Providence St. Elias Specialty Hospital
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Providence St. Elias Specialty Hospital. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN022001
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.
- Hydrocolloid Dressing, Wound Cover, Sterile, Pad Size 16 Sq. In. OR Less, Without Adhesive Border, Each DressingSupply / DMEHCPCS A6234Hospital-published line item$10cashGross $13
- Urinalysis Volume MeasureLab testCPT 81050Hospital-published line item$12cashGross $15
- Cervical, Flexible, Non-Adjustable, Prefabricated, Off-The-Shelf (foam Collar)Supply / DMEHCPCS L0120Hospital-published line item$12cashGross $15
- Intermittent Urinary Catheter, With Insertion SuppliesSupply / DMEHCPCS A4353Hospital-published line item$17cashGross $21
- Hexagnal Phosph Pltlt NeutrlLab testCPT 85598Hospital-published line item$17cashGross $22
- Alginate OR Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size More Than 16 Sq. In. But Less Than OR Equal To 48 Sq. In., Each DressingSupply / DMEHCPCS A6197Hospital-published line item$19cashGross $25
- Assay Of Ureach NitrogenLab testCPT 84520Hospital-published line item$20cashGross $25
- Contact Layer, Sterile, 16 Sq. In. OR Less, Each DressingSupply / DMEHCPCS A6206Hospital-published line item$20cashGross $25
- Alpha-Fetoprotein SerumLab testCPT 82105Hospital-published line item$20cashGross $26
- Cardiolipin Antibody Each IgLab testCPT 86147Hospital-published line item$23cashGross $30
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Hydrocolloid Dressing, Wound Cover, Sterile, Pad Size 16 Sq. In. OR Less, Without Adhesive Border, Each Dressing Supply / DMEHCPCS A6234Hospital-published line item | $10 | $13 |
Urinalysis Volume Measure Lab testCPT 81050Hospital-published line item | $12 | $15 |
Cervical, Flexible, Non-Adjustable, Prefabricated, Off-The-Shelf (foam Collar) Supply / DMEHCPCS L0120Hospital-published line item | $12 | $15 |
Intermittent Urinary Catheter, With Insertion Supplies Supply / DMEHCPCS A4353Hospital-published line item | $17 | $21 |
Hexagnal Phosph Pltlt Neutrl Lab testCPT 85598Hospital-published line item | $17 | $22 |
Alginate OR Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size More Than 16 Sq. In. But Less Than OR Equal To 48 Sq. In., Each Dressing Supply / DMEHCPCS A6197Hospital-published line item | $19 | $25 |
Assay Of Ureach Nitrogen Lab testCPT 84520Hospital-published line item | $20 | $25 |
Contact Layer, Sterile, 16 Sq. In. OR Less, Each Dressing Supply / DMEHCPCS A6206Hospital-published line item | $20 | $25 |
Alpha-Fetoprotein Serum Lab testCPT 82105Hospital-published line item | $20 | $26 |
Cardiolipin Antibody Each Ig Lab testCPT 86147Hospital-published line item | $23 | $30 |
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