GRISELL MEMORIAL HOSPITAL — Hospital Ledger

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

3,175

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
6097243_1	INJECTION, ALTEPLASE RECOMBINANT, 1 MG	$15,651	$14,868	—	—	6
4866917_1	INJECTION, TENECTEPLASE, 1 MG	$11,818	$11,227	—	—	6
4866919_1	INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG	$7,251	$6,888	—	—	6
6403219_1	INJECTION, MEPOLIZUMAB, 1 MG	$6,560	$6,232	—	—	6
4867007_1	INJECTION, CROTALIDAE POLYVALENT IMMUNE FAB (OVINE), UP TO 1 GRAM	$5,421	$5,150	—	—	6
5785324_1	INJECTION, DENOSUMAB, 1 MG	$3,967	$3,769	—	—	6
4337731_1	Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm	$3,658	$3,475	—	—	6
4866987_1	INJECTION, DENOSUMAB, 1 MG	$3,207	$3,046	—	—	6
4337730_1	Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 12.6-20.0 cm	$3,026	$2,875	—	—	6
2384299_1	CT scan of blood vessels of abdomen and pelvis with contrast	$2,827	$2,686	—	—	6
4337747_1	Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	$2,684	$2,550	—	—	6
4337729_1	Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	$2,569	$2,440	—	—	6
4633404_1	Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	$2,569	$2,440	—	—	6
4337718_1	Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 20.1-30.0 cm	$2,552	$2,424	—	—	6
4337719_1	Simple repair of surface wound to scalp, neck, underarms, trunk, arms, or legs, more than 30.0 cm	$2,552	$2,424	—	—	6
4337724_1	Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 20.1-30.0 cm	$2,552	$2,424	—	—	6
1844782_1	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	$2,542	$2,415	—	—	6
4350900_1	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	$2,542	$2,415	—	—	6
4353328_1	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	$2,542	$2,415	—	—	6
4617107_1	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	$2,542	$2,415	—	—	6
6171209_1	TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST, OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST, REAL-TI	$2,280	$2,166	—	—	6
4337739_1	Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 12.6-20.0 cm	$2,262	$2,149	—	—	6
4337746_1	Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	$2,182	$2,073	—	—	6
5511136_1	Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes,	$2,031	$1,929	—	—	6
4337686_1	Drainage of blood or fluid accumulation	$1,969	$1,870	—	—	6
629778_1	CT scan of blood vessels of arm with contrast	$1,903	$1,808	—	—	6
4663505_1	CT scan of blood vessels of chest with contrast	$1,830	$1,739	—	—	6
4993570_1	CT scan of blood vessels of chest with contrast	$1,830	$1,739	—	—	6
5389131_1	CT scan of blood vessels of arm with contrast	$1,830	$1,739	—	—	6
629700_1	CT scan of blood vessels of chest with contrast	$1,830	$1,739	—	—	6
629762_1	CT scan of blood vessels of head with contrast	$1,830	$1,739	—	—	6
629770_1	CT scan of blood vessels of neck with contrast	$1,830	$1,739	—	—	6
4603757_1	Intermediate repair of wound of neck, hands, feet, or genitals, 12.6-20.0 cm	$1,803	$1,713	—	—	6
2404377_1	Emergency department visit with high level of medical decision making	$1,793	$1,703	—	—	6
4633396_1	Emergency department visit with high level of medical decision making	$1,793	$1,703	—	—	6
4337667_1	Removal of foreign body from tissue, accessed beneath the skin, simple	$1,785	$1,695	—	—	6
4337791_1	Complicated drainage of abscess in finger	$1,763	$1,675	—	—	6
4337738_1	Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm	$1,759	$1,671	—	—	6
4435610_1	Detection test by nucleic acid for organism, quantification	$1,733	$1,646	—	—	6
4435611_1	Detection test by nucleic acid for organism, quantification	$1,733	$1,646	—	—	6
4435616_1	Detection test by nucleic acid for organism, quantification	$1,733	$1,646	—	—	6
6398205_1	Detection test by nucleic acid for organism, quantification	$1,733	$1,646	—	—	6
2404378_1	Critical care, first 30-74 minutes	$1,695	$1,610	—	—	6
4337744_1	Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or f	$1,674	$1,590	—	—	6
4322715_1	Single contrast X-ray of large intestine	$1,671	$1,587	—	—	6
4337737_1	Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	$1,615	$1,535	—	—	6
4337717_1	Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 12.6-20.0 cm	$1,342	$1,275	—	—	6
4337722_1	Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm	$1,342	$1,275	—	—	6
4337723_1	Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 12.6-20.0 cm	$1,342	$1,275	—	—	6
4337734_1	Intermediate repair of wound of neck, hands, feet, or genitals, 7.6-12.5 cm	$1,342	$1,275	—	—	6

Showing top 50 of 3,175 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.