AVERA ST BENEDICT HEALTH CENTER - CAH (Parkston, SD) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2350	Ocrelizumab 300 Mg/10 Ml	$88,789	$86,126	—	—	6
J2350	Ocrelizumab 300 Mg/10 Ml	$88,789	$86,126	—	—	6
J9272	Dostarlimab-Gxly 500 Mg/10 Ml	$52,334	$50,764	—	—	6
J9272	Dostarlimab-Gxly 500 Mg/10 Ml	$52,334	$50,764	—	—	6
J9144	Daratumumab Hyaluronida 1800Mg	$45,082	$43,730	—	—	6
J9144	Daratumumab Hyaluronida 1800Mg	$45,082	$43,730	—	—	6
J3380	Vedolizumab 300 MG Vial	$39,149	$37,975	—	—	6
J3380	Vedolizumab 300 MG Vial	$39,149	$37,975	—	—	6
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$31,584	$30,637	—	—	6
J3101	Tenecteplase 50 Mg/10 Ml Syrng	$31,584	$30,637	—	—	6
J2353	Octreotide (Depot) 30 MG Syr	$27,325	$26,506	—	—	6
J2353	Octreotide (Depot) 30 MG Syr	$27,325	$26,506	—	—	6
J0717	Certolizumab Pegol 400 Mg Kit	$25,886	$25,110	—	—	6
J0717	Certolizumab Pegol 400 Mg Kit	$25,886	$25,110	—	—	6
J9312	Rituximab 500 MG/50 ML Vial	$21,289	$20,651	—	—	6
J9312	Rituximab 500 MG/50 ML Vial	$21,289	$20,651	—	—	6
Q5127	Pegfilgrastim-Fpgk 6 Mg/0.6 Ml	$17,918	$17,381	—	—	6
Q5127	Pegfilgrastim-Fpgk 6 Mg/0.6 Ml	$17,918	$17,381	—	—	6
36482	Endoven Ther Chem Adhes 1St	$15,754	$15,281	—	—	6
36482	Endoven Ther Chem Adhes 1St	$15,754	$15,281	—	—	8
J0870	Imetelstat 47 Mg Vial	$11,419	$11,077	—	—	6
J0870	Imetelstat 47 Mg Vial	$11,419	$11,077	—	—	6
15271	Skin Substitute Graft 25 Sq CM	$11,037	$10,706	—	—	6
15275	Skin Substitute Graft 25 Sq CM	$11,037	$10,706	—	—	6
15271	Skin Substitute Graft 25 Sq CM	$11,037	$10,706	—	—	6
15275	Skin Substitute Graft 25 Sq CM	$11,037	$10,706	—	—	6
78815	PET CT Skull To Mid Thigh Init	$10,853	$10,527	—	—	6
78815	PET CT Skull To Mid Thigh Init	$10,853	$10,527	—	—	6
81352	TP53 Somatic Mutation, Prog	$10,841	$10,516	—	—	6
81352	TP53 Somatic Mutation, Prog	$10,841	$10,516	—	—	6
Q5111	Pegfilgrastim-Cbqv 6 Mg/0.6 Ml	$8,925	$8,657	—	—	6
Q5111	Pegfilgrastim-Cbqv 6 Mg/0.6 Ml	$8,925	$8,657	—	—	6
J1602	Golimumab 50 MG/4 ML Vial	$8,827	$8,562	—	—	6
J1602	Golimumab 50 MG/4 ML Vial	$8,827	$8,562	—	—	6
83884	Neurofilament Light Chain	$8,038	$7,797	—	—	6
83884	Neurofilament Light Chain	$8,038	$7,797	—	—	6
73720	MRI LE WWO Dye LT	$7,832	$7,597	—	—	6
73720	MRI LE WWO Dye LT	$7,832	$7,597	—	—	8
Q5122	Pegfilgrastim 6 Mg/0.6 Ml Syr	$7,813	$7,579	—	—	6
Q5122	Pegfilgrastim 6 Mg/0.6 Ml Syr	$7,813	$7,579	—	—	8
74174	CTA Abd&Pelv WWO Dye	$7,685	$7,454	—	—	6
74174	CTA Abd&Pelv WWO Dye	$7,685	$7,454	—	—	6
73723	MRI Joint LE WWO Dye LT	$7,638	$7,409	—	—	6
73723	MRI Joint LE WWO Dye LT	$7,638	$7,409	—	—	6
J0897	Denosumab 60 MG/ML Syringe	$7,591	$7,364	—	—	6
J0897	Denosumab 60 MG/ML Syringe	$7,591	$7,364	—	—	6
72158	MRI Lumbar Spine WWO Dye	$7,574	$7,347	—	—	6
72158	MRI Lumbar Spine WWO Dye	$7,574	$7,347	—	—	7
72157	MRI Chest Spine WWO Dye	$7,321	$7,101	—	—	6
72157	MRI Chest Spine WWO Dye	$7,321	$7,101	—	—	6

Showing top 50 of 2,014 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.