MC DONOUGH DISTRICT HOSPITAL (Macomb, IL) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
63685	Incision And Subcutaneous Placement Of Spinal Neurostimulator Pulse Generator/Receiver	$86,646	$51,988	—	—	10
63685	Incision And Subcutaneous Placement Of Spinal Neurostimulator Pulse Generator/Receiver	$86,646	$51,988	—	—	19
62362	Implant Spine Infusion Pump; Programmable	$49,759	$29,855	—	—	10
62362	Implant Spine Infusion Pump; Programmable	$49,759	$29,855	—	—	19
59379	AMPUTATION FINGER/TH	$45,530	$27,318	—	—	10
59379	AMPUTATION FINGER/TH	$45,530	$27,318	—	—	19
72318	guselkumab 200 mg/20 mL Sol [MDH]	$34,959	$20,976	—	—	10
72318	guselkumab 200 mg/20 mL Sol [MDH]	$34,959	$20,976	—	—	19
72222	risankizumab rzaa 60 mg/mL Sol [MDH]	$32,941	$19,765	—	—	10
72222	risankizumab rzaa 60 mg/mL Sol [MDH]	$32,941	$19,765	—	—	19
72220	immune globulin intravenous and subcutaneous 10% Sol [MDH]	$27,395	$16,437	—	—	10
72220	immune globulin intravenous and subcutaneous 10% Sol [MDH]	$27,395	$16,437	—	—	19
72073	leuprolide 45 mg/6 months Kit [MDH]	$25,452	$15,271	—	—	10
72073	leuprolide 45 mg/6 months Kit [MDH]	$25,452	$15,271	—	—	19
9634403	PHASIX MESH 30CM X 35XM	$24,984	$14,991	—	—	10
9634403	PHASIX MESH 30CM X 35XM	$24,984	$14,991	—	—	19
3206160	ECOIN IMPLANTATION PROCEDURE KIT	$24,750	$14,850	—	—	10
3206160	ECOIN IMPLANTATION PROCEDURE KIT	$24,750	$14,850	—	—	19
3206128	SPECTRA IMPLANTABLE PULSE GENERATOR	$24,450	$14,670	—	—	10
3206128	SPECTRA IMPLANTABLE PULSE GENERATOR	$24,450	$14,670	—	—	19
72266	immune globulin intravenous and subcutaneous 40gm (Gamunex-C) Sol [MDH]	$22,731	$13,638	—	—	10
72266	immune globulin intravenous and subcutaneous 40gm (Gamunex-C) Sol [MDH]	$22,731	$13,638	—	—	19
70322	alteplase 100 mg Pow[MDH]	$21,121	$12,673	—	—	10
70322	alteplase 100 mg Pow[MDH]	$21,121	$12,673	—	—	19
72313	immune globulin intravenous and subcutaneous 10% Sol [MDH]	$20,545	$12,327	—	—	10
72313	immune globulin intravenous and subcutaneous 10% Sol [MDH]	$20,545	$12,327	—	—	19
72327	agalsidase beta 35 mg Pow	$18,786	$11,272	—	—	10
72327	agalsidase beta 35 mg Pow	$18,786	$11,272	—	—	19
49309	CT Drainage - Abscess or Cyst	$17,489	$10,493	—	—	10
49309	CT Drainage - Abscess or Cyst	$17,489	$10,493	—	—	19
999975	PMX Alteplase additive [MDH]	$17,102	$10,261	—	—	10
999975	PMX Alteplase additive [MDH]	$17,102	$10,261	—	—	19
63650	Percutaneous Implantation Of Neurostimulator Electrode Array Epidural	$17,001	$10,201	—	—	10
63663	63663 Revision including replacement when performed of spinal neurostimulator electrode percutaneo	$17,001	$10,201	—	—	10
63650	Percutaneous Implantation Of Neurostimulator Electrode Array Epidural	$17,001	$10,201	—	—	19
63663	63663 Revision including replacement when performed of spinal neurostimulator electrode percutaneo	$17,001	$10,201	—	—	19
72071	leuprolide 30 mg/4 months Kit [MDH]	$16,968	$10,181	—	—	10
72071	leuprolide 30 mg/4 months Kit [MDH]	$16,968	$10,181	—	—	19
1338535	PHASIX ST HERNIA MESH 25CM X 30CM	$16,800	$10,080	—	—	10
1338535	PHASIX ST HERNIA MESH 25CM X 30CM	$16,800	$10,080	—	—	19
71804	Vedolizumab 300 mg Pow [MDH]	$16,792	$10,075	—	—	10
71804	Vedolizumab 300 mg Pow [MDH]	$16,792	$10,075	—	—	19
70312	tenecteplase 50 mg Pow [MDH]	$15,597	$9,358	—	—	10
70312	tenecteplase 50 mg Pow [MDH]	$15,597	$9,358	—	—	19
72163	riTUXimab abbs 10 mg/mL Sol [MDH]	$15,270	$9,162	—	—	10
72163	riTUXimab abbs 10 mg/mL Sol [MDH]	$15,270	$9,162	—	—	19
48174750	Supracervical Hysterectomy	$15,235	$9,141	—	—	10
48174750	Supracervical Hysterectomy	$15,235	$9,141	—	—	19
71308	pegfilgrastim 6 mg/0.6 mL SubQ Inj [MDH]	$14,955	$8,973	—	—	10
71308	pegfilgrastim 6 mg/0.6 mL SubQ Inj [MDH]	$14,955	$8,973	—	—	19

Showing top 50 of 52,431 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.