CLAY COUNTY HOSPITAL (Flora, IL) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2997	ALTEPLASE 1 MG/ML IV BOLUS (FOR STROKE) [901923]	$34,321	$34,321	—	—	22
J3101	TENECTEPLASE 50 MG IN 10 ML FOR STROKE IV [903822]	$32,359	$32,359	—	—	22
J1162	DIGOXIN IMMUNE FAB 40 MG IV SOLR [31432]	$19,399	$19,399	—	—	22
J7168	PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT [142229]	$11,635	$11,635	—	—	22
17999	HC ED PROC SKIN SUBQ UNLISTED	$10,667	$10,667	—	—	22
74174	HC CT ANGIO ABDOMEN PELVIS W WO CON	$8,245	$8,245	—	—	22
74178	HC CT ABDOMEN PELVIS WWO CONTRAST	$7,964	$7,964	—	—	22
78452	HC NM MYOCARD PERFUSION SPECT STRESS AND REST	$7,852	$7,852	—	—	22
43280	HP LAPAROSCOPY ESOPHAGOGASTRIC FUNDOPLASTY	$7,535	$7,535	—	—	19
43281	HP LAP PARAESOPHAG HERN REPAIR	$7,535	$7,535	—	—	19
J0897	DENOSUMAB 60 MG/ML SC SOSY [164547]	$7,534	$7,534	—	—	22
78815	HC NM PET/CT SKULL TO MID THIGH	$7,203	$7,203	—	—	22
44146	HP PART REMOVAL COLON W COLOPROC COLOST	$7,098	$7,098	—	—	19
44160	HP COLECTOMY PARTIAL RMVL TERM ILEUM	$6,880	$6,880	—	—	19
49596	HP RPR HERNIA ANT ABD INIT >10CM INCR STRNG	$6,880	$6,880	—	—	19
49618	HP RPR HERNIA ANT ABD RECUR >10CM INCR STRN	$6,880	$6,880	—	—	19
36558	HC ED INSERT TUN CVC WO PT/PP 5+YRS	$6,756	$6,756	—	—	22
74177	HC CT ABDOMEN PELVIS W CONTRAST	$6,701	$6,701	—	—	22
44950	HP APPENDECTOMY	$6,661	$6,661	—	—	19
44970	HP APPENDECTOMY LAPRASCOPIC	$6,661	$6,661	—	—	19
49594	HP RPR HERNIA ANT ABD INIT 3-10CM INCR STRN	$6,661	$6,661	—	—	19
49616	HP RPR HERNIA ANT ABD RECUR 3-10CM INCR STR	$6,661	$6,661	—	—	19
49623	HP RMVL NONINFECT MESH HERNIA RPR	$6,661	$6,661	—	—	19
44207	HP LAP COLECTOMY PARTIAL W COLOPROCTOSTMY	$6,634	$6,634	—	—	19
44157	HP COLECTOMY TOTAL ABD W PROCTECTOMY	$6,552	$6,552	—	—	17
44145	HP COLECTOMY PARTIAL W COLOPROCTOSTOMY	$6,547	$6,547	—	—	19
19081	HC BX BREAST PERC 1ST LESN STEREOTCT	$6,363	$6,363	—	—	22
44180	HP LAP SURG ENTEROLYSIS	$6,344	$6,344	—	—	19
71552	HC MRI CHEST WITH & WITHOUT CONTRAST	$6,334	$6,334	—	—	22
47563	HP LAPCHOLECYSTECTOMY W CHOLANGIOGRAM	$6,334	$6,334	—	—	19
47564	HP LAPCHOLECYSTECTOMY EXPLORE CBD	$6,334	$6,334	—	—	19
47605	HP CHOLECYSTECTOMY W CHOLANGIOGRAM	$6,334	$6,334	—	—	19
J1439	FERRIC CARBOXYMALTOSE 50 MG/ML IV SOLN - SSM SO [903952]	$6,281	$6,281	—	—	22
78816	HC NM PET CT WHOLE BODY	$6,250	$6,250	—	—	22
44205	HP LAP COLECTOMY PART W REMVL TERM ILEUM	$6,224	$6,224	—	—	19
47562	HP LAPAROSCOPIC CHOLECYSTECTOMY	$6,224	$6,224	—	—	19
47600	HP REMOVAL GALLBLADDER	$6,224	$6,224	—	—	19
95811	HC POLYSOMN W/CPAP >=6YRS	$6,032	$6,032	—	—	22
44204	HP LAP COLECTOMY PARTIAL W ANASTOMOSIS	$5,985	$5,985	—	—	19
72156	HC MRI SPINE CERVICAL WITH & WITHOUT CONTRAST	$5,952	$5,952	—	—	22
72157	HC MRI SPINE THORACIC WITH & WITHOUT CONTRAST	$5,952	$5,952	—	—	22
72158	HC MRI SPINE LUMBAR WITH & WITHOUT CONTRAST	$5,952	$5,952	—	—	22
72197	HC MRI PELVIS WITH & WITHOUT CONTRAST	$5,952	$5,952	—	—	22
70543	HC MRI ORBIT FACE NECK WITH & WITHOUT CONTRAST	$5,798	$5,798	—	—	22
38531	HP OPEN BX EXC INGUINOFEMORAL NODES	$5,678	$5,678	—	—	19
44005	HP ENTEROLYSIS	$5,678	$5,678	—	—	19
44120	HP RESECT SMALL INTEST SNGL RESEC ANAS	$5,678	$5,678	—	—	19
44208	HP LAP COLECTOMY PARTIAL ANAST W COLOSTOMY	$5,678	$5,678	—	—	19
49507	HP RPR HERNIA ING INIT INCARC >= 5YRS	$5,678	$5,678	—	—	19
49592	HP RPR HERNIA ANT ABD INIT <3CM INCR STRNG	$5,678	$5,678	—	—	19

Showing top 50 of 18,618 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.