SHOSHONE MEDICAL CENTER (Kellogg, ID) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
49520	49520 - Repair recurrent hernia	$6,759,300	$5,069,475	—	—	21
74160	74160 CT Abdomen w/ Contrast: AddOn	$180,300	$135,225	—	—	0
J3262	Actemra 20 mg/mL Sol [SMCE]	$6,374	$4,780	—	—	21
27372	27372 - Deep, thigh region/knee area	$5,736	$4,302	—	—	21
25248	25248 - Exploration, forearm/wrist	$4,895	$3,671	—	—	21
70471	CT Angio Head/Neck	$4,063	$3,047	—	—	0
26540	26540 - Repair of collateral ligament	$3,513	$2,635	—	—	21
59812	59812 - Treatment incomplete abortion	$3,358	$2,519	—	—	21
74178	74178 CT Abdomen and Pelvis w/ + w/o Contrast: AddOn	$3,123	$2,342	—	—	0
72127	CT Spine Cervical w/ + w/o Contrast	$3,089	$2,317	—	—	0
35207	35207 - Repair blood vessel; hand/finger	$2,884	$2,163	—	—	21
59409	59409 VAGINAL DELIVERY ONLY ProFee	$2,879	$2,159	—	—	21
26080	26080 - Arthrotomy w/exploration/drainage/removal	$2,752	$2,064	—	—	21
25028	25028 - I&D, Forearm/Wrist	$2,699	$2,024	—	—	21
74174	74174 CT Angio Abdomen and Pelvis: AddOn	$2,660	$1,995	—	—	0
11406	11406 EXCISION BENIGN LESION TRUNK, ARMS LEGS OVER 4.0 CM	$2,618	$1,964	—	—	21
27510	27510 CLX FEM FX DSTL END MDA W ProFee	$2,502	$1,877	—	—	21
26350	26350 - Repair/Revie/Reconstruct tendon in h/f	$2,422	$1,817	—	—	21
99291	99291 - Critical Care, 30-74	$2,284	$1,713	—	—	21
74177	74177 CT Abdomen and Pelvis w/ Contrast: AddOn	$2,278	$1,709	—	—	0
27620	27620 - Arthrotomy, ankle	$2,236	$1,677	—	—	21
24620	24620 CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ ProFee	$2,191	$1,643	—	—	21
74176	74176 CT Abdomen and Pelvis w/o Contrast: AddOn	$2,180	$1,635	—	—	0
72130	CT Spine Thoracic w/ + w/o Contrast	$2,168	$1,626	—	—	0
72133	CT Spine Lumbar w/ + w/o Contrast	$2,162	$1,622	—	—	0
26418	26418 - Repair finger w/o graft	$2,158	$1,619	—	—	21
71270	CT Chest w/ + w/o Contrast	$2,156	$1,617	—	—	0
27266	27266 CLTX POST HIP ARTHRP DISLC REQ ANES ProFee	$2,144	$1,608	—	—	21
74170	74170 CT Abdomen w/ + w/o Contrast: AddOn	$2,143	$1,607	—	—	0
71275	CT Angio Chest	$2,084	$1,563	—	—	0
70498	70498 CT Angio Neck: AddOn	$2,040	$1,530	—	—	0
33016	33016 - Pericardiocentesis, imaging guidance	$2,037	$1,528	—	—	21
70496	CT Angio Brain/Head	$2,023	$1,517	—	—	0
70488	CT Maxillofacial w/ + w/o Contrast	$2,011	$1,508	—	—	0
74175	CT Angio Abdomen	$2,000	$1,500	—	—	0
P9033	E5034 Aph Plt ACDA LR Irr BM	$1,991	$1,493	—	—	21
72194	CT Pelvis w/ + w/o Contrast	$1,976	$1,482	—	—	0
75635	CT Angio Abdomen Aorta + Iliofemoral	$1,965	$1,474	—	—	0
70492	CT Neck Soft Tissue w/ + w/o Contrast	$1,940	$1,455	—	—	0
73702	CT Ankle w/ + w/o Contrast Left	$1,939	$1,454	—	—	0
70482	CT Orbits Sella w/ + w/o Contrast	$1,925	$1,444	—	—	0
73202	CT Elbow w/ + w/o Contrast Left	$1,924	$1,443	—	—	0
70470	CT Brain/Head w/ + w/o Contrast	$1,923	$1,442	—	—	0
24577	24577 CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ ProFee	$1,908	$1,431	—	—	21
73706	CT Angio Lower Extremity Bilateral	$1,893	$1,420	—	—	0
27301	27301 I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION ProFee	$1,874	$1,406	—	—	21
72132	CT Spine Lumbar w/ Contrast	$1,846	$1,385	—	—	0
25690	25690 CLOSED TX LUNATE DISLOCATION W/MANIPULATION ProFee	$1,841	$1,381	—	—	21
27825	27825 CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ ProFee	$1,840	$1,380	—	—	21
72126	CT Spine Cervical w/ Contrast	$1,836	$1,377	—	—	0

Showing top 50 of 5,315 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.