SAMARITAN HOSPITAL

CCN 500033

45 CFR § 180 compliance
F · 50
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
7,967
Insurances with rates
0
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

Rx50242008527
—
Gross
$32,728
Rx64764030020
—
Gross
$27,947
Sx00-5850-042
—
FEM SEG DIST SB 00-5850-042-01
Gross
$20,480
Rx00310173030
—
Gross
$19,973
Sx00-5994-016
—
FEM NEX F-RT 00-5994-016-92
Gross
$19,008
Sx00-5994-015
—
NEX FEM E RT 00-5994-015-92
Gross
$18,098
Sx05994-17-92
—
FEM KNEE SZG RT 5994-17-92
Gross
$17,230
Rx55513019001
—
Gross
$16,043
Sx0000247.349
—
PLATE COND 2.0MM 7H 247.349
Gross
$15,980
Rx00597019705
—
Gross
$15,967
Sx4922-9-940S
—
EXFIX HOFFMAN 4922-9-940S
Gross
$15,807
Rx50633012011
—
Gross
$14,834
Rx50242012047
—
Gross
$13,934
Rx44206043940
—
Gross
$13,762
Sx00130708110
—
DXTEND MBLOCK HUM LG 130708110
Gross
$13,660
Rx50242012001
—
Gross
$13,594
Rx50633011111
—
Gross
$12,828
Sx06276-1-119
—
CONE REST MOD 19+10 6276-1-119
Gross
$12,504
Rx50633011012
—
Gross
$11,957
Sx0000DWF612B
—
STEM ASC LONG DWF612B
Gross
$11,935
Sx00-5880-003
—
HINGE TIB 3 00-5880-003-02
Gross
$11,812
Sx00-5450-013
—
TIB RT LG 51X34 00-5450-013-52
Gross
$11,770
Sx00-5450-017
—
FEM SM RT 30 00-5450-017-31
Gross
$11,770
Sx00-5852-050
—
STEM SEG 10X130 00-5852-050-10
Gross
$11,266
Sx00001201020
—
MESH PHASIX ST 10X20CM 1201020
Gross
$11,130
Sx03125-1200S
—
NAIL TROCHANTERIC 11X200X125DEG 3125-1200S
Gross
$10,837
Sx06276-7-115
—
STEM CON 15X195 6276-7-115
Gross
$10,675
Sx00-4348-110
—
STEM HUM 10X130 00-4348-110-13
Gross
$10,529
Rx65757040303
—
Gross
$10,277
Sx00062101002
—
LMH SZ 2 62101002
Gross
$10,256
Rx50474070062
—
Gross
$10,148
Sx00-4349-008
—
STEM HUMERAL 8 00-4349-008-13
Gross
$10,135
Sx00-4349-014
—
STEM REV 14X130 00-4349-014-13
Gross
$10,135
Sx00-4349-012
—
STEM TM 12X130 00-4349-012-13
Gross
$10,135
Sx00-4349-010
—
STEM HUM REV 10 00-4349-010-13
Gross
$10,135
Sx00-4349-018
—
STEM REV 18X130 00-4349-018-13
Gross
$10,135
Sx00-4349-016
—
STEM HUM 16MM 00-4349-016-13
Gross
$10,135
Sx0000DWF605B
—
STEM TORNIER HUM 5B DWF605B
Gross
$10,135
Sx0000DWF603B
—
STEMSIZE FLEX STAND 3B DWF603B
Gross
$9,862
Px00036010371
—
HC PAIN ROOM SERVICES LEVEL 6
Gross
$9,815
Sx00157003110
—
STEM SUMMIT SZ5 ST 157003110
Gross
$9,771
Sx1570-03-120
—
STEM SUMMIT SZ6 STD 157003120 DEPUY SUMMIT HIP
Gross
$9,627
Rx00944270013
—
Gross
$9,508
Sx02.104.014S
—
PLATE HUM RT 14H 02.104.014S
Gross
$9,442
Sx000456.480S
—
NAIL 12MM 456.480S
Gross
$9,111
Sx00000095471
—
BAHA 5 POWER PK 95471
Gross
$8,898
Sx000AFLEX301
—
DERMIS DECELL AFLEX301
Gross
$8,572
Rx00944270007
—
Gross
$8,552
Sx00000014078
—
HYDRO BONE 10CC 397010
Gross
$8,494
Sx000AFLEX201
—
DERMIS DECELL AFLEX201
Gross
$8,479
Showing top 50 of 7,967 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.