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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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MONTGOMERY COUNTY MEMORIAL HOSPITAL

Red Oak, IA · CCN 161363 · Rates published

1,966 distinct procedures filed
5 distinct payers
32,961 rate rows
2026-07-15 last MRF observed

30,426 of 32,961 rate rows are consumer-grade (92.3%)

2,535 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,310
exceeds 10× this hospital's gross charge — excluded from medians 213
per-diem day rate — not a per-procedure price 11
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
↓ Download audit trail (JSON)
Source MRF file http://rca.centaurihs.com/ptapp/api/cdm/export/oneclick?recno=7eed21b4b6892fee3239bc677deed8474eef32f00c7fe9fd76920a0bdc451d9e
Found on page https://www.mcmh.org/patients-visitors/billing/healthcare-price-transparency/downloadable-price-list
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint bbfe5305d0751fbb… · 8,044,093 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3245
HCPCS
47335-0177-95 - Tildrakizumab 100 mg/mL Syringe [mcmh] 5 $127.45 $40,237.19 $27,107.16 nat. median
$256

outlier · 105.8×
J9228
HCPCS
00003-2328-22 - Ipilimumab 200mg/40mL [mcmh] 5 $183.48 $83,652.31 $20,913.13 nat. median
$9,020

outlier · 2.3×
J9042
HCPCS
51144-0050-01 - Brentuximab Vedotin 50 Mg Pow [mcmh] 5 $258.64 $27,701.20 $18,661.86 nat. median
$1,041

outlier · 17.9×
J2327
HCPCS
00074-5015-01 - Risankizumab Rzaa 600mg/10mL Vl [mcmh] 5 $14.94 $26,059.08 $17,555.59 nat. median
$2,512

outlier · 7.0×
J9119
HCPCS
61755-0008-01 - Cemiplimab Rwlc 350 Mg/7 Ml Vl [mcmh] 5 $29.29 $25,997.17 $17,513.88 nat. median
$93

outlier · 188.2×
J9144
HCPCS
57894-0503-01 - Daratumumab-hyaluronidase 1800 Mg/15 Ml Sol [mcmh] 5 $55.57 $24,565.47 $16,549.37 nat. median
$231

outlier · 71.7×
J0870
HCPCS
82959-0111-01 - Imetelstat 188 Mg Vl [mcmh] 5 $57.03 $24,225.68 $16,320.46 nat. median
$3,750

outlier · 4.4×
J9022
HCPCS
50242-0917-01 - Atezolizumab 1200 Mg/20 Ml [mcmh] 5 $91.34 $25,995.09 $16,281.14 nat. median
$7,244

outlier · 2.2×
J1930
HCPCS
69097-0870-67 - Lanreotide 120 Mg/0.5 Ml Sc Sol [mcmh] 5 $34.05 $23,436.46 $15,788.77 nat. median
$5,001

outlier · 3.2×
J9043
HCPCS
00024-5824-11 - Cabazitaxel 60 Mg/1.5 Ml [mcmh] 5 $227.28 $22,662.19 $15,267.16 nat. median
$742

outlier · 20.6×
J1932
HCPCS
69097-0870-67 - Lanreotide 120 Mg/0.5 Ml Sol Cipla [mcmh] 5 $29.84 $21,795.91 $14,683.56 nat. median
$112

outlier · 130.9×
J3380
HCPCS
64764-0300-20 - Vedolizumab 300 Mg Pow [mcmh] 5 $21.31 $21,241.79 $14,310.26 nat. median
$204

outlier · 70.3×
J9301
HCPCS
50242-0070-01 - Obinutuzumab 25 mg/mL [mcmh] 5 $79.00 $20,200.75 $13,608.93 nat. median
$299

outlier · 45.5×
J9223
HCPCS
68727-0712-01 - Lurbinectedin 4 Mg Inj [mcmh] 5 $207.13 $18,725.64 $12,615.17 nat. median
$618

outlier · 20.4×
J3101
HCPCS
50242-0120-01 - Tenecteplase 50 Mg Kit [mcmh] 5 $172.22 $17,252.60 $11,622.80 nat. median
$4,042

outlier · 2.9×
J9311
HCPCS
50242-0108-01 - Hyaluronidase-rituximab 1400 Mg/11.7 Ml [mcmh] 5 $36.69 $16,119.19 $10,859.24 nat. median
$2,842

outlier · 3.8×
J9306
HCPCS
50242-0145-01 - Pertuzumab 420 Mg/14 Ml [mcmh] 5 $17.02 $15,997.14 $10,777.02 nat. median
$91

outlier · 118.4×
J2506
HCPCS
55513-0190-01 - Pegfilgrastim 6 Mg/0.6 Ml Syringe [mcmh] 5 $89.34 $15,730.50 $10,597.39 nat. median
$1,662

outlier · 6.4×
J9063
HCPCS
72903-0853-01 - Mirvetuximab Sor Gynx 100 Mg Vl [mcmh] 5 $69.49 $15,550.12 $10,475.87 nat. median
$211

outlier · 49.7×
J9271
HCPCS
00006-3026-02 - Pembrolizumab 25 mg/mL [mcmh] 5 $60.29 $14,171.93 $9,547.40 nat. median
$323

outlier · 29.6×
64628
CPT
Xr Lumb/Sac Nrv Destr Thrml Bvn 1st 2 Vb 5 $6,552.00 $17,647.48 $9,387.00 nat. median
$12,735

0.7× median
J0517
HCPCS
00310-1730-30 - Benralizumab 30 mg/mL Pfs [mcmh] 5 $164.59 $13,913.72 $9,373.45 nat. median
$969

outlier · 9.7×
J2353
HCPCS
00078-0648-81 - Octreotide 30 Mg IM Inj [mcmh] 5 $203.58 $16,942.68 $9,363.06 nat. median
$5,554

