FISHER COUNTY HOSPITAL DISTRICT (Rotan, TX) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
2500563	Tenecteplase(tnk Ase) 50mg Kit Iv	$11,272	$9,581	$6,425	$11,272	6
2501810	#Neulasta 6mg Sq	$7,800	$6,630	$4,446	$7,800	6
2505500	Monoferric (Derisomaltose) 1000mg/10ml	$5,260	$4,471	$2,998	$5,260	6
2505501	Monoferric Inj 1000mg/ Ns 100ml	$4,863	$4,134	$2,772	$4,863	6
2500335	Antivenom Snakebite (Crofab) 10	$4,606	$3,915	$2,625	$4,606	6
4500161	Central Venous Catheter Insert Nontunnel	$4,555	$3,872	$2,596	$4,555	6
3500131	Ct Abd & Pelvis Wo/w Contrast	$4,388	$3,730	$2,501	$4,388	6
4500146	Clsd Trt Tibial Plateau	$4,338	$3,687	$2,473	$4,338	6
4500152	Repair Of Foot Tendon	$4,338	$3,687	$2,473	$4,338	6
4500116	Vaginal Delivery	$4,018	$3,415	$2,290	$4,018	6
3500104	CT scan of abdomen and pelvis with contrast	$3,888	$3,305	$2,216	$3,888	6
3500149	Cta Carotids/neck	$3,800	$3,230	$2,166	$3,800	6
2502707	Immune Globulin Infu(human) Iv 20g 200ml	$3,762	$3,198	$2,144	$3,762	6
3500152	Cta Lower Extremity	$3,600	$3,060	$2,052	$3,600	6
3500103	Ct Abd & Pelvis W/o Contrast	$3,488	$2,965	$1,988	$3,488	6
3500134	Ct Abd & Pelvis Stone Protocol	$3,488	$2,965	$1,988	$3,488	6
3500143	Ct Abd & Pelvis With Oral Contrast	$3,488	$2,965	$1,988	$3,488	6
3500153	Cta Upper Extremity	$3,100	$2,635	$1,767	$3,100	6
3500136	Cta Abdomen	$3,100	$2,635	$1,767	$3,100	6
3500151	Cta Abdominal Aorta Bil Low Ext	$3,000	$2,550	$1,710	$3,000	6
3500041	Ct Abdomen W W/o Contrast	$2,828	$2,404	$1,612	$2,828	6
3500150	Cta Pelvis	$2,800	$2,380	$1,596	$2,800	6
2502492	Denosumab (Prolia) Inj 60mg/ml	$2,782	$2,365	$1,586	$2,782	6
3000653	Chromosome Microarray Snp(510002)	$2,520	$2,142	$1,436	$2,520	6
3500145	Cta Head	$2,500	$2,125	$1,425	$2,500	6
4500153	Pleural Drainage W/o Image	$2,487	$2,114	$1,418	$2,487	6
3500019	Ct Chest W W/o Contrast	$2,471	$2,100	$1,408	$2,471	6
4500083	I&d Complx Postop Wound Infec	$2,422	$2,059	$1,381	$2,422	6
2501681	#Aredia 90mg Iv	$2,402	$2,042	$1,369	$2,402	6
3500133	Cta Abdomen & Pelvis	$2,390	$2,032	$1,362	$2,390	6
3500040	Ct Abdomen W/contrast	$2,358	$2,004	$1,344	$2,358	6
3500155	Ct Facial Bones W&w/ocontrast	$2,340	$1,989	$1,334	$2,340	6
3500158	Ct Iac W&w/o Contrast	$2,312	$1,965	$1,318	$2,312	6
3500154	Ct Sinuses W&w/o Contrast	$2,300	$1,955	$1,311	$2,300	6
3500077	Ct C-spine W & W/o Contrast	$2,194	$1,865	$1,251	$2,194	6
3500140	Ct T-spine Wo/w Contrast	$2,194	$1,865	$1,251	$2,194	6
4500154	Insj Picc 5+yr W/o Imaging	$2,154	$1,831	$1,228	$2,154	6
4500101	Trt Femoral Shaft Clsd Fx W/mn	$2,133	$1,813	$1,216	$2,133	6
4500143	Clsd Trt Fx Ankle W/mnp	$2,133	$1,813	$1,216	$2,133	6
2501790	#Aranesp 300 Mcg/1ml S	$2,058	$1,749	$1,173	$2,058	6
3500039	Ct Abdomen W/o Contrast	$2,049	$1,742	$1,168	$2,049	6
3500144	Ct Abdomen With Oral Contrast	$2,049	$1,742	$1,168	$2,049	6
2503571	Ferric Carboxymaltose(injectafer)750mg	$2,022	$1,719	$1,153	$2,022	6
3500011	Ct Soft Tissue Neck W W/o Contrast	$2,006	$1,705	$1,143	$2,006	6
3500135	Ct L-spine W/o And W Contrast	$1,978	$1,681	$1,127	$1,978	6
2502050	Lupron Depot 22.5mg Kt-3	$1,953	$1,660	$1,113	$1,953	6
3500132	Cta Chest (Noncoronary)	$1,904	$1,618	$1,085	$1,904	6
3500018	Ct Chest W/contrast	$1,899	$1,614	$1,082	$1,899	6
2501456	Antivenom Snakebite 10	$1,886	$1,603	$1,075	$1,886	6
3500137	Ct C-spine W/contrast	$1,845	$1,568	$1,052	$1,845	6

Showing top 50 of 4,609 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.