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Infirmary Ltac Hospital

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Infirmary Ltac Hospital. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN012006

Procedures & prices

Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
Cash
— self-pay price (no insurance)
Gross
— chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
Negotiated range
— min–max of rates the hospital negotiated with insurers
Payers
— number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
  • Renal Function Panel
    Lab testCPT 80069Hospital-published line item
    $11
    cash
    Gross $400
  • Antithrombin Iii Antigen
    Lab testCPT 85301Hospital-published line item
    $12
    cash
    Gross $12
  • Russell Viper Venom Diluted
    Lab testCPT 85613Hospital-published line item
    $12
    cash
    Gross $75
  • Ova And Parasites Smears
    Lab testCPT 87177Hospital-published line item
    $12
    cash
    Gross $12
  • Sc STD Microdil/Agar Dil
    Lab testCPT 87186Hospital-published line item
    $12
    cash
    Gross $12
  • Shiga-Like Toxin Ag Ia
    Lab testCPT 87427Hospital-published line item
    $12
    cash
    Gross $12
  • Reagent Strip/Blood Glucose
    Lab testCPT 82948Hospital-published line item
    $13
    cash
    Gross $13
  • Online Non-Physician Assessment And Management, 5-10 Minutes
    ProcedureCPT 98970Hospital-published line item
    $13
    cash
    Gross $13
  • Cultr Bacteria Except Blood
    Lab testCPT 87075Hospital-published line item
    $13
    cash
    Gross $13
  • Aerobic Stool Cultr Addtl Pathog Ea Plate
    Lab testCPT 87046Hospital-published line item
    $13
    cash
    Gross $13
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