AUDUBON COUNTY MEMORIAL HOSPITAL

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

3,776

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Rx50242015001_1	INJECTION, OCRELIZUMAB, 1 MG	$46,456	$46,456	—	—	8
036002850_1	Removal and replacement of multicomponent inflatable penile implant during same surgery	$29,400	$29,400	—	—	10
Rx00074347303_1	LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG	$28,989	$28,989	—	—	8
Rx59572077501_1	INJECTION, LUSPATERCEPT-AAMT, 0.25 MG	$27,233	$27,233	—	—	8
Rx73150015006_1	INJECTION, UBLITUXIMAB-XIIY, 1MG	$25,012	$25,012	—	—	8
Rx51144005001_1	INJECTION, BRENTUXIMAB VEDOTIN, 1 MG	$23,807	$23,807	—	—	8
048100092_1	Insertion of heart rhythm monitor under skin	$22,345	$22,345	—	—	10
Rx50242091701_1	INJECTION, ATEZOLIZUMAB, 10 MG	$21,958	$21,958	—	—	8
036002849_1	Insertion of multicomponent inflatable penile implant	$21,100	$21,100	—	—	10
Rx64764030020_1	INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG	$21,074	$21,074	—	—	8
Rx57894050301_1	INJECTION, DARATUMUMAB, 10 MG AND HYALURONIDASE-FIHJ	$20,632	$20,632	—	—	8
Rx69097087067_1	INJECTION, LANREOTIDE, (CIPLA), 1 MG	$20,022	$20,022	—	—	8
Rx00074368303_1	LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG	$19,331	$19,331	—	—	8
Rx50242012047_1	INJECTION, TENECTEPLASE, 1 MG	$18,683	$18,683	—	—	8
Rx50242012047_1{2}	INJECTION, TENECTEPLASE, 1 MG	$18,683	$18,683	—	—	8
036002096_1	LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INS	$16,900	$16,900	—	—	10
Rx50242007001_1	INJECTION, OBINUTUZUMAB, 10 MG	$16,811	$16,811	—	—	8
036001602_1	Treatment of broken lower spine bone with placement of stabilizing device	$15,900	$15,900	—	—	10
036002649_1	Repair of shoulder rotator cuff using an endoscope	$15,845	$15,845	—	—	10
036003179_1	Removal of gallbladder with X-ray study of bile ducts	$15,513	$15,513	—	—	10
Rx00003373413_1	INJECTION, NIVOLUMAB, 1 MG	$15,202	$15,202	—	—	8
036003160_1	Removal of uterus through vagina, more than 250.0 g	$15,167	$15,167	—	—	10
22514_1	Treatment of broken lower spine bone with placement of stabilizing device	$14,850	$14,850	—	—	8
Rx50242010801_1	INJECTION, RITUXIMAB 10 MG AND HYALURONIDASE	$14,811	$14,811	—	—	8
Rx00074334603_1	LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG	$14,501	$14,501	—	—	8
Rx55513019001_1	INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG	$14,454	$14,454	—	—	8
036002829_1	Removal of breast and underarm lymph nodes	$13,400	$13,400	—	—	10
Rx50242014501_1	INJECTION, PERTUZUMAB, 1 MG	$13,316	$13,316	—	—	8
036001082_1	Insertion of sacral nerve neurostimulator electrode array	$13,300	$13,300	—	—	10
036002861_1	Insertion of sacral nerve neurostimulator electrode	$13,300	$13,300	—	—	10
036002888_1	Re-amputation of lower leg	$13,300	$13,300	—	—	10
036002898_1	Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	$13,300	$13,300	—	—	10
Rx13533080040_1	INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG	$13,154	$13,154	—	—	8
036002092_1	Removal of gallbladder with X-ray study of bile ducts using an endoscope	$13,000	$13,000	—	—	10
036003035_1	Repair of shoulder joint capsule using an endoscope	$12,788	$12,788	—	—	10
036003041_1	Repair of shoulder socket using an endoscope	$12,788	$12,788	—	—	10
036002835_1	Replacement of joint between wrist and fingers using tissue	$12,600	$12,600	—	—	10
Rx55513022201_1	INJECTION, ROMIPLOSTIM, 1 MICROGRAM	$12,403	$12,403	—	—	8
036002151_1	Repair of groin hernia using an endoscope	$12,400	$12,400	—	—	10
036002854_1	Removal of uterus, tubes, and/or ovaries through vagina using an endoscope, 250.0 g or less	$12,200	$12,200	—	—	10
Rx00074366303_1	INJECTION, LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), PER 3.75 MG	$12,172	$12,172	—	—	8
036000425_1	Amputation of toe and midfoot bone	$12,000	$12,000	—	—	10
036000851_1	Shock wave crushing of kidney stones	$12,000	$12,000	—	—	10
036002878_1	Amputation of midfoot bone	$12,000	$12,000	—	—	10
036002203_1	Correction of rigid deformity of first joint of big toe	$11,951	$11,951	—	—	10
036003038_1	Reconstruction of ankle tendon with removal of extra ankle joint bone	$11,951	$11,951	—	—	10
Rx00944270007_1	INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG	$11,800	$11,800	—	—	8
Rx00006302602_1	INJECTION, PEMBROLIZUMAB, 1 MG	$11,517	$11,517	—	—	8
036002091_1	Removal of gallbladder using an endoscope	$11,300	$11,300	—	—	10
036002335_1	Repair of recurrent groin hernia using an endoscope	$11,300	$11,300	—	—	10

Showing top 50 of 3,776 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.