KIOWA 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

4,912

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
6322630_1	INJECTION, PEGLOTICASE, 1 MG	$47,066	$40,006	—	—	12
6445583_1	INJECTION, RISANKIZUMAB-RZAA, INTRAVENOUS, 1 MG	$17,436	$14,820	—	—	11
6113453_1	PURAPLY AM, PER SQUARE CENTIMETER	$10,260	$8,721	—	—	11
4866512_1	INJECTION, TENECTEPLASE, 1 MG	$10,043	$8,536	—	—	12
4968059_1	INJECTION, ALTEPLASE RECOMBINANT, 1 MG	$10,032	$8,528	—	—	12
5549649_1	Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye	$6,281	$5,339	—	—	12
6031674_1	Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye	$6,281	$5,339	—	—	12
6100326_1	Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye	$6,281	$5,339	—	—	12
4966392_1	INJECTION, CROTALIDAE POLYVALENT IMMUNE FAB (OVINE), UP TO 1 GRAM	$5,479	$4,657	—	—	12
4410441_1	Insertion of central venous tube with port for infusion (5 years or older)	$5,367	$4,562	—	—	12
4998229_1	Insertion of central venous tube with port for infusion (5 years or older)	$5,367	$4,562	—	—	12
6107190_1	Complex drainage of wound infection after surgery	$5,302	$4,507	—	—	12
6380525_1	Complex drainage of wound infection after surgery	$5,302	$4,507	—	—	12
6382609_1	Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals,	$5,270	$4,480	—	—	12
6382615_1	Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals,	$5,270	$4,480	—	—	12
6522641_1	PURAPLY AM, PER SQUARE CENTIMETER	$5,200	$4,420	—	—	11
6108070_1	Removal of foreign body of foot tissue, accessed beneath the skin	$5,162	$4,388	—	—	12
6383595_1	Removal of foreign body of foot tissue, accessed beneath the skin	$5,162	$4,388	—	—	12
6382568_1	Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants a	$5,150	$4,378	—	—	12
6382563_1	Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants a	$5,140	$4,369	—	—	12
5509167_1	INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG	$5,080	$4,318	—	—	12
6031473_1	Outer layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and chi	$5,040	$4,284	—	—	12
6382580_1	Outer layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and chi	$5,040	$4,284	—	—	11
5183945_1	Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm	$4,235	$3,600	—	—	12
4916618_1	Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1	$4,224	$3,590	—	—	12
6031669_1	Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1	$4,224	$3,590	—	—	12
6100322_1	Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1	$4,224	$3,590	—	—	12
4353142_1	Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$4,190	$3,562	—	—	12
5666578_1	Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a	$3,884	$3,301	—	—	12
6100324_1	Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a	$3,884	$3,301	—	—	12
6382659_1	Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body a	$3,884	$3,301	—	—	12
4966415_1	PRAXBIND 5G DOSE(2X 2.5G/50ML)	$3,851	$3,274	—	—	8
4337680_1	Vaginal delivery	$3,410	$2,899	—	—	11
6552368_1	PURAPLY AM, PER SQUARE CENTIMETER	$3,120	$2,652	—	—	11
4966442_1	INJECTION, DENOSUMAB, 1 MG	$3,054	$2,596	—	—	12
6455140_1	INJECTION, DENOSUMAB, 1 MG	$3,054	$2,596	—	—	12
4352979_1	Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm	$3,036	$2,581	—	—	12
4352995_1	Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm	$3,036	$2,581	—	—	12
5160009_1	Delivery of placenta	$3,000	$2,550	—	—	11
4352974_1	Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm	$2,911	$2,474	—	—	12
5666592_1	Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye	$2,890	$2,457	—	—	11
6100327_1	Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye	$2,890	$2,457	—	—	11
6384357_1	Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eye	$2,890	$2,457	—	—	12
4352987_1	Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	$2,745	$2,333	—	—	12
6558554_1	JUBBONTI 60 MG/ML SYRINGE	$2,709	$2,302	—	—	8
4353141_1	Removal of central venous tube with port or pump	$2,620	$2,227	—	—	12
4337729_1	Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	$2,583	$2,196	—	—	12
4353004_1	Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	$2,583	$2,196	—	—	12
4633404_1	Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	$2,583	$2,196	—	—	12
4352976_1	Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	$2,530	$2,151	—	—	12

Showing top 50 of 4,912 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.