TALLAHATCHIE GENERAL HOSPITAL-CAH

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2997	Activase (alteplase) Inj 100 mg	$23,233	$16,263	—	—	6
637	DIABETES WITH MCC	$19,134	$19,134	—	—	2
4421	DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC	$17,257	$17,257	—	—	6
J3101	Tnkase (tenecteplace) Inj 50 mg	$16,418	$11,492	—	—	6
1771	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	$16,129	$16,129	—	—	6
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	$15,700	$15,700	—	—	2
J2505	PEGFILGRASTIM (NEULASTA) 6MG SYRINGE	$14,774	—	—	—	6
1941	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$14,639	$14,639	—	—	6
1942	SIMPLE PNEUMONIA AND PLEURISY WITH CC	$14,639	$14,639	—	—	6
J9310	RITUXIMAB (RITUXAN) 10MG/ML 50ML VIAL	$14,093	—	—	—	2
6901	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	$13,027	$13,027	—	—	6
1931	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	$12,981	$12,981	—	—	6
2491	Other Gastroenteritis, Nausea and Vomiting	$12,614	$12,614	—	—	6
1901	CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	$12,530	$12,530	—	—	6
683	RENAL FAILURE WITH CC	$11,684	$11,684	—	—	2
949	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	$11,007	$11,007	—	—	2
689	KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	$10,887	$10,887	—	—	2
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS	$10,557	$10,557	—	—	2
6031	CELLULITIS WITHOUT MCC	$10,233	$10,233	—	—	6
5401	OSTEOMYELITIS WITH CC	$9,536	$9,536	—	—	6
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE	$8,745	$8,745	—	—	6
1781	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	$8,322	$8,322	—	—	6
J0840	CROFAB 1GM VIAL	$7,454	—	—	—	6
J0897	Prolia (denosumab) Inj 60 mg	$6,501	$4,551	—	—	6
071	NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC	$6,201	$6,201	—	—	6
81228	CHROMOSOME MICROARRAY	$5,925	—	—	—	2
81211	BRCA 1 AND 2	$5,069	$3,548	—	—	2
81162	BRCA 1 & 2	$4,500	—	—	—	6
684	RENAL FAILURE WITHOUT CC/MCC	$4,137	$4,137	—	—	2
J0129	NF-ABATACEPT (ORENCIA) 250MG IV VIAL	$3,828	—	—	—	6
Q4101	APLIGRAF	$3,237	$2,266	—	—	2
J1439	Injectafer (ferric carboxyma) Inj 750 mg	$3,164	$2,215	—	—	6
83519	MUSCLE SPECIFIC KINASE	$3,057	—	—	—	6
65235	REMOVAL OF FOREIGN BODY	$2,864	$2,005	—	—	6
88184	LEUKEMIA/LYMPHOMA PANEL	$2,787	—	—	—	6
88185	LEUKEMIA/LYMPHOMA PANEL	$2,787	$2,230	—	—	2
88189	LEUKEMIA/LYMPHOMA PANEL	$2,787	$2,230	—	—	6
J1459	IMMUNE GLOBULIN (PRIVIGEN) 10GM/100ML	$2,454	—	—	—	6
70549	MRA NECK WITH AND WITHOUT	$2,406	$2,406	—	—	6
70546	MRA HEAD WITHOUT AND WITH CONTRAST	$2,405	$2,405	—	—	6
71552	MRI CHEST W/WOUT CONTRAST	$2,361	$2,361	—	—	6
45385	COLONOSCOPY WITH REMOVAL OF TUMOR ETC	$2,268	$1,588	—	—	6
74174	CTA ABD AND PELVIS W CONTRAST	$2,250	$1,575	—	—	6
73706	CTA LEG BILATERAL	$2,214	$1,550	—	—	6
43251	EGD WITH REMOVAL OF TUMOR ETC	$2,213	$1,549	—	—	6
110	ACUTE ROOM AND BOARD	$2,200	$2,200	—	—	2
P9019	BB PLATELETS EA UNIT	$2,062	—	—	—	6
72149	MRI OTHER HOSPITAL	$2,000	—	—	—	6
Q4160	NUSHIELD 2X3 CM	$1,988	$1,391	—	—	2
59409	VAG DELIV ONLY	$1,960	—	—	—	6

Showing top 50 of 1,927 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.