KITTSON HEALTHCARE — Hospital Ledger

45 CFR § 180 compliance

C · 70

This hospital published part 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

1,929

Insurances with rates

CPT / HCPCS codes

1,133

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J3101	Tenecteplase For IV Soln Kit 50 MG	$19,402	$19,402	—	—	40
J2506	Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML	$12,993	$12,993	—	—	20
J1950	Leuprolide Acetate (3 Month) For Inj Kit 11.25 MG	$8,120	$8,120	—	—	20
J3262	Tocilizumab IV Inj 400 MG/20ML	$7,724	$7,724	—	—	20
J3111	Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML	$7,478	$7,478	—	—	20
J9202	Goserelin Acetate Implant 10.8 MG	$6,743	$6,743	—	—	20
J0897	Denosumab Inj Soln Prefilled Syringe 60 MG/ML	$5,392	$5,392	—	—	20
J1602	Golimumab IV Soln 50 MG/4ML	$5,120	$5,120	—	—	20
81229	CYTOG ALYS CHRMOML ABNOR CPY NUMBER&SNP VRNT CGH 81229.004	$4,622	$4,622	—	—	20
J0129	Abatacept For IV Soln 250 MG	$4,099	$4,099	—	—	20
95811	SLEEP STUDY SPLT NGHT 95811	$4,036	$4,036	—	—	20
95810	SLEEP STUDY PARTIAL 95810 M52	$3,497	$3,497	—	—	20
74183	MRI ABDOMEN WO THEN W CONT	$3,487	$3,487	—	—	20
72158	MRI L SPINE WO THEN W CONT	$3,481	$3,481	—	—	20
74177	CT ABD PELVIS W CONTRAST	$3,393	$3,393	—	—	20
72157	MRI T SPINE WO THEN W CONT	$3,392	$3,392	—	—	20
74178	CT ABD PELVIS WO THEN W CONT	$3,373	$3,373	—	—	20
70553	MRI BRAIN WO THEN W CONT	$3,329	$3,329	—	—	20
70546	MRA HEAD WO THEN W CONT	$3,201	$3,201	—	—	20
70542	MRI FACE NECK ORB W CONTRAST	$3,201	$3,201	—	—	20
74182	MRI ABDOMEN W CONTRAST	$3,119	$3,119	—	—	20
72156	MRI C SPINE WO THEN W CONT	$3,056	$3,056	—	—	20
70549	MRA NECK WO THEN W CONT	$3,047	$3,047	—	—	20
73718	MRI LOWER EXT WO CONTRAST	$2,953	$2,953	—	—	20
73719	MRI LOWER EXT W CONTRAST	$2,952	$2,952	—	—	20
72149	MRI L SPINE W CONTRAST	$2,927	$2,927	—	—	20
43251	EGD WREM RUMOR-SNARE	$2,922	$2,922	—	—	20
73720	MRI LOWER EXT WO THEN W CONT	$2,886	$2,886	—	—	20
73223	MRI UPPER EXT JT WO THEN W CONT	$2,881	$2,881	—	—	20
70543	MRI FACE NECK ORB WO THEN W CONT	$2,873	$2,873	—	—	20
73723	MRI LOWER EXT JT WO THEN W CONT	$2,835	$2,835	—	—	20
74174	CTA ABD PELVIS W CONTRAST+WO IF PERFORM	$2,819	$2,819	—	—	20
95805	MULTIPLE SLEEP LATENCY 95805	$2,800	$2,800	—	—	20
74181	MRI ABDOMEN WO CONTRAST	$2,788	$2,788	—	—	20
72146	MRI T SPINE WO CONTRAST	$2,744	$2,744	—	—	20
74185	MRA ABDOMEN W CONTRAST	$2,725	$2,725	—	—	20
95806	UNATTENDED SLEEP STUDY 95806	$2,692	$2,692	—	—	20
72142	MRI C SPINE W CONTRAST	$2,659	$2,659	—	—	20
70336	MRI TEMPOROMANDIBULAR JOINT	$2,648	$2,648	—	—	20
72148	MRI L SPINE WO CONTRAST	$2,646	$2,646	—	—	20
74176	CT ABD PELVIS WO CONTRAST	$2,624	$2,624	—	—	20
66850	SURG 66850 RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR	$2,611	$2,611	—	—	20
71552	MRI CHEST WO THEN W CONT	$2,552	$2,552	—	—	20
0110	Swing Bed	$2,452	$2,452	—	—	16
45385	COLON WREM TUMOR SNARE	$2,450	$2,450	—	—	20
70544	MRA HEAD WO CONTRAST	$2,376	$2,376	—	—	20
70552	MRI BRAIN W CONTRAST	$2,356	$2,356	—	—	20
65426	SURG 65426 EXCISION/TRANSPOSITION PTERYGIUM W/GRAFT	$2,351	$2,351	—	—	20
71275	CTA CHEST WCONT +WO IF PERF	$2,347	$2,347	—	—	20
J0882	Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML	$2,344	$2,344	—	—	40

Showing top 50 of 1,929 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.