MARY BRIDGE CHILDREN'S HOSPITAL

CCN 503301

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
12,534
Insurances with rates
1
CPT / HCPCS codes
10,954
Source MRF

Most expensive procedures (gross)

J3399
$870,000
ONASEMNOGENE ABEPARVOVEC-XIOI 4X8.3 ML KIT
Gross
$2,175,000
C2624
$165,517
HC KIT IMPL HRTMT 3 STR LF
Gross
$413,792
J9226
$96,139
HISTRELIN 50 MG KIT
Gross
$240,348
33903
$66,847
HC PERCUTANEOUS PULMONARY ARTERY REVASCULARIZATION BY STENT PLACEMENT INITIAL ABNORMAL CONNECTIONS B
Gross
$167,118
33902
$61,390
HC PERCUTANEOUS PULMONARY ARTERY REVASCULARIZATION BY STENT PLACEMENT INITIAL ABNORMAL CONNECTIONS U
Gross
$153,475
33901
$51,421
HC PERCUTANEOUS PULMONARY ARTERY REVASCULARIZATION BY STENT PLACEMENT INITIAL NORMAL NATIVE CONNECTI
Gross
$128,552
93581
$48,112
HC PERCUTANEOUS TRANSCATHETER CLOSURE CONGENITAL VENTRICULAR SEPTAL DEFECT W/IMPLANT
Gross
$120,281
C9774
$45,668
HC REVASCULARIZATION,ENDOVASCULAR, OPEN OR PERCUTANEOUS,TIBIAL/PERONEAL ARTERY(IES),W/INTRAVASCULAR
Gross
$114,169
C9773
$45,668
HC REVASCULARIZATION,ENDOVASCULAR,OPEN OR PERCUTANEOUS,TIBIAL/PERONEAL ARTERY(IES),W/INTRAVASCULAR L
Gross
$114,169
C9775
$45,668
HC REVASCULARIZATION,ENDOVASCULAR,OPEN/PERCUTANEOUS,TIBIAL/PERONEAL ARTERY(IES),W/INTRAVASCULAR LITH
Gross
$114,169
0620T
$44,367
HC ENDOVASCULAR VENOUS ARTERIALIZATION TIBIAL OR PERONEAL VEIN INTRAVASCULAR STENT GRAFT(S) INC PERC
Gross
$110,918
36836
$44,367
HC PERCUTANEOUS FISTULA CREATION UPPER EXTREMITY SINGLE ACCESS ARTERY AND VEIN INC ALL VASULCAR ACCE
Gross
$110,918
36837
$44,367
HC PERCUTANEOUS FISTULA CREATION UPPER EXTREMITY SEPARATE ACCESS ARTERY AND VEIN INC ALL VASULCAR A
Gross
$110,918
33900
$44,075
HC PERCUTANEOUS PULMONARY ARTERY REVASCULARIZATION BY STENT PLACEMENT INITIAL NORMAL NATIVE CONNECTI
Gross
$110,187
93591
$42,836
C PERCUTANEOUS TRANSCATHETER CLOSURE PARAVALVULAR LEAL:INITIAL OCCLUSION DEVICE,AORTIC VALVE
Gross
$107,090
0238T
$42,808
C TRANSLUMINAL PERIPHERAL ATHERECTOMY,OPEN OR PERCUTANEOUS,ILIAC ARTERY EA VESSEL
Gross
$107,019
93590
$42,489
C PERCUTANEOUS TRANSCATHETER CLOSURE PARAVALVULAR LEAK,INTIAL OCCLUSION DEVICE, MITRAL VALVE
Gross
$106,222
C9767
$38,491
C REVASCULARIZATION,ANY VESSEL,W/INTRAVASCULAR LITHOTRIPSY STENT PLACEMENT AND ATHERECTOMY INC ANGIO
Gross
$96,227
37231
$35,540
C REVASCULARIZATION,ENDOVASCULAR,OPEN OR PERCUTANEOUS,TIBIAL,PERONEAL ARTERY,UNILATERAL,INITIAL VESS
Gross
$88,851
37227
$35,379
C REVASCULARIZATION,ENDOVASCULAR,OPEN OR PERCUTANEOUS,FEMORAL, POPLITEAL ARTERY,UNILATERAL W/TRANSLU
Gross
$88,448
C1826
$34,886
HC NEUROSTIM IMPLANT INCEPTIV MRI STRL LF DISP
Gross
$87,216
A9604
$33,481
C SAMARIUM 153 UP TO 150MCI - A9604
Gross
$83,702
C1822
$33,400
HC CAP NRSTM OMNIA BUNDLE
Gross
$83,500
C1883
$33,014
HC ACC NRSTM VANTA SPNL CORD STM
Gross
$82,535
0796T
$32,104
HC TRANSCATHETER INSERT PERMANENT DUAL CHAMBER LEADLESS PACEMAKER INC IMAGING GUIDANCE AND DEVICE EV
Gross
$80,261
0797T
$32,104
