SAMARITAN PACIFIC COMMUNITY HOSPITAL

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

9,533

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
27500006-9199	HC SINGLE CHAMBER ICD	$67,000	$53,600	—	—	21
27500001-10195	HC BI V W DEFIRBRILLATOR	$53,800	$43,040	—	—	21
27500006-9189	HC SINGLE CHAMBER ICD	$52,000	$41,600	—	—	21
27500006-9204	HC SINGLE CHAMBER ICD	$51,000	$40,800	—	—	21
27500001-10192	HC BI V W DEFIRBRILLATOR	$45,200	$36,160	—	—	21
27000674-10354	HC NEUROSTIMULATOR PT PROGRAMMER	$44,628	$35,702	—	—	21
27500001-10186	HC BI V W DEFIRBRILLATOR	$43,200	$34,560	—	—	21
27500001-10196	HC BI V W DEFIRBRILLATOR	$43,000	$34,400	—	—	21
27500007-10668	HC ICD OTHER THAN SNGL OR DUAL CHAMBER	$43,000	$34,400	—	—	21
27500001-10194	HC BI V W DEFIRBRILLATOR	$42,500	$34,000	—	—	21
27500007-10667	HC ICD OTHER THAN SNGL OR DUAL CHAMBER	$42,500	$34,000	—	—	21
27500001-10191	HC BI V W DEFIRBRILLATOR	$42,000	$33,600	—	—	21
27500006-9203	HC SINGLE CHAMBER ICD	$41,000	$32,800	—	—	21
27000593-11389	HC INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD), PER SQ CM	$40,834	$32,667	—	—	21
27500001-10187	HC BI V W DEFIRBRILLATOR	$40,424	$32,339	—	—	21
27500001-10188	HC BI V W DEFIRBRILLATOR	$40,000	$32,000	—	—	21
27500006-9206	HC SINGLE CHAMBER ICD	$40,000	$32,000	—	—	21
27500006-9188	HC SINGLE CHAMBER ICD	$39,270	$31,416	—	—	21
27800031-5513	HC GRAFT VASCULAR	$38,108	$30,486	—	—	21
27500001-10189	HC BI V W DEFIRBRILLATOR	$38,000	$30,400	—	—	21
27500001-10197	HC BI V W DEFIRBRILLATOR	$36,808	$29,446	—	—	21
27500008-11111	HC CARDIAC RESYNCHRONIZATION THERAPY DEFIB (CRT-D)	$36,808	$29,446	—	—	21
27800031-5516	HC GRAFT VASCULAR	$36,656	$29,325	—	—	21
27500006-9201	HC SINGLE CHAMBER ICD	$36,400	$29,120	—	—	21
27500001-10190	HC BI V W DEFIRBRILLATOR	$36,000	$28,800	—	—	21
27500003-9382	HC DUAL CHAMBER ICD	$36,000	$28,800	—	—	21
27500008-11112	HC CARDIAC RESYNCHRONIZATION THERAPY DEFIB (CRT-D)	$36,000	$28,800	—	—	21
27500003-9390	HC DUAL CHAMBER ICD	$34,632	$27,706	—	—	21
27500003-9394	HC DUAL CHAMBER ICD	$34,600	$27,680	—	—	21
27500003-9387	HC DUAL CHAMBER ICD	$34,560	$27,648	—	—	21
27500007-10671	HC ICD OTHER THAN SNGL OR DUAL CHAMBER	$34,400	$27,520	—	—	21
27500008-11110	HC CARDIAC RESYNCHRONIZATION THERAPY DEFIB (CRT-D)	$34,400	$27,520	—	—	21
27500006-9198	HC SINGLE CHAMBER ICD	$34,000	$27,200	—	—	21
27500003-9388	HC DUAL CHAMBER ICD	$33,600	$26,880	—	—	21
27500007-10669	HC ICD OTHER THAN SNGL OR DUAL CHAMBER	$32,684	$26,147	—	—	21
27800029-3516	HC GRAFT	$31,750	$25,400	—	—	21
27500008-11113	HC CARDIAC RESYNCHRONIZATION THERAPY DEFIB (CRT-D)	$31,600	$25,280	—	—	21
27800029-3474	HC GRAFT	$31,600	$25,280	—	—	21
27500003-9384	HC DUAL CHAMBER ICD	$31,500	$25,200	—	—	21
27800029-3515	HC GRAFT	$31,000	$24,800	—	—	21
27800052-10205	HC MESH PERMACOL	$30,437	$24,350	—	—	21
27500006-9190	HC SINGLE CHAMBER ICD	$30,240	$24,192	—	—	21
27800029-3504	HC GRAFT	$30,240	$24,192	—	—	21
27800031-5512	HC GRAFT VASCULAR	$30,044	$24,035	—	—	21
27500003-9396	HC DUAL CHAMBER ICD	$30,000	$24,000	—	—	21
27800054-5180	HC NAIL BONE	$29,458	$23,566	—	—	21
27500003-9391	HC DUAL CHAMBER ICD	$29,200	$23,360	—	—	21
27500003-9385	HC DUAL CHAMBER ICD	$29,000	$23,200	—	—	21
27500007-10670	HC ICD OTHER THAN SNGL OR DUAL CHAMBER	$28,900	$23,120	—	—	21
27800021-6811	HC COMPONENT FEMORAL	$28,830	$23,064	—	—	21

Showing top 50 of 9,533 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.