St. Bernards Five River Medical Center
,
St. Bernards Five River Medical Center. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN040047
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.
- Injection, Droperidol, Up To 5 MgDrugHCPCS J1790Hospital-published line item$10cashGross $16
- Inj Pantoprazole Sodium, ViaProcedureHCPCS C9113Hospital-published line item$11cashGross $17
- Destruct Premalg Les 2-14ProcedureCPT 17003Hospital-published line item$11cashGross $250
- Thigh Length Surgery StockingSupply / DMEHCPCS A4495Hospital-published line item$11cashGross $17
- Anchor/Screw For Opposing Bone-To-Bone OR Soft Tissue-To-Bone (implantable)ProcedureHCPCS C1713Hospital-published line item$11cashGross $17
- Injection, Amiodarone Hydrochloride, 30 MgDrugHCPCS J0282Hospital-published line item$11cashGross $17
- Arformoterol, Inhalation Solution, Fda Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose Form, 15 MicrogramsDrugHCPCS J7605Hospital-published line item$12cashGross $18
- SlingsSupply / DMEHCPCS A4565Hospital-published line item$12cashGross $18
- j0170DrugCPT J0170Hospital-published line item$12cashGross $19
- Injection, Methylergonovine Maleate, Up To 0.2 MgDrugHCPCS J2210Hospital-published line item$12cashGross $19
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Injection, Droperidol, Up To 5 Mg DrugHCPCS J1790Hospital-published line item | $10 | $16 |
Inj Pantoprazole Sodium, Via ProcedureHCPCS C9113Hospital-published line item | $11 | $17 |
Destruct Premalg Les 2-14 ProcedureCPT 17003Hospital-published line item | $11 | $250 |
Thigh Length Surgery Stocking Supply / DMEHCPCS A4495Hospital-published line item | $11 | $17 |
Anchor/Screw For Opposing Bone-To-Bone OR Soft Tissue-To-Bone (implantable) ProcedureHCPCS C1713Hospital-published line item | $11 | $17 |
Injection, Amiodarone Hydrochloride, 30 Mg DrugHCPCS J0282Hospital-published line item | $11 | $17 |
Arformoterol, Inhalation Solution, Fda Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose Form, 15 Micrograms DrugHCPCS J7605Hospital-published line item | $12 | $18 |
Slings Supply / DMEHCPCS A4565Hospital-published line item | $12 | $18 |
j0170 DrugCPT J0170Hospital-published line item | $12 | $19 |
Injection, Methylergonovine Maleate, Up To 0.2 Mg DrugHCPCS J2210Hospital-published line item | $12 | $19 |
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