WAGONER COMMUNITY HOSPITAL (Wagoner, OK) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Wound debridements for injuries without complica	Wound debridements for injuries without complications	$73,333	$36,667	—	—	1
Extensive O.R. procedure unrelated to principal	Extensive O.R. procedure unrelated to principal diagnosis with complications	$70,650	$35,325	—	—	1
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURE	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	$37,657	$18,828	—	—	1
Heart Failure with major complications	Heart Failure with major complications	$30,163	$15,082	—	—	6
Transurethral procedures without complications	Transurethral procedures without complications	$24,476	$12,238	—	—	1
Cirrhosis & alcoholic hepatitis with major compl	Cirrhosis & alcoholic hepatitis with major complications	$23,675	$11,838	—	—	1
Blood Infection with major complications	Blood Infection with major complications	$22,893	$11,447	—	—	3
Pulmonary embolism with major complications	Pulmonary embolism with major complications	$21,560	$10,780	—	—	1
Chronic Lung Disease with major complications	Chronic Lung Disease with major complications	$17,783	$8,891	—	—	2
90012025	PHASIX ST MESH W/ECHO 2 POSITIONING SYSTEM 20CM X 25CM 1212025	$17,620	$8,810	—	—	1
Pleural effusion with major complications	Pleural effusion with major complications	$17,427	$8,714	—	—	1
Craniotomy for trauma [Moderate Severity]	Craniotomy for trauma [Moderate Severity]	$14,688	$7,344	—	—	1
Pneumonia with major complications	Pneumonia with major complications	$14,381	$7,190	—	—	3
90011525	PHASIX ST W/ECHO 2.0 15X25CM 1211525	$13,980	$6,990	—	—	1
Pneumonia with complications	Pneumonia with complications	$13,924	$6,962	—	—	2
Infection of the skin	Infection of the skin	$13,777	$6,889	—	—	1
Blood infection without major complications	Blood infection without major complications	$12,580	$6,290	—	—	3
Kidney & urinary Infection with major complicati	Kidney & urinary Infection with major complications	$12,573	$6,286	—	—	1
G.I. obstruction without complications	G.I. obstruction without complications	$12,191	$6,096	—	—	2
90011520	PHASIX ST MESH 15CMX20CM 1211520	$11,000	$5,500	—	—	1
Osteomyelitis with complications	Osteomyelitis with complications	$10,659	$5,330	—	—	1
Ventilator support for 4 days or less	Ventilator support for 4 days or less	$10,279	$5,139	—	—	1
Diabetes with complications	Diabetes with complications	$9,875	$4,938	—	—	1
Kidney & urinary Infection without complications	Kidney & urinary Infection without complications	$9,855	$4,928	—	—	2
Heart Failure with complications	Heart Failure with complications	$9,675	$4,838	—	—	1
Nutritional & misc metabolic disorders with majo	Nutritional & misc metabolic disorders with major complications	$8,571	$4,286	—	—	1
Mental Illness [MSDRG 885]	Mental Illness [MSDRG 885]	$8,375	$4,188	—	—	7
Disorders of pancreas except malignancy with com	Disorders of pancreas except malignancy with complications	$8,151	$4,076	—	—	1
Diabetes with major complications	Diabetes with major complications	$8,091	$4,045	—	—	1
Other musculoskeletal system & connective tissue	Other musculoskeletal system & connective tissue diagnoses with complications	$7,118	$3,559	—	—	1
Pneumonia without complications	Pneumonia without complications	$7,015	$3,508	—	—	2
Pneumothorax with major complications	Pneumothorax with major complications	$6,830	$3,415	—	—	1
Disorders of pancreas except malignancy without	Disorders of pancreas except malignancy without complications	$6,337	$3,169	—	—	2
Alcohol or Drug Abuse without rehab or major com	Alcohol or Drug Abuse without rehab or major complications [MSDRG 897]	$6,158	$3,079	—	—	5
Nutritional or Metabolic Disorders without major	Nutritional or Metabolic Disorders without major complications	$6,084	$3,042	—	—	1
90001015	PHASIX ST W/ECHO 2.0 10X15CM 1211015	$5,900	$2,950	—	—	1
Depression [MSDRG 881]	Depression [MSDRG 881]	$5,868	$2,934	—	—	1
Major cranial/facial bone procedures [Catastroph	Major cranial/facial bone procedures [Catastrophic Severity]	$5,455	$2,728	—	—	3
Alcohol/drug abuse or dependence without rehabil	Alcohol/drug abuse or dependence without rehabilitation therapy with major complications	$5,443	$2,722	—	—	2
Urinary stones without lithotripsy and without m	Urinary stones without lithotripsy and without major complications	$5,362	$2,681	—	—	1
90009488	SURGIMESH XB TINTRA E-3030	$5,325	$2,663	—	—	1
90009489	SURGIMESH XB TINTRA 0-2636	$5,325	$2,663	—	—	1
90009475	SURGIMESH XB TINTRA E-2226	$4,425	$2,213	—	—	1
Respiratory Failure	Respiratory Failure	$4,377	$2,188	—	—	2
90009486	SURGIMESH XB TINTRA OK-1522	$4,275	$2,138	—	—	1
Kidney failure with major complications	Kidney failure with major complications	$3,840	$1,920	—	—	1
6016236	NM MPI W/ CHEMICALS	$3,625	$1,813	—	—	34
6026236	NM MPI W/ EXERCISE	$3,625	$1,813	—	—	34
90092025	OVAL SURGICAL MESH 25X20CM DAVOL 5992025	$3,530	$1,765	—	—	1
6005521	MR BRAIN W/WO CONTRAST	$3,139	$1,570	—	—	7

Showing top 50 of 1,143 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.