WINKLER COUNTY MEMORIAL HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
8266505_1	TNKASE 50 MG KIT	$14,925	$11,940	—	—	17
8134493_1	50242-0120-01 - TENECTEPLASE(TNKASE) KIT [WCMH]	$14,491	$11,592	—	—	17
8023071_1	Treatment of broken finger at midportion or part near hand	$8,855	$7,084	—	—	16
1169050_1	MRI scan of upper spinal canal before and after contrast	$7,947	$6,358	—	—	17
1169062_1	MRI scan of middle spinal canal before and after contrast	$7,792	$6,234	—	—	17
1168311_1	CT scan of blood vessels of arm with contrast	$7,428	$5,942	—	—	17
1168313_1	CT scan of blood vessels of arm with contrast	$7,428	$5,942	—	—	17
8165957_1	CT scan of blood vessels of arm with contrast	$7,428	$5,942	—	—	17
8044420_1	MRI scan of arm joint with contrast	$7,158	$5,727	—	—	17
8073857_1	MRI scan of arm joint with contrast	$7,158	$5,727	—	—	17
1169108_1	MRI scan of arm before and after contrast	$7,108	$5,686	—	—	17
1169110_1	MRI scan of arm before and after contrast	$7,108	$5,686	—	—	17
1168730_1	MRI scan of abdomen before and after contrast	$7,031	$5,625	—	—	17
1169008_1	MRI scan of leg before and after contrast	$6,881	$5,504	—	—	17
1169010_1	MRI scan of leg before and after contrast	$6,881	$5,504	—	—	17
8044414_1	MRI scan of arm joint before and after contrast	$6,881	$5,504	—	—	17
8044417_1	MRI scan of arm joint before and after contrast	$6,881	$5,504	—	—	17
1169056_1	MRI scan of lower spinal canal before and after contrast	$6,737	$5,390	—	—	17
1168679_1	MRI scan of blood vessels of neck before and after contrast	$6,691	$5,353	—	—	17
1168796_1	MRI scan of brain before and after contrast	$6,586	$5,269	—	—	17
8134539_1	CROFAB VIAL	$6,523	$5,218	—	—	17
1168649_1	MRI scan of blood vessels of head before and after contrast	$6,486	$5,189	—	—	17
1167879_1	CT scan of blood vessels of neck with contrast	$6,291	$5,033	—	—	17
8169753_1	Drainage of fluid from chest cavity with insertion of indwelling tube	$6,248	$4,998	—	—	16
8044405_1	MRI scan of leg joint with contrast	$6,128	$4,903	—	—	17
8073848_1	MRI scan of leg joint with contrast	$6,128	$4,903	—	—	17
1168852_1	MRI scan of bone of eye socket, face, and/or neck before and after contrast	$6,074	$4,859	—	—	17
1169052_1	MRI scan of upper spinal canal with contrast	$6,052	$4,841	—	—	17
1169064_1	MRI scan of middle spinal canal with contrast	$5,965	$4,772	—	—	17
1169058_1	MRI scan of lower spinal canal with contrast	$5,935	$4,748	—	—	17
1169024_1	MRI scan of pelvis before and after contrast	$5,925	$4,740	—	—	17
1168822_1	MRI scan of chest with contrast	$5,911	$4,729	—	—	17
1168824_1	MRI scan of chest without contrast	$5,724	$4,579	—	—	17
1169026_1	MRI scan of pelvis with contrast	$5,694	$4,555	—	—	17
1168319_1	CT Upper Extremity w/+w/o Contrast Right	$5,675	$4,540	—	—	17
1168681_1	MRI scan of blood vessels of neck with contrast	$5,608	$4,487	—	—	17
1168798_1	MRI scan of brain with contrast	$5,583	$4,467	—	—	17
1169014_1	MRI scan of leg with contrast	$5,580	$4,464	—	—	17
1169016_1	MRI scan of leg with contrast	$5,580	$4,464	—	—	17
1168732_1	MRI scan of abdomen with contrast	$5,458	$4,366	—	—	17
1168734_1	MRI scan of abdomen without contrast	$5,455	$4,364	—	—	17
8073851_1	MRI scan of abdomen without contrast	$5,455	$4,364	—	—	17
1168651_1	MRI scan of blood vessels of head with contrast	$5,390	$4,312	—	—	17
1169120_1	MRI scan of arm without contrast	$5,127	$4,101	—	—	17
1169122_1	MRI scan of arm without contrast	$5,127	$4,101	—	—	17
8023031_1	Repair of tendon deep in underside of finger	$5,104	$4,083	—	—	16
1168854_1	MRI scan of bone of eye socket, face, and/or neck with contrast	$5,079	$4,064	—	—	17
1169114_1	MRI scan of arm with contrast	$5,044	$4,035	—	—	17
1169116_1	MRI scan of arm with contrast	$5,044	$4,035	—	—	17
1168683_1	MRI scan of blood vessels of neck without contrast	$5,041	$4,033	—	—	17

Showing top 50 of 3,010 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.