PANA COMMUNITY HOSPITAL — Hospital Ledger

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

1,519

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Kidney failure with major complications	Kidney failure with major complications	$84,192	$84,192	—	—	1
12684343	guselkumab 200 mg/20 mL Sol [PANA]	$48,069	$48,069	—	—	1
10048181	daratumumab-hyaluronidase 1800 mg-30,000 units/15 mL Sol [PANA]	$33,075	$33,075	—	—	2
Respiratory infections and inflammations with ma	Respiratory infections and inflammations with major complications	$32,985	$32,985	—	—	1
Abnormal or Irregular Heartbeat without complica	Abnormal or Irregular Heartbeat without complications	$32,221	$32,221	—	—	1
Disorders of pancreas except malignancy [Minor S	Disorders of pancreas except malignancy [Minor Severity]	$31,540	$31,540	—	—	1
Peripheral vascular disorders without complicati	Peripheral vascular disorders without complications	$27,760	$27,760	—	—	1
Major respiratory infections & inflammations [Ma	Major respiratory infections & inflammations [Major Severity]	$26,516	$26,516	—	—	1
General symptoms of illness such as fever, pain,	General symptoms of illness such as fever, pain, shortness of breath	$25,924	$25,924	—	—	2
Respiratory neoplasms without complications	Respiratory neoplasms without complications	$25,016	$25,016	—	—	1
Brain contusion/laceration & complicated skull F	Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma [Minor Severity]	$22,176	$22,176	—	—	1
8241424	leuprolide 22.5 mg/3 months Kit [PANA]	$21,248	$21,248	—	—	1
Dental & oral diseases & injuries [Minor Severit	Dental & oral diseases & injuries [Minor Severity]	$19,498	$19,498	—	—	1
11285339	pembrolizumab 25 mg/mL 4ml [PANA]	$19,081	$19,081	—	—	2
Head trauma w coma >1 hr or hemorrhage [Catastro	Head trauma w coma >1 hr or hemorrhage [Catastrophic Severity]	$18,479	$18,479	—	—	1
Heart failure [Moderate Severity]	Heart failure [Moderate Severity]	$17,298	$17,298	—	—	1
Heart failure & shock without complications	Heart failure & shock without complications	$17,069	$17,069	—	—	2
Signs & symptoms of musculoskeletal system & con	Signs & symptoms of musculoskeletal system & connective tissue without major complications	$15,489	$15,489	—	—	1
8241517	durvalumab 50 mg/mL 10ml [PANA]	$14,172	$14,172	—	—	1
8757351	carfilzomib 60 mg Pow [PANA]	$11,673	$11,673	—	—	1
8017931	27447 ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHO ProFee	$11,450	$11,450	—	—	1
9077873	27130 Total Hip Replacement	$10,283	$10,283	—	—	1
11876137	bevacizumab maly 25 mg/mL Sol 16ml [PANA]	$9,486	$9,486	—	—	1
8017243	23472 ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACE ProFee	$9,081	$9,081	—	—	1
8503420	74178 CT Abdomen and Pelvis w/ + w/o Contrast	$8,481	$8,481	—	—	8
2424644	CT Abdomen and Pelvis w/ + w/o Contrast	$8,481	$8,481	—	—	8
8503542	CT Abdomen w/o Cont + Abd/Pel w/ Contras	$8,481	$8,481	—	—	8
8106659	CT Urogram	$8,481	$8,481	—	—	8
8517353	NM Myocardial SPECT Rest and Stress EO	$7,170	$7,170	—	—	15
11914358	pegfilgrastim jmdb 6 mg/0.6 mL Sol [PANA]	$6,889	$6,889	—	—	1
10697809	27266 Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesi	$6,470	$6,470	—	—	1
12373585	denosumab 60 mg/mL [PANA]	$6,189	$6,189	—	—	4
13082333	leuprolide 45 mg/6 months Pow [PANA]	$6,179	$6,179	—	—	1
8503421	74177 CT Abdomen and Pelvis w/ Contrast	$6,091	$6,091	—	—	21
2424647	CT Abdomen and Pelvis w/ Contrast	$6,091	$6,091	—	—	21
2424764	CT Enterography w/ Contrast	$6,091	$6,091	—	—	21
8739170	95811 POLYSOMNOGRAPHY W/CPAP > 4 PARAMETERS CHARGE	$5,733	$5,733	—	—	9
8739169	95810 POLYSOMNOGRAPHY > 4 PARAMETERS OBSERVATI CHARGE	$5,513	$5,513	—	—	2
8393999	CT Lower Leg w/ Contrast Bilateral	$5,361	$5,361	—	—	4
8020288	47563 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY ProFee	$5,290	$5,290	—	—	1
8503422	74176 CT Abdomen and Pelvis w/o Contrast	$5,283	$5,283	—	—	19
2424650	CT Abdomen and Pelvis w/o Contrast	$5,283	$5,283	—	—	19
8472454	CT Renal Stone Study	$5,283	$5,283	—	—	19
8393952	CT Ankle w/o Contrast Bilateral	$5,218	$5,218	—	—	7
8393964	CT Femur w/o Contrast Bilateral	$5,218	$5,218	—	—	7
1168038	CT Foot w/o Contrast Bilateral	$5,218	$5,218	—	—	7
1168114	CT Hip w/o Contrast Bilateral	$5,218	$5,218	—	—	7
8393994	CT Knee w/o Contrast Bilateral	$5,218	$5,218	—	—	7
8394002	CT Lower Leg w/o Contrast Bilateral	$5,218	$5,218	—	—	7
8020287	47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY ProFee	$5,140	$5,140	—	—	1

Showing top 50 of 1,519 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.