PALM BAY HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
4813341801	HC CATH TCAT MITRAL VALVE REPAIR INITIAL PROSTHESI	$131,981	$32,995	—	—	2
4813341801	HC CATH TCAT MITRAL VALVE REPAIR INITIAL PROSTHESI	$131,981	$32,995	—	—	11
4813341801	HC CATH TCAT MITRAL VALVE REPAIR INITIAL PROSTHESI	$131,981	$32,995	—	—	15
191015	icatibant 30 MG/3ML solution prefilled syringe 3 m	$119,811	$29,953	—	—	11
4309002	alteplase per 1 mg	$99,563	$24,891	—	—	2
4309002	alteplase per 1 mg	$99,563	$24,891	—	—	11
9002	alteplase per 1 mg	$99,563	$24,891	—	—	2
9002	alteplase per 1 mg	$99,563	$24,891	—	—	11
4309002	alteplase per 1 mg	$99,563	$24,891	—	—	15
9002	alteplase per 1 mg	$99,563	$24,891	—	—	15
28530	tenecteplase per 1 mg	$93,473	$23,368	—	—	2
28530	tenecteplase per 1 mg	$93,473	$23,368	—	—	11
28530	tenecteplase per 1 mg	$93,473	$23,368	—	—	15
31432	digoxin immune fab per 1 vial	$56,273	$14,068	—	—	2
31432	digoxin immune fab per 1 vial	$56,273	$14,068	—	—	11
43031432	digoxin immune fab per 1 vial	$56,273	$14,068	—	—	2
43031432	digoxin immune fab per 1 vial	$56,273	$14,068	—	—	11
31432	digoxin immune fab per 1 vial	$56,273	$14,068	—	—	15
43031432	digoxin immune fab per 1 vial	$56,273	$14,068	—	—	15
4309003	alteplase per 1 mg	$49,781	$12,445	—	—	2
4309003	alteplase per 1 mg	$49,781	$12,445	—	—	11
9003	alteplase per 1 mg	$49,781	$12,445	—	—	2
9003	alteplase per 1 mg	$49,781	$12,445	—	—	11
4309003	alteplase per 1 mg	$49,781	$12,445	—	—	15
9003	alteplase per 1 mg	$49,781	$12,445	—	—	15
127964	pembrolizumab per 1 mg	$49,450	$12,363	—	—	11
127964	pembrolizumab per 1 mg	$49,450	$12,363	—	—	15
127964	pembrolizumab per 1 mg	$49,450	$12,363	—	—	2
4819293001	HC PERQ CATH PLMT INTRAC STNT 2 SEP LESIONS OR BI	$46,822	$11,705	—	—	2
4819293001	HC PERQ CATH PLMT INTRAC STNT 2 SEP LESIONS OR BI	$46,822	$11,705	—	—	9
4819293001	HC PERQ CATH PLMT INTRAC STNT 2 SEP LESIONS OR BI	$46,822	$11,705	—	—	15
4810795T01	HC TRANSCATH INSJ PERM DUAL CHAMBER LDLS PM COMPL	$45,466	$11,367	—	—	2
4810795T01	HC TRANSCATH INSJ PERM DUAL CHAMBER LDLS PM COMPL	$45,466	$11,367	—	—	11
4810796T01	HC TRANSCATH INSJ PERM DUAL CHAMBER LDLS PM RT ATR	$45,466	$11,367	—	—	2
4810796T01	HC TRANSCATH INSJ PERM DUAL CHAMBER LDLS PM RT ATR	$45,466	$11,367	—	—	11
4810795T01	HC TRANSCATH INSJ PERM DUAL CHAMBER LDLS PM COMPL	$45,466	$11,367	—	—	14
4810796T01	HC TRANSCATH INSJ PERM DUAL CHAMBER LDLS PM RT ATR	$45,466	$11,367	—	—	14
9979	ethacrynate sodium 50 MG reconstituted solution 1	$42,991	$10,748	—	—	2
9979	ethacrynate sodium 50 MG reconstituted solution 1	$42,991	$10,748	—	—	11
4819358201	HC CATH PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERI	$42,810	$10,703	—	—	2
4819358201	HC CATH PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERI	$42,810	$10,703	—	—	11
4819359001	HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL	$42,810	$10,703	—	—	2
4819359001	HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL	$42,810	$10,703	—	—	11
4819358201	HC CATH PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERI	$42,810	$10,703	—	—	15
4819359001	HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL	$42,810	$10,703	—	—	15
4819293301	HC PERQ TRLUML ATHRECT W/STENT SNGLE COR ARTERY OR	$41,563	$10,391	—	—	2
4819293301	HC PERQ TRLUML ATHRECT W/STENT SNGLE COR ARTERY OR	$41,563	$10,391	—	—	11
4819293301	HC PERQ TRLUML ATHRECT W/STENT SNGLE COR ARTERY OR	$41,563	$10,391	—	—	15
4813324901	HC EP INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CH	$39,793	$9,948	—	—	2
4813324901	HC EP INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CH	$39,793	$9,948	—	—	11

Showing top 50 of 11,378 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.