EVERGREENHEALTH MEDICAL CENTER

CCN 500124

45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
3,470
Insurances with rates
23
CPT / HCPCS codes
3,335
Source MRF
File last updated: 2026-06-29 (per the hospital's file)
Retrieved: 2026-11-06

Most expensive procedures (gross)

3440000001
$5,455,618
RADIUM RA 223 DICHLORIDE 30 MCCI/ML IV SOLN
Gross
$6,819,522
C9293
$190,934
GLUCARPIDASE 1000 UNITS IV SOLR
Gross
$238,667
J9281
$102,759
MITOMYCIN (WITH HYDROGEL) 2 X 40 MG UL KIT
Gross
$128,449
J2350
$96,194
OCRELIZUMAB 300 MG/10ML IV SOLN
Gross
$120,243
J9050
$91,702
CARMUSTINE 100 MG IV SOLR
Gross
$114,627
J3241
$79,588
TEPROTUMUMAB-TRBW 500 MG IV SOLR
Gross
$99,485
64568
$67,837
HC Opn Impltj Crnl Nrv Nea&Pg
Gross
$84,796
61891
$54,546
HC Rev/Rplcmt Sk-Mnt Crnl Nstm
Gross
$68,182
61635
$50,386
HC Intracranial Balloon Angioplsty W/Stent
Gross
$62,983
61624
$50,386
HC Perm Occlusion/Embolization,Percut,Cns
Gross
$62,983
J2329
$49,078
UBLITUXIMAB-XIIY 150 MG/6ML IV SOLN
Gross
$61,348
0795T
$44,735
HC Tcat Ins 2chmbr Ldls Pm Cmpl
Gross
$55,919
J3380
$44,657
VEDOLIZUMAB 300 MG IV SOLR
Gross
$55,821
37227
$44,358
HC Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy
Gross
$55,448
37231
$44,358
HC Revsc Opn/Prq Tib/Pero W/Stnt/Athr/Angiop Sm Vsl
Gross
$55,448
93580
$42,575
HC Cath Perc Clos,Cong Interatrial Commun W/Impl
Gross
$53,219
37271
$42,575
HC Revsc Evsc Fpvt Athrc Sf 1st
Gross
$53,219
37273
$42,575
HC Revsc Evsc Fpvt Athrc Cplx 1
Gross
$53,219
37275
$42,575
HC Rvsc Evsc Fpvt St Athrc Sf 1
Gross
$53,219
37277
$42,575
HC Rvsc Evsc Fpvt St Athr Cpx 1
Gross
$53,219
37288
$42,575
HC Revsc Evsc Tpvt Athrc Sf 1st
Gross
$53,219
37290
$42,575
HC Revsc Evsc Tpvt Athrc Cplx 1
Gross
$53,219
37284
$42,575
HC Revsc Evasc Tpvt St Sf 1st
Gross
$53,219
37286
$42,575
HC Revsc Evasc Tpvt St Cplx 1st
Gross
$53,219
37292
$42,575
HC Rvsc Evsc Tpvt St Athrc Sf 1
Gross
$53,219
37294
$42,575
HC Rvsc Evsc Tpvt St Athr Cpx 1
Gross
$53,219
92930
$42,575
HC Prq Tcat Plmt Ntrac St 2+Les
Gross
$53,219
C9766
$39,973
HC Revasc Intra Lithotrip-Ather
Gross
$49,966
C9767
$39,973
HC Revasc Lithotrip-Stent-Ather
Gross
$49,966
C9773
$39,973
HC Revasc Lithotr-Stent Tib/Per
Gross
$49,966
C9774
$39,973
HC Revasc Lithotr-Ather Tib/Per
Gross
$49,966
C9775
$39,973
HC Revasc Lith-Sten-Ath Tib/Per
Gross
$49,966
C9765
$39,973
HC Revasc Intra Lithotrip-Stent
Gross
$49,966
J3101
$39,046
TENECTEPLASE 50 MG IV KIT (MI OR PE SCA - MAIN RX PREP)
Gross
$48,808
C2616
$38,803
YTTRIUM-90 SIRSPHERES
Gross
$48,504
37215
$38,390
HC Tcat IV Stent Crv Crtd Art Embolic Protecj
Gross
$47,987
37216
$38,390
HC Tcat IV Stent Crv Crtd Art W/O Embolic Protecj
Gross
$47,987
J0775
$37,876
COLLAGENASE CLOSTRID HISTOLYT 0.9 MG IJ SOLR
Gross
$47,345
J7192
$37,217
ANTIHEMOPHIL FACTOR (RAHF-PFM) 4000 UNITS IV SOLR
Gross
$46,521
0238T
$36,398
HC Trluml Peripheral Atherectomy Iliac Artery Ea
Gross
$45,497
36906
$35,097
HC Perq Thrmbc/Nfs Dial Circuit Tcat Plmt IV Stent
Gross
$43,871
61645
$34,790
HC Perq Art Trluml M-Thrombec &/Nfs Intracranial
Gross
$43,488
64628
$34,326
HC Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/Sac
Gross
$42,907
37183
$33,990
HC Revis Transven Intrahep Portosys Shunt
Gross
$42,487
64596
$33,966
HC Ins/Rplcmt Prq Eltrd Ra Pn 1
Gross
$42,457
0075T
$33,600
HC Perq Stent/Chest Vert Art
Gross
$42,000
33274
$32,955
HC Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img
Gross
$41,194
Q0224
$31,097
PEMIVIBART 500 MG/4ML IV SOLN
Gross
$38,871
61650
$30,293
HC Evasc Intracranial Prolng Admn Rx Agent Art 1st
Gross
$37,866
61630
$30,293
HC Intracranial Balloon Angioplasty
Gross
$37,866
Showing top 50 of 3,470 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.