ROSEBUD HEALTH CARE CENTER — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2997	ALTEPLASE (ACTIVASE) 100MG/100ML INJ	$13,386	$13,386	—	—	6
J3101	TENECTEPLASE (TNKASE) 50MG INJ	$9,420	$9,420	—	—	6
J1162	DIGOXIN IMMUNE FAB (DIGIFAB) 40MG INJ	$5,029	$5,029	—	—	6
J2798	RISPERIDONE ER (PERSERIS) 90MG/0.6ML INJ	$3,913	$3,913	—	—	6
70553	MRI BRAIN WO/W CONTRAST	$3,283	$3,283	—	—	6
72158	MRI L-SPINE W/WO	$2,950	$2,950	—	—	6
5872197	MRI PELVIS W & W/O	$2,950	$2,950	—	—	6
74183	MRI ABDOMEN W & W/O	$2,949	$2,949	—	—	6
J0897	DENOSUMAB (PROLIA) 60MG/1ML INJ	$2,924	$2,924	—	—	6
70543	MRI NECK WO/W CONTRAST	$2,890	$2,890	—	—	6
72149	MRI L-SPINE W	$2,725	$2,725	—	—	6
70552	MRI BRAIN W CONTRAST	$2,635	$2,635	—	—	6
73723	MRI ANKLE LT W & W/O	$2,609	$2,609	—	—	6
72148	MRI L-SPINE W/O	$2,510	$2,510	—	—	6
72141	MRI C-SPINE W/O	$2,474	$2,474	—	—	6
73221	MRI SHOULDER RIGHT WO	$2,362	$2,362	—	—	6
73721	MRI KNEE RIGHT W/O	$2,349	$2,349	—	—	6
73220	MRI HAND LT WO / W	$2,320	$2,320	—	—	6
70551	MRI BRAIN W/O CONTRAST	$2,313	$2,313	—	—	6
71275	CTA CHEST	$2,268	$2,268	—	—	6
72127	CT C-SPINE W/ & W/O CONTRAST	$2,235	$2,235	—	—	6
74178	CT ABD/PEL W/WO	$2,184	$2,184	—	—	6
73718	MRI FEMUR RIGHT W/O	$2,127	$2,127	—	—	6
70498	CTA CAROTIDS	$2,069	$2,069	—	—	6
74177	CT ABD/PELVIS W CONTRAST	$2,051	$2,051	—	—	6
72126	CT C-SPINE W/ CONTRAST	$2,035	$2,035	—	—	6
72133	CT L-SPINE W/ & W/O CONTRAST	$1,929	$1,929	—	—	6
73206	CTA UPPER ARM RUNOFF-RT,RIGHT SIDE OF BODY	$1,863	$1,863	—	—	6
70496	CTA HEAD	$1,857	$1,857	—	—	6
87507	GASTROINTESTINAL PANEL-MOLECULAR	$1,800	$1,800	—	—	6
74174	CTA ABDOMINAL AORTA	$1,783	$1,783	—	—	6
75635	CTA ABDOMEN	$1,783	$1,783	—	—	6
74170	CT ABD W & W/O CONTRAST	$1,771	$1,771	—	—	6
72195	MRI PELVIS W/O	$1,760	$1,760	—	—	6
74176	CT ABDOMEN/PELVIS W/O CONTRAST	$1,756	$1,756	—	—	6
70488	CT SINUS W & W/O CONTRAST	$1,738	$1,738	—	—	6
72194	CT PELVIS W/ & W/O	$1,698	$1,698	—	—	6
72146	MRI T-SPINE W/O	$1,695	$1,695	—	—	6
72128	CT T-SPINE W/O CONTRAST	$1,684	$1,684	—	—	6
J3590	ROMOSOZUMAB-A (EVENITY) 105MG/1.17ML INJ	$1,674	$1,674	—	—	6
74160	CT ABDOMEN W/ IV CONTRAST	$1,610	$1,610	—	—	6
70492	CT ST NECK W/ & W/O CONTRAST	$1,608	$1,608	—	—	6
72193	CT PELVIS W/ CONTRAST	$1,592	$1,592	—	—	6
73218	MRI HAND RT W/O CONTRAST	$1,565	$1,565	—	—	6
120	ROOM MEDICAL LEVEL 1	$1,563	$1,563	—	—	5
71270	CT HEART W/ & W/O CONTRAST	$1,560	$1,560	—	—	6
73701	CT LOWER EXTREMITY BILATERAL	$1,544	$1,544	—	—	6
70470	CT HEAD W/ & W/O CONTRAST	$1,532	$1,532	—	—	6
70491	CT ST NECK W/ CONTRAST	$1,501	$1,501	—	—	6
81339	MPL SEQUENCE ANALYSIS	$1,482	$1,482	—	—	6

Showing top 50 of 1,024 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.