PIPESTONE COUNTY MEDICAL CENTER (Pipestone, MN) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2350	Ocrelizumab 300 Mg/10 Ml	$41,430	$41,430	—	—	7
J2350	Ocrelizumab 300 Mg/10 Ml	$41,430	$41,430	—	—	8
J9298	Nivolum/Relatlim 240-80Mg 113G	$32,728	$32,728	—	—	7
J9298	Nivolum/Relatlim 240-80Mg 113G	$32,728	$32,728	—	—	7
J3245	Tildrakizumab-ASMN 100Mg/Ml Sy	$26,490	$26,491	—	—	7
J3245	Tildrakizumab-ASMN 100Mg/Ml Sy	$26,490	$26,491	—	—	7
J9144	Daratumumab Hyaluronida 1800Mg	$22,392	$22,393	—	—	7
J9144	Daratumumab Hyaluronida 1800Mg	$22,392	$22,393	—	—	7
J3380	Vedolizumab 300 MG Vial	$18,944	$18,945	—	—	7
J3380	Vedolizumab 300 MG Vial	$18,944	$18,945	—	—	8
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$14,729	$14,730	—	—	7
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$14,729	$14,730	—	—	9
J9271	Pembrolizumab 100 MG/4 ML Vial	$12,889	$12,890	—	—	7
J9271	Pembrolizumab 100 MG/4 ML Vial	$12,889	$12,890	—	—	7
J0717	Certolizumab Pegol 400 Mg Kit	$12,070	$12,070	—	—	7
J0717	Certolizumab Pegol 400 Mg Kit	$12,070	$12,070	—	—	7
Q4186	Graft Sft Tis 30SqCM Epifix	$10,200	$10,200	—	—	7
Q4186	Graft Sft Tis 30SqCM Epifix	$10,200	$10,200	—	—	7
J2353	Octreotide (Depot) 20 MG Syr	$8,866	$8,866	—	—	7
J2353	Octreotide (Depot) 20 MG Syr	$8,866	$8,866	—	—	7
J1306	Inclisiran 284mg/1.5ml Syringe	$7,304	$7,304	—	—	7
J1306	Inclisiran 284mg/1.5ml Syringe	$7,304	$7,304	—	—	7
90375	Rabies Ig (Human) 300 U/Ml 5Ml	$6,508	$6,509	—	—	7
90375	Rabies Ig (Human) 300 U/Ml 5Ml	$6,508	$6,509	—	—	7
75635	CTA Abdominal Arteries	$6,270	$6,270	—	—	7
75635	CTA Abdominal Arteries	$6,270	$6,270	—	—	7
J3262	Tocilizumab 400 MG/20 ML Vial	$5,625	$5,625	—	—	7
J3262	Tocilizumab 400 MG/20 ML Vial	$5,625	$5,625	—	—	7
J3111	Romosozumab-AQQG 210 Mg/2.34Ml	$5,425	$5,425	—	—	7
J3111	Romosozumab-AQQG 210 Mg/2.34Ml	$5,425	$5,425	—	—	7
95811	Polysomnogram W CPap	$5,213	$5,213	—	—	7
95811	Polysomnogram W CPap	$5,213	$5,213	—	—	9
70546	MRA Head WWO Contrast	$5,211	$5,211	—	—	7
70546	MRA Head WWO Contrast	$5,211	$5,211	—	—	7
74183	MRI Abdomen WWO Dye	$4,932	$4,932	—	—	7
74183	MRI Abdomen WWO Dye	$4,932	$4,932	—	—	11
J1569	Immune Glob Gamagar 20GR/200ML	$4,567	$4,568	—	—	7
J1569	Immune Glob Gamagar 20GR/200ML	$4,567	$4,568	—	—	7
99291	Critical Care 1st 30-74 Min	$4,562	$4,562	—	—	7
99291	Critical Care 1st 30-74 Min	$4,562	$4,562	—	—	10
71550	MRI Chest WO Contrast	$4,413	$4,413	—	—	7
74181	MRI Abdomen WO Dye	$4,413	$4,413	—	—	7
73720	MRI LE WWO Dye LT	$4,413	$4,413	—	—	7
73723	MRI Joint LE WWO Dye LT	$4,413	$4,413	—	—	7
73220	MRI UE WWO Dye RT	$4,413	$4,413	—	—	7
73223	MRI Joint UE WWO Dye RT	$4,413	$4,413	—	—	7
73223	MRI Joint UE WWO Dye RT	$4,413	$4,413	—	—	8
73720	MRI LE WWO Dye RT	$4,413	$4,413	—	—	10
73220	MRI UE WWO Dye RT	$4,413	$4,413	—	—	7
73723	MRI Joint LE WWO Dye LT	$4,413	$4,413	—	—	8

Showing top 50 of 2,671 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.