KIOWA DISTRICT 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

4,222

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
5462697_1	INJECTION, ALTEPLASE RECOMBINANT, 1 MG	$16,474	$13,179	—	—	16
5743486_1	INJECTION, TENECTEPLASE, 1 MG	$15,532	$12,426	—	—	16
5321335_1	INJECTION, TENECTEPLASE, 1 MG	$14,653	$11,723	—	—	16
5331278_1	INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG	$9,466	$7,573	—	—	14
5331204_1	INJECTION, DIGOXIN IMMUNE FAB (OVINE), PER VIAL	$9,311	$7,449	—	—	16
6186175_1	INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG	$8,712	$6,970	—	—	16
5331345_1	INJECTION, TERIPARATIDE, 10 MCG	$8,604	$6,883	—	—	16
6035758_1	Destruction of nerves supplying joint between spine and pelvis using imaging guidance	$8,600	$6,880	—	—	14
4474080_1	Removal of gallbladder using an endoscope	$8,500	$6,800	—	—	16
5343649_1	Removal of gallbladder with exploration of common bile duct using an endoscope	$8,400	$6,720	—	—	16
5954712_1	Injection of anesthetic agent into abdominal sympathetic nerve bundle	$7,900	$6,320	—	—	16
5954562_1	Injection of anesthetic agent and/or steroid into face nerve	$7,300	$5,840	—	—	16
4474082_1	Repair of groin hernia (5 years or older)	$7,133	$5,706	—	—	16
6035787_1	Destruction of nerves supplying joint between spine and pelvis using imaging guidance	$6,800	$5,440	—	—	8
4337680_1	Vaginal delivery	$6,479	$5,183	—	—	15
4421653_1	Vaginal delivery	$6,479	$5,183	—	—	15
6408866_1	INJECTION, INCLISIRAN, 1 MG	$6,330	$5,064	—	—	14
4474068_1	Removal of gallbladder with X-ray study of bile ducts using an endoscope	$6,085	$4,868	—	—	16
5343657_1	Removal of uterus through vagina using an endoscope, 250.0 g or less	$6,085	$4,868	—	—	16
5343658_1	Removal of uterus through vagina using an endoscope, more than 250.0	$6,085	$4,868	—	—	16
5549635_1	Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye	$5,985	$4,788	—	—	16
4474072_1	Removal of appendix using an endoscope	$5,791	$4,633	—	—	16
4367533_1	Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	$5,600	$4,480	—	—	15
4367534_1	Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	$5,500	$4,400	—	—	15
4358094_1	Injection of upper or middle spine facet joint using imaging guidance, single level	$5,400	$4,320	—	—	16
4950269_1	Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	$5,355	$4,284	—	—	15
5343637_1	Creation of large bowel opening using an endoscope	$5,355	$4,284	—	—	14
5343639_1	Partial removal and reconnection of small bowel using an endoscope	$5,355	$4,284	—	—	15
5343640_1	Partial removal of small bowel using an endoscope, each additional removal and connection	$5,355	$4,284	—	—	15
5343641_1	Partial removal of large bowel using an endoscope	$5,355	$4,284	—	—	15
5343643_1	Tying of multiple internal hemorrhoid groups	$5,355	$4,284	—	—	16
5343644_1	Partial removal of large bowel and reattachment to rectum using an endoscope	$5,355	$4,284	—	—	15
5343646_1	Partial removal of large bowel and reattachment to rectum and creation of opening from large bowel t	$5,355	$4,284	—	—	15
5343647_1	Removal of large bowel with attachment of small bowel to rectum or creation of small bowel opening u	$5,355	$4,284	—	—	15
4651824_1	Injection of substance into middle or upper spine canal using imaging guidance	$5,300	$4,240	—	—	16
5954611_1	Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance	$5,300	$4,240	—	—	15
5320941_1	Removal of growth of muscle of neck or front of chest, less than 5.0 cm	$5,264	$4,211	—	—	16
5611459_1	Injection of anesthetic agent into abdominal sympathetic nerve bundle	$5,200	$4,160	—	—	9
4473749_1	Injection of anesthetic agent and/or steroid into rib nerve	$4,800	$3,840	—	—	16
5935906_1	Injection of anesthetic agent and/or steroid into face nerve	$4,800	$3,840	—	—	9
5954707_1	Injection of anesthetic agent into middle or lower spine sympathetic nerve	$4,800	$3,840	—	—	16
4648749_1	Insertion of central venous tube with port for infusion (5 years or older)	$4,780	$3,824	—	—	16
5682913_1	SYNAGIS 100 MG/ML VIAL	$4,771	$3,817	—	—	12
5954697_1	Injection of anesthetic agent into sympathetic nerve bundle	$4,700	$3,760	—	—	16
5954702_1	Injection of anesthetic agent into sacral nerve bundle	$4,700	$3,760	—	—	15
6109569_1	Injection of agent to destroy rib nerve	$4,700	$3,760	—	—	15
5268116_1	Removal of multiple external noncancer growths of anus	$4,535	$3,628	—	—	16
5736705_1	COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTR	$4,516	$3,613	—	—	14
4358063_1	Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidanc	$4,500	$3,600	—	—	15
5938494_1	Injection of blood or blood clot into spinal canal	$4,500	$3,600	—	—	15

Showing top 50 of 4,222 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.