POCAHONTAS MEMORIAL HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
4408197	OCREVUS 300MG	$49,543	$34,680	—	—	2
Blood Infection with major complications	Blood Infection with major complications	$24,992	$17,494	—	—	1
Kidney & urinary Infection without complications	Kidney & urinary Infection without complications	$22,427	$15,699	—	—	1
4400046	TNKASE 1MG	$19,918	$13,943	—	—	5
Chronic Lung Disease with major complications	Chronic Lung Disease with major complications	$17,175	$12,023	—	—	1
Disorders of the biliary tract with complication	Disorders of the biliary tract with complications	$15,129	$10,590	—	—	1
Other factors influencing health status	Other factors influencing health status	$12,778	$8,944	—	—	1
Respiratory Failure	Respiratory Failure	$11,990	$8,393	—	—	2
Stroke with complications	Stroke with complications	$9,666	$6,766	—	—	1
Brain contusion/laceration & complicated skull F	Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma [Catastrophic Severity]	$9,647	$6,753	—	—	1
4408131	NUCALA PFS	$9,215	$6,451	—	—	1
Craniotomy for trauma [Moderate Severity]	Craniotomy for trauma [Moderate Severity]	$8,644	$6,051	—	—	1
G.I. obstruction with complications	G.I. obstruction with complications	$8,644	$6,051	—	—	1
4408109	RITUXAN	$8,607	$6,025	—	—	1
4400296	ORBACTIV 400MG VIAL	$8,363	$5,854	—	—	2
Pneumonia with complications	Pneumonia with complications	$5,763	$4,034	—	—	1
Infection of the skin	Infection of the skin	$5,498	$3,849	—	—	1
ECMO or tracheostomy with mechanical ventilation	ECMO or tracheostomy with mechanical ventilation 96+ hours with major complications	$4,557	$3,190	—	—	1
4408080	PROLIA 1MG	$4,506	$3,154	—	—	4
Nutritional or Metabolic Disorders without major	Nutritional or Metabolic Disorders without major complications	$4,300	$3,010	—	—	1
4222503	CT ABD/PEL W/WO CON	$3,991	$2,794	—	—	9
Anemia or other red blood cell disorders without	Anemia or other red blood cell disorders without complications	$3,864	$2,705	—	—	1
Kidney failure with complications	Kidney failure with complications	$3,788	$2,651	—	—	1
4408020	INJECTAFER 1 MG	$3,686	$2,580	—	—	7
4531517	POS AIRWARY PRES CPA	$3,651	$2,556	—	—	7
4531528	HVNI-VAPOTHERM	$3,651	$2,556	—	—	7
4408244	XOLAIR 150 MG	$3,540	$2,478	—	—	1
4222504	CT ABD/PEL WITH CON	$3,296	$2,307	—	—	16
4240023	MRI BRAIN WWO CONTRA	$2,800	$1,960	—	—	14
4240007	MRI RT LOW JOINT WWO	$2,800	$1,960	—	—	1
4240049	MRI LUMBAR WWO	$2,800	$1,960	—	—	1
4240002	MRI ABD W/WO CONTRAS	$2,800	$1,960	—	—	2
4240062	MRI PELVIS WWO CONTR	$2,800	$1,960	—	—	1
4408116	RABIES IMMUNE GLOBUL	$2,689	$1,882	—	—	3
Peripheral vascular disorders with complications	Peripheral vascular disorders with complications	$2,654	$1,858	—	—	1
4404543	XOLAIR 75 MG	$2,651	$1,856	—	—	1
4222506	CT ABD/PEL W/O CON	$2,575	$1,803	—	—	17
4240028	MRI CHEST W & WO CON	$2,575	$1,803	—	—	1
4240046	MRI CERVICAL WWO CON	$2,575	$1,803	—	—	4
4227014	CT CHEST W&W/O CONT	$2,163	$1,514	—	—	4
4227040	CT ABD W&W/O CONTRAS	$2,163	$1,514	—	—	2
4240050	MRI THORACIC WO CONT	$2,100	$1,470	—	—	5
4240047	MRI LUMBAR WO CONTRA	$2,100	$1,470	—	—	12
4240015	MRI RT UP JOINT W/O	$2,100	$1,470	—	—	9
4240016	MRI LT UP JOINT W/O	$2,100	$1,470	—	—	9
4240003	MRI RT LOW JOINT W/O	$2,100	$1,470	—	—	13
4240004	MRI LT LOW JOINT WO	$2,100	$1,470	—	—	8
4240021	MRI BRAIN W/O CONTRA	$2,100	$1,470	—	—	6
4240032	MRI RT LOW EXT W/O C	$2,100	$1,470	—	—	6
4240033	MRI LT LOW EXT WO CO	$2,100	$1,470	—	—	6

Showing top 50 of 1,143 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.