GROVER C DILS MEDICAL CENTER

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

1,889

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
3056002	ACTIVASE VIAL 100MG/100 ML	$13,792	$8,965	—	—	11
3051583	RETEPLASE KIT/RETAVASE 20 UNITS INJECT	$9,930	$6,455	—	—	11
3051584	TENECTEPLASE (TNKASE) 50 MG/KIT	$6,960	$4,524	—	—	11
9480009	VAGINAL DELIVERY ONLY	$4,895	$3,182	—	—	11
6086711	STRATIFY JCV (TM) AB (WITH INDEX)	$4,050	$2,633	—	—	11
9480103	GASTRIC LAVAGE	$3,824	$2,486	—	—	11
9481170	FCE/ERS/MM EXCISION MALIG OVER 4.0 CM	$3,591	$2,334	—	—	11
9480004	TREATMENT OF THIGH FRACTURE	$3,498	$2,274	—	—	11
4074170	CT SCAN OF ABDOMEN WITHOUT AND WITH CONTRAST	$3,374	$2,193	—	—	11
40741701	CT SCAN OF ABDOMEN WITHOUT AND WITH CONTRAST	$3,374	$2,193	—	—	2
9480751	FX-TIBIAL SHAFT W OR W/O MAN	$3,265	$2,122	—	—	11
3875635	CT ANGIO ABDOMINAL ARTERIES	$3,090	$2,009	—	—	11
4074178	CT SCAN OF THE PELVIS OR ABDOMEN WITH AND WITHOUT DYE	$3,090	$2,009	—	—	11
9480255	FX-RAD/UL DISTAL W/MAN	$3,031	$1,970	—	—	11
9480249	FX-RAD/UL SHAFT W/MANIP	$3,031	$1,970	—	—	11
6081162	BRCA 1	$3,029	$1,969	—	—	11
9480213	REPAIR-EYE/E/NO CMX2.6-7.5 CM	$2,892	$1,880	—	—	11
9426410	REPAIR HAND TENDON	$2,788	$1,812	—	—	11
4074160	CT SCAN OF ABDOMEN WITH CONTRAST	$2,760	$1,794	—	—	11
40741601	CT SCAN OF ABDOMEN WITH CONTRAST	$2,760	$1,794	—	—	2
3050068	XGEVA SDV/DENOSUMAB 120MG/1.7ML	$2,666	$1,733	—	—	11
3871275	CT ANGIOGRAM OF THE CHEST	$2,653	$1,724	—	—	11
3870498	CT ANGIOGRAPHY NECK	$2,653	$1,724	—	—	11
3870496	CT ANGIOGRAPHY, HEAD WITHOUT AND WITH CONTRAST	$2,653	$1,724	—	—	11
3870548	CTA NECK W/ CONTRAST	$2,653	$1,724	—	—	11
3870547	CTA NECK W/O CONTRAST	$2,653	$1,724	—	—	11
9482101	TREAT HIP DISLOCATION	$2,467	$1,604	—	—	11
9481078	BIMALLEOLAR ANKLE W/MANIP	$2,356	$1,531	—	—	11
9482108	REPAIR FINGER/HAND TENDON	$2,356	$1,531	—	—	11
9482109	TREAT FRACTURE RADIUS/ULNA	$2,356	$1,531	—	—	11
9480778	REPAIR-FACE/E/E INT12.6	$2,303	$1,497	—	—	11
9480175	REPAIR-FACE/E/E INT5.1-	$2,271	$1,476	—	—	11
6000226	LEUKEMIA LYMPHOMA ADD MARKER	$2,241	$1,457	—	—	11
3050093	PROLASTIN C	$2,228	$1,448	—	—	11
6000008	ANTI-MUSK QUANT TITERS AB TEST	$2,216	$1,440	—	—	11
9481073	SHOULDER REDUCTION W/ANESTH	$2,192	$1,425	—	—	11
9480014	AMPUTATION OF FINGER/THUMB	$2,120	$1,378	—	—	11
9480165	REPAIR-FACE/E/E INT TO	$2,045	$1,329	—	—	11
5221007	BRACE, DONJOY DEFIANCE	$2,038	$1,325	—	—	11
9411010	DEBRD SKIN AT FX SITE	$2,022	$1,314	—	—	11
9480445	ER DR/CRITICAL CARE	$2,010	$1,307	—	—	11
1850060	CRITICAL CARE 30-74 MIN	$2,008	$1,305	—	—	11
9480212	REPAIR-EYE/E/NO CMX1.1-2.5 CM	$1,993	$1,295	—	—	11
9481172	TREAT HUMERUS FRACTURE	$1,964	$1,277	—	—	11
9481168	TREATMENT OF ANKLE FRACTURE	$1,964	$1,277	—	—	11
9481173	TREATMENT OF ANKLE FRACTURE	$1,964	$1,277	—	—	11
4074177	CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$1,957	$1,272	—	—	11
94835207	REPAIR BLOOD VESSEL LESION	$1,921	$1,249	—	—	11
9482102	TREAT KNUCKLE DISLOCATION W/O ANESTHESIA	$1,888	$1,227	—	—	11
9421320	CLOSED TX NOSE FX W/STAB	$1,866	$1,213	—	—	11

Showing top 50 of 1,889 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.