MULESHOE AREA MEDICAL CENTER

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
3000872	Activase Inj [100mg]	$35,201	$21,121	$1,300	$35,201	8
3000506	Tenecteplase Inj 50mg (Tnkase)	$31,577	$18,946	$1,300	$31,577	8
3000784	Crofab Inj [1 Gm] 2 Vials	$17,629	$10,577	$1,300	$17,629	8
4003915	Ugt1a1 Genotyping Sequencing	$7,210	$4,326	$2,812	$7,210	8
3065935	Cyanokit 5g/vial(hydroxocbalamin) Inj	$4,026	$2,416	$1,300	$4,026	8
3040032	Mcm-vac Kedrab (Rabies Immune Globulin)	$2,982	$1,789	$1,163	$2,982	8
3040044	Vac-kedrab (Rabies Immune Globulin)	$2,982	$1,789	$1,163	$2,982	8
5000183	Us Echo Cardiogram Stress	$2,576	$1,546	$1,005	$2,576	8
1059409	Vaginal Delivery	$2,472	$1,483	$964	$2,472	8
5020065	Ct Abd Pelvis W And Wo Con	$2,163	$1,298	$844	$2,163	8
5020067	CT scan of abdomen and pelvis with contrast	$1,931	$1,159	$753	$1,931	8
5020001	Ct Chest Angiogram	$1,880	$1,128	$733	$1,880	8
1000245	Critical Care 30-74 Min	$1,785	$1,071	$696	$1,785	8
3000080	Veklury Inj [100 Mg](remdesivir)	$1,607	$964	$627	$1,607	8
5020069	Ct Abd Pelvis Wo Con	$1,591	$955	$620	$1,591	8
5000021	Ct Spine Cerv W And Wo Cm	$1,545	$927	$603	$1,545	8
5001025	Ct Spine Lumb W And Wo Cm	$1,545	$927	$603	$1,545	8
5020015	Ct Pelvis W And Wo Con	$1,545	$927	$603	$1,545	8
5020029	Ct Abd W And Wo Con	$1,545	$927	$603	$1,545	8
1000105	Er Insert Non-tunnel Cath	$1,506	$904	$587	$1,506	8
1000065	Er Rep Nos/ear/ 2.6-7.5cm	$1,497	$898	$584	$1,497	8
8056641	Thoracentesis	$1,447	$868	$564	$1,447	8
5000049	Ct Maxillofacial W And Wo Cm	$1,442	$865	$562	$1,442	8
5000074	Ct Low Extremity Wwo	$1,442	$865	$562	$1,442	8
5000174	Ct Low Extremity Wwo	$1,442	$865	$562	$1,442	8
5001149	Ct Maxillofacial W And Wo Cm	$1,442	$865	$562	$1,442	8
5001249	Ct Maxillofacial W And Wo Cm	$1,442	$865	$562	$1,442	8
5020053	Ct Head W And Wo Con	$1,442	$865	$562	$1,442	8
5020061	Ct Chest W And Wo Contrast	$1,442	$865	$562	$1,442	8
5000117	Ct Upper Extremity W And Wo	$1,416	$850	$552	$1,416	8
5001017	Ct Upper Extremity W And Wo	$1,416	$850	$552	$1,416	8
5020043	Ct L Spine W Contrast	$1,400	$840	$546	$1,400	8
5020072	Ct Upper Ext W Iv Contrast	$1,400	$840	$546	$1,400	8
2500621	Cath Power Picc	$1,395	$837	$544	$1,395	8
5020019	Ct Soft Tiss Neck W Con	$1,313	$788	$512	$1,313	8
5000231	Carotid Artery Bilat	$1,307	$784	$510	$1,307	8
5044231	Us Carotid Bilateral	$1,307	$784	$510	$1,307	8
6400016	Ventilator Assist & Mgmt (Initial Day)	$1,300	$780	$507	$1,300	8
5020073	Ct Lower Ext W Iv Contrast	$1,288	$773	$502	$1,288	8
5003970	Us Duplex Ext View Bilat	$1,273	$764	$496	$1,273	8
5000137	CT scan of pelvis with contrast	$1,262	$757	$492	$1,262	8
5020045	Ct Abd W Cont	$1,262	$757	$492	$1,262	8
5020055	Ct Sinus	$1,262	$757	$492	$1,262	8
5020063	Ct Chest W Contrast	$1,262	$757	$492	$1,262	8
5020071	Ct Head W Con	$1,262	$757	$492	$1,262	8
5024055	Ct Sinus W Contrast	$1,262	$757	$492	$1,262	8
5024455	Ct Maxillofacial W Iv Contrast	$1,262	$757	$492	$1,262	8
1037195	Cerebral Thrombolysis	$1,236	$742	$482	$1,236	8
3000427	Mcm-bicillin L-a 1.2million [1200000]	$1,230	$738	$480	$1,300	8
5000125	Us Duplex Scan Le Arts Bilat	$1,210	$726	$472	$1,210	8

Showing top 50 of 2,449 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.