WAYNE MEMORIAL HOSPITAL

CCN 390125

45 CFR § 180 compliance
A · 100
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
2,315
Insurances with rates
5
CPT / HCPCS codes
2,313
Source MRF

Most expensive procedures (gross)

33249
$177,853
AIC DEFIBRILLATOR PLACEMENT
Gross
$222,316
33262
$127,969
RMVL & REPLC ICD 1 LEAD
Gross
$159,961
C9602
$89,559
DES W/ ATHERECTOMY, INITIAL
Gross
$111,948
C9606
$89,559
DES W/ AMI REVASC, INITIAL
Gross
$111,948
C9607
$89,559
DES W/ CTO REVASC, INITIAL
Gross
$111,948
J9228
$60,023
IPILIMUMAB 200 MG/40 ML
Gross
$75,029
92928
$58,442
BMS W/ ANGIOPLASTY, INITIAL
Gross
$73,052
92937
$58,442
BMS W/ BYPASS REVASC, INITIAL
Gross
$73,052
92941
$58,442
BMS W/ AMI REVASC, INITIAL
Gross
$73,052
92943
$58,442
BMS W/ CTO REVASC, INITIAL
Gross
$73,052
C9600
$58,442
DES W/ ANGIOPLASTY, INITIAL
Gross
$73,052
C9604
$58,442
DES W/ BYPASS REVASC, INITIAL
Gross
$73,052
33206
$54,066
PACEMAKER PERMANENT
Gross
$67,582
33208
$52,325
INSERT HEART PM ATRIAL & VENT
Gross
$65,406
33228
$52,325
REM & REPLACE PM GEN DUAL LEAD
Gross
$65,406
C1721
$49,836
GENERATOR ITREVIA 7DR-T
Gross
$62,295
93460
$49,301
R&L HRT SEL COR LV GM W/WO
Gross
$61,626
92938
$48,037
BMS W/ BYPASS REVASC, EA ADDTL
Gross
$60,046
C1722
$41,529
INTICA 7 VR-T
Gross
$51,911
33967
$41,230
INSERT INTRAAORTIC BALLOON PMP
Gross
$51,538
33210
$41,036
INSERT TEMP PACEMAKER
Gross
$51,294
33285
$41,036
IMPLANT LOOP RECORDER
Gross
$51,294
33227
$39,091
PACEMAKER GENERATOR CHANGE
Gross
$48,863
33233
$38,804
REMOVAL OF PM GENERATOR
Gross
$48,505
J2350
$32,512
OCRELIZUMAB 300 MG/10 ML VIAL
Gross
$40,640
92929
$29,269
BMS W/ ANGIOPLASTY, EA ADDTL
Gross
$36,587
92973
$29,269
CORONARY THROMBECTOMY
Gross
$36,587
C9601
$29,269
DES W/ ANGIOPLASTY, EA ADDTL
Gross
$36,587
C9605
$29,269
DES W/ BYPASS REVASC, EA ADDTL
Gross
$36,587
92920
$28,103
PTCA W/O STENT, INITIAL
Gross
$35,128
93451
$27,811
RIGHT HEART ONLY
Gross
$34,764
75630
$19,059
ABD AORTOGRM W BILAT RUNOFF
Gross
$23,824
J9119
$18,224
CEMIPLIMAB-RWLC 350 MG/7 ML ML
Gross
$22,780
J9043
$16,732
CABAZITAXEL INJ 10MG/ML 6ML VL
Gross
$20,915
C1785
$15,852
PACEMAKER GENERATOR-BOSTON SC
Gross
$19,814
36225
$15,850
SUBCLAVIAN ANGIO UNILATERAL
Gross
$19,813
36251
$15,850
RENAL ANGIO UNILATERAL
Gross
$19,813
36252
$15,850
RENAL ANGIO BILATERAL
Gross
$19,813
75716
$15,850
ANGIO EXTREMITY, BILAT
Gross
$19,813
93452
$15,656
LV GRAM ONLY
Gross
$19,570
93454
$15,656
SEL COR W CATH PL NO LV GRAM
Gross
$19,570
93455
$15,656
SEL COR W CATH PL BYP GFT NO L
Gross
$19,570
93456
$15,656
HRT COR W CATH PL NO LV
Gross
$19,570
93458
$15,656
LT HRT SEL COR LV GRAM W/WO
Gross
$19,570
93459
$15,656
LT HRT SEL COR BYP GFT LV GM W
Gross
$19,570
93461
$15,656
R&L HRT SEL COR BYP GFT LV GM
Gross
$19,570
33225
$14,262
REMOVAL OF PACEMAKER ELECTRODE
Gross
$17,827
33241
$14,262
DEFIBRILLATOR REMOVAL
Gross
$17,827
92921
$14,100
PTCA W/O STENT EA ADDTL BRANCH
Gross
$17,625
J3380
$13,994
VEDOLIZUMAB INJ 300MG/5ML VIAL
Gross
$17,492
Showing top 50 of 2,315 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.