UT HEALTH EAST TEXAS JACKSONVILLE 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

10,590

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
SUP-150828	KIT AORTIC VALVE COMMANDER SAPIEN 3 ATRION 23 MM OD14 FR TRANSCATHETER INTRODUCER BALLOON CATHETER I	$97,500	$9,750	—	—	26
SUP-150829	KIT AORTIC VALVE COMMANDER SAPIEN 3 ATRION 26 MM OD14 FR TRANSCATHETER INTRODUCER CRIMPER INFLATION	$97,500	$9,750	—	—	26
SUP-150830	KIT AORTIC VALVE COMMANDER SAPIEN 3 ATRION 29 MM TRANSCATHETER BALLOON CATHETER CRIMPER INFLATION LO	$97,500	$9,750	—	—	26
SUP-150898	KIT AORTIC VALVE COMMANDER SAPIEN 3 20 MM OD14 FR TRANSCATHETER INTRODUCER BALLOON CATHETER CRIMPER	$97,500	$9,750	—	—	26
SUP-867110	GENERATOR NEUROSTIMULATOR VAGUS NERVE EPILEPSY	$91,914	$9,191	—	—	40
SUP-876034	REAMER SURGICAL SIMMETRY SACROILIAC JOINT FUSION SYSTEM	$90,000	$9,000	—	—	17
SUP-200396	SYS ICD EMBLEM MRI S	$83,364	$8,336	—	—	33
RX-41815	NM ISO Y-90 IBRITUMOMAB PER DOSE UP TO 40 MCI	$78,180	$7,818	—	—	34
SUP-165822	IMPELLA WITH SMARTASSIST	$75,000	$7,500	—	—	26
SUP-136973	KIT CATHETER IMPELLA CP 4.7 MM X 75 MM OD 14FR VENTRICULAR ASSIST IV SOLN GW INTRO CONN CBL STERILE	$75,000	$7,500	—	—	26
SUP-868201	DEFIBRILLATOR CARDIAC EMBLEM MRI S-ICD D12.7 MM W83.1 MM X H69.1 MM 130 GM	$73,500	$7,350	—	—	28
SUP-127987	SET BLOOD PUMP IMPELLA 2.5 NONROLLER AUTOMATE CONTROLLER STERILE LATEX FREE DISPOSABLE CARDIOPULMONA	$60,000	$6,000	—	—	26
SUP-844833	DEFIBRILLATOR CARDIAC EMBLEM MRI S-ICD D12.7 MM W83.1 MM X H69.1 MM 130 GM	$60,000	$6,000	—	—	37
SUP-186657	GRAFT VASCULAR ANGIOGRAFT 2 BRANCH L1 CM AORTA ILIAC DISTAL INFRARENAL ALLOGRAFT	$57,586	$5,759	—	—	40
SUP-135422	DEFIBRILLATOR CARDIAC EVERA XT DR 2 CHAMBER DF-1	$52,935	$5,294	—	—	9
SUP-875737	GENERATOR NEUROSTIMULATOR PROCLAIM ELITE THK1.34 CM 25.5-MA L1.95 IN X H2.19 IN 5 IMPLANTABLE PULSE	$52,500	$5,250	—	—	40
SUP-106850	DEFIBRILLATOR CARDIAC INOGEN EASYVIEW D.99 CM THIN W5.37 CM X H7.68 CM 31.5 CC 71 GM RIGHT ATRIUM RI	$48,882	$4,888	—	—	10
RX-172535	RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION	$46,020	$4,602	—	—	44
RX-11256	RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION	$45,127	$4,513	—	—	44
SUP-872493	DEVICE EMBOLIZATION PIPELINE FLEX L16 MM OD4 MM BRAID SOFT DISTAL TIP FULL RESHEATHABLE TRACKABLE ST	$41,700	$4,170	—	—	26
SUP-872492	DEVICE EMBOLIZATION PIPELINE FLEX L18 MM OD4.5 MM NEUROVASCULAR BRAID SOFT DISTAL TIP FULL RESHEATHA	$41,700	$4,170	—	—	26
SUP-80151	JOINT FINGER SILASTIC 20 INTERPHALANGEAL PROXIMAL BIOCOMPATIBLE	$41,625	$4,163	—	—	25
SUP-110798	DEFIBRILLATOR CARDIAC EVERA MRI XT DR SURESCAN PHYSIOCURVE TITANIUM POLYURETHANE SILICONE RUBBER D13	$40,050	$4,005	—	—	9
SUP-837194	SYSTEM DEFIB EVERA MRI S DR	$38,550	$3,855	—	—	5
SUP-835944	DEFIBRILLATOR CARDIAC VISIA AF MRI	$38,250	$3,825	—	—	37
SUP-850061	LEAD DEFIBRILLATOR MRI 5 TACHY ACCESSORY	$37,050	$3,705	—	—	35
