AVERA ST ANTHONY'S HOSPITAL (O' Neill, NE) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J9347	Tremelimumab-Actl 300 Mg/15 Ml	$175,800	$170,526	—	—	6
J9347	Tremelimumab-Actl 300 Mg/15 Ml	$175,800	$170,526	—	—	6
J2350	Ocrelizumab 300 Mg/10 Ml	$69,075	$67,003	—	—	6
J2350	Ocrelizumab 300 Mg/10 Ml	$69,075	$67,003	—	—	7
J9334	Efgart-Hyalu-QVFC 1008Mg/5.6Ml	$57,782	$56,049	—	—	6
J9334	Efgart-Hyalu-QVFC 1008Mg/5.6Ml	$57,782	$56,049	—	—	6
J9272	Dostarlimab-Gxly 500 Mg/10 Ml	$52,816	$51,232	—	—	6
J9272	Dostarlimab-Gxly 500 Mg/10 Ml	$52,816	$51,232	—	—	6
J9022	Atezolizumab 1200 Mg/20 Ml Vl	$49,458	$47,975	—	—	6
J9022	Atezolizumab 1200 Mg/20 Ml Vl	$49,458	$47,975	—	—	6
J9203	Gemtuzumab Ozogamicin 4.5 Mg	$44,834	$43,489	—	—	6
J9203	Gemtuzumab Ozogamicin 4.5 Mg	$44,834	$43,489	—	—	6
J9042	Brentuximab Vedotin 50 MG Vial	$42,421	$41,149	—	—	6
J9042	Brentuximab Vedotin 50 MG Vial	$42,421	$41,149	—	—	6
J3357	Ustekinumab 45 MG/0.5 ML Syr	$41,802	$40,549	—	—	6
J3357	Ustekinumab 45 MG/0.5 ML Syr	$41,802	$40,549	—	—	6
J9043	Cabazitaxel 60 MG/1.5 ML Vial	$41,757	$40,505	—	—	6
J9043	Cabazitaxel 60 MG/1.5 ML Vial	$41,757	$40,505	—	—	6
J9144	Daratumumab Hyaluronida 1800Mg	$34,681	$33,641	—	—	8
J9144	Daratumumab Hyaluronida 1800Mg	$34,681	$33,641	—	—	6
J1930	Lanreotide Acet 120MG/0.5ML Sy	$34,254	$33,227	—	—	6
J1930	Lanreotide Acet 120MG/0.5ML Sy	$34,254	$33,227	—	—	6
J3380	Vedolizumab 300 MG Vial	$31,894	$30,938	—	—	6
J3380	Vedolizumab 300 MG Vial	$31,894	$30,938	—	—	6
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$31,584	$30,637	—	—	8
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$31,584	$30,637	—	—	6
J2323	Natalizumab 300 MG/15 ML Vial	$30,524	$29,609	—	—	6
J2323	Natalizumab 300 MG/15 ML Vial	$30,524	$29,609	—	—	6
J9063	Mirvetuximab Soravtansine-Gynx	$29,486	$28,602	—	—	6
J9063	Mirvetuximab Soravtansine-Gynx	$29,486	$28,602	—	—	6
J9228	Ipilimumab 5 MG/ML 10 ML Vial	$29,399	$28,517	—	—	6
J9228	Ipilimumab 5 MG/ML 10 ML Vial	$29,399	$28,517	—	—	6
J9299	Nivolumab 240 Mg/24 Ml Vial	$29,002	$28,133	—	—	6
J9299	Nivolumab 240 Mg/24 Ml Vial	$29,002	$28,133	—	—	6
J9332	Efgartigimod Alfa-Fcab 400 Mg	$27,360	$26,540	—	—	6
J9332	Efgartigimod Alfa-Fcab 400 Mg	$27,360	$26,540	—	—	6
J9306	Pertuzumab 420 MG/14 ML Vial	$26,748	$25,946	—	—	8
J9306	Pertuzumab 420 MG/14 ML Vial	$26,748	$25,946	—	—	6
J0517	Benralizumab 30 mg/ml Syringe	$22,647	$21,969	—	—	6
J0517	Benralizumab 30 mg/ml Syringe	$22,647	$21,969	—	—	6
J0717	Certolizumab Pegol 400 Mg Kit	$22,189	$21,524	—	—	6
J0717	Certolizumab Pegol 400 Mg Kit	$22,189	$21,524	—	—	6
J9271	Pembrolizumab 100 MG/4 ML Vial	$20,610	$19,992	—	—	6
J9271	Pembrolizumab 100 MG/4 ML Vial	$20,610	$19,992	—	—	6
J2353	Octreotide (Depot) 20 MG Syr	$19,038	$18,467	—	—	8
J2353	Octreotide (Depot) 20 MG Syr	$19,038	$18,467	—	—	6
J9173	Durvalumab 500 Mg/10 Ml Vial	$18,675	$18,115	—	—	6
J9173	Durvalumab 500 Mg/10 Ml Vial	$18,675	$18,115	—	—	6
Q5120	Pegfilgrastim-Bmez 6 Mg/0.6 Ml	$17,813	$17,279	—	—	6
Q5120	Pegfilgrastim-Bmez 6 Mg/0.6 Ml	$17,813	$17,279	—	—	6

Showing top 50 of 2,536 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.