AVERA MERRILL PIONEER HOSPITAL (Rock Rapids, IA) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J9144	Daratumumab Hyaluronida 1800Mg	$46,110	$44,727	—	—	7
J9144	Daratumumab Hyaluronida 1800Mg	$46,110	$44,727	—	—	7
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$31,584	$30,637	—	—	7
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$31,584	$30,637	—	—	7
J1299	Eculizumab 300 MG/30 ML Vial	$30,858	$29,933	—	—	7
J1299	Eculizumab 300 MG/30 ML Vial	$30,858	$29,933	—	—	7
Q5120	Pegfilgrastim-Bmez 6 Mg/0.6 Ml	$17,813	$17,279	—	—	7
Q5120	Pegfilgrastim-Bmez 6 Mg/0.6 Ml	$17,813	$17,279	—	—	7
J1306	Inclisiran 284mg/1.5ml Syringe	$15,571	$15,104	—	—	7
J1306	Inclisiran 284mg/1.5ml Syringe	$15,571	$15,104	—	—	7
J3111	Romosozumab-AQQG 210 Mg/2.34Ml	$11,900	$11,544	—	—	7
J3111	Romosozumab-AQQG 210 Mg/2.34Ml	$11,900	$11,544	—	—	7
15271	Skin Substitute Graft 25 Sq CM	$11,589	$11,241	—	—	7
15271	Skin Substitute Graft 25 Sq CM	$11,589	$11,241	—	—	7
J0401	Aripiprazole 400 MG Vial	$10,267	$9,960	—	—	7
J0401	Aripiprazole 400 MG Vial	$10,267	$9,960	—	—	7
Q5130	Pegfilgrastim-PBBK 6 Mg/0.6 Ml	$10,131	$9,828	—	—	7
Q5130	Pegfilgrastim-PBBK 6 Mg/0.6 Ml	$10,131	$9,828	—	—	7
Q5111	Pegfilgrastim-Cbqv 6 Mg/0.6 Ml	$8,925	$8,657	—	—	7
Q5111	Pegfilgrastim-Cbqv 6 Mg/0.6 Ml	$8,925	$8,657	—	—	7
J1602	Golimumab 50 MG/4 ML Vial	$8,917	$8,650	—	—	7
J1602	Golimumab 50 MG/4 ML Vial	$8,917	$8,650	—	—	7
Q5122	Pegfilgrastim 6 Mg/0.6 Ml Syr	$7,851	$7,616	—	—	7
Q5122	Pegfilgrastim 6 Mg/0.6 Ml Syr	$7,851	$7,616	—	—	9
J0897	Denosumab 60 MG/ML Syringe	$7,637	$7,408	—	—	7
J0897	Denosumab 60 MG/ML Syringe	$7,637	$7,408	—	—	7
72158	MRI Lumbar Spine WWO Dye	$5,892	$5,715	—	—	7
73720	MRI LE WWO Dye LT	$5,892	$5,715	—	—	7
73720	MRI LE WWO Dye LT	$5,892	$5,715	—	—	7
72158	MRI Lumbar Spine WWO Dye	$5,892	$5,715	—	—	7
73723	MRI Joint LE WWO Dye RT	$5,611	$5,443	—	—	7
73723	MRI Joint LE WWO Dye RT	$5,611	$5,443	—	—	5
72157	MRI Chest Spine WWO Dye	$5,303	$5,144	—	—	7
72157	MRI Chest Spine WWO Dye	$5,303	$5,144	—	—	7
72197	MRI Pelvis WWO Dye	$5,237	$5,080	—	—	7
72197	MRI Pelvis WWO Dye	$5,237	$5,080	—	—	5
72156	MRI Neck Spine WWO Dye	$5,181	$5,026	—	—	9
72156	MRI Neck Spine WWO Dye	$5,181	$5,026	—	—	7
70553	MRI Brain WWO Contrast	$5,153	$4,998	—	—	7
70553	MRI Brain WWO Contrast	$5,153	$4,998	—	—	9
J1439	Ferric Carboxymalt 750MG/15ML	$4,459	$4,326	—	—	7
J1439	Ferric Carboxymalt 750MG/15ML	$4,459	$4,326	—	—	7
70551	MRI Brain WO Contrast	$4,364	$4,233	—	—	7
72141	MRI Neck Spine WO Dye	$4,364	$4,233	—	—	7
72146	MRI Chest Spine WO Dye	$4,364	$4,233	—	—	7
72148	MRI Lumbar Spine WO Dye	$4,364	$4,233	—	—	7
72195	MRI Pelvis WO Dye	$4,364	$4,233	—	—	7
73221	MRI Joint UE WO Dye LT	$4,364	$4,233	—	—	7
73718	MRI LE WO Dye LT	$4,364	$4,233	—	—	7
73721	MRI Joint LE WO Dye LT	$4,364	$4,233	—	—	7

Showing top 50 of 1,578 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.