UNION HOSPITAL CLINTON — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J9274	Injection, tebentafusp-tebn, 1 microgram	$101,999	$61,200	—	—	1
J3245	Injection, tildrakizumab, 1 mg	$84,958	$50,975	—	—	1
J1640	Injection, hemin, 1 mg	$52,472	$31,483	—	—	1
J2327	Injection, risankizumab-rzaa, intravenous, 1 mg	$49,183	$29,510	—	—	1
263.2	CHOLECYSTECTOMY	$44,141	—	—	—	0
418	laparoscopic cholecystectomy without c.d.e. with cc	$44,141	$26,485	—	—	12
J3101	Injection, tenecteplase, 1 mg	$38,184	$22,910	—	—	1
562	fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc	$37,747	$22,648	—	—	12
190.1	ACUTE MYOCARDIAL INFARCTION	$37,348	—	—	—	0
282	acute myocardial infarction, discharged alive without cc/mcc	$37,348	$22,409	—	—	12
J9281	Mitomycin pyelocalyceal instillation, 1 mg	$36,394	$21,836	—	—	1
248.2	MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS	$35,418	—	—	—	0
372	major gastrointestinal disorders and peritoneal infections with cc	$35,418	$21,251	—	—	12
44.4	INTRACRANIAL HEMORRHAGE	$34,885	—	—	—	0
64	intracranial hemorrhage or cerebral infarction with mcc	$34,885	$20,931	—	—	12
279.1	HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS	$34,379	—	—	—	0
441	disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis with mcc	$34,379	$20,628	—	—	12
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	$33,213	$19,928	—	—	1
554	bone diseases and arthropathies without mcc	$32,181	$19,309	—	—	12
178	respiratory infections and inflammations with cc	$32,075	$19,245	—	—	12
137.2	MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS	$32,075	—	—	—	0
200	pneumothorax with cc	$31,683	$19,010	—	—	12
J9332	Injection, efgartigimod alfa-fcab, 2mg	$31,412	$18,847	—	—	1
121.3	OTHER RESPIRATORY AND CHEST PROCEDURES	$31,322	—	—	—	0
205	other respiratory system diagnoses with mcc	$31,322	$18,793	—	—	12
204.1	SYNCOPE AND COLLAPSE	$30,873	—	—	—	0
312	syncope and collapse	$30,873	$18,524	—	—	12
982	extensive o.r. procedures unrelated to principal diagnosis with cc	$29,433	$17,660	—	—	12
44970	Laparoscopy, surgical, appendectomy	$29,360	$17,616	—	—	0
J0600	Injection, edetate calcium disodium, up to 1000 mg	$27,870	$16,722	—	—	1
42.1	DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS	$27,583	—	—	—	0
57	degenerative nervous system disorders without mcc	$27,583	$16,550	—	—	12
47563	Laparoscopy, surgical; cholecystectomy with cholangiography	$27,461	$16,476	—	—	0
49324	Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter	$27,136	$16,282	—	—	0
47562	Laparoscopy, surgical; cholecystectomy	$26,572	$15,943	—	—	0
248.4	MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS	$26,467	—	—	—	0
371	major gastrointestinal disorders and peritoneal infections with mcc	$26,467	$15,880	—	—	12
45398	Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids)	$26,322	$15,793	—	—	0
J9039	Injection, blinatumomab, 1 microgram	$25,358	$15,215	—	—	1
194.4	HEART FAILURE	$25,297	—	—	—	0
291	heart failure and shock with mcc	$25,297	$15,178	—	—	12
194.2	HEART FAILURE	$25,020	—	—	—	0
292	heart failure and shock with cc	$25,020	$15,012	—	—	12
42.2	DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS	$24,775	—	—	—	0
56	degenerative nervous system disorders with mcc	$24,775	$14,865	—	—	12
720.1	SEPTICEMIA AND DISSEMINATED INFECTIONS	$24,141	—	—	—	0
872	septicemia or severe sepsis without mechanical ventilation >96 hours without mcc	$24,141	$14,485	—	—	12
896	alcohol, drug abuse or dependence without rehabilitation therapy with mcc	$24,058	$14,435	—	—	12
917	poisoning and toxic effects of drugs with mcc	$23,963	$14,378	—	—	12
812.3	POISONING OF MEDICINAL AGENTS	$23,963	—	—	—	0

Showing top 50 of 1,746 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.