1.7× median
J9309
HCPCS
50242-0105-01 - Polatuzumab Vedotin 140 Mg Vial [mcmh] 5 $136.67 $42,997.99 $9,213.87 nat. median
$4,472

outlier · 2.1×
J9057
HCPCS
50419-0385-01 - Copanlisib 60 Mg Pow [mcmh] 5 $6,909.78 $12,623.63 $8,504.34 nat. median
$243

outlier · 34.9×
J1162
HCPCS
50633-0120-11 - Digoxin Immune Fab 40 Mg Inj [mcmh] 5 $5,168.23 $12,268.40 $8,265.02 nat. median
$7,098

1.2× median
J0717
HCPCS
50474-0700-62 - Certolizumab 400 Mg Kit [mcmh] 5 $3.91 $11,802.93 $7,951.45 nat. median
$1,753

outlier · 4.5×
66991
CPT
Cataract Ext With Iol And I Stent Insertion 5 $5,201.56 $10,570.84 $7,452.23 nat. median
$5,622

1.3× median
J1449
HCPCS
76961-0101-01 - Eflapegrastim Xnst 13.2 Mg/0.6 Ml Pfs [mcmh] 5 $20.87 $11,029.50 $7,430.40 nat. median
$31

outlier · 239.5×
J2356
HCPCS
55513-0112-01 - Tezepelumab Ekko 210 Mg/1.91 Ml Sol [mcmh] 5 $18.01 $10,708.32 $7,214.03 nat. median
$85

outlier · 85.0×
J9177
HCPCS
51144-0030-01 - Enfortumab Vedotin Ejfv 30 Mg Sdv [mcmh] 5 $36.74 $10,327.29 $6,957.33 nat. median
$2,938

outlier · 2.4×
Q5111
HCPCS
70114-0101-01 - Pegfilgrastim Cbqv 6 Mg Syringe [mcmh] 5 $106.33 $10,232.93 $6,893.76 nat. median
$2,014

outlier · 3.4×
50593
CPT
CT Ablation Renal Perc Cryo Left 5 $4,681.56 $18,000.49 $6,707.24 nat. median
$10,411

0.6× median
J0565
HCPCS
00006-3025-00 - Bezlotoxumab 25 mg/mL Sol [mcmh] 5 $39.83 $9,747.00 $6,566.40 nat. median
$164

outlier · 40.1×
J0896
HCPCS
59572-0711-01 - Luspatercept-aamt 25 Mg Pow [mcmh] 5 $41.98 $9,689.83 $6,527.88 nat. median
$4,571

1.4× median
J9354
HCPCS
50242-0088-01 - Ado-trastuzumab Emtansine 100 Mg/5 Ml [mcmh] 5 $42.16 $9,634.06 $6,490.32 nat. median
$4,245

1.5× median
27355
CPT
27355-excision Or Curettage Of Bone Cyst Or Benighn Tumor Of 4 $635.88 $7,923.25 $6,391.43 nat. median
$3,511

1.8× median
Q5114
HCPCS
67457-0847-44 - Trastuzumab Dkst 420 Mg Mdv [mcmh] 5 $40.29 $9,061.98 $6,104.92 nat. median
$679

outlier · 9.0×
22514
CPT
Kyphoplasty Lumbar Sngl Lvl 5 $4,243.20 $8,657.39 $6,079.20 nat. median
$8,409

0.7× median
50434
CPT
Nephrostogram Conversion 5 $2,290.78 $9,802.10 $6,036.03 nat. median
$2,397

outlier · 2.5×
Q5119
HCPCS
00069-0249-01 - riTUXimab Pvvr 500mg Vl [mcmh] 5 $27.85 $8,784.38 $5,917.90 nat. median
$818

outlier · 7.2×
J2182
HCPCS
00173-0881-01 - Mepolizumab 100 Mg Pow [mcmh] 5 $31.27 $8,362.18 $5,633.47 nat. median
$2,892

1.9× median
J1306
HCPCS
00078-1000-60 - Inclisiran 284 Mg/1.5 Ml Syringe [mcmh] 5 $12.32 $8,268.23 $5,570.18 nat. median
$51

outlier · 109.1×
J0630
HCPCS
42023-0205-01 - Calcitonin 200 Intl units/mL Inj Sol [mcmh] 5 $484.97 $8,033.84 $5,412.27 nat. median
$1,885

outlier · 2.9×
J2426
HCPCS
50458-0564-01 - Paliperidone 234 Mg/1.5 Ml Depot Kit [mcmh] 5 $15.11 $8,922.87 $5,218.22 nat. median
$2,488

outlier · 2.1×
J7168
HCPCS
63833-0387-02 - Prothrombin Complex (human) [mcmh] 5 $2.14 $7,630.88 $5,140.80 nat. median
$22

outlier · 232.3×
J9358
HCPCS
65597-0406-01 - Fam-trastuzumab Derux Nxki 100 Mg Vl [mcmh] 5 $29.98 $7,564.94 $5,096.38 nat. median
$100

outlier · 51.1×
50433
CPT
Nephroureteral Cath Placement 5 $3,374.80 $6,603.36 $4,835.05 nat. median
$3,950

1.2× median
77013
CPT
CT Guidance Parenchymal Tissue Ablation 5 $231.84 $7,571.50 $4,782.00 nat. median
$1,014

outlier · 4.7×
64629
CPT
Mcmh Xr Lumb/Sac Nrv Destr Thrml Bvn Ea Ad Vb 5 $3,276.00 $17,647.48 $4,693.50 nat. median
$3,352

1.4× median

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