Genesis Medical Center-Dewitt
1118 11th Street
Dewitt, IA 52742
Critical Access Hospitals
Overview
- CCN161313
Procedures & prices
- HC APP TOPICAL FLUORIDE VARNISH99188$10cashGross $170 payers
- ACETYLCYSTEINE NON-COMP UNITJ7608$10cashGross $170 payers
- METHOTREXATE ORAL 2.5 MGJ8610$11cashGross $180 payers
- HC N-AUTOM URINALYS WO MICRO81002$12cashGross $200 payers
- HC DRUG TEST PRSMV DIR OPT OBS80305$13cashGross $210 payers
- 9909099090$13cashGross $210 payers
- Potassium hydroxide prepsQ0112$13cashGross $210 payers
- HC HEMOGLOBIN STABILITY SCREEN83068$13cashGross $210 payers
- HC PSYCL/NRPSYC TST AUTO RESULT96146$13cashGross $210 payers
- Factor ix complexJ7194$13cashGross $220 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| HC APP TOPICAL FLUORIDE VARNISH | 99188 | $10 | $17 | — | 0 |
| ACETYLCYSTEINE NON-COMP UNIT | J7608 | $10 | $17 | — | 0 |
| METHOTREXATE ORAL 2.5 MG | J8610 | $11 | $18 | — | 0 |
| HC N-AUTOM URINALYS WO MICRO | 81002 | $12 | $20 | — | 0 |
| HC DRUG TEST PRSMV DIR OPT OBS | 80305 | $13 | $21 | — | 0 |
| 99090 | 99090 | $13 | $21 | — | 0 |
| Potassium hydroxide preps | Q0112 | $13 | $21 | — | 0 |
| HC HEMOGLOBIN STABILITY SCREEN | 83068 | $13 | $21 | — | 0 |
| HC PSYCL/NRPSYC TST AUTO RESULT | 96146 | $13 | $21 | — | 0 |
| Factor ix complex | J7194 | $13 | $22 | — | 0 |
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