PRISMA HEALTH BAPTIST — Hospital Ledger

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

3,515

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
RX-116024	GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION	$166,534	$108,247	—	—	85
PX-2780001167	HC Remede System 1600	$158,125	$102,781	—	—	39
PX-3613824000	HC Hpc Allogeneic	$147,856	$96,106	—	—	82
PX-2750001605	HC Aveir Ntap C1605	$118,705	$77,158	—	—	49
SUP-S3URCM26A	VALVE SAPIEN 3 ULTRA RESILIA 26MM (S3URCM26A 236488)	$93,500	$60,775	—	—	32
SUP-S3URCM29A	VALVE SAPIEN 3 ULTRA RESILIA 29MM (S3URCM29A 236489)	$93,500	$60,775	—	—	32
RX-212252	INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN	$92,124	$59,881	—	—	85
SUP-S3USTA126A	TRANSCATH ULTRA S3 26MM (S3USTA126A 236604)	$89,375	$58,094	—	—	32
PX-4813323100	HC Ins Cardio-Defib Gener W/M	$87,540	$56,901	—	—	83
SUP-EVOLUTPRO-29-US	EVOLUTPRO 29MM (EVOLUTPRO-29-US 146167)	$82,500	$53,625	—	—	32
PX-4800408000	HC Insj/Rplc Cardiac Modulj Sys	$80,154	$52,100	—	—	87
PX-3613322400	HC Ins Electrode to Prev Pacemaker/Generator	$78,541	$51,052	—	—	93
PX-3613322500	HC Ins Electrode Defibrillator/ Pacemaker	$78,541	$51,052	—	—	42
RX-165895	SILDENAFIL (PULMONARY HYPERTENSION) 10 MG/ML ORAL POWDR FOR SUSPENSION	$73,872	$48,017	—	—	64
PX-3613320800	HC Ins New/ Repl Perm Pacemaker a/V	$58,509	$38,031	—	—	83
SUP-G47444	ENDO ZEN DIS P 28-82 (G47444 158082)	$53,426	$34,727	—	—	32
SUP-G47439	ENDO ZEN DIS P 24-79 (G47439 158078)	$53,426	$34,727	—	—	32
SUP-G47462	ENDO ZEN DIS P 40-83 (G47462 158100)	$53,426	$34,727	—	—	32
SUP-G47457	ENDO ZEN DIS P 38-154 (G47457 158098)	$53,426	$34,727	—	—	32
SUP-G47475	ENDO ZEN DIS PT 36-32-199 (G47475 158111)	$53,426	$34,727	—	—	32
SUP-G47440	ENDO ZEN DIS P 26-136 (G47440 158081)	$53,426	$34,727	—	—	32
SUP-G47481	ENDO ZEN DIS PDT 38-30-199 (G47481 158125)	$53,426	$34,727	—	—	32
SUP-G47479	ENDO ZEN DIS PT 38-34-204 (G47479 158113)	$53,426	$34,727	—	—	32
SUP-G47471	ENDO ZEN DIS PT 34-30-199 (G47471 158109)	$53,426	$34,727	—	—	32
SUP-G47472	ENDO ZEN DIS PDT 34-26-156 (G47472 158120)	$53,426	$34,727	—	—	32
SUP-G47436	ENDO ZEN DIS P 22-117 (G47436 158077)	$53,426	$34,727	—	—	32
SUP-G47470	ENDO ZEN DIS PT 34-30-159 (G47470 158108)	$53,426	$34,727	—	—	32
SUP-G47473	ENDO ZEN DIS PDT 34-26-194 (G47473 158121)	$53,426	$34,727	—	—	32
SUP-G47487	ENDO ZEN DIS PT 42-38-210 (G47487 158117)	$53,426	$34,727	—	—	32
SUP-G47464	ENDO ZEN DIS P 42-218 (G47464 158105)	$53,426	$34,727	—	—	32
SUP-G47466	ENDO ZEN DIS PT 32-28-162 (G47466 158106)	$53,426	$34,727	—	—	32
RX-235680	ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION	$53,016	$34,460	—	—	85
PX-3613723100	HC Revsc Tibl Prnl W/Stent & Arth	$51,721	$33,619	—	—	40
PX-4819365300	HC Ep Eval & Ablate Svt Arrhyt	$51,165	$33,257	—	—	83
PX-4810795000	HC Tcat Ins 2chmbr Ldls Pm Cmpl	$50,062	$32,540	—	—	92
PX-2720001417	HC Oxygenator Centrimag Precon Pack for Cpb Perfusion	$49,913	$32,443	—	—	32
SUP-VAMF2626C100TU	ENDO VALIANT PM 26X26X100 (VAMF2626C100TU C28242)	$48,839	$31,746	—	—	32
SUP-TF3838C159CP	ENDO CAPT PM 38X38X159 (TF3838C159CP C22846)	$48,778	$31,706	—	—	32
SUP-G125	ICD MOMENTUM CRT-D DF1 (G125 148800)	$46,888	$30,477	—	—	32
PX-3613729300	HC Revsc Evasc Tpvt St Athrc Uni Sf Les Ea Addl Vsl	$46,822	$30,434	—	—	34
PX-3613728500	HC Revsc Evasc Tpvt St Sf Ea Add Vsl	$46,822	$30,434	—	—	34
PX-3613728600	HC Revsc Evasc Tpvt St Cplx 1st Vsl	$46,822	$30,434	—	—	77
PX-3613727600	HC Revsc Evasc Fpvt St Athrc Uni Sf Les Ea Addl Vsl	$46,822	$30,434	—	—	34
PX-3613728800	HC Revsc Evsc Tpvt Athrc Sf 1st Vsl	$46,822	$30,434	—	—	77
PX-3613727800	HC Revsc Evsc Fpvt St Athrc Uni Cplx Les Ea Add Vsl	$46,822	$30,434	—	—	34
SUP-VAMC2626B100TU	ENDO VALIANT OP 26X26X100 (VAMC2626B100TU C28230)	$46,684	$30,345	—	—	32
PX-3613722700	HC Fem/Popl Revasc Stnt & Ather	$46,087	$29,957	—	—	41
PX-3613320700	HC Ins New/ Repl Pacemaker Ventric	$45,742	$29,732	—	—	83
PX-3613718400	HC Prim Perc Thromb Init Vessel\|BILATERAL PROCEDURE	$44,892	$29,180	—	—	2
PX-4810960000	HC Perc Drug-El Cor Stent Sgl	$44,208	$28,735	—	—	93

Showing top 50 of 3,515 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.