FORKS COMMUNITY HOSPITAL — Hospital Ledger

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

4,789

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	$113,111	$90,489	—	—	23
208	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	$89,097	$71,277	—	—	23
299	PERIPHERAL VASCULAR DISORDERS WITH MCC	$76,943	$61,554	—	—	23
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$70,086	$56,069	—	—	23
699	OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	$64,170	$51,336	—	—	23
205	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	$46,782	$37,426	—	—	23
723	MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC	$40,926	$32,741	—	—	23
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$40,424	$32,340	—	—	23
897	ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC	$37,573	$30,058	—	—	23
551	MEDICAL BACK PROBLEMS WITH MCC	$35,502	$28,401	—	—	23
947	SIGNS AND SYMPTOMS WITH MCC	$34,369	$27,495	—	—	23
056	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	$31,868	$25,495	—	—	23
371	MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC	$30,814	$24,652	—	—	23
192	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC	$30,449	$24,359	—	—	23
884	ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY	$30,405	$24,324	—	—	23
506	MAJOR THUMB OR JOINT PROCEDURES	$30,370	$24,296	—	—	23
181	RESPIRATORY NEOPLASMS WITH CC	$30,136	$24,108	—	—	23
600	NON-MALIGNANT BREAST DISORDERS WITH CC/MCC	$29,311	$23,449	—	—	23
282	ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	$29,289	$23,432	—	—	23
176	PULMONARY EMBOLISM WITHOUT MCC	$28,677	$22,941	—	—	23
189	PULMONARY EDEMA AND RESPIRATORY FAILURE	$28,639	$22,911	—	—	23
101	SEIZURES WITHOUT MCC	$26,745	$21,396	—	—	23
948	SIGNS AND SYMPTOMS WITHOUT MCC	$25,865	$20,692	—	—	23
178	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$25,828	$20,662	—	—	23
598	MALIGNANT BREAST DISORDERS WITH CC	$25,181	$20,145	—	—	23
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	$25,054	$20,043	—	—	23
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	$24,406	$19,525	—	—	23
190	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$23,350	$18,680	—	—	23
436	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	$22,644	$18,115	—	—	23
3602744701_1	Replacement of knee joint, both sides of knee	$20,663	$16,530	—	—	21
881	DEPRESSIVE NEUROSES	$20,477	$16,382	—	—	23
180	RESPIRATORY NEOPLASMS WITH MCC	$20,003	$16,002	—	—	23
292	HEART FAILURE AND SHOCK WITH CC	$19,760	$15,808	—	—	23
3604756201_1	Removal of gallbladder using an endoscope	$19,625	$15,700	—	—	21
3602713001_1	Replacement of thigh bone and hip joint with prosthesis	$18,748	$14,998	—	—	21
3600000013_1	OPERATING ROOM SERVICES - GENERAL CLASSIFICATION	$18,000	$14,400	—	—	21
27447_2	Replacement of knee joint, both sides of knee	$17,852	$14,282	—	—	21
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	$17,494	$13,995	—	—	23
29806_1	Repair of shoulder joint capsule using an endoscope	$16,619	$13,295	—	—	21
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$16,507	$13,206	—	—	23
27130_2	Replacement of thigh bone and hip joint with prosthesis	$16,198	$12,958	—	—	21
9516350_1	Destruction of nerves supplying joint between spine and pelvis using imaging guidance	$15,024	$12,019	—	—	21
3602988801_1	Repair of anterior cruciate ligament of knee using an endoscope	$14,920	$11,936	—	—	21
24538_2	Placement of stabilizing device to upper arm broken at elbow	$14,867	$11,894	—	—	21
175	PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	$14,502	$11,602	—	—	23
27339_2	Removal of growth of muscle of thigh or knee, 5.0 cm or more	$13,855	$11,084	—	—	21
3602734701_1	Removal of growth of knee cartilage or capsule	$13,291	$10,633	—	—	21
3603042001_1	Reshaping of bony cartilage dividing nasal passages	$13,190	$10,552	—	—	21
64625_2	Destruction of nerves supplying joint between spine and pelvis using imaging guidance	$12,962	$10,370	—	—	21
29888_2	Repair of anterior cruciate ligament of knee using an endoscope	$12,891	$10,313	—	—	21

Showing top 50 of 4,789 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.