WAYNE COUNTY HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2350	OCREVUS 300 MG	$63,149	$41,047	—	—	7
J2329	BRIUMVI 150 MG INJ	$37,701	$24,506	—	—	7
J2327	SKYRIZI 600 MG INJ	$35,301	$22,946	—	—	7
J3380	ENTYVIO 300 MG IV	$31,200	$20,280	—	—	7
403301	NEULASTA 6 MG	$23,248	$15,111	—	—	7
J2505	NEULASTA 6 MG	$23,248	$15,111	—	—	7
J2993	RETAVASE 10 MG INJ	$20,401	$13,261	—	—	7
J1459	PRIVIGEN 20 GM INJ	$18,818	$12,232	—	—	7
J9312	RITUXAN 500 MG	$16,911	$10,992	—	—	7
44320	COLOSTOMY	$16,588	$10,782	—	—	7
J3100	TNKASE 50 MG KIT	$16,418	$10,672	—	—	7
J3101	TNKASE 50 MG KIT	$16,418	$10,672	—	—	7
44620	CLOSURE OF ENTEROSTO	$13,621	$8,853	—	—	7
38100	SPLEENECTOMY	$12,172	$7,912	—	—	7
J3111	EVENITY 210 MG	$8,764	$5,696	—	—	7
81229	CHROMOSOME MICROARRA	$7,392	$4,805	—	—	7
J3358	STELARA 130 MG INJ	$7,288	$4,737	—	—	7
J7296	KYLEENA	$6,941	$4,511	—	—	7
J0897	PROLIA 60 MG INJ	$6,252	$4,064	—	—	7
J2315	VIVITROL 380 MG INJ	$5,908	$3,840	—	—	7
59409	VAGINAL DELIVERY	$4,998	$3,248	—	—	7
59300	EPISIOTOMY	$4,986	$3,241	—	—	7
59414	DELIVERY OF PLACENTA	$4,981	$3,237	—	—	7
J2325	NATRECOR 1.5MG-5ML	$4,550	$2,958	—	—	7
Q0138	FERAHEM	$4,426	$2,877	—	—	7
19083	US GUIDE BREAST BX 1	$4,000	$2,600	—	—	7
81162	BRCAVANTAGE COMPREHE	$3,989	$2,593	—	—	7
54700	I & D SCROTAL SPACE	$3,932	$2,555	—	—	7
Q5103	INFLECTRA 100 MG	$3,509	$2,281	—	—	7
20101	WOUND EXPLOR CHEST	$3,410	$2,216	—	—	7
J3300	TRIESENCE 40 MG INJ	$3,398	$2,209	—	—	7
44900	I&D APPENDIX ABSCESS	$3,395	$2,207	—	—	7
24200	REMOVE FB UP ARM/ELB	$3,096	$2,013	—	—	7
25565	REDUCTION FOREARM	$3,060	$1,989	—	—	7
58120	D&C CERVICAL POLYP	$3,030	$1,970	—	—	7
70543	MRI ORBIT FACE W/WO	$2,982	$1,939	—	—	7
70546	MRA HEAD W/WO	$2,982	$1,939	—	—	7
70549	MRA NECK W/WO	$2,982	$1,939	—	—	7
70553	MRI BRAIN W/WO	$2,982	$1,939	—	—	7
72156	MRI CERVICAL W/WO	$2,982	$1,939	—	—	7
72157	MRI THORACIC W/WO	$2,982	$1,939	—	—	7
72158	MRI LUMBAR W/WO	$2,982	$1,939	—	—	7
72197	MRI PELVIS W/WO	$2,982	$1,939	—	—	7
73220	MRI UP EXT NOT JOINT	$2,982	$1,939	—	—	7
73223	MRI UP EXT JOINT WWO	$2,982	$1,939	—	—	7
73720	MRI LOW EXT NOT JOIN	$2,982	$1,939	—	—	7
73723	MRI LOW EXT JOINT WW	$2,982	$1,939	—	—	7
74183	MRI ABDOMEN W/WO	$2,982	$1,939	—	—	7
74185	MRA ABDOMEN	$2,982	$1,939	—	—	7
19020	I&D BREAST	$2,953	$1,919	—	—	7

Showing top 50 of 3,089 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.