WHEATLAND MEMORIAL 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

2,085

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
8338588_1	INJECTION, DARBEPOETIN ALFA, 1 MICROGRAM (NON-ESRD USE)	$56,603	$56,603	—	—	22
8317434_1	INJECTION, TENECTEPLASE, 1 MG	$33,890	$33,890	—	—	22
6083478_1	Sleep study in sleep lab with continuous airway pressure (6 years or older)	$12,563	$12,563	—	—	22
5889710_1	Sleep study in sleep lab (6 years or older)	$11,460	$11,460	—	—	22
8028202_1	ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION	$8,100	$8,100	—	—	22
5374059_2	Biopsy of lining of uterus and/or removal of polyp using an endoscope	$5,465	$5,465	—	—	22
5602458_1	CT scan of abdomen and pelvis before and after contrast	$5,244	$5,244	—	—	22
8028201_1	ROOM & BOARD - PRIVATE (ONE BED) - GENERAL CLASSIFICATION	$5,204	$5,204	—	—	22
8339204_1	INJECTION, DALBAVANCIN, 5 MG	$5,190	$5,190	—	—	22
5715439_1	CT scan of blood vessels of abdomen and pelvis with contrast	$5,181	$5,181	—	—	22
8028232_1	INTENSIVE CARE UNIT - INTERMEDIATE ICU	$4,925	$4,925	—	—	22
8028231_1	ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OTHER	$4,923	$4,923	—	—	22
5452586_2	Closed treatment of broken bone in forefoot or midfoot	$4,625	$4,625	—	—	22
5375515_1	CT scan of abdomen and pelvis with contrast	$4,564	$4,564	—	—	22
8028229_1	ROOM & BOARD - SEMI-PRIVATE (TWO BEDS) - OTHER	$4,531	$4,531	—	—	22
616368_1	CT scan of pelvis with contrast	$3,734	$3,734	—	—	22
6064820_1	Emergency department visit with moderate level of medical decision making	$3,256	$3,256	—	—	22
622748_1	CT scan of abdominal aorta and both leg arteries with contrast	$3,214	$3,214	—	—	22
6041599_2	Vaginal delivery	$3,180	$3,180	—	—	26
616425_1	CT scan of abdomen and pelvis without contrast	$3,086	$3,086	—	—	22
5377249_1	CT scan of abdomen and pelvis without contrast	$3,069	$3,069	—	—	22
5884101_1	COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTR	$3,002	$3,002	—	—	22
5452056_2	Drainage of deep abscess or blood accumulation of thigh or knee	$2,934	$2,934	—	—	26
5744456_1	CT scan of leg without contrast	$2,886	$2,886	—	—	22
622849_1	CT scan of blood vessels of chest with contrast	$2,828	$2,828	—	—	22
623229_1	CT scan of head or brain before and after contrast	$2,827	$2,827	—	—	22
618908_1	MRI scan of abdomen before and after contrast	$2,802	$2,802	—	—	22
619355_1	MRI scan of brain before and after contrast	$2,791	$2,791	—	—	22
5998352_1	CT scan of blood vessels of chest with contrast	$2,787	$2,787	—	—	22
622866_1	CT scan of blood vessels of chest with contrast	$2,768	$2,768	—	—	22
619623_1	MRI scan of lower spinal canal before and after contrast	$2,730	$2,730	—	—	22
622699_1	CT scan of abdomen with contrast	$2,659	$2,659	—	—	22
5616400_1	MRI scan of leg before and after contrast	$2,637	$2,637	—	—	22
618992_1	MRI scan of upper spinal canal before and after contrast	$2,621	$2,621	—	—	22
6743579_1	Ultrasound study of arm or leg veins with compression and maneuvers	$2,616	$2,616	—	—	22
5451876_2	Treatment of broken finger at midportion or part near hand	$2,611	$2,611	—	—	22
619802_1	MRI scan of middle spinal canal before and after contrast	$2,591	$2,591	—	—	22
2890104_1	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	$2,583	$2,583	—	—	22
5375517_1	CT scan of chest with contrast	$2,542	$2,542	—	—	22
622897_1	CT scan of chest with contrast	$2,463	$2,463	—	—	22
623270_1	CT scan head or brain without contrast	$2,453	$2,453	—	—	22
5799146_1	Critical care, first 30-74 minutes	$2,320	$2,320	—	—	22
622832_1	CT scan of upper spine without contrast	$2,294	$2,294	—	—	22
616454_1	CT scan of soft tissue of neck with contrast	$2,286	$2,286	—	—	22
6889202_1	Transfusion of blood or blood products	$2,284	$2,284	—	—	22
6088762_1	TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE	$2,265	$2,265	—	—	22
616599_1	CT scan of middle spine without contrast	$2,250	$2,250	—	—	22
5746404_1	CT scan of cranial cavity with contrast	$2,149	$2,149	—	—	22
8320701_1	KETAMINE 200 MG/20 ML VIAL	$2,126	$2,126	—	—	22
5594326_2	Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	$2,100	$2,100	—	—	22

Showing top 50 of 2,085 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.