Fairbanks Memorial Hospital
1650 Cowles Street
Fairbanks, AK 99701
Overview
- CCN020012
Clinical quality
- CMS Star Rating3/5
Procedures & prices
- D5w infusionJ7070$10cashGross $110 payers
- Plastazote sandal eachL3265$11cashGross $120 payers
- Lt compres band >=5"/ydA6450$11cashGross $120 payers
- HC BODY FLUID SPECIFIC GRAVITY84315$13cashGross $130 payers
- MYCOPHENOLIC ACIDJ7518$13cashGross $140 payers
- LEVALBUTEROL NON-COMP UNITJ7614$15cashGross $160 payers
- BUPREN/NAL UP TO 3MG BUPRENOJ0572$15cashGross $160 payers
- METHOTREXATE ORAL 2.5 MGJ8610$15cashGross $160 payers
- Cast sup lng arm splnt ped pQ4019$15cashGross $160 payers
- PREDNISOLONE ORAL PER 5 MGJ7510$15cashGross $160 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| D5w infusion | J7070 | $10 | $11 | — | 0 |
| Plastazote sandal each | L3265 | $11 | $12 | — | 0 |
| Lt compres band >=5"/yd | A6450 | $11 | $12 | — | 0 |
| HC BODY FLUID SPECIFIC GRAVITY | 84315 | $13 | $13 | — | 0 |
| MYCOPHENOLIC ACID | J7518 | $13 | $14 | — | 0 |
| LEVALBUTEROL NON-COMP UNIT | J7614 | $15 | $16 | — | 0 |
| BUPREN/NAL UP TO 3MG BUPRENO | J0572 | $15 | $16 | — | 0 |
| METHOTREXATE ORAL 2.5 MG | J8610 | $15 | $16 | — | 0 |
| Cast sup lng arm splnt ped p | Q4019 | $15 | $16 | — | 0 |
| PREDNISOLONE ORAL PER 5 MG | J7510 | $15 | $16 | — | 0 |
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