HASKELL REGIONAL HOSPITAL, INC

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
43280	LAPAROSCOPY FUNDOPLASTY	$25,240	$25,240	—	—	10
58542	HC LAP HYST W/T/O UT 250 G OR LESS	$25,240	$25,240	—	—	10
58544	HC LAP HYST W/T/O UT 250 G OR MORE	$25,240	$25,240	—	—	6
58554	HC LAP VAG HYST UT 250G; TUBE(S)/OVARY(S	$25,240	$25,240	—	—	10
58552	HC LAP VAG HY UT 250 OR LESS W/REM TUB/O	$25,240	$25,240	—	—	10
58570	HC LAP TOTAL HYSTERECTOMY UT	$25,240	$25,240	—	—	10
58571	HC LAP TOTAL HYST UTERUS 250	$25,240	$25,240	—	—	10
24615	OPN TRT ACUT CHRNC ELBW D	$23,928	$23,928	—	—	10
23405	TENOTOMY SHLDR AREA SNGL	$23,928	$23,928	—	—	10
J2997	ALTEPLASE 50 MG INJ (ACTIVASE)	$21,749	$21,749	—	—	5
27385	REPAIR OF THIGH MUSCLE	$19,945	$19,945	—	—	10
23405	TENOTOMY SHLDR AREA SNGL	$17,946	$17,946	—	—	10
23410	OPN RPR RUPTRD MSCTNDENS	$17,946	$17,946	—	—	10
23420	RECON COMPLET SHLDR CHRNI	$17,946	$17,946	—	—	10
29806	SHOULDER ARTHROSCOPY	$17,946	$17,946	—	—	10
29807	ARTHRO SHDLR SURG RPR SLA	$17,946	$17,946	—	—	10
29820	ARTHROSCOPY, SLD, SURGICA	$17,946	$17,946	—	—	10
29826	SHLDR ARTHRSCPY DECMPRSN	$17,946	$17,946	—	—	6
29827	ARTHRO SHLDR SURG ROTATOR	$17,946	$17,946	—	—	10
29828	ARTHRSCPY SHLDR SURGCL BI	$17,946	$17,946	—	—	10
29862	ARTHO, HIP,SURGICAL W DEB	$17,946	$17,946	—	—	10
15830	EXCSN EXCSS SKIN SUBQ TIS	$15,712	$15,712	—	—	10
29825	SHOULDER ARTHROSCOPY/SHOU	$15,039	$15,039	—	—	10
21048	EXC OF BEN TUM CYST MAX I	$14,552	$14,552	—	—	6
58671	HC LAP, SURG; W/OCCLUSION OF OVIDUCTS	$14,501	$14,501	—	—	10
58662	HC LAP SURG W/FULGURATION OF LESIONS	$14,501	$14,501	—	—	10
60220	HC TOTAL THYROID LOBECTOMY U	$14,501	$14,501	—	—	10
60240	HC THRYROIDECTOMY, TOTAL	$14,501	$14,501	—	—	10
38740	AXILARY LYMPHADENECTOMY;	$14,500	$14,500	—	—	10
38745	AXILLARY LYMPHADENECTOMY;	$14,500	$14,500	—	—	10
43659	UNLISTED LAPROSCOPY STOMA	$14,499	$14,499	—	—	5
36820	Arteriovenous anastomosis, open; by fore	$13,788	$13,788	—	—	10
29823	ARTHRO SHDLR SRG DEBRID E	$13,772	$13,772	—	—	10
24342	REPAIR OF RUPTURED TENDON	$13,047	$13,047	—	—	10
58262	HC VAG HYST W/T/O UT 250 G OR LESS	$12,815	$12,815	—	—	10
57240	ANTERIOR COLPORRHAPHY-REP	$12,815	$12,815	—	—	10
57530	TRACHELECTOMY(CERVICECTOM	$12,815	$12,815	—	—	10
58260	HC VAGINAL HYSTERECTOMY UTER	$12,815	$12,815	—	—	10
58925	HC OVARIAN CYSTECTOMY	$12,815	$12,815	—	—	10
J3110	TERIPARATIDE 600 MCG/2.4 ML PNIJ	$12,659	$12,659	—	—	4
278	MESH PHASIX 6 X 8 RECTANGLE HERNIA	$12,298	$12,298	—	—	4
19307	REMOVAL OF BREAST	$12,128	$12,128	—	—	10
19306	MAST RAD URBAN TYPE	$12,128	$12,128	—	—	6
19305	MASTECTOMY RADICAL INC PECTORAL MUSCLES	$12,128	$12,128	—	—	6
23530	OPN TRT STERNOCLVCLR DISL	$12,058	$12,058	—	—	10
27784	OPN TRT PROX FIBULA FX W	$12,058	$12,058	—	—	10
23412	REPAIR MUSCULOTENDINOUS	$11,577	$11,577	—	—	10
35207	REPAIR OF ARTERY OF HAND	$11,287	$11,287	—	—	10
35221	PF REPAIR BLOOD VESSEL INTRA	$11,234	$11,234	—	—	5
27590	AMPUTATION THIGH THROUGH FEMUR	$11,025	$11,025	—	—	6

Showing top 50 of 3,289 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.