PIONEERS MEMORIAL HEALTHCARE DISTRICT

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
13728675	ocrelizumab 300 mg/10 mL Solution NF [PION]	$51,849	$18,147	—	—	6
13442200	Tenecteplase 50 mg Injection (Stroke) Kit [PION]	$30,552	$10,693	—	—	7
13596623	Tenecteplase 50 mg Injection (MI) Kit [PION]	$30,552	$10,693	—	—	7
8632423	IR DECLOTTING+PTA/STENT	$28,020	$7,005	—	—	7
13732411	risankizumab rzaa 60 mg/mL Solution [PION]	$26,254	$9,189	—	—	5
12298305	IR STENT and ATHERAC FEM/POP W/PTA UNI	$25,854	$6,463	—	—	7
8632360	IR ATHERECTOMY TIB/PERONEAL W/PTA UNI	$25,854	$6,463	—	—	7
9582106	IR STENT and ATHERAC TIB/PER W/PTA UNI	$25,854	$6,463	—	—	7
8632361	IR ART STENT TIB/PER W PTA UNILAT	$25,854	$6,463	—	—	7
13441948	vedolizumab 300 mg Injection [PION]	$22,595	$7,908	—	—	7
8266934	IR DIALYSIS FISTULAGRAM +PTA/STENT	$18,394	$4,598	—	—	7
13604315	IR EMBOLIZATION NON-CENTRAL NERVOUS SYSTEM HEAD OR	$18,383	$4,596	—	—	7
12763926	IR TRANSCATHETER IV STENT FIRST VEIN	$18,383	$4,596	—	—	7
13417645	Immune Globulin Intravenous (Gammagard) 10% Solution, 200 mL [PION]	$17,836	$6,242	—	—	7
8632422	IR DIALYSIS GRAFT DECLOTT W/ANGIOPLASTY	$17,057	$4,264	—	—	7
8632352	IR ART STENT ILIAC W PTA UNILAT	$17,057	$4,264	—	—	7
8632356	IR ATHERECTOMY FEM/POP PTA UNI	$17,057	$4,264	—	—	7
8632357	IR ART STENT FEM/POP W PTA UNILAT	$17,057	$4,264	—	—	7
10037623	IR ART PTA TIB/PERON ART UNILAT	$17,057	$4,264	—	—	7
13604276	IR VASCULAR EMBOLIZATIONFOR TUMORSORGAN ISHCEMIAGUIDE	$17,057	$4,264	—	—	7
10588093	IR EMBOLIZATION HEMORRHAGE (INCLUDING GUIDANCE)	$17,057	$4,264	—	—	7
8632401	IR EMBOLIZATION VENOUS W GUIDANCE	$17,057	$4,264	—	—	7
8266973	IR VASC EMBOLIZE/OCCLUDEINCLUDES IMAGINGARTERIAL	$17,056	$4,264	—	—	7
13417728	Leuprolide 22.5 mg Injection, Syringe [PION]	$16,131	$5,646	—	—	7
8632188	IR STENT PLACEMENT ARTERIAL	$15,388	$3,847	—	—	7
13417199	Benralizumab 30 mg/mL Injection, 1 mL [PION]	$15,223	$5,328	—	—	6
13788358	PION NM IODINE 123 MIBG	$15,054	$5,269	—	—	4
13604685	IR TIPS PROCEDURE	$14,822	$3,706	—	—	7
13442703	Reteplase Recombinant Kit, 10.4 unit [PION]	$14,755	$5,164	—	—	7
13821570	ALTIVATE REVERSE, HUMERAL STEM, SMALL SHELL, SZ 8X108MM	$13,364	$3,341	—	—	5
13821835	ALTIVATE REVERSE, HUMERAL STEM, SMALL SHELL, SZ 12X108MM	$13,364	$3,341	—	—	5
13822038	ALTIVATE REVERSE, HUMERAL STEM, STANDARD SHELL, SZ 14X108mm	$13,364	$3,341	—	—	5
13417157	Anifrolumab-FNIA 150 mg/mL Injection, 2 mL SDV [PION]	$13,286	$4,650	—	—	5
13442107	romiPLOStim 500 mcg Injection [PION]	$13,194	$4,618	—	—	5
13442099	RiTUXimab 10 mg/mL Injection, 50 mL [PION]	$12,994	$4,548	—	—	6
13053428	INSERTION OR REPLACEMENT OF TEMP PACEMAKER	$12,892	$3,223	—	—	4
13417426	Digoxin Immune Fab 40 mg Injection, Vial [PION]	$12,705	$4,447	—	—	7
13822039	DJO TOTAL REVERSE SHOULDER	$12,600	$3,150	—	—	5
13821291	REVERSE TOTAL SHOULDER ARTHOPLASTY	$12,600	$3,150	—	—	5
8882035	IR PERCUTANEOUS RENAL CRYOABLATION	$12,190	$3,048	—	—	7
13417132	Alteplase 50 mg Injection [PION]	$12,173	$4,261	—	—	7
13821817	RSP, Primary Humeral Monoblock, 12mm x 108	$11,473	$2,868	—	—	5
13821601	RSP, Primary Humeral Monoblock, 10mm x 108	$11,473	$2,868	—	—	5
13650243	IR CRYOABLATION BONE INCLUDES GUIDANCE	$11,166	$2,792	—	—	7
13441983	Pegfilgrastim-bmez (ZIEXTENZO) 6 mg/0.6 mL Injection, Syringe [PION]	$10,846	$3,796	—	—	5
13536867	DELIVERY RM LVL 3 (VAG W/MULTI BIRTHS)	$10,750	—	—	—	6
13417650	Immune Globulin Intravenous 20 g/200 mL (Gamunex-C) 10% Solution, 200 mL [PION]	$10,683	$3,739	—	—	7
13660989	IR RF-ABLATION BONE	$10,397	$2,599	—	—	7
8266914	IR ART RENAL ANGIO BILAT 2ND ORDER	$10,295	$2,574	—	—	7
8678744	IR KYPHOPLASTY THORACIC	$9,806	$2,451	—	—	7

Showing top 50 of 7,229 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.