SELBY GENERAL HOSPITAL

CCN 361319

45 CFR § 180 compliance
D · 65
This hospital published part 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
13,359
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

7462205
$92,102
TREMELIMUMAB 300MG/15ML
Gross
$153,504
5200493
$84,366
Insert Subq Defib W/Eltrd
Gross
$140,610
7403082
$80,601
IPILIMUMAB 200MG/40ML INJ
Gross
$134,335
7462197
$60,301
LONCASTUXIMAB TESIRINE 10 MG
Gross
$100,502
8412554
$54,120
Impella 5.0 Pump Set
Gross
$90,200
5200376
$53,251
Rplce Sl Crdvrtr Defib Pls Gen
Gross
$88,751
5200377
$53,251
Rplce Dl Crdvrtr Defib Pls Gen
Gross
$88,751
5200378
$53,251
Rmvl&Replace Cdpg Mult Leads
Gross
$88,751
0700297
$49,620
Ir Tib Per Revasc W/Stent S&I
Gross
$82,700
5600183
$47,966
Cath Fem/Popl Revas W/Stnt Bil
Gross
$79,943
5200295
$46,838
Ins Eltrd/Sngl/Dual Chamb Icd
Gross
$78,064
7400209
$44,893
KRYSTEXXA 8MG/ML
Gross
$74,822
8416657
$44,880
23Mm Resilia Heart Valve
Gross
$74,800
8416658
$44,880
26Mm Resilia Heart Valve
Gross
$74,800
8416659
$44,880
29Mm Resilia Heart Valve
Gross
$74,800
8413255
$44,049
Vns Therapy Sentiva Generator
Gross
$73,414
8413560
$42,900
29Mm Edwards Sap Heart Valve
Gross
$71,500
8413561
$42,900
26Mm Edwards Sap Heart Valve
Gross
$71,500
8413562
$42,900
23Mm Edwards Sap Heart Valve
Gross
$71,500
7461826
$41,430
Polatuzumab Vedotin 140mg
Gross
$69,049
5200305
$40,858
S/Dchamer Icd Implant Only
Gross
$68,097
5200619
$40,309
Tib/Per Revasc Stent & Ather
Gross
$67,181
5200620
$40,309
Tib/Per Revasc W/Ather
Gross
$67,181
8413492
$39,600
Aortic Valve Evolut Fx 34Mm
Gross
$66,000
8413498
$39,600
Aortic Valve Evolut Fx 29Mm
Gross
$66,000
8413499
$39,600
Aortic Valve Evolut Fx 26Mm
Gross
$66,000
8413500
$39,600
Aortic Valve Evolut Fx 23Mm
Gross
$66,000
8415412
$39,600
Evolutfx Plus Aortic Valve 34
Gross
$66,000
8415413
$39,600
Evolutfx Plus Aortic Valve 29
Gross
$66,000
8416645
$39,600
Evolutfx Plus Aortic Valve 26
Gross
$66,000
8416745
$39,600
Evolutfx Plus Aortic Valve 23
Gross
$66,000
5200375
$38,987
Insrt Dl Crdvrtr Defib Pls Gen
Gross
$64,979
5200630
$38,581
Fem/Popl Revasc Stnt & Ather
Gross
$64,301
5200638
$38,581
Tib/Per Revasc W/Stent
Gross
$64,301
7462107
$37,702
ULTOMIRIS 1,100 MG/11 ML
Gross
$62,836
8416764
$36,287
Pelvic Implant C25-0057
Gross
$60,478
1001001
$34,353
Arthrd Si Jt Prq Wo Tfxj Dev
Gross
$57,254
8407364
$33,000
Impella Cp Pump Set Abiomed
Gross
$55,000
8412552
$33,000
Impella Rp Us Pump Set
Gross
$55,000
7409114
$32,753
JEVTANA 60MG IV
Gross
$54,589
0700298
$31,977
Ir Fem Popl Revasc W/Stent S&I
Gross
$53,295
0700304
$31,977
Iliac Revasc W/Stent S&I
Gross
$53,295
7410469
$31,653
Ocrevus 300 mg/10 ml
Gross
$52,756
7462098
$30,909
PHESGO 1200MG - 30,000 UNIT
Gross
$51,515
8413404
$30,870
Generator Neuro Non-Recharge
Gross
$51,450
7462284
$29,177
CANAKINUMAB 150 MG/ML
Gross
$48,628
7410318
$28,964
LUPRON DEPOT 45 MG 6MO KIT 1
Gross
$48,274
5200500
$28,910
Insrt Pulse Gen W/Mult Leads
Gross
$48,184
8413200
$27,852
Nevro Ipg Senza Omnia Kit
Gross
$46,420
8413201
$27,123
Stent Graft Thoracic Cnfrm26M
Gross
$45,206
Showing top 50 of 13,359 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.