Clinch Memorial Hospital
1050 Valdosta Highway
Homerville, GA 31634
Critical Access Hospitals
Overview
- CCN111308
Procedures & prices
- HC PHOSPHATASE ALKALINE84075$11cashGross $210 payers
- Fecal blood scrn immunoassayG0328$11cashGross $230 payers
- HC FECAL LEUKO CNT QUAL/SEMIQUAN89055$11cashGross $230 payers
- HC N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER94760$12cashGross $250 payers
- HC UREA NITROGEN; QUAN - 9184520$13cashGross $250 payers
- HC OCCULT BLOOD, OTHER SOURCES82271$14cashGross $270 payers
- DIPHENHYDRAMINE HCL 50MGQ0163$14cashGross $140 payers
- HC GTT-ADDED SAMPLES82952$14cashGross $270 payers
- HC DRAIN EXTERNAL EAR ABSC/HEM SMPL69000$14cashGross $280 payers
- 9920199201$14cashGross $280 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| HC PHOSPHATASE ALKALINE | 84075 | $11 | $21 | — | 0 |
| Fecal blood scrn immunoassay | G0328 | $11 | $23 | — | 0 |
| HC FECAL LEUKO CNT QUAL/SEMIQUAN | 89055 | $11 | $23 | — | 0 |
| HC N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER | 94760 | $12 | $25 | — | 0 |
| HC UREA NITROGEN; QUAN - 91 | 84520 | $13 | $25 | — | 0 |
| HC OCCULT BLOOD, OTHER SOURCES | 82271 | $14 | $27 | — | 0 |
| DIPHENHYDRAMINE HCL 50MG | Q0163 | $14 | $14 | — | 0 |
| HC GTT-ADDED SAMPLES | 82952 | $14 | $27 | — | 0 |
| HC DRAIN EXTERNAL EAR ABSC/HEM SMPL | 69000 | $14 | $28 | — | 0 |
| 99201 | 99201 | $14 | $28 | — | 0 |
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