PENOBSCOT VALLEY HOSPITAL

CCN 201303

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
2,932
Insurances with rates
10
CPT / HCPCS codes
2,894
Source MRF

Most expensive procedures (gross)

J2507
$32,802
NF-PEGLOTICASE 8MG/1ML VIAL(KRYSTEXXA
Gross
$41,002
J2350
$25,481
NF-OCREVUS 300MG/10ML VIAL
Gross
$31,851
J3101
$13,225
TNK 50MG INJ SYR(TENECTEPL)
Gross
$16,531
J3380
$12,402
VEDOLIZUMAB 300MG INJ VIAL(ENTYVIO)-NF
Gross
$15,503
J3590
$10,027
NF-TALTZ SUBCUTANEOUS SOLUTION 80 mg/1mL
Gross
$12,534
J2506
$7,567
NF-NEULASTA ONPRO KIT 6 MG/0.6 ML
Gross
$9,458
J0517
$7,399
NF-BENRALIZUMAB 30MG/ML INJ
Gross
$9,249
Q5111
$7,290
PEGFILGRASTIM-CBQV 6MG/0.6ML(UDENYCA)
Gross
$9,113
61608
$7,286
RESECTION EXCISION LESION PARASELLAR INT
Gross
$9,107
61591
$7,176
INFRATEMPORAL POST AURICULAR MID CRAN FO
Gross
$8,970
61590
$7,124
INFRATEMPORAL PRE AURICULAR MID CRAN FOS
Gross
$8,905
61592
$7,037
ORBITOCRANIAL ZYGOMATIC APP MID CRAN FOS
Gross
$8,797
50590
$7,006
LITHOTRIPSY
Gross
$8,758
31395
$6,802
PHARYNGOLARYNGECTOMY W RAD NK DIS RECON
Gross
$8,503
61585
$6,733
ORBITOCRANIAL APP ANT CRAN FOS EXTR W/EX
Gross
$8,417
41155
$6,728
GLOSSECTOMY COMMANDO TYPE COM RES FL MO
Gross
$8,410
61606
$6,673
RESECTION EXCISION LESION INFRA FOSS INT
Gross
$8,341
20969
$6,668
FREE OSTECUTANEOUS FLAP W/MICRO ANA OTHE
Gross
$8,335
20970
$6,628
FREE OSTECUTANEOUS FLAP W/MICRO ANA ILIA
Gross
$8,285
61583
$6,458
CRANIOFACIAL APPROACH ANT FOSSA INTRADUR
Gross
$8,072
31390
$6,367
PHARYNGOLARYNGECTOMY W RADICAL NECK DISS
Gross
$7,959
61582
$6,336
CRANIOFACIAL APPROACH ANTERIOR FOSSA
Gross
$7,920
J1944
$6,306
ARIPIPRAZOLE LAUROXIL ER 1064MG/3.9ML-NF
Gross
$7,883
61584
$6,304
ORBITOCRANIAL APPROACH ANT CRAN FOS EXTR
Gross
$7,880
20956
$6,287
BONE GRAFT ILIAC CREST
Gross
$7,859
61607
$6,256
RESECTION EXCISION LESION PARASELLAR EXT
Gross
$7,820
J1162
$6,254
DIGOXIN IMMUNE FAB 40MG INJ (DIGIBIND)
Gross
$7,818
61581
$6,206
CRANIOFACIAL ANTERIOR CRANIAL FOSSA INC
Gross
$7,757
20955
$5,974
BONE GRAFT W/MICRO ANASTOMOSIS FIBULA
Gross
$7,467
Q5122
$5,781
NF-PEGFILGRASTIM-APGF 6MG/0.6ML(NYVEPRIA
Gross
$7,227
31365
$5,686
LARYNGECTOMY TOTAL W RADICAL NECK DISSE
Gross
$7,107
61580
$5,621
CRANIOFACIAL ANTERIOR CRANIAL FOSSA WO M
Gross
$7,026
31368
$5,587
LARYNGECTOMY SUBTOT SUPRAGIOTIC W RAD
Gross
$6,983
75635
$5,496
CT ANGIOGRAPHY ABD. AORTA W/LE RUNOFF
Gross
$6,870
15756
$5,483
FREE MUSCLE FLAP W/MICROVAS ANASTAMOSIS
Gross
$6,853
15757
$5,476
FREE SKIN FLAP W/MICRO ANASTOMOSIS
Gross
$6,845
52648
$5,436
GREENLIGHT PHOTOSELECTIVE VAP OF PROSTAT
Gross
$6,795
61575
$5,338
TRANSORAL APPROACH
Gross
$6,672
42894
$5,333
RESECTION OF PHARYNGEAL WALL W CLOS W FL
Gross
$6,666
61601
$5,248
RESECTION EXCISION LESION CRAN FOSS INTR
Gross
$6,560
31367
$5,237
LARYNGECTOMY SUBTOT SUPRAGIOTIC WO RAD
Gross
$6,547
90375
$5,103
NF-RABIES IMMUNE GLOB 1500IU/5ML VIAL
Gross
$6,379
41150
$5,063
GLOSSECTOMY COMPOSITE WO RAD NK DISSECT
Gross
$6,329
90378
$4,989
NF-PALIVIZUMAB 100MG/1ML (SYNAGIS) VIAL
Gross
$6,237
41135
$4,963
GLOSSECTOMY PARTIAL W UNI RAD NK DISSECT
Gross
$6,204
61586
$4,879
BICORONAL TRANS +/- LEFORT I OSTEOTOMY
Gross
$6,099
61600
$4,816
RESECTION EXCISION LESION CRAN FOSS EXTR
Gross
$6,020
31382
$4,768
PARTIAL LARYNGETOMY ANTER LATERO VERTICA
Gross
$5,960
31230
$4,734
MAXILLECTOMY W ORBITAL EXENTERATION EN B
Gross
$5,918
31370
$4,684
PARTIAL LARYNGETOMY HORIZONTAL
Gross
$5,856
Showing top 50 of 2,932 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.