AVERA TYLER HOSPITAL (Tyler, MN) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$31,584	$30,637	—	—	7
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$31,584	$30,637	—	—	7
J0717	Certolizumab Pegol 400 Mg Kit	$25,886	$25,110	—	—	7
J0717	Certolizumab Pegol 400 Mg Kit	$25,886	$25,110	—	—	7
J3262	Tocilizumab 400 MG/20 ML Vial	$12,026	$11,665	—	—	7
J3262	Tocilizumab 400 MG/20 ML Vial	$12,026	$11,665	—	—	7
J0897	Denosumab 60 MG/ML Syringe	$7,567	$7,341	—	—	7
J0897	Denosumab 60 MG/ML Syringe	$7,567	$7,341	—	—	7
95811	Polysomnogram W CPap	$6,778	$6,575	—	—	7
95811	Polysomnogram W CPap	$6,778	$6,575	—	—	8
95810	Polysomnogram	$5,773	$5,600	—	—	7
95810	Polysomnogram	$5,773	$5,600	—	—	8
70553	MRI Brain WWO Contrast	$5,472	$5,308	—	—	7
70553	MRI Brain WWO Contrast	$5,472	$5,308	—	—	11
74178	CT Abd & Pelv WWO Contrast	$4,687	$4,546	—	—	7
74178	CT Abd & Pelv WWO Contrast	$4,687	$4,546	—	—	8
59409	Obstetrical Care	$4,672	$4,532	—	—	7
J3145	Testosterone 750 Mg/3 Ml	$4,514	$4,380	—	—	7
J3145	Testosterone 750 Mg/3 Ml	$4,514	$4,380	—	—	8
72156	MRI Neck Spine WWO Dye	$4,407	$4,275	—	—	7
72156	MRI Neck Spine WWO Dye	$4,407	$4,275	—	—	7
73720	MRI LE WWO Dye LT	$4,383	$4,252	—	—	7
73720	MRI LE WWO Dye LT	$4,383	$4,252	—	—	7
70549	MRA Neck WWO Contrast	$4,372	$4,241	—	—	7
70549	MRA Neck WWO Contrast	$4,372	$4,241	—	—	8
81517	Enhanced Liver Fibrosis	$4,371	$4,240	—	—	7
81517	Enhanced Liver Fibrosis	$4,371	$4,240	—	—	7
74176	CT Abd & Pelvis WO Contrast	$4,356	$4,225	—	—	7
74176	CT Abd & Pelvis WO Contrast	$4,356	$4,225	—	—	10
72157	MRI Chest Spine WWO Dye	$4,333	$4,203	—	—	7
72157	MRI Chest Spine WWO Dye	$4,333	$4,203	—	—	7
87154	Culture ID by Amp Prb 6 or 6+	$4,320	$4,190	—	—	7
87154	Culture ID by Amp Prb 6 or 6+	$4,320	$4,190	—	—	8
74183	MRI Abdomen WWO Dye	$4,252	$4,124	—	—	7
74183	MRI Abdomen WWO Dye	$4,252	$4,124	—	—	8
73223	MRI Joint UE WWO Dye RT	$4,141	$4,017	—	—	7
73223	MRI Joint UE WWO Dye RT	$4,141	$4,017	—	—	7
74177	CT Abd & Pelv W Contrast	$4,114	$3,991	—	—	7
74177	CT Abd & Pelv W Contrast	$4,114	$3,991	—	—	14
73723	MRI Joint LE WWO Dye LT	$3,900	$3,783	—	—	7
73723	MRI Joint LE WWO Dye RT	$3,900	$3,783	—	—	8
73221	MRI Joint UE WO Dye RT	$3,659	$3,549	—	—	8
73221	MRI Joint UE WO Dye LT	$3,659	$3,549	—	—	9
73718	MRI LE WO Dye LT	$3,626	$3,517	—	—	7
73218	MRI UE WO Dye RT	$3,626	$3,517	—	—	7
73718	MRI LE WO Dye RT	$3,626	$3,517	—	—	7
73218	MRI UE WO Dye RT	$3,626	$3,517	—	—	8
70551	MRI Brain WO Contrast	$3,605	$3,497	—	—	7
70551	MRI Brain WO Contrast	$3,605	$3,497	—	—	8
72146	MRI Chest Spine WO Dye	$3,516	$3,411	—	—	7

Showing top 50 of 1,412 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.