DAVIESS COMMUNITY HOSPITAL

CCN 150061

45 CFR § 180 compliance
B · 85
This hospital published most 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
12,500
Insurances with rates
8
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

3621194-17455
$133,000
TISSUE MATRIX 25X40 FIRM STRAT
Gross
$266,000
001001584-26700
$66,500
TISSUE STRATTICE 20X25
Gross
$133,000
3615781-19699
$66,500
STRATICE 20X25 FIRM 2025002
Gross
$133,000
001001352-26838
$42,560
TISSUE MATRIX 16X20
Gross
$85,120
001001583-26701
$42,560
TISSUE STRATTICE 16X20
Gross
$85,120
001001591-26693
$42,560
TISSUE STRATTICE 15X20 320sqcm
Gross
$85,120
3615903-19677
$42,560
STRATICE 16X20 FIRM 1620002
Gross
$85,120
001004405-24977
$35,000
SYSTEM IPG BAROSTIM
Gross
$70,000
001004406-24976
$31,500
IPG BAROSTIM
Gross
$63,000
001008249-22808
$31,016
KNEE PROSTH ROTATING HINGED
Gross
$62,031
001008282-22783
$29,260
ALOGRAFT DERMAL MATRIX 11X20CM
Gross
$58,520
001006010-24081
$28,000
KIT IMPELLA CP9 W/SMART ASSIST
Gross
$56,000
001008312-22766
$28,000
IMPELLA RP FLEX KIT SMA ASSIST
Gross
$56,000
001006200-23964
$25,000
SYSTEM DETOUR ENDOLOGIX
Gross
$50,000
3621528-17183
$25,000
PUMP SET IMPELLA RP 004334
Gross
$50,000
001008153-22868
$21,500
AURORA EV ICD-VR DEVICE
Gross
$43,000
3618570-18657
$21,356
REVISION HIP TOTAL
Gross
$42,712
001008494-22666
$21,304
GRAFT VASC SYN 38X117MM
Gross
$42,608
001001582-26702
$21,280
TISSUE STRATTICE 10X16
Gross
$42,560
001004920-24677
$20,741
STENT GRAFT THORACIC 28X28X10
Gross
$41,482
001007782-23101
$18,900
BUNDLE NEUROSTIMULATOR
Gross
$37,800
001007983-22977
$18,900
INTELLIS PRO KIT 9771PROP
Gross
$37,800
001003170-25711
$18,720
IPG KIT SCS VANTA NON-RECHARGE
Gross
$37,440
001001163-26955
$18,500
GENERATOR KIT PULSE
Gross
$37,000
001002329-26209
$18,000
INTELLIS FULL SYSTEM KIT
Gross
$36,000
001008281-22784
$17,955
ALOGRAFT DERMAL MATRIX 9X15CM
Gross
$35,910
001007805-23083
$17,898
PEEK CRANIAL IMPL OM 150-200SQ
Gross
$35,795
001001817-26541
$17,556
TISSUE MATR PER THN 9.6X19.3
Gross
$35,112
001004827-24724
$17,556
TISSUE MATRIX CONTOUR PERF THI
Gross
$35,112
001003839-25334
$17,300
IPG SPINAL CORD STIMULATOR WAV
Gross
$34,600
001003840-25333
$17,300
IPG SPINAL CORD STIMULATOR W/C
Gross
$34,600
3620508-18062
$17,300
GENERATOR SPECTRA PLUS IPG
Gross
$34,600
3623042-15905
$17,300
GENERATOR MONTAGE MRI IPG
Gross
$34,600
001006989-23511
$17,160
IPG KIT SCS VANTA RECHARGE
Gross
$34,320
001001580-26704
$17,024
TISSUE MATRIX ALLODERM 8X16
Gross
$34,048
3614203-20191
$17,024
STRATICE 8X16CM 0816001
Gross
$34,048
3618588-18646
$17,024
MESH ALLODERM 8X16 1520128
Gross
$34,048
3618907-18511
$17,024
TISSUE BIOLOGIC XCM 8cmX16cm
Gross
$34,048
3622480-16390
$17,024
FLEX HD PERFORATED 8X16 THIN
Gross
$34,048
001000845-27157
$17,000
STIMULATOR IPG NERVE
Gross
$34,000
001001646-26667
$17,000
CLOSURE WATCHMAN FLX LAA 20MM
Gross
$34,000
001001647-26666
$17,000
CLOSURE WATCHMAN FLX LAA 24MM
Gross
$34,000
001001648-26665
$17,000
CLOSURE WATCHMAN FLX LAA 27MM
Gross
$34,000
001001649-26664
$17,000
CLOSURE WATCHMAN FLX LAA 31MM
Gross
$34,000
001001650-26663
$17,000
CLOSURE WATCHMAN FLX LAA 35MM
Gross
$34,000
001007084-23459
$17,000
WATCHMAN BS FLX PRO 40MM
Gross
$34,000
001006972-23521
$16,999
PEEK CRANIAL IMP XLG
Gross
$33,998
3623090-15861
$16,625
MESH BILAYER WND MATRX 10X12.5
Gross
$33,250
001002222-26292
$16,460
MESH PHASIX 35 x 35
Gross
$32,919
001002065-26384
$16,000
TISSUE SURGIMEND 2.0 25X40CM
Gross
$32,000
Showing top 50 of 12,500 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.