Hospital for Special Care
,
Hospital for Special Care. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN072004
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.
- Supplies For Maintenance Of Non-Insulin Drug Infusion Catheter, Per Week (list Drugs Separately)Supply / DMEHCPCS A4221Hospital-published line item$11cashGross $11
- Enteral Feeding Supply Kit; Pump Fed, Per Day, Includes But Not Limited To Feeding/Flushing Syringe, Administration Set Tubing, Dressings, TapeProcedureHCPCS B4035Hospital-published line item$11cashGross $11
- Foam Dressing, Wound Cover, Sterile, Pad Size More Than 16 Sq. In. But Less Than OR Equal To 48 Sq. In., With Any Size Adhesive Border, Each DressingSupply / DMEHCPCS A6213Hospital-published line item$12cashGross $12
- Alginate OR Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size 16 Sq. In. OR Less, Each DressingSupply / DMEHCPCS A6196Hospital-published line item$15cashGross $15
- Insertion Tray With Drainage Bag With Indwelling Catheter, Foley Type, Two-Way, All SiliconeSupply / DMEHCPCS A4315Hospital-published line item$16cashGross $16
- Diathermy Eg MicrowaveProcedureCPT 97024Hospital-published line item$21cashGross $21
- IM Admin 1st/only ComponentProcedureCPT 90460Hospital-published line item$21cashGross $21
- Transparent Film, Sterile, 16 Sq. In. OR Less, Each DressingSupply / DMEHCPCS A6257Hospital-published line item$21cashGross $21
- Oxygen Probe For Use With Oximeter Device, ReplacementSupply / DMEHCPCS A4606Hospital-published line item$22cashGross $22
- Skin Sealants, Protectants, Moisturizers, Ointments, Any Type, Any SizeSupply / DMEHCPCS A6250Hospital-published line item$23cashGross $23
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Supplies For Maintenance Of Non-Insulin Drug Infusion Catheter, Per Week (list Drugs Separately) Supply / DMEHCPCS A4221Hospital-published line item | $11 | $11 |
Enteral Feeding Supply Kit; Pump Fed, Per Day, Includes But Not Limited To Feeding/Flushing Syringe, Administration Set Tubing, Dressings, Tape ProcedureHCPCS B4035Hospital-published line item | $11 | $11 |
Foam Dressing, Wound Cover, Sterile, Pad Size More Than 16 Sq. In. But Less Than OR Equal To 48 Sq. In., With Any Size Adhesive Border, Each Dressing Supply / DMEHCPCS A6213Hospital-published line item | $12 | $12 |
Alginate OR Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size 16 Sq. In. OR Less, Each Dressing Supply / DMEHCPCS A6196Hospital-published line item | $15 | $15 |
Insertion Tray With Drainage Bag With Indwelling Catheter, Foley Type, Two-Way, All Silicone Supply / DMEHCPCS A4315Hospital-published line item | $16 | $16 |
Diathermy Eg Microwave ProcedureCPT 97024Hospital-published line item | $21 | $21 |
IM Admin 1st/only Component ProcedureCPT 90460Hospital-published line item | $21 | $21 |
Transparent Film, Sterile, 16 Sq. In. OR Less, Each Dressing Supply / DMEHCPCS A6257Hospital-published line item | $21 | $21 |
Oxygen Probe For Use With Oximeter Device, Replacement Supply / DMEHCPCS A4606Hospital-published line item | $22 | $22 |
Skin Sealants, Protectants, Moisturizers, Ointments, Any Type, Any Size Supply / DMEHCPCS A6250Hospital-published line item | $23 | $23 |
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