GOOD SAMARITAN MEDICAL CENTER

CCN 220111

45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
36,999
Insurances with rates
28
CPT / HCPCS codes
0
Source MRF
File last updated: 2026-03-13 (per the hospital's file)
Retrieved: 2026-11-03

Most expensive procedures (gross)

SUP-1000100
$45,943
Impella 5.5 Smartassist S2 Set Us; MKOR: NONE, MPOR: C184000
Gross
$102,096
SUP-98142
$39,934
Tunneler Surg 2Mm Symm Vns Therapy Kit Model Vasc Strl Lf; MKOR: NONE, MPOR: NONE
Gross
$88,742
SUP-1000
$38,990
Vns Sentiva Generator 1000; MKOR: NONE, MPOR: NONE
Gross
$86,645
SUP-S3URCM20A
$34,713
Valve Aortic 20Mm Sapien 3 Ultra Resilia Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$77,139
SUP-S3URCM23A
$34,713
Valve Aortic 23Mm Sapien 3 Ultra Resilia Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$77,139
SUP-S3URCM26A
$34,713
Valve Aortic 26Mm Sapien 3 Ultra Resilia Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$77,139
SUP-S3URCM29A
$34,713
Valve Aortic 29Mm Sapien 3 Ultra Resilia Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$77,139
SUP-9600CM23A
$33,181
KIT AORTIC VALVE COMMANDER * VLV AOR 23MM EDWRD SAPIEN 3
Gross
$73,736
SUP-9600CM26A
$33,181
KIT AORTIC VALVE COMMANDER * VLV AOR 26MM EDWRD SAPIEN 3
Gross
$73,736
SUP-9600CM29A
$33,181
KIT AORTIC VALVE COMMANDER @@@ Valve Aortic 29Mm Sapien 3 Xenograft Transcath; MKOR: NONE, MPOR: NON
Gross
$73,736
SUP-9600CM20A
$33,181
Vlv Aor 20Mm Edwrd Sapien 3; MKOR: NONE, MPOR: NONE
Gross
$73,736
SUP-S3USTA123A
$33,181
Valve Aortic 23Mm Sapien 3 Ultra; MKOR: NONE, MPOR: NONE
Gross
$73,736
SUP-S3USTA126A
$33,181
Valve Heart 26Mm Sapien 3 Ultra Transcatheter Aortic U.S; MKOR: NONE, MPOR: NONE
Gross
$73,736
SUP-9600CT20A
$33,181
KIT AORTIC VALVE @@@ Valve Heart 20Mm Certitude Transcatheter Aortic Stent-Like; MKOR: NONE, MPOR: N
Gross
$73,736
SUP-9600CT23A
$33,181
KIT AORTIC VALVE @@@ Kit Aor Vlv 18Fr Certitude; MKOR: NONE, MPOR: NONE
Gross
$73,736
SUP-9600CT26A
$33,181
KIT AORTIC VALVE @@@ Valve Heart 26Mm Certitude Transcatheter Aortic Stent-Like; MKOR: NONE, MPOR: N
Gross
$73,736
SUP-9600CT29A
$33,181
KIT AORTIC VALVE @@@ Valve Heart 29Mm Certitude Transcatheter Aortic Stent-Like; MKOR: NONE, MPOR: N
Gross
$73,736
SUP-S3UCM223A
$33,181
Valve Aortic 23Mm Sapien 3 Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$73,736
SUP-S3UCM226A
$33,181
Valve Aortic 26Mm Sapien 3 Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$73,736
SUP-S3UCM220A
$33,181
Valve Aortic 20Mm Sapien 3 Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$73,736
SUP-MCG40100
$30,629
Mitraclip G4 System; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVFXPLUS-23
$30,629
Heart Aortic 23Mm Evolut Fx Transcatheter Xenograft Strl Tav; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVFXPLUS-26
$30,629
Heart Aortic 26Mm Evolut Fx Transcatheter Xenograft Strl Tav; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVFXPLUS-29
$30,629
Heart Aortic 29Mm Evolut Fx Transcatheter Xenograft Strl Tav; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVFXPLUS-34
$30,629
Heart Aortic 34Mm Evolut Fx Transcatheter Xenograft Strl Tav; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVOLUTFX-23
$30,629
Valve Aortic 23Mm Evolut Fx Xenograft; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVOLUTFX-26
$30,629
Valve Aortic 26Mm Evolut Fx Xenograft; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVOLUTFX-29
$30,629
Valve Aortic 29Mm Evolut Fx Xenograft; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVOLUTFX-34
$30,629
Valve Aortic 34Mm Evolut Fx Xenograft; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-SGC0701
$30,629
Catheter Guide 24Fr Mitraclip Strl Disp; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVOLUTPRO-23-US
$30,629
Valve Aortic 23Mm Evolut Pro Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVOLUTPRO-26-US
$30,629
Valve Aortic 26Mm Evolut Pro Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVOLUTPRO-29-US
$30,629
Valve Aortic 29Mm Evolut Pro Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVOLUTR-23-US
$30,629
Valve Aortic 23Mm Evolut R Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVOLUTR-26-US
$30,629
Valve Aortic 26Mm Evolut R Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVOLUTR-29-US
$30,629
Valve Aortic 29Mm Evolut R Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVOLUTR-34-US
$30,629
Valve Aortic 34Mm Evolut R Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVPROPLUS-23US
$30,629
Valve Aortic 23Mm Evolut Pro Plus Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVPROPLUS-26US
$30,629
Valve Aortic 26Mm Evolut Pro Plus Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVPROPLUS-29US
$30,629
Valve Aortic 29Mm Evolut Pro Plus Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-EVPROPLUS-34US
$30,629
Valve Aortic 34Mm Evolut Pro Plus Xenograft Transcath; MKOR: NONE, MPOR: NONE
Gross
$68,064
SUP-B35300
$30,578
Ins B35300 Dbs Percept Rc Us Emanual; MKOR: NONE, MPOR: NONE
Gross
$67,951
SUP-8103
$30,368
Vns Symmetry Generator 8103; MKOR: NONE, MPOR: NONE
Gross
$67,485
SUP-103
$30,118
VNS 103 DEMIPULSE GENERATOR @@@ Generator Stimulation Vns Ther Demipulse Mdl 103 Gentr Elc; MKOR: NO
Gross
$66,930
PX-64654001
$29,693
HC 1st Opn Implt Bat Modulj Sys
Gross
$65,985
SUP-DTPA2QQ
$28,249
Defib Cardiac Df4 Surescan Therapy Resynch Strl Crtd Cblt Xt; MKOR: NONE, MPOR: NONE
Gross
$62,775
SUP-9771CLS
$27,566
Kit Inceptiv Surgical Paddle System; MKOR: NONE, MPOR: NONE
Gross
$61,258
SUP-1000323
$27,566
Impella Rp Flex W Smart Assist Set, Us; MKOR: NONE, MPOR: NONE
Gross
$61,258
SUP-104
$26,852
VNS 104 DUAL PIN GENERATOR @@@ Generator Stimulation Vns Ther Demipulse Duo Mdl 104 Gentr; MKOR: NON
Gross
$59,672
SUP-37612
$26,749
System Stimulation Activa Rc Elc Brain Dp S Disp Ins 37612; MKOR: NONE, MPOR: NONE
Gross
$59,443
Showing top 50 of 36,999 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.