GOOD SAMARITAN REGIONAL HLTH CENTER

CCN 140046

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
14,705
Insurances with rates
14
CPT / HCPCS codes
7,302
Source MRF

Most expensive procedures (gross)

815965
$52,723
DEFIB ELLIPSE THK12MM 36J ANG 1 CHMBR DF
Gross
$81,112
816795
$48,442
HC RMVL DEFIB GEN W RPLCMT DUAL LD
Gross
$74,526
816794
$48,442
HC RMVL DEFIB GEN W RPLCMT SNGL LD
Gross
$74,526
816793
$42,494
HC INSERT PULSE GEN W/MULT LEADS
Gross
$65,375
811365
$42,272
HC INSERT RPLC PERM DEFIB SYSTEM W TV LEADS
Gross
$65,034
816796
$41,248
HC RMVL DEFIB GEN W RPLMCT MULT LDS
Gross
$63,458
819657
$38,880
HC SINGLE CHAMBER AICD GENERATOR LEVEL 3
Gross
$59,816
814251
$37,384
HC INS VENT ASST EXTRACRP SNGL VENT
Gross
$57,514
819650
$36,498
HC DUAL CHAMBER AICD GENERATOR LEVEL 2
Gross
$56,150
819651
$36,286
HC DUAL CHAMBER AICD GENERATOR LEVEL 3
Gross
$55,824
5789406103
$35,400
USTEKINUMAB 90 MG/ML SC SOSY [143935]
Gross
$54,462
819655
$33,728
DEFIB CBLT XT 57SQ CM 13MM 1 CHMBR DF4
Gross
$51,889
811876
$32,698
HC INSERT DEFIB GEN W EXIST SNGL LEAD
Gross
$50,305
2568202801_2
$32,602
RAVULIZUMAB-CWVZ 1100 MG/11ML IV SOLN [172145]
Gross
$50,156
819649
$30,795
HC DUAL CHAMBER AICD GENERATOR LEVEL 1
Gross
$47,377
7249310303
$30,698
MITOMYCIN 80 (2 X 40) MG UL SOLR [170044]
Gross
$47,227
8102693
$29,895
HC THROMBECT W BALL ANGIO DIALYSIS PERIPH
Gross
$45,993
8102694
$29,273
HC THROMBECTOMY W STENT DIALYSIS PERIPH
Gross
$45,036
814147
$28,637
HC REVASC TIB PER UNI STNT+ATH INIT
Gross
$44,057
8102696
$27,691
HC PLCMT STENT DIALYSIS CENTRAL
Gross
$42,602
8101006
$27,400
HC PLCMT VASC STNT TRNSCATH INIT ART UP BIL
Gross
$42,154
816791
$25,741
HC REM REPL PM GEN MULT LEADS
Gross
$39,601
818268
$25,695
HC ATHERCTMY PERC W DE STNT SNG MAJ COR ART
Gross
$39,531
818272
$25,695
HC REVASC AC OCC CORON DE STNT W MI SNG VSL
Gross
$39,531
814143
$25,490
HC REVASC FEM POP UNI W STNT+ATH+PTA
Gross
$39,216
814145
$24,019
HC REVASC TIB PER UNI ATH+PTA INIT
Gross
$36,953
819656
$23,908
HC SINGLE CHAMBER AICD GENERATOR LEVEL 2
Gross
$36,782
818270
$23,875
HC REVASC COR BYPASS GRFT W DE STNT SNG VSL
Gross
$36,731
814174
$23,170
HC ATHEREC ILIAC ARTERY EA W S+I
Gross
$35,646
810280
$22,902
HC INSERT PACING ELECTRODE W/ NEW DEVICE
Gross
$35,234
810283
$22,897
HC INSERT REPL PPM TRANSVEN ATRIAL & VENT
Gross
$35,226
814146
$21,995
HC REVASC TIB PER UNI STNT+PTA INIT
Gross
$33,839
8103105
$21,577
HC INSERT OR REPL LEADLESS PACEMAKER VENTR
Gross
$33,196
814142
$21,395
HC REVASC FEM POP UNI W STNT+PTA
Gross
$32,915
818273
$21,390
HC REVASC CH OCC CORON DE STNT SNGL VESSEL
Gross
$32,908
816790
$20,968
HC REM REPL PM GEN DUAL LEAD
Gross
$32,258
8104676
$20,889
HC REVASC EXCEPT TIB PER W INTRV LITHO STNT ATH
Gross
$32,137
8104636
$20,889
HC REVASC TIB PER W INTRV LITHO ATHERCTMY
Gross
$32,137
8104635
$20,889
HC REVASC TIB PER W INTRV LITHO STNT
Gross
$32,137
8104637
$20,889
HC REVASC TIB PER W INTRV LITHO STNT ATH
Gross
$32,137
810347
$20,607
HC PLCMT STENT DRUG ELUT SNGL MAJ COR ART
Gross
$31,703
818256
$20,574
HC ATHERECTMY PERC W STENT SNG MAJ COR ART
Gross
$31,652
803837
$19,238
HC SRS 1ST FRACTN TX ROBOTIC LINEAR ACCEL
Gross
$29,597
803838
$19,238
HC SRS 2-5TH FRACTN TX ROBOTIC LINEAR ACCEL
Gross
$29,597
8104345
$19,238
HC SRS CRANIAL TX SINGLE LESION
Gross
$29,597
811547
$19,224
HC INSERT PACING ELECTRODE W/ PREV DEVICE
Gross
$29,576
814166
$19,139
HC LHC W COR ANG LT VENT S+I BYPASS
Gross
$29,444
814167
$19,019
HC RLHC W COR ANGIO LT VENT W S+I
Gross
$29,260
814208
$18,628
HC REVASC TIB PER UNI W STNT+ATH+PTA EA ADD
Gross
$28,659
8103257
$18,426
HC RPR ILIAC ILIO-ILIAC ENDGRFT NON RUP
Gross
$28,348
Showing top 50 of 14,705 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.