This hospital published little 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

80,941

Insurances with rates

CPT / HCPCS codes

18,267

Source MRF

json ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer
IR30003019	Valve Edwards Evoque Tricus 52	$135,450	$135,450	—	—
IR30003514	Valve Evoque Tricuspid Tcvr 52	$135,450	$135,450	—	—
IR30003518	Valve Evoque Tricuspid Tcvr 56	$135,450	$135,450	—	—
OR30003019	Valve Edwards Evoque Tricus 52	$135,450	$135,450	—	—
OR30003514	Valve Evoque Tricuspid Tcvr 52	$135,450	$135,450	—	—
OR30003518	Valve Evoque Tricuspid Tcvr 56	$135,450	$135,450	—	—
IJ100745	Imjudo: 1 Vial In 1 Carton (0310-4535-30) / 15 Ml In 1 Vial	$131,871	$131,871	—	—
IJ100745_00310453530	Imjudo: 1 Vial In 1 Carton (0310-4535-30) / 15 Ml In 1 Vial	$126,750	$126,750	—	—
RX100497	Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22) / 40 Ml In 1 Vial, Single-Use	$115,404	$115,404	—	—
IR60000240	Triclip System	$113,400	$113,400	—	—
OR60000240	Triclip System	$113,400	$113,400	—	—
RX100497_00003232822	Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22) / 40 Ml In 1 Vial, Single-Use	$113,141	$113,141	—	—
CT272792	Ct Guided Si Joint Fusion Bila	$111,865	$111,865	—	—
IR30001190	Tag Tbe Aortic Component 8X45	$100,800	$100,800	—	—
IR481675	Implant Aprevo Level 2!!	$100,800	$100,800	—	—
OR30001190	Tag Tbe Aortic Component 8X45	$100,800	$100,800	—	—
OR481675	Implant Aprevo Level 2!!	$100,800	$100,800	—	—
IR482804	Impl Sys Mitral Pascal	$96,390	$96,390	—	—
OR482804	Impl Sys Mitral Pascal	$96,390	$96,390	—	—
IR30003787	Stent/Graft Gore Tag Thoracic	$96,000	$96,000	—	—
IR30003846	Impl Endopro 37X12Mmx5Cm	$96,000	$96,000	—	—
OR30003787	Stent/Graft Gore Tag Thoracic	$96,000	$96,000	—	—
OR30003846	Impl Endopro 37X12Mmx5Cm	$96,000	$96,000	—	—
IR30000379	Valve Sapien X4 Transcath 23Mm	$94,500	$94,500	—	—
IR30000380	Valve Sapien X4 Transcath 26Mm	$94,500	$94,500	—	—
IR30000381	Valve Sapien X4 Transcath 29Mm	$94,500	$94,500	—	—
IR30001801	Valve Aotric Evolut 23Mm	$94,500	$94,500	—	—
IR30001802	Valve Aotric Evolut 26Mm	$94,500	$94,500	—	—
IR30001803	Valve Aotric Evolut 29Mm	$94,500	$94,500	—	—
IR30001804	Valve Aotric Evolut 34Mm	$94,500	$94,500	—	—
IR30001937	Edwards Sapien X4 Transcathete	$94,500	$94,500	—	—
IR30001953	Valve Sapien3 20 G210075	$94,500	$94,500	—	—
IR30001954	Valve Sapien3 23 G210075	$94,500	$94,500	—	—
IR30001955	Valve Sapien3 26 G210075	$94,500	$94,500	—	—
IR30001956	Valve Sapien3 29 G210075	$94,500	$94,500	—	—
IR30001960	Valve Sapien3 Ult20 G210075	$94,500	$94,500	—	—
IR30001961	Valve Sapien3 Ult23 G210075	$94,500	$94,500	—	—
IR30001962	Valve Sapien3 Ult26 G210075	$94,500	$94,500	—	—
IR30001963	Valve Sapien3 Ult20 G210075	$94,500	$94,500	—	—
IR30001964	Valve Sapien3 Ult23 G210075	$94,500	$94,500	—	—
IR30001965	Valve Sapien3 Ult26 G210075	$94,500	$94,500	—	—
IR30001966	Valve Sapien3 Ult29 G210075	$94,500	$94,500	—	—
OR30000379	Valve Sapien X4 Transcath 23Mm	$94,500	$94,500	—	—
OR30000380	Valve Sapien X4 Transcath 26Mm	$94,500	$94,500	—	—
OR30000381	Valve Sapien X4 Transcath 29Mm	$94,500	$94,500	—	—
OR30001801	Valve Aotric Evolut 23Mm	$94,500	$94,500	—	—
OR30001802	Valve Aotric Evolut 26Mm	$94,500	$94,500	—	—
OR30001803	Valve Aotric Evolut 29Mm	$94,500	$94,500	—	—
OR30001804	Valve Aotric Evolut 34Mm	$94,500	$94,500	—	—
OR30001937	Edwards Sapien X4 Transcathete	$94,500	$94,500	—	—

Showing top 50 of 80,941 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.