MILBANK AREA HOSPITAL/AVERA HEALTH (Milbank, SD) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2350	Ocrelizumab 300 Mg/10 Ml	$88,864	$86,199	—	—	7
J2350	Ocrelizumab 300 Mg/10 Ml	$88,864	$86,199	—	—	8
J2329	Ublituximab-Xiiy 150 Mg/6 Ml	$47,176	$45,761	—	—	7
J2329	Ublituximab-Xiiy 150 Mg/6 Ml	$47,176	$45,761	—	—	8
J9119	Cemiplimab-Rwlc 350 Mg/7 Ml Vl	$46,640	$45,241	—	—	7
J9119	Cemiplimab-Rwlc 350 Mg/7 Ml Vl	$46,640	$45,241	—	—	8
J9144	Daratumumab Hyaluronida 1800Mg	$45,180	$43,825	—	—	7
J9144	Daratumumab Hyaluronida 1800Mg	$45,180	$43,825	—	—	9
J9316	Pertuzu-Trastuzu 10 Ml Vial	$40,100	$38,897	—	—	7
J9316	Pertuzu-Trastuzu 10 Ml Vial	$40,100	$38,897	—	—	9
J3380	Vedolizumab 300 MG Vial	$39,716	$38,525	—	—	7
J3380	Vedolizumab 300 MG Vial	$39,716	$38,525	—	—	10
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$31,584	$30,637	—	—	7
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$31,584	$30,637	—	—	10
81162	BRCA 1&2 Full Gene Seq Del/Dup	$28,538	$27,682	—	—	7
81162	BRCA 1&2 Full Gene Seq Del/Dup	$28,538	$27,682	—	—	8
J0717	Certolizumab Pegol 400 Mg Kit	$22,189	$21,524	—	—	7
J0717	Certolizumab Pegol 400 Mg Kit	$22,189	$21,524	—	—	8
J0896	Luspatercept-Aamt 25 Mg Vial	$17,827	$17,293	—	—	7
J0896	Luspatercept-Aamt 25 Mg Vial	$17,827	$17,293	—	—	8
J2356	Tezepelumab-EKKO 210 Mg/1.9 Ml	$17,461	$16,938	—	—	7
J2356	Tezepelumab-EKKO 210 Mg/1.9 Ml	$17,461	$16,938	—	—	8
J2182	Mepolizumab 100 MG Vial	$13,430	$13,027	—	—	7
J2182	Mepolizumab 100 MG Vial	$13,430	$13,027	—	—	8
J9205	Irinotecan Lipos 43MG/10ML Vl	$12,857	$12,472	—	—	7
J9205	Irinotecan Lipos 43MG/10ML Vl	$12,857	$12,472	—	—	8
J2357	Omalizumab 300 Mg/2Ml Syringe	$12,614	$12,236	—	—	7
J2357	Omalizumab 300 Mg/2Ml Syringe	$12,614	$12,236	—	—	8
Q5107	Bevacizumab-AWWB 400Mg/16Ml Vi	$12,177	$11,812	—	—	7
Q5107	Bevacizumab-AWWB 400Mg/16Ml Vi	$12,177	$11,812	—	—	8
J3111	Romosozumab-AQQG 210 Mg/2.34Ml	$11,514	$11,169	—	—	7
J3111	Romosozumab-AQQG 210 Mg/2.34Ml	$11,514	$11,169	—	—	8
78815	PET CT Skull To Mid Thigh Init	$11,125	$10,791	—	—	7
78815	PET CT Skull To Mid Thigh Init	$11,125	$10,791	—	—	8
Q5111	Pegfilgrastim-Cbqv 6 Mg/0.6 Ml	$8,925	$8,657	—	—	7
Q5111	Pegfilgrastim-Cbqv 6 Mg/0.6 Ml	$8,925	$8,657	—	—	8
J1602	Golimumab 50 MG/4 ML Vial	$8,842	$8,577	—	—	7
J1602	Golimumab 50 MG/4 ML Vial	$8,842	$8,577	—	—	8
J9034	Bendamustine 100 Mg/4 Ml Vial	$8,720	$8,459	—	—	7
J9034	Bendamustine 100 Mg/4 Ml Vial	$8,720	$8,459	—	—	9
Q5122	Pegfilgrastim 6 Mg/0.6 Ml Syr	$8,541	$8,285	—	—	7
Q5122	Pegfilgrastim 6 Mg/0.6 Ml Syr	$8,541	$8,285	—	—	8
81352	TP53 Somatic Mutation, Prog	$8,362	$8,111	—	—	7
81352	TP53 Somatic Mutation, Prog	$8,362	$8,111	—	—	8
Q5108	Pegfilgrastim-Jmdb 6 Mg/0.6 Ml	$8,026	$7,786	—	—	7
Q5108	Pegfilgrastim-Jmdb 6 Mg/0.6 Ml	$8,026	$7,786	—	—	10
J0897	Denosumab 60 MG/ML Syringe	$7,702	$7,471	—	—	7
J0897	Denosumab 60 MG/ML Syringe	$7,702	$7,471	—	—	8
78452	Myocard Perf Spect Rest Stress	$7,691	$7,460	—	—	8
78452	Myocard Perf Spect Rest Stress	$7,691	$7,460	—	—	14

Showing top 50 of 1,997 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.