CRAWFORD COUNTY MEMORIAL HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
10121747_1	INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG	$80,581	$64,464	—	—	8
9698259_1	INJECTION, RAVULIZUMAB-CWVZ, 10 MG	$56,355	$45,084	—	—	8
10022166_1	INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG	$36,431	$29,145	—	—	8
10201497_1	INJECTION, CORTICOTROPIN (ACTHAR GEL), UP TO 40 UNITS	$29,049	$23,239	—	—	8
10109632_1	INJECTION, COLLAGENASE, CLOSTRIDIUM HISTOLYTICUM, 0.01 MG	$24,628	$19,703	—	—	10
9697478_1	INJECTION, ALTEPLASE RECOMBINANT, 1 MG	$21,121	$16,897	—	—	10
9698403_1	INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG	$20,800	$16,640	—	—	10
10248557_1	INJECTION, TENECTEPLASE, 1 MG	$20,511	$16,409	—	—	10
9698349_1	INJECTION, TENECTEPLASE, 1 MG	$18,239	$14,591	—	—	10
377	GASTROINTESTINAL HEMORRHAGE WITH MCC	$17,949	$14,359	—	—	10
9676892_1	TRI TS FEMUR SZ1 LEFT	$17,499	$13,999	—	—	10
9676893_1	TRI TS FEMUR SZ1 RIGHT	$17,499	$13,999	—	—	10
9676906_1	TRI TS FEMUR SZ8 LEFT	$17,499	$13,999	—	—	10
9676907_1	TRI TS FEMUR SZ8 RIGHT	$17,499	$13,999	—	—	10
9676894_1	TRI TS FEMUR SZ2 LEFT	$17,047	$13,638	—	—	10
9676895_1	TRI TS FEMUR SZ2 RIGHT	$17,047	$13,638	—	—	10
9676896_1	TRI TS FEMUR SZ3 LEFT	$17,047	$13,638	—	—	10
9676897_1	TRI TS FEMUR SZ3 RIGHT	$17,047	$13,638	—	—	10
9676898_1	TRI TS FEMUR SZ4 LEFT	$17,047	$13,638	—	—	10
9676899_1	TRI TS FEMUR SZ4 RIGHT	$17,047	$13,638	—	—	10
9676900_1	TRI TS FEMUR SZ5 LEFT	$17,047	$13,638	—	—	10
9676901_1	TRI TS FEMUR SZ5 RIGHT	$17,047	$13,638	—	—	10
9676902_1	TRI TS FEMUR SZ6 LEFT	$17,047	$13,638	—	—	10
9676903_1	TRI TS FEMUR SZ6 RIGHT	$17,047	$13,638	—	—	10
9676904_1	TRI TS FEMUR SZ7 LEFT	$17,047	$13,638	—	—	10
9676905_1	TRI TS FEMUR SZ7 RIGHT	$17,047	$13,638	—	—	10
9697768_1	INJECTION, ECULIZUMAB, 2 MG	$15,655	$12,524	—	—	8
9698179_1	INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG	$15,403	$12,323	—	—	8
9698260_1	INJECTION, RAVULIZUMAB-CWVZ, 10 MG	$15,370	$12,296	—	—	8
9697545_1	INJECTION, BENRALIZUMAB, 1 MG	$13,624	$10,899	—	—	10
9932373_1	INJECTION, INCLISIRAN, 1 MG	$12,144	$9,715	—	—	8
9698374_1	INJECTION, TOCILIZUMAB, 1 MG	$12,111	$9,688	—	—	10
9698266_1	INJECTION, RITUXIMAB, 10 MG	$11,274	$9,019	—	—	10
9938442_1	INJECTION, RITUXIMAB-ABBS, BIOSIMILAR, (TRUXIMA), 10 MG	$10,147	$8,117	—	—	10
9698180_1	INJECTION, PEGFILGRASTIM-CBQV (UDENYCA), BIOSIMILAR, 0.5 MG	$10,020	$8,016	—	—	10
10195997_1	XDEMVY 0.25% DROP	$9,097	$7,278	—	—	10
9861854_1	INJECTION, MEPOLIZUMAB, 1 MG	$8,853	$7,083	—	—	10
9698057_1	INJECTION, MEPOLIZUMAB, 1 MG	$8,853	$7,083	—	—	10
9698267_1	INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE), 10 MG	$8,602	$6,881	—	—	8
9697697_1	INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)	$8,359	$6,687	—	—	10
9676384_1	PF DPC LOW FLOW	$8,202	$6,562	—	—	10
9698248_1	Rabies immune globulin for injection	$8,045	$6,436	—	—	10
9697924_1	INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG	$7,730	$6,184	—	—	10
9676840_1	TRIATHLON PS FEM COMPONENT - BEADED 55140202	$7,563	$6,050	—	—	10
9676841_1	TRIATHLON PS FEM COMPONENT - BEADED 55140301	$7,563	$6,050	—	—	10
9676842_1	TRIATHLON PS FEM COMPONENT - BEADED 55140302	$7,563	$6,050	—	—	10
9676843_1	TRIATHLON PS FEM COMPONENT - BEADED 55140702	$7,563	$6,050	—	—	10
9676844_1	TRIATHLON PS FEM COMPONENT - BEADED 55140801	$7,563	$6,050	—	—	10
9676845_1	TRIATHLON PS FEM COMPONENT - BEADED 55140802	$7,563	$6,050	—	—	10
9676908_1	TRIATHLON CR FEM COMPONENT - BEADED 55130101	$7,563	$6,050	—	—	10

Showing top 50 of 5,625 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.