HOLY CROSS HOSPITAL-JORDAN VALLEY

45 CFR § 180 compliance

F · 55

This hospital published little 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

2,785

Insurances with rates

CPT / HCPCS codes

2,417

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
C1767	HC IMPLANT NEUROSTIM GENERATOR	$127,019	$50,808	—	—	14
33240	HC INSERT GENERATOR ONLY (ICD) TO EXISTING SINGLE LEAD	$85,551	$34,220	—	—	14
37227	HC REVASC ARTERIAL FEM/POP W ATHERECT & STENT W/WO ANGIOPLAS	$82,610	$33,044	—	—	27
L8614	HC IMPLANT ENT/PLAST COCH	$77,073	$30,829	—	—	14
C1820	HC IMPLANT NEUROSTM GEN RECHRG	$74,198	$29,679	—	—	14
37229	HC REVASC ARTERIAL TIB/PER W ATHERECT W/WO ANGIOPLAS INITIAL VES	$71,550	$28,620	—	—	14
A9543	Y-90 ZEVALIN	$70,810	$28,324	—	—	14
J7311	FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT	$66,588	$26,635	—	—	27
93656	HC COMP EP EVAL W PV ISO ABL	$61,625	$24,650	—	—	27
C9603	HC COR ATHERECTOMY & DRUG-ELUTING STENT ADD'L VES	$60,008	$24,003	—	—	14
C9608	HC COR REVASC CHRONIC OCC DRUG-ELUTING STENT/PTA/ATHERECT ADDL VES	$54,789	$21,916	—	—	28
33270	HC INSERT/REPLACE (SICD) SUBCUTANEOUS ICD SYSTEM	$52,797	$21,119	—	—	27
J9298	NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION	$50,864	$20,345	—	—	27
37230	HC REVASC ARTERIAL TIB/PER W STENT W/WO ANGIOPLAS INITIAL VES	$50,562	$20,225	—	—	14
37236	HC PLC STENT ART W/WO ANPL INI	$50,143	$20,057	—	—	14
37244	HC EMBO HEMORG/LYMPH TRAUMA	$48,620	$19,448	—	—	27
37226	HC REVASC ARTERIAL FEM/POP W STENT W/WO ANGIOPLAS	$47,700	$19,080	—	—	14
C9600	HC COR STENT DRUG ELUTING CORONARY INITIAL MAJOR VESSEL	$42,866	$17,146	—	—	27
C1786	HC IMPLANT PACER SINGLE RR	$38,050	$15,220	—	—	14
J9022	ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION	$37,121	$14,848	—	—	14
J2329	UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION	$36,654	$14,662	—	—	14
C9364	PERMACOL SQ CM	$36,000	$14,400	—	—	14
93580	HC CLOSURE ATRIAL SEPTAL DEFECT/ASD/PFO/FONTAN FENESTATRTION WITH IMPLANT	$34,832	$13,933	—	—	14
A9604	SAMARIUM-153 LEXIDRONAM	$34,493	$13,797	—	—	41
93653	HC COMP EP EVAL W SVT ABL	$34,427	$13,771	—	—	27
37222	HC REVASC ARTERIAL ILIAC W ANGIOPLASTY ADDL VES	$33,701	$13,480	—	—	14
33210	HC INSERT/REPLACE TEMPORARY PACEMAKER SINGLE CHAMBER LEAD OR CATHETER	$31,396	$12,558	—	—	27
J1930	LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE	$30,646	$12,258	—	—	14
93596	HC RT & LT HEART CATH CONGENITAL NORMAL NATIVE CONNECTIONS	$30,402	$12,161	—	—	14
33217	HC INSERT LEAD ONLY 2 LEAD TO EXISTING ICD/PACEMAKER GENERATOR	$28,798	$11,519	—	—	13
J9217	LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT	$28,617	$11,447	—	—	27
J0475	BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION	$28,354	$11,342	—	—	14
33211	HC INSERT/REPLACE TEMPORARY PACEMAKER DUAL CHAMBER LEADS	$27,862	$11,145	—	—	14
J3101	TENECTEPLASE 50 MG INTRAVENOUS (SO)	$26,599	$10,639	—	—	54
J0180	AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION	$26,092	$10,437	—	—	27
J9308	RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION	$24,994	$9,998	—	—	27
J9307	PRALATREXATE 20 MG/ML (1 ML) INTRAVENOUS SOLUTION	$23,756	$9,503	—	—	14
37187	HC THROMB VENOUS W FLUORO	$23,619	$9,448	—	—	27
92921	HC COR ANGIOPLASTY CORONARY SINGLE MAJOR ADDL BRANCH	$23,436	$9,374	—	—	28
36907	HC ANGIOPLASTY DIALYSIS CURCUIT PTA CENTRAL SEGMENT	$22,544	$9,018	—	—	37
37228	HC REVASC ARTERIAL TIB/PER W ANGIOPLASTY INITIAL VES	$22,467	$8,987	—	—	27
J2506	PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR	$22,463	$8,985	—	—	14
64555	HC PERC IMPLNT NEUROSTIM ARRAY, PERIPH NERVE	$22,067	$8,827	—	—	14
J9332	EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION	$21,242	$8,497	—	—	27
33225	HC INSERT LEAD ONLY BIV/LT VENT LEAD AT TIME OF INSRT/REPL ICD/PACE GEN	$20,925	$8,370	—	—	23
36224	HC CATH PLC INTERNAL CAR	$19,759	$7,904	—	—	14
93593	HC RT HEART CATH CONGENITAL NORMAL NATIVE CONNECTIONS	$19,628	$7,851	—	—	27
93595	HC LEFT HEART CATH CONGENITAL NORMAL OR ABNORMAL NATIVE CONNECTION	$19,628	$7,851	—	—	14
J1561	IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN	$19,552	$7,821	—	—	27
J9271	PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION	$19,451	$7,781	—	—	14

Showing top 50 of 2,785 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.