SARTORI MEMORIAL HOSPITAL, INC

CCN 160040

45 CFR § 180 compliance
B · 85
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
4,537
Insurances with rates
249
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

SUP-775514
$123,355
KIT 4 AMG OXYGENATORS 4 CENTRIMAT BLD PUMPS
Gross
$189,778
SUP-878598
$50,281
DEVICE IMPELLA 5.5 SMARTASSIST
Gross
$77,355
SUP-977545
$43,577
KIT TRICLIP G4 SYS W/ANY 3 CLIPS
Gross
$67,041
SUP-977299
$33,953
HEART AORTIC EVOLUT FX+ 29MM
Gross
$52,236
SUP-977300
$33,864
HEART AORTIC EVOLUT FX+ 34MM
Gross
$52,099
SUP-977298
$33,568
HEART AORTIC EVOLUT FX+ 26MM
Gross
$51,644
RX-99447
$45,914
USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SOLUTION
Gross
$45,914
SUP-779981
$29,051
KIT IPG OMNIA
Gross
$44,694
RX-105644
$44,160
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION
Gross
$44,160
SUP-976016
$27,934
LIMFLOW SYSTEM ARTERIAL CATHETER
Gross
$42,975
SUP-229075
$23,122
BONE CHIP DISTL CONDYLE RT REFRIGERATED
Gross
$35,573
SUP-981339
$21,466
STIMULATOR NEURO GENTR PULSE INCEPTIV SYS STM
Gross
$33,025
SUP-365319
$21,343
GRAFT XENMTRX SFT RECT 19X35CM
Gross
$32,835
SUP-226042
$20,778
GENERATOR EMBLEM MRI SICD SUBQ
Gross
$31,967
SUP-226880
$20,060
GENERATOR INFINITY 7 IPG
Gross
$30,861
SUP-778919
$19,957
TISSUE SURGIMEND 2.0 25 X 40 CM
Gross
$30,703
SUP-875070
$19,777
GENERATOR IMPLANT PULSE WW ALPHA
Gross
$30,426
SUP-983583
$19,631
GRAFT ENDOVAS ZENITH 28X155MM
Gross
$30,202
SUP-875072
$17,878
GENERATOR IMPLANT PULSE WW PRIME 16
Gross
$27,504
SUP-982626
$17,878
CATH SYMPLICITY SPYRAL
Gross
$27,504
SUP-783520
$17,598
MESH PHASIX ST 14X12IN
Gross
$27,074
SUP-225892
$17,533
IMPLANT COCHLEAR HYBRID L24 NUCLEUS
Gross
$26,975
SUP-885337
$17,509
COIL WEB SGL LAYER 5X3MM
Gross
$26,937
SUP-977301
$17,195
PUMP INFUSE 3000 HEPATIC ARTERY 30ML CODMAN IT IMPLANT
Gross
$26,455
SUP-365318
$17,074
GRAFT XENMTRX SFT RECT 19X28CM
Gross
$26,268
SUP-876174
$16,778
ICD CRTD COBALT XT HF QUAD MRI IS4 DF1
Gross
$25,813
SUP-777726
$16,761
PATELLA WITH ATTACHMENTS LEFT
Gross
$25,786
SUP-779273
$16,624
TISSUE OVITEX 1S PERM 25X40CM
Gross
$25,576
SUP-876176
$16,554
ICD CRTD COBALT XT HF MRI IS1 DF1
Gross
$25,468
SUP-876175
$16,523
ICD CRTD COBALT XT HF MRI IS1 DF4
Gross
$25,420
SUP-892589
$16,507
DEVICE EMBOL PIPELINE FLEX 4.5X25MM
Gross
$25,396
SUP-892591
$16,507
DEVICE EMBOL PIPELINE FLEX 4.5X35MM
Gross
$25,396
SUP-226030
$16,505
ICD DYNAGEN EL DR DF4
Gross
$25,393
SUP-876173
$16,449
ICD CRTD COBALT XT HF QUAD MRI IS4 DF4
Gross
$25,306
SUP-226164
$16,419
VALE HEART INTUITY ELITE 19MM
Gross
$25,260
SUP-226165
$16,419
VALE HEART INTUITY ELITE 21MM
Gross
$25,260
SUP-873798
$16,171
DEFIB ICD BI VENT GALLANT HR CRT D
Gross
$24,879
SUP-984582
$16,159
DEFIBRILLATOR GALLANT BIPOLAR DF4 HF
Gross
$24,860
SUP-777722
$16,157
ALLOGRAFT CONDYLE LEFT FEMORAL LATERAL
Gross
$24,857
SUP-777721
$16,127
FEM HEMI CONDYLE LAT RT FRESH ASEPTIC
Gross
$24,810
SUP-876476
$16,111
EXCLUDER CONF TRNK ENDO 28.5X12MMX12CM 16F
Gross
$24,786
SUP-876470
$16,111
EXCLUDER CONF TRNK ENDO 20X12MMX12CM 15F
Gross
$24,786
SUP-224620
$16,090
STENT GRAFT RELY PLS 38/34X200 RELAY PLUS THORACIC
Gross
$24,754
SUP-229076
$15,900
BONE CHIP HEMICOND LAT RT REFRIGERATED
Gross
$24,462
SUP-224095
$15,897
VALVE AORTIC HEART 16MM CRYOPRESERVED
Gross
$24,457
SUP-226040
$15,731
ICD DYNAGEN CRT DF4
Gross
$24,202
SUP-226041
$15,415
ICD DYNAGEN G151
Gross
$23,715
SUP-892650
$15,398
DEVICE EMBOL PIPELINE FLEX 4.5X18MM
Gross
$23,690
SUP-876168
$15,304
ICD COBALT XT DR MRI IS1 DF1
Gross
$23,544
SUP-983045
$15,051
CATH ABL 115CM 8FR SPHERE-9
Gross
$23,155
Showing top 50 of 4,537 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.