SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT

CCN 370112

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
5,199
Insurances with rates
7
CPT / HCPCS codes
4,027
Source MRF

Most expensive procedures (gross)

C1776
$111,631
Joint device (implantable)
Gross
$148,841
278
$111,631
Medical/Surgical Supplies and Devices - Other implants
Gross
$148,841
C1725
$63,000
Cath, translumin non-laser
Gross
$84,000
300
$62,031
Laboratory - General
Gross
$82,708
J9228
$58,675
Ipilimumab injection
Gross
$78,233
33270
$56,963
Ins/rep subq defibrillator
Gross
$75,950
481
$56,963
Cardiology - Cardiac cath lab
Gross
$75,950
0571T
$54,377
Insj/rplcmt icds ss eltrd
Gross
$72,503
C1722
$48,375
Aicd, single chamber
Gross
$64,500
C1820
$46,967
Generator neuro rechg bat sy
Gross
$62,622
C1785
$44,550
Pmkr, dual, rate-resp
Gross
$59,400
33262
$44,067
Rmvl& replc pulse gen 1 lead
Gross
$58,756
C1882
$42,811
Aicd, other than sing/dual
Gross
$57,081
33263
$41,169
Rmvl & rplcmt dfb gen 2 lead
Gross
$54,892
C1767
$39,263
Generator, neuro non-recharg
Gross
$52,350
275
$39,045
Medical/Surgical Supplies and Devices - Pacemaker
Gross
$52,060
0614T
$38,960
Rmvl&rplcmt ss impl dfb pg
Gross
$51,947
J1303
$38,801
Inj., ravulizumab-cwvz 10 mg
Gross
$51,734
C1713
$38,250
Anchor/screw bn/bn,tis/bn
Gross
$51,000
C1822
$37,800
Gen, neuro, hf, rechg bat
Gross
$50,400
J9043
$35,415
Cabazitaxel injection
Gross
$47,220
J2350
$33,438
Injection, ocrelizumab, 1 mg
Gross
$44,585
C1772
$31,952
Infusion pump, programmable
Gross
$42,603
33229
$31,769
Remv&replc pm gen mult leads
Gross
$42,358
C1781
$30,375
Mesh (implantable)
Gross
$40,500
C9733
$29,798
Non-ophthalmic fva
Gross
$39,730
C9765
$29,798
Revasc intra lithotrip-stent
Gross
$39,730
C9766
$29,798
Revasc intra lithotrip-ather
Gross
$39,730
C9767
$29,798
Revasc lithotrip-stent-ather
Gross
$39,730
C9774
$29,798
Revasc lithotr-ather tib/per
Gross
$39,730
C9775
$29,798
Revasc lith-sten-ath tib/per
Gross
$39,730
C1721
$29,083
Aicd, dual chamber
Gross
$38,777
C1874
$28,748
Stent, coated/cov w/del sys
Gross
$38,331
C1786
$27,495
Pmkr, single, rate-resp
Gross
$36,660
33274
$27,435
Tcat insj/rpl perm ldls pm
Gross
$36,580
C9364
$27,047
Porcine implant, permacol
Gross
$36,063
33249
$25,652
Insj/rplcmt defib w/lead(s)
Gross
$34,203
J9298
$24,494
Inj nivol relatlimab 3mg/1mg
Gross
$32,658
C1757
$24,341
Cath, thrombectomy/embolect
Gross
$32,455
272
$24,341
Medical/Surgical Supplies and Devices - Sterile
Gross
$32,455
33230
$24,102
Insrt pulse gen w/dual leads
Gross
$32,136
33240
$24,102
Insrt pulse gen w/singl lead
Gross
$32,136
J1628
$23,598
Inj., guselkumab, 1 mg
Gross
$31,464
33264
$22,129
Rmvl & rplcmt dfb gen mlt ld
Gross
$29,505
J9217
$20,862
Leuprolide acetate suspnsion
Gross
$27,816
J9042
$20,535
Brentuximab vedotin inj
Gross
$27,380
C9764
$18,415
Revasc intravasc lithotripsy
Gross
$24,553
C9772
$18,415
Revasc lithotrip tibi/perone
Gross
$24,553
J9022
$18,228
Inj, atezolizumab,10 mg
Gross
$24,304
37187
$17,796
Venous mech thrombectomy
Gross
$23,728
Showing top 50 of 5,199 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.