CHI HEALTH MIDLANDS — Hospital Ledger

45 CFR § 180 compliance

B · 85

This hospital published most of what § 180 requires.

●Machine-readable file published

○Gross / standard charges

●Discounted cash price

●Payer-specific negotiated rates

●Min / max negotiated charges

●Free, public, no login required

Procedures listed

19,390

Insurances with rates

CPT / HCPCS codes

13,191

Source MRF

json ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J0225	VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE	$596,755	$250,637	$358,053	$507,242	3
J0225	VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE	$596,755	$250,637	$107,416	$507,242	12
J1823	INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION	$218,333	$91,700	$131,000	$185,583	3
J1823	INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION	$218,333	$91,700	$411	$185,583	35
J2351	OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23000 UNIT/23 ML SUBCUT SOLN	$206,410	$86,692	$123,846	$175,448	3
J2351	OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23000 UNIT/23 ML SUBCUT SOLN	$206,410	$86,692	$37,154	$175,448	12
C9293	GLUCARPIDASE 1000 UNIT INTRAVENOUS SOLUTION	$205,870	$86,465	$123,522	$174,990	3
C9293	GLUCARPIDASE 1000 UNIT INTRAVENOUS SOLUTION	$205,870	$86,465	$37,057	$174,990	12
J9228	IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION	$177,544	$74,568	$106,526	$150,912	3
J9228	IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION	$177,544	$74,568	$144	$150,912	35
J1747	SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION	$127,833	$53,690	$76,700	$108,658	3
J1747	SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION	$127,833	$53,690	$23,010	$108,658	12
J2327	RISANKIZUMAB-RZAA 150 MG/ML SUBCUTANEOUS SYRINGE	$108,000	$45,360	$64,800	$91,800	3
J2327	RISANKIZUMAB-RZAA 150 MG/ML SUBCUTANEOUS SYRINGE	$108,000	$45,360	$19,440	$91,800	12
J2350	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$98,572	$41,400	$59,143	$83,786	3
J2350	OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION	$98,572	$41,400	$51.16	$83,786	35
0424T	HC INS RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE	$93,281	$39,178	$55,969	$79,289	3
0424T	HC INS RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE	$93,281	$39,178	$16,791	$79,289	14
J9309	POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION	$90,347	$37,946	$54,208	$76,795	3
J9309	POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION	$90,347	$37,946	$106	$76,795	35
33276	HC INSJ PHRNC NRV STIM SYS	$88,001	$36,960	$52,801	$74,801	3
33276	HC INSJ PHRNC NRV STIM SYS	$88,001	$36,960	$15,840	$74,801	10
A9543	HC RP YTTRIUM 90 ZEVALIN	$85,800	$36,036	$51,480	$72,930	3
A9543	HC RP YTTRIUM 90 ZEVALIN	$85,800	$36,036	$15,444	$151,610	23
J0638	CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION	$85,619	$35,960	$51,371	$72,776	3
J0638	CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION	$85,619	$35,960	$107	$72,776	35
J9334	EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11200 UNIT/5.6 ML SUBCUT SOLN	$78,865	$33,123	$47,319	$67,035	3
J9334	EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11200 UNIT/5.6 ML SUBCUT SOLN	$78,865	$33,123	$14,196	$67,035	12
J3241	TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION	$77,358	$32,490	$46,415	$65,754	3
J3241	TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION	$77,358	$32,490	$285	$65,754	35
J2507	PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION	$76,930	$32,311	$46,158	$65,391	3
J2507	PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION	$76,930	$32,311	$2,927	$65,391	35
J9298	NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION	$72,662	$30,518	$43,597	$61,763	3
J9298	NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION	$72,662	$30,518	$13,079	$61,763	12
27830849	HC IMPELLA 5.5 W SMARTASST	$71,750	$30,135	$43,050	$60,988	3
27830849	HC IMPELLA 5.5 W SMARTASST	$71,750	$30,135	$12,915	$60,988	17
J1628	GUSELKUMAB 200 MG/2 ML SUBCUTANEOUS SYRINGE	$70,283	$29,519	$42,170	$59,741	3
J1628	GUSELKUMAB 200 MG/2 ML SUBCUTANEOUS SYRINGE	$70,283	$29,519	$72.96	$59,741	33
33264	HC ICD REM REPLACE BI V	$67,487	$28,345	$40,492	$57,364	3
33264	HC ICD REM REPLACE BI V	$67,487	$28,345	$726	$69,366	34
J3245	TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE	$66,589	$27,967	$39,953	$56,601	3
J3245	TILDRAKIZUMAB-ASMN 100 MG/ML SUBCUTANEOUS SYRINGE	$66,589	$27,967	$113	$56,601	35
27820331	HC MITRACLIP 1 CLIP KIT	$66,000	$27,720	$39,600	$56,100	3
27820331	HC MITRACLIP 1 CLIP KIT	$66,000	$27,720	$11,880	$56,100	17
27830918	HC WEB SINGLE 8X5	$63,878	$26,829	$38,327	$54,296	3
27830918	HC WEB SINGLE 8X5	$63,878	$26,829	$11,498	$54,296	17
27830823	HC IMP SYS PASCAL PRECSN	$63,000	$26,460	$37,800	$53,550	3
27830823	HC IMP SYS PASCAL PRECSN	$63,000	$26,460	$11,340	$53,550	17
J3357	USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SOLUTION	$60,477	$25,400	$36,286	$51,406	3
J3357	USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SOLUTION	$60,477	$25,400	$134	$51,406	35

Showing top 50 of 19,390 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.