OLIVIA HOSPITAL & CLINIC — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
RX-255737	PEGASPARGASE 750 UNIT/ML IJ SOLN	$135,193	$82,468	—	—	13
RX-373211	OCRELIZUMAB-HYALURONIDASE-OCSQ 920-23000 MG-UT/23ML SC SOLN	$105,797	$64,536	—	—	12
RX-366179	MOSUNETUZUMAB-AXGB 30 MG/30ML IV SOLN	$83,078	$50,678	—	—	12
RX-313560	IPILIMUMAB 200 MG/40ML IV SOLN	$61,830	$37,716	—	—	12
698	Other Kidney And Urinary Tract Diagnoses With McC	$59,276	$37,759	—	—	1
555	Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC	$59,137	$37,670	—	—	1
950	Aftercare Without Cc/McC	$58,233	$37,094	—	—	1
299	Peripheral Vascular Disorders With McC	$56,711	$36,125	—	—	1
560	Aftercare, Musculoskeletal System And Connective Tissue With Cc	$55,120	$35,112	—	—	1
RX-350177	TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN	$54,525	$33,260	—	—	13
RX-365419	TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN	$51,573	$31,460	—	—	12
470	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC	$50,016	$31,860	—	—	7
441	Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC	$48,235	$30,725	—	—	7
728	Inflammation Of The Male Reproductive System Without McC	$45,797	$29,173	—	—	7
522	Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC	$45,590	$29,041	—	—	7
559	Aftercare, Musculoskeletal System And Connective Tissue With McC	$42,504	$27,075	—	—	1
949	Aftercare With Cc/McC	$40,508	$25,804	—	—	1
208	Respiratory System Diagnosis With Ventilator Support <=96 Hours	$38,124	$24,285	—	—	7
RX-313170	PRALATREXATE 40 MG/2ML IV SOLN	$37,930	$23,137	—	—	12
RX-367032	RETIFANLIMAB-DLWR 500 MG/20ML IV SOLN	$36,638	$22,349	—	—	12
93	Other Disorders Of Nervous System Without Cc/McC	$34,836	$22,191	—	—	1
948	Signs And Symptoms Without McC	$32,442	$20,665	—	—	1
689	Kidney And Urinary Tract Infections With McC	$30,707	$19,560	—	—	7
65	Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	$29,776	$18,967	—	—	7
RX-322685	OFATUMUMAB 1000 MG/50ML IV CONC	$29,007	$17,694	—	—	13
RX-310263	CABAZITAXEL 60 MG/1.5ML IV SOLN	$28,964	$17,668	—	—	13
RX-430310263	CABAZITAXEL 60 MG/6ML IV (WET SOLN VIAL)	$28,964	$17,668	—	—	13
562	Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC	$27,771	$17,690	—	—	7
PX-CDM05110985	Epifix, per Sq Cm	$27,621	$16,849	—	—	13
RX-430344432	HEMIN 350 MG/50ML IV (WET SOLR VIAL)	$27,269	$16,634	—	—	13
154	Other Ear, Nose, Mouth And Throat Diagnoses With McC	$26,593	$16,940	—	—	7
RX-363736	RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN	$26,552	$16,197	—	—	15
RX-313154	PANITUMUMAB 400 MG/20ML IV SOLN	$26,380	$16,091	—	—	15
70	Other Cerebrovascular Disorders With McC	$25,520	$16,256	—	—	7
682	Renal Failure With McC	$24,552	$15,640	—	—	7
RX-333622	PEMBROLIZUMAB 100 MG/4ML IV SOLN	$24,429	$14,902	—	—	15
374	Digestive Malignancy With McC	$23,795	$15,157	—	—	7
178	Respiratory Infections And Inflammations With Cc	$23,773	$15,144	—	—	7
RX-339151	ATEZOLIZUMAB 1200 MG/20ML IV SOLN	$23,532	$14,354	—	—	15
947	Signs And Symptoms With McC	$23,309	$14,848	—	—	1
897	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC	$22,368	$14,248	—	—	7
602	Cellulitis With McC	$21,279	$13,554	—	—	7
565	Other Musculoskeletal System And Connective Tissue Diagnoses With Cc	$21,056	$13,413	—	—	7
RX-315103	LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT	$20,724	$12,641	—	—	15
101	Seizures Without McC	$20,682	$13,174	—	—	7
812	Red Blood Cell Disorders Without McC	$20,362	$12,970	—	—	7
561	Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC	$20,077	$12,789	—	—	1
945	Rehabilitation With Cc/McC	$19,887	$12,668	—	—	1
193	Simple Pneumonia And Pleurisy With McC	$19,678	$12,535	—	—	7
57	Degenerative Nervous System Disorders Without McC	$19,545	$12,450	—	—	1

Showing top 50 of 3,956 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.