SUP-137488	DEFIB ASSURA DR DC SYS 40Q	$36,543	$3,654	—	—	7
SUP-137492	DEFIB ELLIPSE DR DC SYS 36Q	$36,543	$3,654	—	—	6
SUP-874239	GRAFT STENT AFX2 2 BRANCH L40 MM L40 MM OD22 MM ODSEC13 MM MAIN BODY ILIAC LIMB STERILE LATEX FREE A	$36,297	$3,630	—	—	26
SUP-18261	VALVE AORTIC 25MM EDWARDS INTUITY ELITE STERILE LATEX FREE	$36,000	$3,600	—	—	26
SUP-18260	VALVE AORTIC 23MM EDWARDS INTUITY ELITE STERILE LATEX FREE	$36,000	$3,600	—	—	26
SUP-18259	VALVE AORTIC 21MM EDWARDS INTUITY ELITE STERILE LATEX FREE	$36,000	$3,600	—	—	26
SUP-18258	VALVE AORTIC 19MM EDWARDS INTUITY ELITE STERILE LATEX FREE	$36,000	$3,600	—	—	26
SUP-18262	VALVE AORTIC 27MM EDWARDS INTUITY ELITE STERILE LATEX FREE	$36,000	$3,600	—	—	26
SUP-856068	DEFIBRILLATOR CARDIAC VIGILANT HEARTLOGIC IMAGEREADY D.99 CM W5.37 CM X H7.68 CM 31 CC 71.4 GM RIGHT	$36,000	$3,600	—	—	13
SUP-137487	DEFIBRILLATOR CARDIAC FORTIFY ASSURA DR PARYLENE THK14 MM 40 J W40 MM X H74 MM 35 CC 76 GM 2 CHAMBER	$34,776	$3,478	—	—	9
SUP-113525	GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD10 MM ILIAC BRANCH COMPONENT AAA	$33,036	$3,304	—	—	26
SUP-109908	GRAFT ENDOVASCULAR GORE EXCLUDER L10 CM OD12 MM ILIAC BRANCH COMPONENT AAA	$33,036	$3,304	—	—	26
SUP-103429	GRAFT STENT GORE EXCLUDER L10 CM OD14.5 MM ILIAC AAA	$33,036	$3,304	—	—	26
SUP-164552	NEUROSTIMULATOR IMPLANTABLE INTERSTIM II THK.3 IN 10-14HZ 0-4V L2 IN X H1.7 IN 14 ML 22 GM SACRAL NE	$32,625	$3,263	—	—	40
SUP-31954	NEUROSTIMULATOR IMPLANTABLE 2INX1.7IN INTERSTIM II THK.3IN 10-14HZ SACRAL NERVE 4 ELECTRODE LEAD 1 S	$32,625	$3,263	—	—	40
SUP-147066	GRAFT ENDOVASCULAR GORE EXCLUDER C3 EPTFE NITINOL L13 CM OD31 MM ODSEC14.5 MM ID27-29 MM IDSEC12-13.	$32,466	$3,247	—	—	26
SUP-147528	GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L16 CM OD26 MM ODSEC12 MM ID22-23 MM IDSEC10-11 MM	$32,466	$3,247	—	—	26
SUP-147530	GRAFT ENDOVASCULAR GORE EXCLUDER C3 EPTFE NITINOL L14 CM OD26 MM ODSEC14.5 MM ID22-23 MM IDSEC12-13.	$32,466	$3,247	—	—	26
SUP-147532	GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L18 CM OD26 MM ODSEC14.5 MM ID22-23 MM IDSEC12-13.	$32,466	$3,247	—	—	26
SUP-147535	GRAFT ENDOVASCULAR GORE EXCLUDER NITINOL EPTFE L16 CM OD28.5 MM ODSEC14.5 MM TRUNK IPSILATERAL LEG C	$32,466	$3,247	—	—	26
SUP-147536	GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L18 CM OD28.5 MM ODSEC14.5 MM ID24-26 MM IDSEC12-1	$32,466	$3,247	—	—	26
SUP-147529	GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L12 CM OD26 MM ODSEC14.5 MM ID22-23 MM IDSEC12-13.	$32,466	$3,247	—	—	26
SUP-147525	GRAFT ENDOVASCULAR GORE EXCLUDER C3 NITINOL EPTFE L12 CM OD23 MM ODSEC14.5 MM ID19-21 MM IDSEC12-13.	$32,466	$3,247	—	—	26
SUP-147524	GRAFT ENDOVASCULAR EXCLUDER C3 NITINOL EPTFE L16 CM OD23 MM ODSEC12 MM TRUNK IPSILATERAL LEG AAA	$32,466	$3,247	—	—	26

Showing top 50 of 10,590 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.