HEMPHILL COUNTY HOSPITAL (Canadian, TX) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J3101	tenecteplase 50 mg Kit [HCHD]	$19,479	$14,609	—	—	15
J0840	antivenin (Crotalidae) polyvalent vial [HCHD]	$7,843	$5,883	—	—	5
J7168	prothrombin complex - REC	$6,280	$4,710	—	—	5
46250	HEMORRHOID EXCISION Charge	$5,730	$4,298	—	—	5
71270	CT Chest /Abdomen/Pelvis w + w/o Contras	$5,644	$4,233	—	—	5
74174	CT Angiography Abdomen/Pelvis w/ + w/o C	$5,302	$3,976	—	—	5
74178	CT Abdomen/Pelvis w + w/o Contrast	$5,028	$3,771	—	—	5
27752	TREAT OF TIBA FRACTURE	$4,744	$3,558	—	—	5
74177	CT Abdomen/Pelvis w/ Contrast	$4,669	$3,502	—	—	5
J0490	belimumab 400 mg REC [HCH]	$4,628	$3,471	—	—	5
27788	CLOSE TREATMENT OF FIBULA W/MANILPULATON	$4,519	$3,389	—	—	5
27810	TREAT ANKLE FX EACH	$4,519	$3,389	—	—	5
74176	CT Abdomen/Pelvis w/o Contrast	$4,071	$3,053	—	—	5
95782	Polysomnogram>6	$4,011	$3,008	—	—	5
95811	SLEEP LAB SPLIT NIGHT STD	$4,011	$3,008	—	—	5
35673	PICC LINE INSERTION	$3,876	$2,907	—	—	5
95810	SLEEP LAB POLYSOMNOGRAM	$3,782	$2,837	—	—	5
95808	POLYSON ANY AGE 1-3>PAR	$3,782	$2,837	—	—	5
71275	CT Angiography Chest w/ Contrast	$3,706	$2,779	—	—	5
70496	CT Angiography Head	$3,529	$2,647	—	—	5
70498	CT Angiography Neck	$3,529	$2,647	—	—	5
27327	EX TUMOR THIGH/KNEE SUB	$3,438	$2,579	—	—	5
36573	INSJ PPICC RS1 5YR+	$3,418	$2,564	—	—	5
74170	CT Abdomen w/ + w/o Contrast	$3,415	$2,561	—	—	5
684	TRAMA RESPONSE W/ HOSPITAL CRITICAL CARE	$3,274	$2,455	—	—	5
72130	CT Spine Thoracic w/ + w/o Contrast	$3,254	$2,441	—	—	5
72133	CT Spine Lumbar w/ + w/o Contrast	$3,254	$2,441	—	—	5
72127	CT Spine Cervical w/ + w/o Contrast	$3,243	$2,433	—	—	5
70492	CT Soft tissue Neck w/ + w/o Contrast	$3,186	$2,390	—	—	5
70482	CT Orbit Sella etc. w/ + w/o Contrast	$3,166	$2,374	—	—	5
43235	EGD DX	$3,163	$2,372	—	—	5
43239	EGD WITH BIOPSY	$3,163	$2,372	—	—	5
72194	CT Pelvis w/ + w/o Contrast	$3,151	$2,363	—	—	5
J0129	abatacept 250 mg vial [HCHD]	$3,104	$2,328	—	—	10
J1745	inFLIXimab 100 mg REC [HCHD]	$3,083	$2,312	—	—	5
70470	CT Head or Brain w/ + w/o Contrast	$2,980	$2,235	—	—	5
72129	CT Spine Thoracic w/ Contrast	$2,878	$2,158	—	—	5
73202	CT Upper Extremity w/+w/o Contrast Bilat	$2,878	$2,158	—	—	5
73702	CT Lower Extremity w/+w/o Contrast Bilat	$2,878	$2,158	—	—	5
26951	AMPUTATION OF FINGER/TH	$2,865	$2,149	—	—	5
70488	CT Maxillofacial w/ + w/o Contrast	$2,865	$2,149	—	—	5
74160	CT Abdomen w/ Contrast	$2,841	$2,131	—	—	5
45330	45330-FLEX SIGMOID COLON	$2,808	$2,106	—	—	5
45378	COLONOSCOPY FLEX - DX	$2,808	$2,106	—	—	5
45380	COLONOSCOPY FLEX W/BIOPSY, SNGL OR MULT	$2,808	$2,106	—	—	5
45388	COLONOSCOPY FLEX W/ABLATION	$2,808	$2,106	—	—	5
45385	COLONOSCOPY FLEX W/RMVL LESION BY SNARE	$2,808	$2,106	—	—	5
71260	CT Chest W/Contrast	$2,750	$2,063	—	—	5
72132	CT Spine Lumbar w/ Contrast	$2,682	$2,011	—	—	5
70491	CT Soft Tissue Neck w/ Contrast	$2,670	$2,003	—	—	5

Showing top 50 of 784 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.