TRANSYLVANIA REGIONAL HOSPITAL, INC

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
119961	Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use	$4,238	$4,238	$1,319	$1,319	4
11042	Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or le	$1,252	$1,252	$2,550	$2,800	2
5859	Injection, floxuridine, 500 mg	$876	$876	$9,577	$9,577	4
60845	Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries	$352	$352	—	—	6
57195	Thallium tl-201 thallous chloride, diagnostic, per millicurie	$231	$231	—	—	6
57194	Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries	$146	$146	—	—	6
2747	Injection, carboplatin, 50 mg	$46.83	$46.83	$9.49	$9.49	4
120811	Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; resp	$45.84	$45.84	$14.85	$14.85	17
120	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	—	—	$1,909	$2,408	2
148	EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC	—	—	$1,909	$2,408	2
129	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	—	—	$1,909	$2,408	2
118	Other Orthopedic, 10-23; SB None, Either; PBC2 Assistance with daily living and general supervision	—	—	$999	$999	1
124	OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT	—	—	$1,909	$2,408	2
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	—	—	$1,909	$2,408	2
152	KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC	—	—	$1,909	$2,408	2
158	DENTAL AND ORAL DISEASES WITH CC	—	—	$1,909	$2,408	2
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	—	—	$1,527	$23,002	47
191	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	—	—	$1,909	$2,408	2
132	Room & Board - Three and Four Beds Obstetrics (OB)	—	—	$1,806	$1,981	6
123	Room & Board - Semi-private (Two Beds) Pediatric	—	—	$1,806	$1,981	6
190	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	—	—	$1,909	$2,408	2
100	RESPIRATORY NEOPLASMS WITH CC	—	—	$1,909	$2,408	2
192	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	—	—	$1,909	$2,408	2
160	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	—	—	$1,909	$2,408	2
140	OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC	—	—	$1,909	$2,408	2
150	POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC	—	—	$1,909	$2,408	2
146	Major Joint Replacement or Spinal Surgery, 10-23; SI Any two, Both; CA2 Conditions requiring comple	—	—	$710	$710	1
193	CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	—	—	$1,909	$2,408	2
110	SIMPLE PNEUMONIA AND PLEURISY WITH MCC	—	—	$1,909	$2,408	2
116	INTRAOCULAR PROCEDURES WITH CC/MCC	—	—	$1,909	$2,408	2
127	TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC	—	—	$1,909	$2,408	2
199	OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC	—	—	$1,909	$2,408	2
133	RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	—	—	$1,909	$2,408	2
130	HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	—	—	$1,909	$2,408	2
137	Room & Board - Three and Four Beds Oncology	—	—	$1,806	$1,981	6
149	CELLULITIS WITHOUT MCC	—	—	$1,909	$2,408	2
135	SINUS AND MASTOID PROCEDURES WITH CC/MCC	—	—	$1,909	$2,408	2
114	ORBITAL PROCEDURES WITHOUT CC/MCC	—	—	$1,909	$2,408	2
131	CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC	—	—	$1,909	$2,408	2
112	ACUTE LEUKEMIA WITH MCC	—	—	$1,909	$2,408	2
139	Room & Board - Three and Four Beds Other	—	—	$1,806	$1,981	6
153	CELLULITIS WITH MCC	—	—	$1,909	$2,408	2
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	—	—	$1,909	$2,408	2
126	Major Joint Replacement or Spinal Surgery, 10-23; SC None, Both; CBC2 Conditions requiring complex m	—	—	$777	$777	1
113	UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC	—	—	$1,909	$2,408	2
159	OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	—	—	$1,909	$2,408	2
169	MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC	—	—	$1,909	$2,408	2
122	Room & Board - Semi-private (Two Beds) Obstetrics (OB)	—	—	$1,806	$1,981	6
128	Major Joint Replacement or Spinal Surgery, 6-9; SI Any two, Both; LDE2 Serious medical conditions e.	—	—	$1,321	$1,321	1
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	—	—	$1,909	$2,408	2

Showing top 50 of 737 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.