MEDICINE LODGE MEMORIAL HOSPITAL

CCN 171334

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
5,042
Insurances with rates
9
CPT / HCPCS codes
0
Source MRF

Most expensive procedures (gross)

6017851_1
$36,708
INJECTION, OCRELIZUMAB, 1 MG
Gross
$36,708
5937067_1
$30,000
Amputation of both lower leg bones leaving wound
Gross
$30,000
5579905_1
$16,646
INJECTION, VEDOLIZUMAB, INTRAVENOUS, 1 MG
Gross
$16,646
6577460_1
$13,782
INJECTION, TENECTEPLASE, 1 MG
Gross
$13,782
5668364_1
$11,009
INJECTION, TENECTEPLASE, 1 MG
Gross
$11,009
4438468_1
$10,503
INJECTION, TENECTEPLASE, 1 MG
Gross
$10,503
4474080_1
$9,550
Removal of gallbladder using an endoscope
Gross
$9,550
5343651_1
$9,400
Repair of groin hernia using an endoscope
Gross
$9,400
4358084_1
$9,222
Insertion of spinal neurostimulator electrode array through skin
Gross
$9,222
4474109_1
$9,000
Simple complete removal of breast
Gross
$9,000
5883581_1
$8,805
ENDOMETRIAL ABLATION KIT
Gross
$8,805
4648727_1
$8,700
Repair of bladder hernia into vaginal wall
Gross
$8,700
4473809_1
$7,700
Removal of uterus and cervix through abdomen
Gross
$7,700
5366554_1
$7,613
Drainage of abscess of scrotum
Gross
$7,613
4474097_1
$6,880
Removal of growth of muscle of neck or front of chest, 5.0 cm or more
Gross
$6,880
6378184_1
$6,380
INJECTION, INCLISIRAN, 1 MG
Gross
$6,380
5366083_1
$6,117
Deep biopsy of muscle
Gross
$6,117
4648723_1
$5,874
Removal of ovaries and/or tubes using an endoscope
Gross
$5,874
5660828_1
$5,846
Removal of appendix during other major procedure
Gross
$5,846
6323179_1
$5,841
INJECTION, PALIPERIDONE PALMITATE EXTENDED RELEASE (INVEGA SUSTENNA), 1 MG
Gross
$5,841
4439116_1
$5,767
INJECTION, ALTEPLASE RECOMBINANT, 1 MG
Gross
$5,767
5366358_1
$5,707
Removal of ovarian or tubal pregnancy with removal of ovary and/or tube using an endoscope
Gross
$5,707
6329854_1
$5,472
INJECTION, DENOSUMAB, 1 MG
Gross
$5,472
4473962_1
$5,407
Release of intestinal scar tissue
Gross
$5,407
6226717_1
$5,300
Initial repair of sliding hernia of abdomen, less than 3 cm in length
Gross
$5,300
6227566_1
$5,290
Initial repair of entrapped hernia of abdomen, less than 3 cm in length
Gross
$5,290
4353093_1
$5,250
Application of chemical to stop tissue regrowth in wound
Gross
$5,250
4474082_1
$5,150
Repair of groin hernia (5 years or older)
Gross
$5,150
6380525_1
$5,109
Complex drainage of wound infection after surgery
Gross
$5,109
4358069_1
$5,010
Insertion of central venous tube with port (5 years or older)
Gross
$5,010
4648676_1
$4,771
Removal of cyst or growth of elbow or upper forearm bone
Gross
$4,771
5366416_1
$4,757
Removal or destruction of cervix with cold knife or laser
Gross
$4,757
4648684_1
$4,400
Removal of uterus, tubes, and/or ovaries through vagina using an endoscope, 250.0 g or less
Gross
$4,400
4473763_1
$4,089
Removal of extra breast tissue in male
Gross
$4,089
5782412_1
$3,867
INJECTION, TOCILIZUMAB, 1 MG
Gross
$3,867
6566116_1
$3,757
VASOPRESSIN 20 UNIT/100 ML-NS
Gross
$3,757
5487047_1
$3,747
Application of vein wound compression bandages on lower leg, ankle, and foot
Gross
$3,747
4648675_1
$3,627
Removal of fluid-filled sac of elbow
Gross
$3,627
4473828_1
$3,600
Removal of foreskin (older than 28 days)
Gross
$3,600
5883623_1
$3,574
MESH (IMPLANTABLE)
Gross
$3,574
5814309_1
$3,500
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 1
Gross
$3,500
4358061_1
$3,231
Removal of first cyst of wrist
Gross
$3,231
5406681_1
$3,231
Removal of first cyst of wrist
Gross
$3,231
5717698_1
$3,215
Partial removal of testicle
Gross
$3,215
6436655_1
$3,207
INJECTION, DENOSUMAB, 1 MG
Gross
$3,207
4648750_1
$3,197
Drainage of deep abscess in rectum
Gross
$3,197
4473954_1
$3,190
Partial removal of large bowel with creation of opening from large bowel to skin
Gross
$3,190
6227503_1
$3,148
Initial repair of entrapped hernia of abdomen, 3-10 cm in length
Gross
$3,148
5865910_1
$3,078
LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (MIRENA), 52 MG
Gross
$3,078
6053509_1
$3,061
Insertion of spinal neurostimulator electrode array through skin
Gross
$3,061
Showing top 50 of 5,042 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.