THE MIRIAM HOSPITAL

CCN 410012

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
24,872
Insurances with rates
7
CPT / HCPCS codes
14,304
Source MRF

Most expensive procedures (gross)

J9600
$150,072
PORFIMER 75 MG INTRAVENOUS SOLUTION [14472]
Gross
$150,072
J0840
$135,999
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION [29313]
Gross
$135,999
J9228
$129,274
IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION [108956]
Gross
$129,274
90378
$107,860
PALIVIZUMAB 100 MG/ML INTRAMUSCULAR SOLUTION [41675]
Gross
$107,860
34400003
$84,210
HC YITRIUM-90 THERAP UP TO 40 MCI
Gross
$84,210
J0638
$80,275
CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION [186180]
Gross
$80,275
J9266
$79,456
PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION [12519]
Gross
$79,456
36003201
$72,529
HC ENDOVASCULAR VENOUS ARTERIALIZATION TIBIAL/PERONEAL VEIN
Gross
$72,529
J9019
$72,514
ASPARAGINASE (ERWINIA CHRYSANTHEMI) 10,000 UNIT SOLUTION FOR INJECTION [112967]
Gross
$72,514
36003230
$72,025
HC PERCUT ARTERIOVEN FISTULA CREAT UPPER EXTREM SINGL ACCESS
Gross
$72,025
36003231
$72,025
HC PERCUT ARTERIOVEN FISTULA CREAT UPPER EXTREM SEPARATE ACCESS SITES
Gross
$72,025
J9245
$70,682
MELPHALAN HCL 50 MG INTRAVENOUS POWDER FOR SOLUTION [10522]
Gross
$70,682
48100178
$70,067
HC REVASC OPEN/PERCUT ANY VESS W INTRAVASC LITHOTRIP STENT PLAC ATHER
Gross
$70,067
48100172
$70,064
HC PERC TRANSCATH CLOSURE PARAVALVULAR LEAK INI OCC DEV MITRAL VALVE
Gross
$70,064
36003151
$69,407
HC INSRT/RPL IMPL CARDIO-DEFIB SYS W SBSTN ELEC INC IMG GUID&EVL WH PR
Gross
$69,407
48100181
$69,075
HC RVSC ENDO OPN/PRC TBL/PRN ART W LITHO TRNS STNT PLCMNT ANGIO SM VES
Gross
$69,075
48100182
$69,075
HC RVSC ENDO OPN/PRC TBL/PRNL ART W LITHO ATHERECTOMY ANGIO SAME VESS
Gross
$69,075
48100183
$69,075
HC RVSC ENDO OP/PC TBL/PRN ART LITHO TRNS STNT PLCMT ATHR ANGIO SM VES
Gross
$69,075
48100170
$67,787
HC PERC TRNSCATH CLOSRE PARAVALVULAR LEAK INI OCCL DEV AORTIC VALVE
Gross
$67,787
J3385
$62,481
VELAGLUCERASE ALFA 400 UNIT INTRAVENOUS SOLUTION [103915]
Gross
$62,481
27800530
$60,000
541086 : SYSTEM KT STNT PERI EXTN PTFE CVR NIT
Gross
$60,000
J1290
$59,550
ECALLANTIDE 10 MG/ML (1 ML) SUBCUTANEOUS SOLUTION [100698]
Gross
$59,550
36000303
$54,825
HC ICD INSERT GEN ONLY MULTIPLE
Gross
$54,825
36000316
$53,331
HC REMOVE&REPLACE ICD GEN DUAL
Gross
$53,331
J9307
$53,300
PRALATREXATE 40 MG/2 ML (20 MG/ML) INTRAVENOUS SOLUTION [108073]
Gross
$53,300
36000313
$53,213
HC ICD IMPLANT TV LEADS & GEN
Gross
$53,213
36003002
$53,213
HC INST/REPL SICD W/SUB ELECTRODE
Gross
$53,213
36003202
$52,953
HC PERCUT INJ ALLO CELL &/ TISS PROD UNI/BI FLUOR LUMBAR 1ST LEVEL
Gross
$52,953
36003204
$52,953
HC PERC INJ ALLO CELL &/ TISS PROD UNI/BI W CT GUID LUMBAR 1ST LEVEL
Gross
$52,953
27850224
$50,889
HC BRACHY NON STRAN YTTRIUM-90 PER SOURCE
Gross
$50,889
48000110
$48,175
HC TRNSCATH INSERT OR REPLAC PERM LEADLESS PACEMKR RT VENT
Gross
$48,175
27200230
$48,000
RES ONLY-SPYRAL CATHETER RDN016 US COMMERCIAL
Gross
$48,000
36000315
$47,300
HC REMOVE&REPLACE ICD GEN SINGLE
Gross
$47,300
36000317
$47,300
HC REMOVE&REPLACE ICD GEN MULTI
Gross
$47,300
48000112
$45,290
HC TRNSCTH IMPL WRLESS PULM ART PRESS SENSOR LNG TRM HEMODYN MNTR
Gross
$45,290
27800033
$43,740
412523 : IMPLANTABLE PULSE GENERATOR
Gross
$43,740
48100176
$43,555
HC REVASC OPEN/PERCUT ANY VESS W INTRAVASC LITHOTRIP & STENT PLAC
Gross
$43,555
48100177
$43,555
HC REVASC OPEN/PERCUT ANY VESS W INTRAVASC LITHOTRIP & ATHERECTOMY
Gross
$43,555
48100180
$43,185
HC REVASC ENDO OPN/PRC TBL/PERONEAL ARTERY W LITHO INC ANGIO SAME VESS
Gross
$43,185
36001025
$42,589
HC TRNSL ATHER ILIAC ART
Gross
$42,589
36003120
$41,710
HC ENDOVENOUS FEMPOP ART REVASC W TRNSCTH PLCMT IV STNT GRFT & CLOSE
Gross
$41,710
J0596
$41,113
C1 ESTERASE INHIBITOR, RECOMBINANT 2,100 UNIT INTRAVENOUS SOLUTION [170937]
Gross
$41,113
J9306
$40,757
PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION [116596]
Gross
$40,757
J2860
$39,926
SILTUXIMAB 100 MG INTRAVENOUS SOLUTION [170237]
Gross
$39,926
27299998
$39,771
RES ONLY-SPYRAL CATHETER RDN016 US COMMERCIAL
Gross
$39,771
J9261
$37,911
NELARABINE 5 MG/ML INTRAVENOUS SOLUTION [70267]
Gross
$37,911
27800059
$37,906
DYNAGEN CRTD DF1
Gross
$37,906
27800007
$37,188
DEFIBRILLATOR DUAL CHAMBER CONNECTOR DF-1 GALLANT DR
Gross
$37,188
J9312
$36,218
RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS [22149]
Gross
$36,218
J7504
$35,202
LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION [10475]
Gross
$35,202
Showing top 50 of 24,872 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.