MULTICARE GOOD SAMARITAN HOSPITAL

CCN 500079

45 CFR § 180 compliance
C · 70
This hospital published part 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
776
Insurances with rates
14
CPT / HCPCS codes
585
Source MRF

Most expensive procedures (gross)

C1778
$34,887
NRSTM IMPL INCEPTIV MRI STR LF
Gross
$87,216
C1822
$33,400
HC CAP NRSTM OMNIA BUNDLE
Gross
$83,500
C1882
$28,384
HC CRTD COBALT HF MRI IS4 DF1
Gross
$70,959
C2616
$25,800
C BRACHYTHERAPY SOURCE,NONSTRANDED,YTTRIUM-90 PER SOURCE
Gross
$64,500
33249
$25,279
C INSERT OR REPLACEMENT PERMANENT IMPLANTABLE DEFIBRILLATOR SYSTEM,W/TRANSVENOUS LEAD(S) SINGLE OR D
Gross
$63,197
A9604
$24,866
C SAMARIUM 153 UP TO 150MCI - A9604
Gross
$62,164
0799T
$24,827
HC TRANSCATHETER REMOVAL PERMANENT DUAL CHAMBER LEADLESS PACEMAKER INC IMAGING GUIDANCE RIGHT ATRIAL
Gross
$62,068
C1763
$23,496
HC GRAFT SNTH TISS MDPR CSTM MDFC
Gross
$58,739
C1884
$23,011
HC DEVICE EMBOL PIPELINE 4.5X12
Gross
$57,527
C1721
$22,779
HC ICD FORTIFY ASSURA CD2357-40C
Gross
$56,948
C1813
$20,868
HC PUMP MS 700CX 15CM X 12MM
Gross
$52,169
33289
$19,196
C TRANCATHETR IMPLANT WIRELESS PULMON ARTERY PRESSR SENSOR,INC RT HEART CATH,S&I,PULMON ARTERY ANGIO
Gross
$47,990
0793T
$19,196
HC PERCUTANEOUS TRANSCATHETER THERMAL ABLATION NERVES INNERVATING PULMONARY ARTERIES, INC RIGHT HEAR
Gross
$47,990
Q4116
$19,007
HC ALLOGRAFT THK 2-2.79MMX16X20CM
Gross
$47,518
Q4100
$16,008
HC MTRX TISS 15X10CM SOMAGEN 150
Gross
$40,020
C1817
$14,932
HC OCLR CARDV 4MM 20MM 30-34MM
Gross
$37,330
92943
$14,902
C REVASC CTO, ANY COMBO,PTCA/ATH/STENT
Gross
$37,256
93580
$13,711
HC PERCUTANEOUS TRANSCATHETER CLOSURE CONGENITAL INTERARTRIAL COMMUNICATION W/IMPLANT
Gross
$34,278
C1722
$13,412
HC DEFIB PERCIVA ICD DF4 3T 1.5T
Gross
$33,530
93600
$13,088
C INSERT CATHETER FOR RECORDING UPPER HEART RHYTHM
Gross
$32,719
33221
$13,065
C INSERT PACEMAKER PULSE GENERATOR ONLY, WITH EXISTING MULTIPLE LEADS
Gross
$32,662
93620
$12,919
C EPHYS-COMP STUDY W/-ATTEMPTED INDUCT ARR
Gross
$32,298
92987
$12,859
C PERCUTANEOUS BALLOON VALVULOPLASTHY,MITRAL VALVE
Gross
$32,147
C1757
$11,649
HC CATH THRMB INDG 12FR 100CM
Gross
$29,122
C1762
$10,906
HC GRAFT NERVE AVANCE 1-2MMX50MM
Gross
$27,264
Q0481
$10,509
HC DEV VNTRC AST HRTMT 3 CNTRLR
Gross
$26,272
37242
$10,481
HC VASC EMBOLIZATION OR OCCL, ARTERY, NON HEMORRHAGE OR TUMOR; INCL S&I, ROADMAP, IMAGE GUIDANCE
Gross
$26,202
C2621
$9,998
HC PCMKR CRD 11MM 19.9CU CM 46.5
Gross
$24,994
37241
$9,995
C VASC EMBOLIZATION OR OCCLUSION, VENOUS, NON HEMORRHAGE; INCL S&I, ROADMAP, IMAGE GUIDANCE
Gross
$24,987
93650
$9,676
C EPHYS-ABLATION AV NODE
Gross
$24,189
93459
$9,531
C CATHETER PLACEMENT CORONARY ARTERY W/LT HEART CATH INC LT VENTRICULOGRAPHY IN BYPASS GRAFT
Gross
$23,828
75756
$8,722
C ANGIO INTERN MAMMARY
Gross
$21,804
C1784
$8,502
HC GFT EVAS 11.5CM 16MM 13.5-14.5
Gross
$21,256
C1764
$8,320
HC MNTR CRD LUX-DX 11+
Gross
$20,800
0237T
$8,031
C TRANSLUMINAL PERIPHERAL ATHERECTOMY,OPEN OR PERCUTANEOUS,BRACHIOCEPHALIC TRUNK AND BRANCHES,EA VES
Gross
$20,077
C1768
$7,978
HC STENT GRAFT ENDURANT 28X28X49
Gross
$19,945
55875
$7,894
C TRANSPERINEAL PLACEMENT INTO PROSTATE FOR INTERSTITIAL RADIOELEMENT APPLICATION
Gross
$19,735
33212
$7,872
C INSERT PACEMAKER PULSE GENERATOR ONLY, W/EXISTING SINGLE LEAD
Gross
$19,681
33946
$7,784
C ECMO)/ECLS PROVIDED BY PHYSICIAN; INITIATION, VENO-VENOUS
Gross
$19,460
33227
$7,614
C REMOVAL PERMANENT PACEMAKER PULSE GENERATOR WITH REPLACEMENT PACEMAKER PULSE GENERATOR,SINGLE LEAD
Gross
$19,035
93451
$7,559
C RIGHT HEART CATHETERIZATION INC MEASUREMENTS
Gross
$18,898
0075T
$7,200
C PERC/OPEN VERT CAR STENT INIT
Gross
$17,999
C1062
$7,178
HC KIT SPNL 5.8MM SPINEJACK
Gross
$17,944
61623
$6,953
HC ENDOVASC TEMPORY VESSEL OCCL
Gross
$17,383
C2630
$6,671
HC CATH AB TACTICATH SNSR ENABLED
Gross
$16,677
32550
$6,514
C INSERT IND PLEUR CATH W/CUFF
Gross
$16,286
C2629
$6,291
HC SHTH LSR 50CM 12FR 7.5FR 8.3FR 12.5FR GLIDELIGHT
Gross
$15,727
57000
$6,280
HC COLPOTOMY W/EXPLORATION
Gross
$15,699
Q4110
$6,019
HC GRAFT SFT TIS 8X8CM PRIMATRIX
Gross
$15,048
C1748
$5,934
HC EXALT MODEL D SINGLE USE SCOPE
Gross
$14,834
Showing top 50 of 776 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.