Kaiser Permanente Modesto Medical Center
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Kaiser Permanente Modesto Medical Center. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN100301
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.
- Cyclosporine Oral 25 MgDrugHCPCS J7515Hospital-published line item$10cashGross $20
- O Shoe Add Standard Toe TapSupply / DMEHCPCS L3550Hospital-published line item$10cashGross $20
- Prosthetic Sock, Single Ply, Fitting, Below Knee, EachSupply / DMEHCPCS L8470Hospital-published line item$10cashGross $20
- Alginate OR Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size 16 Sq. In. OR Less, Each DressingSupply / DMEHCPCS A6196Hospital-published line item$10cashGross $20
- Hemoglobin UrineLab testCPT 83069Hospital-published line item$10cashGross $20
- Pathogen Testablished For PlateletsProcedureHCPCS P9100Hospital-published line item$10cashGross $20
- Injection, Factor Ix, Fc Fusion Protein, (recombinant), Alprolix, 1 I.u.DrugHCPCS J7201Hospital-published line item$10cashGross $20
- Injection, Hydralazine Hcl, Up To 20 MgDrugHCPCS J0360Hospital-published line item$10cashGross $20
- Recement/Bond Part DentureProcedureCPT D6930Hospital-published line item$11cashGross $21
- Injection, Haloperidol, Up To 5 MgDrugHCPCS J1630Hospital-published line item$11cashGross $21
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Cyclosporine Oral 25 Mg DrugHCPCS J7515Hospital-published line item | $10 | $20 |
O Shoe Add Standard Toe Tap Supply / DMEHCPCS L3550Hospital-published line item | $10 | $20 |
Prosthetic Sock, Single Ply, Fitting, Below Knee, Each Supply / DMEHCPCS L8470Hospital-published line item | $10 | $20 |
Alginate OR Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size 16 Sq. In. OR Less, Each Dressing Supply / DMEHCPCS A6196Hospital-published line item | $10 | $20 |
Hemoglobin Urine Lab testCPT 83069Hospital-published line item | $10 | $20 |
Pathogen Testablished For Platelets ProcedureHCPCS P9100Hospital-published line item | $10 | $20 |
Injection, Factor Ix, Fc Fusion Protein, (recombinant), Alprolix, 1 I.u. DrugHCPCS J7201Hospital-published line item | $10 | $20 |
Injection, Hydralazine Hcl, Up To 20 Mg DrugHCPCS J0360Hospital-published line item | $10 | $20 |
Recement/Bond Part Denture ProcedureCPT D6930Hospital-published line item | $11 | $21 |
Injection, Haloperidol, Up To 5 Mg DrugHCPCS J1630Hospital-published line item | $11 | $21 |
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