BEAVER COUNTY MEMORIAL HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
0SSM0901923	ALTEPLASE 1 MG/ML IV BOLUS (FOR STROKE)	$34,850	$22,652	—	—	15
5024208527	ALTEPLASE 1 MG/ML IV INFUSION (FOR STROKE) USING 100 MG VIAL	$34,850	$22,652	—	—	15
5024208527_2	ALTEPLASE 100 MG IV SOLR	$34,850	$22,652	—	—	15
5024208527_3	ALTEPLASE 100 MG/100 ML IV INFUSION (FOR PE) USING 100 MG VIAL	$34,850	$22,652	—	—	15
5024204413	ALTEPLASE 50 MG IV SOLR	$17,425	$11,326	—	—	15
5063311012	CROTALIDAE POLYVAL IMMUNE FAB IV SOLR	$12,664	$8,232	—	—	15
5551371001	DENOSUMAB 60 MG/ML SC SOSY	$7,073	$4,598	—	—	15
99999999842	ALTEPLASE 1 MG/ML IV BOLUS FOR MYOCARDIAL INFARCTION	$5,075	$3,299	—	—	15
803948	HC CT ANGIO ABDOMEN PELVIS W WO CON	$2,682	$1,743	—	—	15
6195829011	REMDESIVIR 100 MG IV SOLR	$2,059	$1,338	—	—	15
800296	HC CT LOWER EXTREMITY WITH CONTRAST	$1,980	$1,287	—	—	15
6809410120	PHENTOLAMINE MESYLATE 5 MG IJ SOLR	$1,663	$1,081	—	—	15
800794	HC CT ABDOMEN PELVIS WWO CONTRAST	$1,595	$1,037	—	—	15
800803	HC CT ABDOMEN PELVIS W CONTRAST	$1,595	$1,037	—	—	15
816853	HC ED REMOVAL FOREIGN BODY SUBQ COMPLEX	$1,545	$1,004	—	—	15
4202310405	TUBERCULIN PPD 5 UNIT/0.1ML ID SOLN	$1,473	$957	—	—	11
0002803101_2	GLUCAGON (RDNA) 1 MG IJ KIT	$1,417	$921	—	—	15
814038	HC RB MED/SURG TELEMETRY DAILY	$1,390	$904	—	—	11
800063	HC CT ANGIO ABD AORTA BIL LOW EXT W/WO	$1,300	$845	—	—	15
5074266604	PB-HYOSCY-ATROPINE-SCOPOLAMINE 16.2 MG/5ML PO ELIX	$1,267	$824	—	—	11
5048401030	COLLAGENASE 250 UNIT/GM EX OINT	$1,197	$778	—	—	11
5931030480	BECLOMETHASONE DIPROP HFA (QVAR REDIHALER) 80 MCG/ACT IN AERB	$1,133	$737	—	—	11
800263	HC CT ANGIO NECK	$1,130	$735	—	—	15
800797	HC CT ANGIO HEAD WITH AND WITHOUT CONTRAST	$1,130	$735	—	—	15
801402	HC CT ANGIO CHEST W CONTRAST	$1,130	$735	—	—	15
801673	HC CT ANGIO ABDOMEN W/WO CONTRAST	$1,130	$735	—	—	15
0002803101	GLUCAGON 1 MG IJ SOLR SSM SO	$1,112	$723	—	—	15
0548585000	GLUCAGON 1 MG IJ SOLR SSM SO	$1,109	$721	—	—	15
800251	HC CT HEAD WITH & WITHOUT CONTRAST	$1,090	$709	—	—	15
800261	HC CT SOFT TISSUE NECK WITH & WITHOUT CONTRAST	$1,090	$709	—	—	15
800268	HC CT CHEST WITH & WITHOUT CONTRAST	$1,090	$709	—	—	15
800298	HC CT LOWER EXTREMITY WITH & WITHOUT CONTRAST	$1,090	$709	—	—	15
812669	HC RB MED/SURG UNIT ISOLATION	$1,090	$709	—	—	11
0173071920	FLUTICASONE PROPIONATE HFA 110 MCG/ACT IN AERO	$1,084	$705	—	—	11
5967631000	EPOETIN ALFA 10000 UNIT/ML IJ SOLN	$1,058	$688	—	—	15
800795	HC CT ABDOMEN PELVIS WO CONTRAST	$1,015	$660	—	—	15
800250	HC CT HEAD WITH CONTRAST	$990	$644	—	—	15
800260	HC CT SOFT TISSUE NECK WITH CONTRAST	$990	$644	—	—	15
800267	HC CT CHEST WITH CONTRAST	$990	$644	—	—	15
800303	HC CT ABDOMEN WITH IV CONTRAST	$990	$644	—	—	15
816148	HC ED CRITICAL CARE E/M 30-74 MIN	$970	$631	—	—	11
816100	HC RB SEMI PVT M/S/GYN	$910	$592	—	—	11
812638	HC NEG PRESSURE WND TX >50 SQ CM W DME EQ	$900	$585	—	—	15
0187065820	DIAZEPAM 10 MG RE GEL	$886	$576	—	—	11
811227	HC BRONCHODILATOR PRE/POST TEST	$840	$546	—	—	15
811241	HC CHEST WALL MANIPULATION INIT	$810	$527	—	—	15
811320	HC RESPIRATORY FLOW VOLUME LOOP	$810	$527	—	—	15
8100742	HC AMBUL SERV ALS LEVEL 1 EMERG TRANSPRT	$780	$507	—	—	11
0574080530	ACETYLCYSTEINE 200 MG/ML IV SOLN	$745	$484	—	—	11
812798	HC TTE 2D CMPLT WO CON W DOPPLER AND COLOR	$715	$465	—	—	15

Showing top 50 of 14,987 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.