UT HEALTH EAST TEXAS JACKSONVILLE HOSPITAL

CCN 450194

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
31
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

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