KIOWA COUNTY MEMORIAL HOSPITAL

CCN 171332

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
13
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

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