CHI HEALTH GOOD SAMARITAN

CCN 280009

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
12,882
Insurances with rates
17
CPT / HCPCS codes
11,262
Source MRF

Most expensive procedures (gross)

J0225
$145,608
VUTRISIRAN 25 MGM/0.5 ML SUBCUTANEOUS SYRINGME
Gross
$238,702
J0225
$145,608
VUTRISIRAN 25 MGM/0.5 ML SUBCUTANEOUS SYRINGME
Gross
$238,702
C1721
$49,117
DEFIB CURRENT DR 36J 2207-36
Gross
$80,520
C1721
$49,117
DEFIB CURRENT DR 36J 2207-36
Gross
$80,520
A9543
$47,601
HC RP ZEVALIN Y 90 UP TO 40MCI
Gross
$78,035
A9543
$47,601
HC RP ZEVALIN Y 90 UP TO 40MCI
Gross
$78,035
C1772
$42,419
DEFIBRILLATOR EMBLEM MRI S-ICD
Gross
$69,540
C1772
$42,419
DEFIBRILLATOR EMBLEM MRI S-ICD
Gross
$69,540
33289
$34,209
HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR
Gross
$56,081
33289
$34,209
HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR
Gross
$56,081
33263
$30,033
HC ICD REM REPLACE DUAL
Gross
$49,234
33263
$30,033
HC ICD REM REPLACE DUAL
Gross
$49,234
A9513
$28,975
LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION
Gross
$47,500
A9513
$28,975
LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION
Gross
$47,500
0915T
$27,381
HC INSJ PERM CCM-D SYS PG&ELTRD
Gross
$44,886
0915T
$27,381
HC INSJ PERM CCM-D SYS PG&ELTRD
Gross
$44,886
27225788
$26,688
HC ASCOPE 4 BRONCHO LG
Gross
$43,750
27225788
$26,688
HC ASCOPE 4 BRONCHO LG
Gross
$43,750
27825869
$26,688
HC CATH IMPELLA 2.5
Gross
$43,750
27825869
$26,688
HC CATH IMPELLA 2.5
Gross
$43,750
0409T
$25,498
HC INSJ/RPLC CAR MODULJ PLS GN
Gross
$41,800
0409T
$25,498
HC INSJ/RPLC CAR MODULJ PLS GN
Gross
$41,800
C2624
$25,364
SYS DEL PA SENS CARDIOMEMS CM2000
Gross
$41,580
C2624
$25,364
SYS DEL PA SENS CARDIOMEMS CM2000
Gross
$41,580
C9293
$25,116
GMLUCARPIDASE 1000 UNIT INTRAVENOUS SOLUTION
Gross
$41,174
C9293
$25,116
GMLUCARPIDASE 1000 UNIT INTRAVENOUS SOLUTION
Gross
$41,174
C9767
$24,717
HC REVASC LITHOTRIP-STENT-ATHER
Gross
$40,519
C9767
$24,717
HC REVASC LITHOTRIP-STENT-ATHER
Gross
$40,519
L8681
$24,553
CHARGER OMNIA PATIENT REMOTE HF10C
Gross
$40,250
L8681
$24,553
CHARGER OMNIA PATIENT REMOTE HF10C
Gross
$40,250
63685
$23,747
HC INSRT REDO SPINE N GENERATOR
Gross
$38,929
63685
$23,747
HC INSRT REDO SPINE N GENERATOR
Gross
$38,929
C9765
$23,648
HC REVASC INTRA LITHOTRIP-STENT
Gross
$38,767
C9765
$23,648
HC REVASC INTRA LITHOTRIP-STENT
Gross
$38,767
C9766
$22,445
HC REVASC INTRA LITHOTRIP-ATHER
Gross
$36,795
C9766
$22,445
HC REVASC INTRA LITHOTRIP-ATHER
Gross
$36,795
C1817
$21,740
AMPLATZER CARDIAC PLUG 25MM 9-ACP2-007-025
Gross
$35,640
C1817
$21,740
AMPLATZER CARDIAC PLUG 25MM 9-ACP2-007-025
Gross
$35,640
33249
$21,053
HC ICD INITIAL SYS W LEAD
Gross
$34,513
33249
$21,053
HC ICD INITIAL SYS W LEAD
Gross
$34,513
93461
$20,722
HC LT RT HEART CATH W GRAFTS
Gross
$33,971
93461
$20,722
HC LT RT HEART CATH W GRAFTS
Gross
$33,971
37227
$20,434
HC STENT ATHERECTOMY FEM POP
Gross
$33,498
37227
$20,434
HC STENT ATHERECTOMY FEM POP
Gross
$33,498
92924
$20,384
HC COR ATHERECTOMY SINGLE
Gross
$33,416
92924
$20,384
HC COR ATHERECTOMY SINGLE
Gross
$33,416
93460
$19,624
HC LEFT RIGHT HEART CATH
Gross
$32,170
93460
$19,624
HC LEFT RIGHT HEART CATH
Gross
$32,170
92941
$19,382
HC COR MI SUB TOT BMS THR OTHR
Gross
$31,773
92941
$19,382
HC COR MI SUB TOT BMS THR OTHR
Gross
$31,773
Showing top 50 of 12,882 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.