EDWARDS COUNTY MEDICAL CENTER (Kinsley, KS) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2997	Alteplase 100 MG Inj	$19,220	$15,376	—	—	2
J3101	TNKase 50MG Inj,	$13,582	$10,866	—	—	2
J2353	Octreotide acetate 30MG Inj.	$11,258	$9,006	—	—	2
Q5108	Fulphila Solution Inj. 6MG/0.6ML -NF	$9,118	$7,295	—	—	2
J1459	IVIG (Privigen) 20GM IV	$7,601	$6,080	—	—	2
90375	Rabies Immune Glob 1500UN/10ML Inj	$7,433	$5,946	—	—	2
J1306	inclisiran 284mg/1.5ml INJ	$7,197	$5,757	—	—	2
J2182	Mepolizumab 100mg/ml	$6,917	$5,533	—	—	2
71275	CT ANGIOGRAPHY CHEST	$6,394	$5,115	—	—	2
74178	CT ABDOMEN/PELVIS W/WO CONTRAST	$5,424	$4,339	—	—	2
73720	MRI LT LEG WO/W	$5,341	$4,273	—	—	2
73220	MRI LT ARM WO/W	$5,336	$4,269	—	—	2
72158	MRI L SPINE W/WO CONTRAST	$5,106	$4,085	—	—	2
72156	MRI C SPINE W & WO CONTRAST	$4,902	$3,922	—	—	2
74174	CTA ABDOMEN/PELVIS W/ CONTRAST	$4,862	$3,890	—	—	2
74177	CT ABDOMEN/PELVIS W/ CONTRAST	$4,849	$3,879	—	—	2
70553	MRI BRAIN W/WO CONTRAST	$4,824	$3,859	—	—	2
74183	MRI ABDOMEN W/WO CONTRAST	$4,659	$3,727	—	—	2
72197	MRI PELVIS WO/W CONTRAST	$4,642	$3,714	—	—	2
78452	NM MYOCARDIAL SPECT MULT IMAGING	$4,586	$3,669	—	—	2
70543	MRI NECK/SOFT TISSUE FACE W/WO	$4,579	$3,663	—	—	2
73719	MRI RT LEG W/	$4,438	$3,550	—	—	2
70546	MRA HEAD W/WO CONTRAST	$4,301	$3,441	—	—	2
J7168	Kcentra	$4,121	$3,297	—	—	2
73219	MRI LT ARM WI/	$4,098	$3,278	—	—	2
J2248	Mycamine 100MG/VL Inj	$4,084	$3,267	—	—	2
73718	MRI LOWER EXTREM OTH/THN JT W/O CONTR MA	$4,002	$3,202	—	—	2
74176	CT ABDOMEN/PELVIS WO	$3,999	$3,199	—	—	2
72142	MRI C SPINE W/CONTRAST	$3,902	$3,122	—	—	2
73218	MRI LT ARM W/O	$3,891	$3,113	—	—	2
10140	DRAINAGE OF HEMATOMA/FLUID OP TREATMENT	$3,787	$3,030	—	—	2
36556	INSERT NON-TUNNEL CV CATH AGE 5YR>	$3,773	$3,018	—	—	2
J0897	Prolia 60 MG / 1 ML Inj	$3,751	$3,001	—	—	2
73223	MRI JOINT UPR EXTR RT W/W/O	$3,700	$2,960	—	—	2
64635	RFA destroy lum/sac facet 1st jnt 510	$3,670	$2,936	—	—	2
73222	MRI UPPER EXT RT WITH JOINT,TechnicalComponent	$3,548	$2,838	—	—	2
73722	MRI LOWER EXT RT WITH JOINT,TechnicalComponent	$3,508	$2,806	—	—	2
72141	MRI C SPINE WO CONTRAST	$3,485	$2,788	—	—	2
72148	MRI L SPINE WO CONTRAST	$3,480	$2,784	—	—	2
72146	MRI T SPINE WO CONTRAST	$3,439	$2,751	—	—	2
73221	MRI UPPER EXT RT W/O JOINT,TechnicalComponent	$3,433	$2,746	—	—	2
73721	MRI LOWER EXT RT W/O JOINT,TechnicalComponent	$3,433	$2,746	—	—	2
70551	MRI BRAIN WO CONTRAST	$3,375	$2,700	—	—	2
70552	MRI BRAIN W CONTRAST	$3,375	$2,700	—	—	2
74181	MRI ABDOMEN W/O CONTRAST	$3,323	$2,658	—	—	2
70549	MRA NECK W/WO CONTRAST	$3,314	$2,651	—	—	2
71270	CT CHEST W/WO CONTRAST	$3,275	$2,620	—	—	2
70548	MRA NECK W CONTRAST	$3,215	$2,572	—	—	2
59409	VAGINAL DELIVERY ONLY 450	$3,200	$2,560	—	—	2
64624	Dstrj nulyt agt gnclr nrv 510	$3,171	$2,537	—	—	2

Showing top 50 of 1,331 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.