MEMORIAL HOSPITAL

CCN 140185

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
8,519
Insurances with rates
24
CPT / HCPCS codes
6,995
Source MRF

Most expensive procedures (gross)

J9226
$113,812
HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT
Gross
$252,915
C2624
$109,195
HB WIRELESS PULM ARTERY PRESSURE SENSOR
Gross
$242,656
J9347
$93,397
TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION
Gross
$207,548
A9543
$84,652
HB RADIANT-YTTRIUMY90IBRITUMOMABTIUXETAN/DOSE TO 40 MCI
Gross
$188,116
C2616
$81,104
HB RADIANT-BRACHY TX NS SPHERES YT-90
Gross
$180,232
C2616
$81,104
HB BRACHY TX NS SPHERES YT-90
Gross
$180,232
C1874
$80,950
HB OR-IMPL AORTIC ENDOPROSTH ABD (49)
Gross
$179,888
C1767
$68,815
HB OR-IMPL PAIN GEN/STIMULATOR (47)
Gross
$152,922
L8614
$63,759
HB OR IMPL EAR COCHLEAR COMPLETE (45)
Gross
$141,686
J9266
$60,817
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION
Gross
$135,148
J3357
$60,363
USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE
Gross
$134,141
C1882
$58,854
HB XPER-ABBOTT GENERATOR CRT-D ICD
Gross
$130,786
0908T
$57,572
HB OPEN IMPLTJ INT NEUROSTIMULATION SYS VAGUS NERVE
Gross
$127,937
J9281
$55,521
MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT
Gross
$123,379
C1768
$54,152
HB OR-IMPL HEART MITRAL VALVE (41)
Gross
$120,338
J9229
$51,696
INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN
Gross
$114,879
C1882
$49,132
HB LUMAX
Gross
$109,182
C1721
$48,176
HB AICD, DUAL CHAMBER
Gross
$107,057
J2350
$46,580
OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION
Gross
$103,510
J9274
$46,216
TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION
Gross
$102,703
C1889
$43,471
HB XPER-MEDTRONIC NEURO FLOW DIVERTING STENT
Gross
$96,602
C1813
$42,775
HB OR-IMPL PENILE RESERVOIR (36)
Gross
$95,057
C1772
$42,775
HB OR-IMPL PAIN SVC PUMP (36)
Gross
$95,057
C1772
$42,775
HB OR IMPL PAIN GEN/STIMULATOR (36)
Gross
$95,057
J9309
$42,000
POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION
Gross
$93,333
33276
$40,702
HB INSERTION PHRENIC NERVE STIMULATOR SYSTEM
Gross
$90,449
C1760
$40,495
HB WATCHMAN FLX CLOSURE DEVICE
Gross
$89,989
33249
$38,646
HB RADIANT CCL-INSRT/REPL DFIB W LEADS SNGL/DUAL CHMB
Gross
$85,881
C1781
$38,225
HB OR- IMPL SURGICAL MESH (34)
Gross
$84,944
33230
$36,919
HB INSERT DFIB PULSE GEN ONLY W EXIST DUAL LEAD
Gross
$82,042
C1721
$35,859
HB XPER-BIOTRONIK ICD CELLULAR RIVACOR DR
Gross
$79,686
33240
$35,551
HB RADIANT CCL-INSERT DFIB PULSE GEN ONLY W EXIST SNGL LEAD
Gross
$79,003
33240
$35,551
HB INSERT DFIB PULSE GEN ONLY W EXIST SNGL LEAD
Gross
$79,003
93581
$35,136
HB PERQ TRNSCATH CLO VENT SEPTAL DEFEC
Gross
$78,079
0515T
$35,103
HB RADIANT CCL-INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS
Gross
$78,006
37231
$34,750
HB REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL
Gross
$77,222
33264
$34,203
HB REMV&REPLC CVD GEN MULT LEAD
Gross
$76,007
C1767
$33,674
HB OR-IMPL PAIN SVC TRANSMITTER (32)
Gross
$74,832
93580
$33,462
HB RADIANT CCL-PERQ TRNSCATH CLO INTERATRIAL CMNCT
Gross
$74,361
J9043
$32,403
CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION
Gross
$72,006
33263
$30,748
HB REMV&REPLC CVD GEN DUAL LEAD
Gross
$68,329
93653
$30,308
HB RADIANT CCL-EP EVAL W/ ABLATION SUPRAVENT ARRHYTHMIA
Gross
$67,351
33289
$30,012
HB TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR
Gross
$66,694
J9316
$29,835
PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN
Gross
$66,299
33221
$29,822
HB INSERT PULSE GEN ONLY MULT LEADS
Gross
$66,272
93656
$29,810
HB COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION
Gross
$66,245
93656
$29,810
HB RADIANT COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION
Gross
$66,245
J3245
$29,666
TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE
Gross
$65,925
C1821
$29,124
HB OR-IMPL LUMBAR INTERSPINOUS (30)
Gross
$64,719
J9042
$27,670
BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION
Gross
$61,488
Showing top 50 of 8,519 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.