THOREK MEMORIAL HOSPITAL

CCN 140115

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
5,427
Insurances with rates
0
CPT / HCPCS codes
40
Source MRF

Most expensive procedures (gross)

2780000030
$66,623
Kit q-fix
Gross
$66,623
275C178500
$22,768
Pacemaker dual chamber
Gross
$22,768
3617596200
$19,266
Pta angio periphearl art s&i
Gross
$19,266
636Q410700
$18,970
Graft jacket now stand 4x4 1-2
Gross
$18,970
2780000010
$18,574
Screw cannulated 3.5mm x 28mm
Gross
$18,574
2780000013
$18,574
Screw cortex 2.4mm x 18mm
Gross
$18,574
2780000014
$18,574
Screw cortex 2.4mm x 20mm
Gross
$18,574
2780000015
$18,574
Suture anchor corkscrew
Gross
$18,574
7505264900
$13,911
Laser enucleation prostate w/m
Gross
$13,911
343A957200
$11,778
Indium 111 pentetreotide
Gross
$11,778
2780000009
$11,655
Misc implant
Gross
$11,655
4819345400
$11,418
Coronary artery angio s&i
Gross
$11,418
4819345800
$11,418
L hrt artery/ventrile angio
Gross
$11,418
3207447500
$10,997
Introcath renal s&i master
Gross
$10,997
2725354259
$10,053
11g 20mm avaflex kit
Gross
$10,053
3610032550
$10,042
Pleurx catheter insertion plcm
Gross
$10,042
2700029051
$9,866
Plasma loop medium
Gross
$9,866
2700030113
$9,689
Esg plasma ovalbutton
Gross
$9,689
4503657800
$8,613
Rplcmt tunneled cv cath er
Gross
$8,613
343A956900
$8,545
Tc99m ceretec tagged wbc 25mci
Gross
$8,545
3207562500
$8,509
Serial film changer
Gross
$8,509
3207563000
$8,488
Aortogram abd+bil lwr ext s&i
Gross
$8,488
3617566500
$8,488
Angio cerebral carotid uni s&i
Gross
$8,488
278C187600
$8,103
Wallstent rp endoprothesis
Gross
$8,103
7504519000
$7,504
Ablation of rectal tumor
Gross
$7,504
7504661000
$7,504
Anoscopy remove lesion
Gross
$7,504
7504661500
$7,504
Anoscopy ablation lesion
Gross
$7,504
7504692400
$7,504
Dstrj lesion anus extensive
Gross
$7,504
636J917100
$7,126
Docetaxel 20mg/ml iv per1mg
Gross
$7,126
636J926300
$6,968
Oxaliplatin50mg/10mliv pr.5mg
Gross
$6,968
2720029443
$6,549
Fiber dust thulium fiber
Gross
$6,549
3615050300
$6,498
Interventional rad procedure
Gross
$6,498
636J734000
$6,464
Apligraf per sq cm 09978000199
Gross
$6,464
3417880100
$6,463
Oncoscint scan
Gross
$6,463
3600022051
$6,190
Novasure endometrial ablation
Gross
$6,190
3337730100
$6,075
Radiotherapy dose plan imrt
Gross
$6,075
6147054300
$5,878
Mri face/orbit/neck w/o & w/co
Gross
$5,878
6117055300
$5,854
Mri brain w/o and w/contrast
Gross
$5,854
6127215700
$5,748
Mri thoracic spine w/o & w/con
Gross
$5,748
3610050432
$5,654
Ct nephrostomy tube placement
Gross
$5,654
6127215600
$5,639
Mri cervical spine w/o & w/con
Gross
$5,639
6107219700
$5,614
Mri pelvis w/o & w/contrast
Gross
$5,614
6107219701
$5,614
Mri prostate for md cws rad
Gross
$5,614
5105220400
$5,606
Cystoscopy with biopsy
Gross
$5,606
5105231000
$5,606
Remove stent/foreign body
Gross
$5,606
5105570000
$5,606
Biopsy of prostate
Gross
$5,606
7505110200
$5,605
Superapubic catheter insertion
Gross
$5,605
7613657100
$5,599
36571 insert picc w/port 5yr >
Gross
$5,599
9602713400
$5,471
Rv thigh bone and hip jnt pros
Gross
$5,471
2720272810
$5,364
Ligasure monopolar 5mm-37cm
Gross
$5,364
Showing top 50 of 5,427 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.