RIVERVIEW HOSPITAL (Crookston, MN) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
C1822	SYS STIM SPNL SENZA HFX IQ IPG	$54,962	$49,466	—	—	8
J2350	OCRELIZUMAB 300 MG/10ML IV SOLN	$52,819	$47,537	—	—	8
C2624	KT PA CARDIOMEM SENSOR DEL SYS	$49,500	$44,550	—	—	8
C1882	CRT-D UNIFY ASSURA DF4	$36,314	$32,682	—	—	8
C1722	ICD ELLP VR DF4NLU	$27,897	$25,107	—	—	8
J2327	RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN	$27,300	$24,570	—	—	8
C1721	ICD DR FORTIFY ASSURA DF1 IS1	$26,471	$23,824	—	—	8
C1767	NEUROSTIMULATOR DISC 6325306	$24,926	$22,433	—	—	8
C1772	PAIN PUMP SYNCRDISC 6340162	$21,316	$19,184	—	—	8
22514	PERCUT VERTEBRAL AUGMENT 1 VERTEBRA UNILAT BILAT CANNULATION LUMBAR	$21,016	$18,914	—	—	8
J2997	ALTEPLASE 100 MG IV SOLR	$20,897	$18,807	—	—	8
J3101	TENECTEPLASE 50 MG IV KIT	$20,729	$18,656	—	—	16
22513	PERCUT VERTEBRAL AUGMENT 1 VERTEBRA UNILAT BILAT CANNULATION THORACIC	$19,963	$17,967	—	—	8
22514	PF 22514 PERC VERTEBRAL AUGMENT, 1 VERT BODY, LUMBAR	$18,823	$17,882	—	—	3
22513	PF 22513 PERCUT VERT AGMNT 1 VERT UNILAT BILAT CANN THOR	$17,880	$16,986	—	—	3
J0775	COLLAGENASE CLOSTRID HISTOLYT 0.9 MG INJ SOLR	$17,807	$16,026	—	—	8
J0517	BENRALIZUMAB 30 MG/ML SUBCUT SOSY	$14,371	$12,934	—	—	8
J0717	CERTOLIZUMAB PEGOL 2 X 200 MG SUBCUT KIT	$13,931	$12,538	—	—	8
J2506	PEGFILGRASTIM 6 MG/0.6ML SUBCUT SOSY	$13,803	$12,423	—	—	8
C2621	CRT-P QUADRA ALLURE RF IS1	$12,177	$10,959	—	—	8
Q9991	BUPRENORPHINE ER 100 MG/0.5ML SUBCUT SOSY	$12,033	$10,830	—	—	8
81455	SO/HEMATOLYMPHOID NEO/DO 51/>GSAP DNA/DNA&RNA 81455	$11,602	$10,442	—	—	8
22633	ARTHODESIS SINGLE INTERSPACE	$11,482	$10,334	—	—	8
63281	LAMINECTOMY BX EXC INTRASPINAL NEOPLASM INTRADURL EXTRAMEDULLRY THORAC	$11,370	$10,233	—	—	8
63101	VERT CORPECTOMY LAT EXTRACAVITARY WDECOMPRESS THORACIC SNGL SEG	$11,124	$10,012	—	—	8
J0565	BEZLOTOXUMAB 1000 MG/40ML IV SOLN	$11,000	$9,900	—	—	8
22515	PERCUT VERTEBRAL AUGMENT 1 VERTEBRA UNILAT BILAT CANNULATION EA ADDL	$10,995	$9,896	—	—	8
22804	ARTHRODESIS POSTR SPINAL DEFORMITY WWO CAST 13+ VERT SEG	$10,793	$9,714	—	—	8
C1764	ICM REMOTE PROGM REVEAL LINQ	$10,659	$9,593	—	—	8
Q4104	DRSG MTX BILYR 4X5=130SQCM	$10,551	$9,496	—	—	8
27134	REVISION TOTAL HIP ARTHROPLASTY BOTH COMPONENTS WWO AUTOGRFT ALLOGRFT	$10,526	$9,473	—	—	8
J1554	IMMUNE GLOBULIN (HUMAN)-SLRA 5 GM/50ML IV SOLN	$10,474	$9,427	—	—	16
53852	TRANSURETHRAL DESTRUCT PROSTATE TISSUE RADIOFREQUENCY THERMOTHERAPY	$10,455	$9,410	—	—	8
27228	OPEN TX ACETABULAR FX INVOLVING ANTERIOR POSTR(TWO)COLUMNS WINT FIXN	$10,182	$9,164	—	—	8
22612	ARTHRODESIS POSTR POSTEROLAT TECHNIQUE SNGL INTERSPACE LUMBAR	$10,119	$9,107	—	—	8
C1889	EXPAND BONE INFL CAVIMENDNLU	$10,032	$9,029	—	—	8
63087	VERT CORPECTOMY THORACOLUMBAR LOWER THORACIC LUMBAR 1 SEG	$9,946	$8,951	—	—	8
22802	ARTHRODESIS POSTR SPINAL DEFORMITY WWO	$9,939	$8,945	—	—	8
22207	CUT SPINE 3 COL LUMB	$9,879	$8,891	—	—	8
22515	PF 22515 PERC VERT AGMNT 1 VERT UNILAT BILAT CANN EA ADDL	$9,848	$9,356	—	—	3
27134	PF 27134 REV ARTHROPL HIP TTL	$9,519	$9,043	—	—	3
27487	REVISION TOTAL KNEE ARTHROPLASTY FEMORAL & ENTIRE TIBIAL COMPONENT	$9,489	$8,540	—	—	8
54050	PF 54050 DEST LSN PENIS CHEM	$9,456	$8,983	—	—	3
J2182	MEPOLIZUMAB 100 MG SUBCUT SOLR	$9,249	$8,324	—	—	8
22558	ARTHRODESIS ANTERIOR INTERBODY WMININMAL DISKECTOMY LUMBAR	$9,065	$8,159	—	—	8
63272	LAMINECTOMY EXC INTRASPINAL LESN OTHER THAN NEOPLASM INTRADURAL LUMBAR	$9,065	$8,159	—	—	8
22612	PF 22612 ARTHRODESIS POSTR POSTEROLAT TECHN SNGL INTERSPACE LUMBAR	$9,063	$8,610	—	—	3
63085	VERT CORPECTOMY TRANSTHORACIC THORACIC 1 SEG	$8,975	$8,078	—	—	8
27227	OPEN TX ACETABULAR FX INVOLVING ANTERIOR POSTR(ONE) COLUMN WINT FIXN	$8,829	$7,946	—	—	8
V2790	ALLO NUCEL XLNLU	$8,800	$7,920	—	—	8

Showing top 50 of 15,294 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.