Providence Little Company of Mary Transitional Care Center
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Providence Little Company of Mary Transitional Care Center. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN056499
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.
- Lumbar Orthosis, Flexible, Provides Lumbar Support, Posterior Extends From l-1 To Below l-5 Vertebra, Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs, Includes Straps, Closures, May Include Pendulous Abdomen Design, Shoulder Straps, Stays, Prefabricated, Off-The-ShelfSupply / DMEHCPCS L0625Hospital-published line item$10cashGross $29
- Collagen Dressing, Sterile, Size More Than 16 Sq. In. But Less Than OR Equal To 48 Sq. In., EachSupply / DMEHCPCS A6022Hospital-published line item$11cashGross $30
- Cold Agglutinin ScreenLab testCPT 86156Hospital-published line item$11cashGross $31
- Assay Of AmikacinLab testCPT 80150Hospital-published line item$11cashGross $31
- Assay Carboxyhb QuantLab testCPT 82375Hospital-published line item$11cashGross $31
- Ambulatory Surgical Boot EacSupply / DMEHCPCS L3260Hospital-published line item$11cashGross $32
- Drug Assay CaffeineLab testCPT 80155Hospital-published line item$11cashGross $32
- Heparin AssayLab testCPT 85520Hospital-published line item$12cashGross $33
- Collagen Dressing, Sterile, Size 16 Sq. In. OR Less, EachSupply / DMEHCPCS A6021Hospital-published line item$12cashGross $34
- Catheter, UreteralProcedureHCPCS C1758Hospital-published line item$12cashGross $34
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Lumbar Orthosis, Flexible, Provides Lumbar Support, Posterior Extends From l-1 To Below l-5 Vertebra, Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs, Includes Straps, Closures, May Include Pendulous Abdomen Design, Shoulder Straps, Stays, Prefabricated, Off-The-Shelf Supply / DMEHCPCS L0625Hospital-published line item | $10 | $29 |
Collagen Dressing, Sterile, Size More Than 16 Sq. In. But Less Than OR Equal To 48 Sq. In., Each Supply / DMEHCPCS A6022Hospital-published line item | $11 | $30 |
Cold Agglutinin Screen Lab testCPT 86156Hospital-published line item | $11 | $31 |
Assay Of Amikacin Lab testCPT 80150Hospital-published line item | $11 | $31 |
Assay Carboxyhb Quant Lab testCPT 82375Hospital-published line item | $11 | $31 |
Ambulatory Surgical Boot Eac Supply / DMEHCPCS L3260Hospital-published line item | $11 | $32 |
Drug Assay Caffeine Lab testCPT 80155Hospital-published line item | $11 | $32 |
Heparin Assay Lab testCPT 85520Hospital-published line item | $12 | $33 |
Collagen Dressing, Sterile, Size 16 Sq. In. OR Less, Each Supply / DMEHCPCS A6021Hospital-published line item | $12 | $34 |
Catheter, Ureteral ProcedureHCPCS C1758Hospital-published line item | $12 | $34 |
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