KANE COUNTY HOSPITAL — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Alteplase 100 mg REC (KCH)	Alteplase 100 mg REC (KCH)	$11,880	$11,880	—	—	12
Vedolizumab 300 mg REC [KCH]	Vedolizumab 300 mg REC [KCH]	$10,413	$10,413	—	—	12
Pegfilgrastim cbqv 6 mg/0.6 mL Sol [KCH]	Pegfilgrastim cbqv 6 mg/0.6 mL Sol [KCH]	$5,636	$5,636	—	—	12
Darbepoetin alfa 300 mcg/0.6 mL Sol [KCH]	Darbepoetin alfa 300 mcg/0.6 mL Sol [KCH]	$5,225	$5,225	—	—	12
0191T	Insert Anterior Segment Drainage Device, Internal	$4,500	$4,500	—	—	12
19120	Removal Of Breast Lesion ED Charge	$4,413	$4,413	—	—	12
Antivenin (Crotalidae) polyvalent Inj Sol [KCH]	Antivenin (Crotalidae) polyvalent Inj Sol [KCH]	$4,317	$4,317	—	—	12
Mepolizumab 100 mg REC [KCH]	Mepolizumab 100 mg REC [KCH]	$4,275	$4,275	—	—	12
26765	Open Tx Phalangeal Fx ED Charge	$3,748	$3,748	—	—	12
28008	Plantar Fascia Release	$3,748	$3,748	—	—	12
21337	Nasal Septum Fx ED Charge	$3,728	$3,728	—	—	12
35206	REPAIR BLOOD VESSEL ED Charge	$3,690	$3,690	—	—	12
36556	Insert Nontunnel Cv Cath >5 yrs; ED Charge	$3,690	$3,690	—	—	12
IStent Trabecular Micro-Bypass Stent	IStent Trabecular Micro-Bypass Stent	$3,598	$3,598	—	—	12
Adalimumab 40 mg/0.8 mL Kit [KCH]	Adalimumab 40 mg/0.8 mL Kit [KCH]	$3,064	$3,064	—	—	12
Immune globulin intravenous 10% Sol [KCH]	Immune globulin intravenous 10% Sol [KCH]	$2,997	$2,997	—	—	12
65426	Excision of Pterygium, w/Graft	$2,713	$2,713	—	—	12
67916	Repair of Ectropion	$2,705	$2,705	—	—	12
66986	Intraocular Lens Exchange	$2,698	$2,698	—	—	12
70549	MRA Neck w/ + w/o Contrast	$2,633	$2,633	—	—	12
59510	C-Section KCH	$2,525	$2,525	—	—	12
71552	MRI Chest w/ + w/o Contrast	$2,453	$2,453	—	—	12
74183	MRI Abdomen w/ + w/o Contrast	$2,453	$2,453	—	—	12
46040	I&D Of Perirectal Absces ED Charge	$2,443	$2,443	—	—	12
74182	MRI Abdomen w/ Contrast	$2,363	$2,363	—	—	12
71551	MRI Chest w/ Contrast	$2,363	$2,363	—	—	12
70553	MRI Brain w/ + w/o Contrast	$2,294	$2,294	—	—	12
70543	MRI Face Neck Orbit w/ + w/o Contrast	$2,294	$2,294	—	—	12
64718	Cubital Tunnel Release	$2,292	$2,292	—	—	12
64721	Carpal Tunnel Release	$2,236	$2,236	—	—	12
70552	MRI Brain w/ Contrast	$2,204	$2,204	—	—	12
70542	MRI Face Neck Orbit w/ Contrast	$2,204	$2,204	—	—	12
74181	MRI Abdomen w/o Contrast	$2,204	$2,204	—	—	12
71550	MRI Chest w/o Contrast	$2,183	$2,183	—	—	12
70551	MRI Brain w/o Contrast	$2,170	$2,170	—	—	12
70540	MRI Face Neck Orbit w/o Contrast	$2,170	$2,170	—	—	12
72156	MRI Spine Cervical w/ + w/o Contrast	$2,165	$2,165	—	—	12
72158	MRI Spine Lumbar w/ + w/o Contrast	$2,165	$2,165	—	—	12
72157	MRI Spine Thoracic w/ + w/o Contrast	$2,165	$2,165	—	—	12
72197	MRI Pelvis w/ + w/o Contrast	$2,156	$2,156	—	—	12
51101	Asp Bladder By Intracath ED Charge	$2,115	$2,115	—	—	12
Darbepoetin alfa 60 mcg/0.3 mL Sol [KCH]	Darbepoetin alfa 60 mcg/0.3 mL Sol [KCH]	$2,090	$2,090	—	—	12
Darbepoetin alfa 100 mcg/0.5 mL Sol [KCH]	Darbepoetin alfa 100 mcg/0.5 mL Sol [KCH]	$2,090	$2,090	—	—	12
71555	MRA Chest w/ Contrast	$2,059	$2,059	—	—	12
74185	MRA Abdomen w/ Contrast	$2,054	$2,054	—	—	12
72198	MRA Pelvis w/ Contrast	$2,054	$2,054	—	—	12
72159	MRA Spine w/ Contrast	$2,054	$2,054	—	—	12
73725	MRA Lower Extremity Left	$2,026	$2,026	—	—	12
73725	MRA Lower Extremity Left	$2,026	$2,026	—	—	12
59400	OB Package KCH charge	$2,025	$2,025	—	—	12

Showing top 50 of 2,207 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.