Memorial Hospital of Sheridan County — price list

← Hospital overviewVerified from Memorial Hospital of Sheridan County’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

348 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ADJUSTMENT OF GASTRIC BAND DIAMETER VIA SUBCUTANEOUS PORT BY INJECTION OR ASPIRATION OF SALINE Inpatient & outpatient	10146586_1 CDM	$188	$150	$156 – $179	$175
ADJUSTMENT OF GASTRIC BAND DIAMETER VIA SUBCUTANEOUS PORT BY INJECTION OR ASPIRATION OF SALINE Outpatient	10146587_8 CDM	$396	$317	$42.00 – $376	$368
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10040840_1 CDM	$4,750	$3,800	$3,943 – $4,750	$4,275
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10040841_1 CDM	$1,300	$1,040	$1,079 – $1,300	$1,079
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10040842_1 CDM	$1,625	$1,300	$1,349 – $1,625	$1,463
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10040843_1 CDM	$1,411	$1,129	$1,171 – $1,411	$1,171
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	10232571_1 CDM	$2,830	$2,264	$2,349 – $2,830	$2,349
Application of blood vessel compression device Outpatient	1022110_1 CDM	$106	$84.80	$11.94 – $101	$87.98
Application of lower and upper arm splint Outpatient	1022103_1 CDM	$305	$244	$178 – $290	$275
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less Outpatient	1022123_1 CDM	$3,625	$2,900	$809 – $3,444	$3,263
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 25.0 sq cm of wound 100.0 sq cm or less Outpatient	1022124_1 CDM	$862	$690	$21.44 – $819	$715
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less Outpatient	1022119_1 CDM	$588	$470	$488 – $809	$488
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less Outpatient	1022120_1 CDM	$580	$464	$14.26 – $551	$522
Automated urinalysis test Outpatient	1015891_1 CDM	$14.00	$11.20	$0.32 – $13.30	$12.60
CATH DRAINAGE 6FR MINI Pig Outpatient	10040803_1 CDM	$232	$186	$193 – $220	$209
CATH HEADHUNTER 3 5FRx100 Outpatient	10040809_1 CDM	$102	$81.60	$84.66 – $96.90	$91.80
CATH JB2 5FRx100CM Outpatient	10040816_1 CDM	$225	$180	$187 – $214	$203
CATH KA2 5FRx65CM Outpatient	10040819_1 CDM	$102	$81.60	$84.66 – $96.90	$91.80
CATH KMP 5FRx65CM Outpatient	10040820_1 CDM	$225	$180	$187 – $214	$1,045
CATH MIKAELSSON 5FRx80CM Outpatient	10040822_1 CDM	$102	$81.60	$84.66 – $96.90	$91.80
CATH MOD HOOK FLUSH 90cm Outpatient	10040823_1 CDM	$107	$85.60	$88.81 – $102	$96.30
CATH MODIFIED HOOK 1 100cm Outpatient	10040825_1 CDM	$107	$85.60	$88.81 – $102	$88.81
CATH MODIFIED HOOK 2 80cm Outpatient	10040824_1 CDM	$102	$81.60	$84.66 – $96.90	$84.66
CATH PIG 5FRx90CM Outpatient	10040826_1 CDM	$76.00	$60.80	$63.08 – $72.20	$68.40
CATH REUTER 5FRx80CM Outpatient	10040827_1 CDM	$102	$81.60	$84.66 – $96.90	$91.80
CATH RIM 5FRx65CM Outpatient	10040828_1 CDM	$225	$180	$187 – $214	$203
CATH Spheno Outpatient	10040832_1 CDM	$774	$619	$642 – $735	$642
CATH YUEH 5FR ECHO Tip Outpatient	10040839_1 CDM	$400	$320	$332 – $380	$360
CATHETER, DRAINAGE Outpatient	10040575_1 CDM	$700	$560	$581 – $700	$651
CATHETER, DRAINAGE Outpatient	10040576_1 CDM	$700	$560	$581 – $700	$630