FALL RIVER HOSPITAL - CAH (Hot Springs, SD) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
RX-178606	LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION	$92,085	$92,085	—	—	58
RX-408178606	LUSPATERCEPT-AAMT 75 MG/1.5 ML SC (WET SOLR VIAL)	$92,085	$92,085	—	—	58
RX-183495	RISANKIZUMAB-RZAA 150 MG/ML SUBCUTANEOUS SYRINGE	$78,417	$78,417	—	—	58
RX-186538	RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION	$67,989	$67,989	—	—	58
RX-173231	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION - MI	$49,500	$49,500	—	—	58
RX-4080030203	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION - MASSIVE PE	$49,500	$49,500	—	—	58
RX-110751	LEUPROLIDE (LUPRON) 45 MG INTRAMUSCULAR SYRINGE KIT (6 MONTH)	$32,715	$32,715	—	—	58
RX-129648	RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS	$31,979	$31,979	—	—	58
RX-4080030162	TENECTEPLASE 50 MG INTRAVENOUS SOLUTION - STROKE	$29,068	$29,068	—	—	58
RX-4089002	ALTEPLASE 100 MG/100ML IV (WET SOLR VIAL)	$28,793	$28,793	—	—	58
RX-9002	ALTEPLASE 100 MG INTRAVENOUS SOLUTION	$28,793	$28,793	—	—	58
RX-185083	INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE	$25,406	$25,406	—	—	58
RX-129666	INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR SYRINGE KIT	$24,182	$24,182	—	—	58
RX-21108	LEUPROLIDE 30 MG (LUPRON) INTRAMUSCULAR SYRINGE KIT (4 MONTH)	$21,835	$21,835	—	—	58
RX-122149	IMMUNE GLOBULIN (HUMAN) (PRIVIGEN) 10% INJECTION SOLUTION	$17,575	$17,575	—	—	58
RX-133919	MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION	$17,575	$17,575	—	—	58
RX-408133919	MEPOLIZUMAB 100 MG/ML SC (WET SOLR VIAL)	$17,575	$17,575	—	—	58
PX-3604965700	No Longer Active 2023 Do Not Use HC Lap Inc Hern Recur Comp	$16,580	$16,580	—	—	58
RX-21045	LEUPROLIDE 22.5 MG (LUPRON) INTRAMUSCULAR SYRINGE KIT (3 MONTH)	$16,395	$16,395	—	—	58
PX-3604328200	Laps Rpr Paraesphgl Hrna Incl Fundplsty W/Mesh	$16,137	$16,137	—	—	58
RX-129657	PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE	$15,431	$15,431	—	—	58
RX-175906	PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE	$15,288	$15,288	—	—	58
PX-3601573400	Musc Myocutaneous/Fasciocutaneous Flap Trunk	$14,855	$14,855	—	—	58
PX-3604328100	Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh	$14,368	$14,368	—	—	58
PX-3604965100	Laps Surg Rpr Recurrent Inguinal Hernia	$13,179	$13,179	—	—	58
RX-176681	ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE	$13,025	$13,025	—	—	58
PX-3604965000	Laparoscopy Surg Rpr Initial Inguinal Hernia	$11,886	$11,886	—	—	58
PX-3602982700	Arthroscopy Shoulder Rotator Cuff Repair	$11,255	$11,255	—	—	58
RX-173528	RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION	$11,218	$11,218	—	—	58
RX-190785	PROTHROMBIN COMPLEX CONC (PCC) HUMAN-LANS 1,000 UNIT IV SOLUTION (BALFAXAR)	$11,100	$11,100	—	—	58
PX-3603656100	Insj Tunneled Ctr Vad W/Subq Port Age 5 Yr/>	$10,875	$10,875	—	—	58
PX-3601430100	Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm	$10,630	$10,630	—	—	58
RX-179532	EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION	$10,320	$10,320	—	—	58
PX-3602407700	HC Resect Arm/Elbow Tum < 5 Cm	$9,778	$9,778	—	—	58
RX-127666	ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYRINGE KIT	$9,557	$9,557	—	—	58
RX-173701	ADALIMUMAB 40 MG/0.4 ML SUBCUTANEOUS PEN KIT (CITRATE FREE)	$9,557	$9,557	—	—	58
RX-91495	CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) LYPHOLIZED POWDER	$9,453	$9,453	—	—	58
RX-9347	CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION	$9,391	$9,391	—	—	58
PX-3601930300	Mastectomy Simple Complete	$9,028	$9,028	—	—	58
PX-3602341200	Repair of Ruptured Musculotendinous Cuff (Eg, Rotator Cuff) Open; Chronic	$8,886	$8,886	—	—	58
RX-13691	LEUPROLIDE 3.75 MG (LUPRON) INTRAMUSCULAR SYRINGE KIT	$8,825	$8,825	—	—	58
PX-3601930200	Mastectomy Partial W/Axillary Lymphadenectomy	$8,546	$8,546	—	—	58
PX-2704000458	HC Frh Supp Glaukos Stent	$8,464	$8,464	—	—	58
RX-105502	DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE	$8,426	$8,426	—	—	58
RX-129781	DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE	$7,999	$7,999	—	—	58
RX-108063	TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION	$7,896	$7,896	—	—	58
PX-3606471800	Neuroplasty &/Transposition Ulnar Nerve Elbow	$7,863	$7,863	—	—	58
RX-106804	DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION	$7,764	$7,764	—	—	58
PX-3605866000	Laparoscopy W/Lysis of Adhesions	$7,681	$7,681	—	—	58
PX-3601931600	Mastopexy	$7,603	$7,603	—	—	58

Showing top 50 of 3,424 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.