Pam Specialty Hospital Of Rocky Mount prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2406	Oritavancin (Kimyrsa) 10 mg	$45,406	$45,406	—	—	13
33208	Ins/Rplc Pacemkr; Atr+vnt	$38,895	$38,895	—	—	10
37236	Open/Perq Place Stent 1st	$33,499	$33,499	—	—	10
J1162	Digifab 40 mg	$32,509	$32,509	—	—	13
33207	Insrt Heart Pm Venticular	$32,291	$32,291	—	—	10
J1568	Immun Globg(Igg)/Malt/Iga Ov50	$29,387	$29,387	—	—	13
43653	LAPAROSCOPY GASTROSTOMY	$26,838	$26,838	—	—	10
J3262	Tocilizumab 400 mg	$19,618	$19,618	—	—	13
28730	Fusion of Foot Bones	$17,887	$17,887	—	—	10
J0349	INJ, Rezafungin, 1 mg	$17,779	$17,779	—	—	13
15830	Excision Skin Abdomen	$17,618	$17,618	—	—	10
33216	Insert 1 Electrode Pm-Defib	$16,904	$16,904	—	—	10
33217	Insert 2 Electrode Pm-Defib	$16,904	$16,904	—	—	10
24685	Treat Ulnar Fracture	$15,151	$15,151	—	—	10
78815	NM Tumor Image Pet/CT Skul-T	$14,848	$14,848	—	—	10
70553	MRI Brain Stem W/O & W/Dye	$14,050	$14,050	—	—	10
75860	Venography Jugular Cath RS&I	$13,970	$13,970	—	—	10
J0875	Dalbavancin HCL	$13,852	$13,852	—	—	13
27301	DRAIN THIGH/KNEE LESION	$13,165	$13,165	—	—	10
37191	Ins Endovas Vena Cava Filtr	$12,548	$12,548	—	—	10
36246	Ins Cath Abd/L Ext Art 2n Rt	$12,435	$12,435	—	—	10
36247	Ins Cath/Abd/L-Ext Art 3r	$12,435	$12,435	—	—	10
36245	Ins Cath Abd/Lext Art 1st	$12,201	$12,201	—	—	10
72156	MRI Neck Spine W/O & W/Dye	$11,377	$11,377	—	—	10
72157	MRI Thoracic Spine W/O & W/Dye	$11,377	$11,377	—	—	10
47532	Injection for Cholangiogram	$10,557	$10,557	—	—	10
0636	Onabotulinumtoxina	$10,227	$10,227	—	—	39
G0465	Autolog PRP Diab Wound Ulcer	$9,692	$9,692	—	—	10
78803	NM Rp Loclzj Tum Spect 1 Area	$9,594	$9,594	—	—	10
27612	Inc Ankle-Post Cpsl Rel	$9,462	$9,462	—	—	10
27685	Lgth/Sht Tendon/Leg; Sngl	$9,462	$9,462	—	—	10
J0585	Botox 100 unit	$9,448	$9,448	—	—	13
J3489	Zoledronic Acid 1 mg	$9,275	$9,275	—	—	13
J0887	Methoxy Peg-Epoetin Beta	$9,070	$9,070	—	—	13
J2407	Oritavancin Diphosphate 400 mg	$8,726	$8,726	—	—	10
37197	Remove Intrvas Foreign Body	$8,618	$8,618	—	—	10
36561	Ins TunnelED Cvad W/Port	$8,618	$8,618	—	—	10
15002	Wound PrepTRK/ARM/LEG	$8,414	$8,414	—	—	10
P9037	Plate Pheres Leukoredu Ir	$8,307	$8,307	—	—	10
15738	Muscle-Skin Graft Leg	$8,302	$8,302	—	—	10
15120	Skn Splt A-Grft Fac/Nck/Hf/G	$8,302	$8,302	—	—	10
15100	Skn Splt Grft T/A/L	$8,302	$8,302	—	—	10
15273	Skin Sub Grft T/A/L <=100sq Cm	$8,302	$8,302	—	—	10
73200	CT Upper Extrm W/O Dye Rt	$8,200	$8,200	—	—	10
36010	Into Cath S/I Vena Cava	$8,015	$8,015	—	—	10
14040	TIS TRNFR F/C/C/M/N/A/G/H/F	$7,993	$7,993	—	—	10
32550	Insert Pleural Cath	$7,908	$7,908	—	—	10
74176	CT Abd & Pelvis W/O Contrast	$7,460	$7,460	—	—	10
31629	Bronchoscopy/Needle BX Each	$7,348	$7,348	—	—	10
31641	Bronchoscopy Treat Blockage	$7,348	$7,348	—	—	10

Showing top 50 of 1,916 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.