Summit Surgical
,
Summit Surgical. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN121125
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.
- Injection Enoxaparin SodiumDrugHCPCS J1650Hospital-published line item$10cashGross $13
- Injection, Adrenalin, Epinephrine, 0.1 MgDrugHCPCS J0171Hospital-published line item$11cashGross $14
- Injection, Meperidine Hydrochloride, Per 100 MgDrugHCPCS J2175Hospital-published line item$12cashGross $14
- Gel Sheet For Dermal OR Epidermal Application, (e.g., Silicone, Hydrogel, Other), EachSupply / DMEHCPCS A6025Hospital-published line item$12cashGross $15
- Ampicillin 500 Mg InjDrugHCPCS J0290Hospital-published line item$12cashGross $15
- Injection, Methylergonovine Maleate, Up To 0.2 MgDrugHCPCS J2210Hospital-published line item$13cashGross $16
- Coll Venous Bld VenipunctureProcedureCPT 36415Hospital-published line item$13cashGross $16
- Assay Glucose Blood QuantLab testCPT 82947Hospital-published line item$13cashGross $17
- Injection, Amiodarone Hydrochloride, 30 MgDrugHCPCS J0282Hospital-published line item$14cashGross $17
- Culture Type ImmunologicLab testCPT 87147Hospital-published line item$14cashGross $18
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Injection Enoxaparin Sodium DrugHCPCS J1650Hospital-published line item | $10 | $13 |
Injection, Adrenalin, Epinephrine, 0.1 Mg DrugHCPCS J0171Hospital-published line item | $11 | $14 |
Injection, Meperidine Hydrochloride, Per 100 Mg DrugHCPCS J2175Hospital-published line item | $12 | $14 |
Gel Sheet For Dermal OR Epidermal Application, (e.g., Silicone, Hydrogel, Other), Each Supply / DMEHCPCS A6025Hospital-published line item | $12 | $15 |
Ampicillin 500 Mg Inj DrugHCPCS J0290Hospital-published line item | $12 | $15 |
Injection, Methylergonovine Maleate, Up To 0.2 Mg DrugHCPCS J2210Hospital-published line item | $13 | $16 |
Coll Venous Bld Venipuncture ProcedureCPT 36415Hospital-published line item | $13 | $16 |
Assay Glucose Blood Quant Lab testCPT 82947Hospital-published line item | $13 | $17 |
Injection, Amiodarone Hydrochloride, 30 Mg DrugHCPCS J0282Hospital-published line item | $14 | $17 |
Culture Type Immunologic Lab testCPT 87147Hospital-published line item | $14 | $18 |
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