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Sgmc Smith Northview

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Sgmc Smith Northview. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN110212

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.
  • Chlamydia Igm Antibody
    Lab testCPT 86632Hospital-published line item
    $11
    cash
    Gross $14
  • Assay Of Ureach Nitrogen
    Lab testCPT 84520Hospital-published line item
    $11
    cash
    Gross $14
  • Assay Of Calcium
    Lab testCPT 82310Hospital-published line item
    $11
    cash
    Gross $15
  • Sc STD Antmcrb Agt Agar Dil Meth Pr Agt
    Lab testCPT 87181Hospital-published line item
    $11
    cash
    Gross $15
  • Assay Of Blood Chloride
    Lab testCPT 82435Hospital-published line item
    $12
    cash
    Gross $16
  • Assay Of Phosphorus
    Lab testCPT 84100Hospital-published line item
    $12
    cash
    Gross $16
  • Cyclosporine Oral 25 Mg
    DrugHCPCS J7515Hospital-published line item
    $12
    cash
    Gross $17
  • Skin Fungi Culture
    Lab testCPT 87101Hospital-published line item
    $13
    cash
    Gross $17
  • RBC Sickle Cell Test
    Lab testCPT 85660Hospital-published line item
    $14
    cash
    Gross $18
  • Assay Of Creatinine
    Lab testCPT 82565Hospital-published line item
    $14
    cash
    Gross $18
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