HC TRANSCATHETER INSERT PERMANENT DUAL CHAMBER LEADLESS PACEMAKER INC IMAGING GUIDANCE AND DEVICE EV
Gross
$80,261
0795T
$32,104
HC TRANSCATHETER INSERT PERMANENT DUAL CHAMBER LEADLESS PACEMAKER INC IMAGING GUIDANCE AND DEVICE EV
Gross
$80,261
33361
$31,792
C TAVR PROSTHETIC VALVE:PERCUTANEOUS FEMORAL ARTERY APPROACH
Gross
$79,481
C1876
$31,336
HC GRAFT STNT 10CM 40MM GORE TAG
Gross
$78,340
33274
$30,576
C TRANSCATHETER INSERT/REPLACEMNT PERMANENT LEADLESS PACMAKR,RT VENTRIC W/IMAGE GUIDANCE,DEVICE EVAL
Gross
$76,439
33249
$30,404
C INSERT OR REPLACEMENT PERMANENT IMPLANTABLE DEFIBRILLATOR SYSTEM,W/TRANSVENOUS LEAD(S) SINGLE OR D
Gross
$76,011
33231
$30,404
C INSERT IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR ONLY,WITH EXISTING MULTIPLE LEADS
Gross
$76,011
33264
$30,404
C REMOVAL IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR W/REPLACEMENT IMPLANTABLE DEFIBRILLATOR PULSE GE
Gross
$76,011
C9772
$28,758
HC REVASCULARIZATION,ENDOVASCULAR, OPEN OR PERCUTANEOUS , TIBIAL/PERONEAL ARTERY(IES),W/INTRAVASCULA
Gross
$71,895
C1820
$28,515
HC KIT IMPL PLSE GNRATR 32 IPG
Gross
$71,288
37230
$27,505
C REVASCULARIZATION,ENDOVASCULAR,OPEN OR PERCUTANEOUS,TIBIAL,PERONEAL ARTERY,UNILATERAL,INITIAL VESS
Gross
$68,763
C1816
$27,396
HC IMPLANT PNS PERMANENT 8-CONTACT 40CM DUAL LEAD
Gross
$68,490
37226
$27,163
C REVASCULARIZATION,ENDOVASCULAR,OPEN OR PERCUTANEOUS,FEMORAL, POPLITEAL ARTERY,UNILATERAL W/TRANSLU
Gross
$67,907
C1882
$27,033
HC AMPLIA CRT-D DF4 DTMB1QQ
Gross
$67,583
0803T
$26,877
HC TRANSCATHETER REMOVAL AND REPLACEMENT PERMANENT DUAL CHAMBER LEADLESS PACEMAKER INC IMAGING GUIDA
Gross
$67,192
0801T
$26,877
HC TRANSCATHETER REMOVAL AND REPLACEMENT PERMANENT DUAL CHAMBER LEADLESS PACEMAKER INC IMAGING GUIDA
Gross
$67,192
0802T
$26,877
HC TRANSCATHETER REMOVAL AND REPLACEMENT DUAL CHAMBER LEADLESS PACEMAKER INC IMAGING GUIDANCE AND DE
Gross
$67,192
37221
$25,943
C REVASCULARIZATION,ENDOVASCULAR,OPEN OR PERCUTANEOUS, ILIAC ARTERY, UNILATERAL,INITIAL VESSEL W/TRA
Gross
$64,857
C2616
$25,800
C BRACHYTHERAPY SOURCE,NONSTRANDED,YTTRIUM-90 PER SOURCE
Gross
$64,500
33275
$25,085
C TRANSCATHETER REMVL OF PERMANENT LEADLESS PACEMAKER, RIGHT VENTRICULAR, INCLUD IMAGING GUIDANCE (E
Gross
$62,712
0798T
$25,085
HC TRANSCATHETER REMOVAL PERMANENT DUAL CHAMBER LEADLESS PACEMAKER INC IMAGING GUIDANCE COMPLETE SYS
Gross
$62,712
0799T
$25,085
HC TRANSCATHETER REMOVAL PERMANENT DUAL CHAMBER LEADLESS PACEMAKER INC IMAGING GUIDANCE RIGHT ATRIAL
Gross
$62,712
0800T
$25,085
HC TRANSCATHETER REMOVAL PERMANENT DUAL CHAMBER LEADLESS PACEMAKER INC IMAGING GUIDANCE RT VENTRICUL
Gross
$62,712
33230
$24,528
C INSERT IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR ONLY,WITH EXISTING DUAL LEADS
Gross
$61,320
C9765
$24,238
C REVASCULARIZATION,ANY VESSEL,W/INTRAVASCULAR LITHOTRIPSY AND STENT PLACEMENT INC ANGIOPLASTY WITHI
Gross
$60,596
Showing top 50 of 12,534 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.